Yıl: 2022 Cilt: 10 Sayı: 1 Sayfa Aralığı: 10 - 16 Metin Dili: İngilizce DOI: 10.14235/bas.galenos.2021.5243 İndeks Tarihi: 15-05-2023

Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study

Öz:
Objective: To investigate the effect of perturbation training (PT) on balance, walking, and lumbar stabilization in patients with multiple sclerosis. Methods: Ten patients were given manual PT twice a week for 6 weeks. Romberg (RT), Sharpened Romberg (SR), and single leg stance test (SLST) were performed for static balance. Dynamic balance was assessed with functional reach test (FRT), lateral reach test [dominant (LRT-D) and non-dominant (LFR-ND)], and four square step test (FSST). The Falls Efficacy Scale International (FES-I) was used to evaluate the fear of falling. Timed up and go (TUG) test and pressure biofeedback stabilization were used to assess the functional mobility and lumbar stabilization. Results: The results of SR and SLST were significantly increased after the treatment (p<0.05). However, the RT duration had no differences between pre and post-treatments (p>0.05). Significant differences were found in the values of FRT and LRT-ND. The results of LRT-D and FSST were not changed with the treatment. The fear of falling decreased after the treatment but was not statistically significant (p>0.05). After the treatment, the TUG duration improved in participants (p=0.01). No difference was found in the PBS duration between the pre and post-treatment (p>0.05). Conclusion: This study revealed that manual PT without computerized systems in the clinic may improve static and dynamic balance, walking, and fear of falling. Additionally, the effect of PT on lumbar stabilization in MS was not determined in our study. Major conclusions were limited by the small sample size; however, the observed results may contribute to designing future trials.
Anahtar Kelime:

Multipl Skleroz Hastalarında Pertürbasyon Eğitiminin Denge, Yürüyüş ve Lumbar Stabilizasyon Üzerine Etkisi: Pilot Çalışma

Öz:
Amaç: Multipl skleroz hastalarında pertürbasyon eğitiminin (PE) denge, yürüme ve lumbal stabilizasyon üzerine etkisini araştırmak. Yöntemler: On hastaya 6 hafta boyunca haftada iki kez manuel PE verildi. Statik denge için Romberg Test (RT), Keskinleştirilmiş Romberg (KR), Tek Bacak Duruş Testi (TBDT) yapıldı. Dinamik denge Fonksiyonel Uzanma Testi (FUT)’yle, Lateral Uzanma Testi (dominant, non-dominant; LUT-D, LUT-ND)’yle ve Dört Kare Adım Testi (DKAT)’yle değerlendirildi. Düşme korkusunu değerlendirmek için Düşme Etkinliği Skalası (DES) kullanıldı. Fonksiyonel mobilite ve lumbal stabilizasyonu değerlendirmek için sırasıyla Zamanlı Kalk ve Yürü (ZKY) testi, Basınçlı Biofeedback Stabilizer (BBS) kullanıldı. Bulgular: SR ve SLST sonuçları tedaviden sonra anlamlı olarak arttı (p<0,05). Ancak RT süresi için tedavi öncesi ve sonrası arasında fark yoktu (p>0,05). FUT ve LUT-ND değerleri arasında önemli fark vardı. Tedavi ile LUT-D ve DKAT sonuçları değişmedi. Tedavi sonrasında bireylerin düşme korkusu azalsa da, istatistiksel analize yansımadı (p>0,05). Tedaviden sonra ZKY süresinde iyileşmeler kaydedildi (p=0,01). Tedavi öncesi ve sonrası arasında BBS süresi bakımından fark yoktu (p>0,05). Sonuç: Bu çalışma, klinikte bilgisayarlı sistemler olmadan manuel PE’nin statik ve dinamik dengeyi, yürüyüşü, düşme korkusunu iyileştirebileceğini göstermiştir. Ayrıca çalışmamızda PE’nin multipl sklerozda lumbal stabilizasyon üzerine etkisi saptanmadı. Önemli sonuçlarımız küçük örneklem büyüklüğü ile sınırlıydı; ancak, gözlemlenen sonuçlar gelecekteki çalışmaların tasarlanmasına katkıda bulunabilir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA MADEN T, YAKUT H, Yakut Y, Akcali A (2022). Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study. , 10 - 16. 10.14235/bas.galenos.2021.5243
Chicago MADEN TUBA,YAKUT HATICE,Yakut Yavuz,Akcali Aylin Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study. (2022): 10 - 16. 10.14235/bas.galenos.2021.5243
MLA MADEN TUBA,YAKUT HATICE,Yakut Yavuz,Akcali Aylin Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study. , 2022, ss.10 - 16. 10.14235/bas.galenos.2021.5243
AMA MADEN T,YAKUT H,Yakut Y,Akcali A Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study. . 2022; 10 - 16. 10.14235/bas.galenos.2021.5243
Vancouver MADEN T,YAKUT H,Yakut Y,Akcali A Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study. . 2022; 10 - 16. 10.14235/bas.galenos.2021.5243
IEEE MADEN T,YAKUT H,Yakut Y,Akcali A "Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study." , ss.10 - 16, 2022. 10.14235/bas.galenos.2021.5243
ISNAD MADEN, TUBA vd. "Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study". (2022), 10-16. https://doi.org/10.14235/bas.galenos.2021.5243
APA MADEN T, YAKUT H, Yakut Y, Akcali A (2022). Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study. Bezmiâlem Science, 10(1), 10 - 16. 10.14235/bas.galenos.2021.5243
Chicago MADEN TUBA,YAKUT HATICE,Yakut Yavuz,Akcali Aylin Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study. Bezmiâlem Science 10, no.1 (2022): 10 - 16. 10.14235/bas.galenos.2021.5243
MLA MADEN TUBA,YAKUT HATICE,Yakut Yavuz,Akcali Aylin Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study. Bezmiâlem Science, vol.10, no.1, 2022, ss.10 - 16. 10.14235/bas.galenos.2021.5243
AMA MADEN T,YAKUT H,Yakut Y,Akcali A Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study. Bezmiâlem Science. 2022; 10(1): 10 - 16. 10.14235/bas.galenos.2021.5243
Vancouver MADEN T,YAKUT H,Yakut Y,Akcali A Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study. Bezmiâlem Science. 2022; 10(1): 10 - 16. 10.14235/bas.galenos.2021.5243
IEEE MADEN T,YAKUT H,Yakut Y,Akcali A "Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study." Bezmiâlem Science, 10, ss.10 - 16, 2022. 10.14235/bas.galenos.2021.5243
ISNAD MADEN, TUBA vd. "Effects of Perturbation Training on Balance, Walking, and Lumbar Stabilization in Patients with Multiple Sclerosis: A Pilot Study". Bezmiâlem Science 10/1 (2022), 10-16. https://doi.org/10.14235/bas.galenos.2021.5243