Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis
Yıl: 2021 Cilt: 8 Sayı: 3 Sayfa Aralığı: 655 - 669 Metin Dili: İngilizce DOI: 10.21020/husbfd.945324 İndeks Tarihi: 29-07-2022
Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis
Öz: Objectives: Optimal core stability relies on somatosensory, motor and musculoskeletal systems that are often compromised with the progression of the disability level in the Multiple Sclerosis (MS) population. The aim of this study was to investigate the relationship between disability level and core stability in patients with MS. Materials and Methods: Thirty-seven MS patients (26 female and 11 male) with mild to moderate disability were included in the study. Kurtzke Expanded Disability Status Scale (EDSS) was used to evaluate the level of disability of patients with MS.Core endurance tests including the flexion endurance test, extension endurance test, right and left side bridge tests and core power tests including the sit-ups test and modified push-ups test were evaluated. Results: When the relationship between disability level and core stability was examined in patients with MS, it was seen that the EDSS was associated with flexion endurance test, extension endurance test, right and left side bridge tests, sit-ups test and modified push-ups test (r= -0.572, r= -0.445, r= -0.585, r= -0.653, r= -0.571, r= -0.532 respectively; p
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Abdel-Aziz, K., Schneider, T., Solanky, B. S., Yiannakas, M. C., Altmann, D. R., Wheeler-Kingshott, C. A., et al. (2015). Evidence for early neurodegeneration in the cervical cord of patients with primary progressive multiple sclerosis. Brain, 138(6), 1568-1582. https://doi.org/10.1093/brain/awv086
- Altman, D., Machin, D., Bryant, T., & Gardner, M. (Eds.). (2000). Statistics with confidence: confidence intervals and statistical guidelines (2nd Edition). Bristol: BMJ Books.
- Arntzen, E. C., Straume, B. K., Odeh, F., Feys, P., Zanaboni, P., & Normann, B. (2019). Group-based individualized comprehensive core stability intervention improves balance in persons with multiple sclerosis: A randomized controlled trial. Physical Therapy, 99(8), 1027-1038. https://doi.org/10.1093/ptj/pzz017
- Arntzen, E. C., Straume, B., Odeh, F., Feys, P., & Normann, B. (2020). Group‐based, individualized, comprehensive core stability and balance intervention provides immediate and long‐term improvements in walking in individuals with multiple sclerosis: A randomized controlled trial. Physiotherapy Research International, 25(1), e1798. https://doi.org/10.1002/pri.1798.
- Baltacı, G., Tunay, V. B., Tuncer, A., & Ergun, N. (Eds.). (2016). Exercise therapy in sports injuries. Ankara: Hipokrat Bookstore.
- Bertoni, R., Lamers, I., Chen, C. C., Feys, P., & Cattaneo, D. (2015). Unilateral and bilateral upper limb dysfunction at body functions, activity and participation levels in people with multiple sclerosis. Multiple Sclerosis Journal, 21(12), 1566-1574. https://doi.org/10.1177/1352458514567553
- Borghuis, J., Hof, A. L., & Lemmink, K. A. (2008). The importance of sensory-motor control in providing core stability. Sports Medicine, 38(11), 893-916. https://doi.org/10.2165/00007256- 200838110-00002
- Cameron, M. H., & Lord, S. (2010). Postural control in multiple sclerosis: implications for fall prevention. Current Neurology and Neuroscience Reports, 10(5), 407-412. https://doi.org/10.1007/s11910-010-0128-0
- Cameron, M. H., & Nilsagard, Y. (2018). Balance, gait, and falls in multiple sclerosis. Handbook of Clinical Neurology, 159, 237-250. https://doi.org/10.1016/B978-0-444-63916-5.00015-X
- Comber, L., Sosnoff, J. J., Galvin, R., Coote, S. (2018). Postural control deficits in people with Multiple Sclerosis: a systematic review and meta-analysis. Gait Posture, 61, 445-452. https://doi.org/10.1016/j.gaitpost.2018.02.018
- Confavreux, C., Vukusic, S., Moreau, T., & Adeleine, P. (2000). Relapses and progression of disability in multiple sclerosis. New England Journal of Medicine, 343(20), 1430-1438. https://doi.org/10.1056/NEJM200011163432001
- Corporaal, S. H., Gensicke, H., Kuhle, J., Kappos, L., Allum, J. H., & Yaldizli, Ö. (2013). Balance control in multiple sclerosis: correlations of trunk sway during stance and gait tests with disease severity. Gait & posture, 37(1), 55-60. https://doi.org/10.1016/j.gaitpost.2012.05.025
- Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/bf03193146
- Fjeldstad, C., Pardo, G., Bemben, D., & Bemben, M. (2011). Decreased postural balance in multiple sclerosis patients with low disability. International Journal of Rehabilitation Research, 34(1), 53-58. https://doi.org/10.1097/MRR.0b013e32833d6ccb
- Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198. https://doi.org/10.1016/0022-3956(75)90026-6
- Freund, J. E., Stetts, D. M., & Vallabhajosula, S. (2016). Relationships between trunk performance, gait and postural control in persons with multiple sclerosis. NeuroRehabilitation, 39(2), 305-317. https://doi.org/10.3233/NRE-161362
- Genthon, N., Vuillerme, N., Monnet, J. P., Petit, C., & Rougier, P. (2007). Biomechanical assessment of the sitting posture maintenance in patients with stroke. Clinical Biomechanics, 22(9), 1024- 1029. https://doi.org/10.1016/j.clinbiomech.2007.07.011
- Hodges, P. W., & Richardson, C. A. (1997a). Contraction of the abdominal muscles associated with movement of the lower limb. Physical Therapy, 77(2), 132-142. https://doi.org/10.1093/ptj/77.2.132
- Hodges, P. W., & Richardson, C. A. (1997b). Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Experimental Brain Research, 114(2), 362-370. https://doi.org/10.1007/pl00005644
- Jørgensen, M. L. K., Dalgas, U., Wens, I., & Hvid, L. G. (2017). Muscle strength and power in persons with multiple sclerosis–a systematic review and meta-analysis. Journal of the Neurological Sciences, 376, 225-241. https://doi.org/10.1016/j.jns.2017.03.022
- Kalron, A., & Givon, U. (2016). Gait characteristics according to pyramidal, sensory and cerebellar EDSS subcategories in people with multiple sclerosis. Official Journal of the European Neurological Society, 263(9), 1796–1801. https://doi.org/10.1007/s00415-016-8200-6
- Kalron, A., & Achiron, A. (2013). Postural control, falls and fear of falling in people with multiple sclerosis without mobility aids. Journal of the Neurological Sciences, 335(1-2), 186-190. https://doi.org/10.1016/j.jns.2013.09.029
- Karatas, M., Çetin, N., Bayramoglu, M., & Dilek, A. (2004). Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. American Journal of Physical Medicine & Rehabilitation, 83(2), 81-87. https://doi.org/10.1097/01.PHM.0000107486.99756.C7
- Ketelhut, N. B., Kindred, J. H., & Manago, M. M. (2015). Core muscle characteristics during walking of patients with multiple sclerosis. Journal of Rehabilitation Research and Development, 52(6), 713-724. https://doi.org/10.1682/JRRD.2015.01.0006
- Kibler, W. B., Press, J., & Sciascia, A. (2006). The role of core stability in athletic function. Sports Medicine, 36(3), 189-198. https://doi.org/10.1682/JRRD.2015.01.0006
- Kjølhede, T., Vissing, K., Langeskov-Christensen, D., Stenager, E., Petersen, T., & Dalgas, U. (2015). Relationship between muscle strength parameters and functional capacity in persons with mild to moderate degree multiple sclerosis. Multiple Sclerosis and Related Disorders, 4(2), 151-158. https://doi.org/10.1016/j.msard.2015.01.002
- Krishnan, V., Kanekar, N., & Aruin, A. S. (2012a). Anticipatory postural adjustments in individuals with multiple sclerosis. Neuroscience Letters, 506(2), 256-260. https://doi.org/10.1016/j.neulet.2011.11.018
- Krishnan, V., Kanekar, N., & Aruin, A. S. (2012b). Feedforward postural control in individuals with multiple sclerosis during load release. Gait & Posture, 36(2), 225-230. https://doi.org/10.1016/j.gaitpost.2012.02.022
- Kurtzke, J. F. (1983). Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology, 33(11), 1444-1452. https://doi.org/10.1212/wnl.33.11.1444
- Lanzetta, D., Cattaneo, D., Pellegatta, D., & Cardini, R. (2004). Trunk control in unstable sitting posture during functional activities in healthy subjects and patients with multiple sclerosis. Archives of Physical Medicine and Rehabilitation, 85(2), 279-283. https://doi.org/10.1016/j.apmr.2003.05.004
- McGill, S. M., Childs, A., & Liebenson, C. (1999). Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Archives of Physical Medicine and Rehabilitation, 80(8), 941-944. https://doi.org/10.1016/s0003-9993(99)90087-4
- Moreno-Navarro, P., Gomez-Illán, R., Carpena-Juan, C., P Sempere, Á., Vera-Garcia, F. J., & Barbado, D. (2020). Understanding the Deterioration of Gait, Postural Control, Lower Limb Strength and Perceived Fatigue Across the Disability Spectrum of People with Multiple Sclerosis. Journal of Clinical Medicine, 9(5), 1385. https://doi.org/ 10.3390/jcm9051385
- Preuss, R., & Fung, J. (2008). Musculature and biomechanics of the trunk in the maintenance of upright posture. Journal of Electromyography and Kinesiology, 18(5), 815-828. https://doi.org/10.1016/j.jelekin.2007.03.003
- Prosperini, L., Fortuna, D., Giannì, C., Leonardi, L., & Pozzilli, C. (2013). The diagnostic accuracy of static posturography in predicting accidental falls in people with multiple sclerosis. Neurorehabilitation and Neural Repair, 27(1), 45-52. https://doi.org/10.1177/1545968312445638
- Sosnoff, J. J., Socie, M. J., Boes, M. K., Sandroff, B. M., Pula, J. H., Suh, Y., et al. (2011). Mobility, balance and falls in persons with multiple sclerosis. PloS One, 6(11), e28021. https://doi.org/10.1371/journal.pone.0028021
- Willson, J. D., Dougherty, C. P., Ireland, M. L., & Davis, I. M. (2005). Core stability and its relationship to lower extremity function and injury. Journal of the American Academy of Orthopaedic Surgeons, 13(5), 316-325. https://doi.org/10.5435/00124635-200509000-00005
- Yoosefinejad, A. K., Motealleh, A., Khademi, S., & Hosseini, S. F. (2017). Lower endurance and strength of core muscles in patients with multiple sclerosis. International Journal of MS Care, 19(2), 100-104. https://doi.org/10.7224/1537-2073.2015-064
| APA | ÖZKAN T, GUCLU-GUNDUZ A, Söke F (2021). Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis. , 655 - 669. 10.21020/husbfd.945324 |
| Chicago | ÖZKAN TAŞKIN,GUCLU-GUNDUZ ARZU,Söke Fatih Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis. (2021): 655 - 669. 10.21020/husbfd.945324 |
| MLA | ÖZKAN TAŞKIN,GUCLU-GUNDUZ ARZU,Söke Fatih Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis. , 2021, ss.655 - 669. 10.21020/husbfd.945324 |
| AMA | ÖZKAN T,GUCLU-GUNDUZ A,Söke F Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis. . 2021; 655 - 669. 10.21020/husbfd.945324 |
| Vancouver | ÖZKAN T,GUCLU-GUNDUZ A,Söke F Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis. . 2021; 655 - 669. 10.21020/husbfd.945324 |
| IEEE | ÖZKAN T,GUCLU-GUNDUZ A,Söke F "Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis." , ss.655 - 669, 2021. 10.21020/husbfd.945324 |
| ISNAD | ÖZKAN, TAŞKIN vd. "Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis". (2021), 655-669. https://doi.org/10.21020/husbfd.945324 |
| APA | ÖZKAN T, GUCLU-GUNDUZ A, Söke F (2021). Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 8(3), 655 - 669. 10.21020/husbfd.945324 |
| Chicago | ÖZKAN TAŞKIN,GUCLU-GUNDUZ ARZU,Söke Fatih Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 8, no.3 (2021): 655 - 669. 10.21020/husbfd.945324 |
| MLA | ÖZKAN TAŞKIN,GUCLU-GUNDUZ ARZU,Söke Fatih Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol.8, no.3, 2021, ss.655 - 669. 10.21020/husbfd.945324 |
| AMA | ÖZKAN T,GUCLU-GUNDUZ A,Söke F Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2021; 8(3): 655 - 669. 10.21020/husbfd.945324 |
| Vancouver | ÖZKAN T,GUCLU-GUNDUZ A,Söke F Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2021; 8(3): 655 - 669. 10.21020/husbfd.945324 |
| IEEE | ÖZKAN T,GUCLU-GUNDUZ A,Söke F "Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis." Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 8, ss.655 - 669, 2021. 10.21020/husbfd.945324 |
| ISNAD | ÖZKAN, TAŞKIN vd. "Investigation of the relationship between disability level and core stability in patients with Multiple Sclerosis". Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 8/3 (2021), 655-669. https://doi.org/10.21020/husbfd.945324 |
