Relationship between lower extremity muscle strength and balance in multiple sclerosis

MİRZA, Meral; Soyuer, Ferhan

Relationship between lower extremity muscle strength and balance in multiple sclerosis

Ferhan SOYUER, (Erciyes Üniversitesi, Halil Bayraktar Sağlık Hizmetleri Meslek Yüksek Okulu Kayseri, Türkiye)

Meral MİRZA (Erciyes Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Kayseri, Türkiye)

Journal of Neurological Sciences (Turkish)

5 1

Yıl: 2006 Cilt: 23 Sayı: 4 Sayfa Aralığı: 257 - 263 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Relationship between lower extremity muscle strength and balance in multiple sclerosis

Öz:

Amaç: Çalışmanın amacı, Multipl Skleroz’da (MS) alt ekstremite kas kuvveti ve denge arasındaki ilişkiyi değerlendirmektir. Gereç ve Yöntem: MS’li (genişletilmiş özürlülük durum ölçeği <4.5) 60 hasta ve 30 sağlıklı olgu, klinik denge testleri (tandem stance –ayakta duruş, single leg stance-tek bacak üzerinde duruş, functional reach-uzanma, step test-basamak test) ile değerlendirilmişlerdir. 10 kas grubundaki alt ekstremite kas kuvveti, klasik manuel kas testi ile değerlendirilmiştir. Bulgular: Alt ekstremite kas kuvveti ile functional reach-uzanma test arasında zayıf bir ilişki bulunmuştur (r= 0.06 - r= 0.50, p<0.05; etkilenmiş alt ekstremite için). Etkilenmiş alt ekstremite kas kuvveti ve step-basamak test arasında pozitif bir ilişki bulunmuştur ((r= 0.30 - r= 0.39, p<0.05). Tandem stance-ayakta duruş ve alt ekstremite kas kuvveti arasındaki ilişki anlamlıdır (r= 0.20- r= 0.47, p<0.05). Etkilenmiş alt ekstremitede, single leg stance-tek bacak üzerinde duruş ile kas kuvveti arasında zayıf bir ilişki bulunmuştur (r=0.19-0.40,p<0.5). Sonuç:Çalışma bulgularımız, MS’nin bir sonucu olarak gelişen alt ekstremite kuvvet kaybının denge üzerine etkisi olduğunu göstermiştir. Bu bulgular, MS’de rehabilitasyon modalitelerini değerlendirmekde yol gösterici olabilir.

Anahtar Kelime:

Konular: Nörolojik Bilimler

Multipl skleroz’da alt ekstremite kas kuvveti ve denge arasındaki ilişki

Öz:

Objective: The purpose of this study was to evaluate the correlation between lower extremity muscle strength and balance in Multiple Sclerosis (MS). Methods: Balance of 60 people with MS (expanded disability status scale <4.5) and 30 healthy subjects was assessed by clinical tests of standing balance (tandem stance, single leg stance, functional reach, step test). Lower extremity muscle strength for 10 muscle groups was measured with classical manual muscle test. Results: There was a weak correlation between lower extremity muscle strength and the Functional Reach Test: from r= 0.06 to r= 0.50, p<0.05 for the impaired lower extremity. The step test was correlated with muscle strength for the impaired lower extremity (r= 0.30 and r= 0.39, p<0.05). The correlation between lower extremity muscle strength and the tandem stance was from r= 0.20 to r= 0.47, p<0.05 for the impaired lower extremity. In the impaired lower extremity there was poor correlation between single leg stance and muscle strength (r=0.19 to r=0.40,p<0.5). Conclusion: The results of the study indicate that the loss of lower extremity muscle strength as a results of MS has a influence on balance. These results are relevant to assess rehabilitation modalities in MS.

Anahtar Kelime:

Konular: Nörolojik Bilimler

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1) Anacker SL, Di Fabio RP. Influence of sensory inputs on standing balance in community-dwelling elders with a recent history of falling. Phys Ther 1992; 72: 575-581.
2) Berg KO, Maki BE, Williams JI, Holiday PM. Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehab 1992; 73:1073-80.
3) Bloem BR, Allum JHJ, Carpenter MG, Honegger F. Effects of proprioceptive loss on postural control. Gait Posture 1998; 8: 214-42.
4) Bradley W, Daroff R, Fenichel G, Marsden C. Neurology in clinical practive. The neurological disorders.3 rd ed. Marsden DC. Boston:Butterwotth-Heinemann, 2000, 1431-1463.
5) Daniels L, Worthingham C. Muscle testing techniques of manual examination. 3th ed, WB. Saunders Co, Philadelphia, London, 1972.
6) Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol 1990; 45: M192- 7.
7) Frzovic D, Morris ME, Vowes L. Clinical tests of standing balance: performance of person with multiple sclerosis. Arch Phys Med Rehabil 2000; 81: 215-21.
8) Goldie PA, Matyas TA, Spencer KI, McGinley RB. Postural control in standing following stroke: test-retest reliability of some quantitative clinical tests. Phys Ther 1990; 70: 234- 43.
9) Hill KD, Bernhardt J, McGann AM, et al. A new test of dynamic standing balance for stroke patients: reliability, validity and comparison with healthy elderly. Physiother Can 1996; (fall): 257- 62.
10) Keenan MA, Perry J, Jordan C. Factors affecting balance and ambulation following stroke. Clin Orthop 1984; 182: 165-76.
11) Kidd D, Barkhof F, McConnel R et al. Cortical lesions in multiple sclerosis. Brain 1999; 122: 17-26.
12) Kligyte I, Lundy-Ekman L, Medeiros JM. Relationship between lower extremity muscle strength and dynamic balance in people post-stroke. Medicina 2003; 39: 122-128.
13) Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology 1983; 33: 1444- 52.
14) Lassmann H. The pathology of multiple sclerosis and its evolution. Philos Trans R Soc Lond B Biol Sci 1999; 354: 1635-40.
15) Mc Donald WI, Compston A, Edan G, et al. Recommended diagnostic criteria for multiple sclerosis: quidelines from the international panel on the dignosis of multiple sclerosis. Ann Neurol 2001; 50: 121- 127.
16) Poser CM, Paty DW, Scheinberg LC, et al. New diagnostic criteria for multiple sclerosis: quidelines for research protocols. Ann Neurol 1983; 13: 227- 231.
17) Shumway- Cook A, Woollcott H. Motor control: theory and practical application. Baltimore: Williams&Williams; 1995.
18) Smithson F, Morris ME, Iansek R. Performance on clinical tests of balance in Parkinson’s disease. Phys Ther 1998; 78: 577- 92.
19) Thoumie P,Mevellec E. Relation between walking speed and muscle strength is affected by somatosensory loss in multiple sclerosis. J Neurol Neurosurg Psyc 2002; 73: 313- 15.
20) Zembilci N. Merkezi sinir sisteminin demiyelinizan hastalıkları, sinir sistemi hastalıkları. 3.Baskı, İstanbul: İstanbul Üniversitesi Basımevi ve Film Merkezi, 1995: 247-265.

APA	Soyuer F, MİRZA M (2006). Relationship between lower extremity muscle strength and balance in multiple sclerosis. , 257 - 263.
Chicago	Soyuer Ferhan,MİRZA Meral Relationship between lower extremity muscle strength and balance in multiple sclerosis. (2006): 257 - 263.
MLA	Soyuer Ferhan,MİRZA Meral Relationship between lower extremity muscle strength and balance in multiple sclerosis. , 2006, ss.257 - 263.
AMA	Soyuer F,MİRZA M Relationship between lower extremity muscle strength and balance in multiple sclerosis. . 2006; 257 - 263.
Vancouver	Soyuer F,MİRZA M Relationship between lower extremity muscle strength and balance in multiple sclerosis. . 2006; 257 - 263.
IEEE	Soyuer F,MİRZA M "Relationship between lower extremity muscle strength and balance in multiple sclerosis." , ss.257 - 263, 2006.
ISNAD	Soyuer, Ferhan - MİRZA, Meral. "Relationship between lower extremity muscle strength and balance in multiple sclerosis". (2006), 257-263.

APA	Soyuer F, MİRZA M (2006). Relationship between lower extremity muscle strength and balance in multiple sclerosis. Journal of Neurological Sciences (Turkish), 23(4), 257 - 263.
Chicago	Soyuer Ferhan,MİRZA Meral Relationship between lower extremity muscle strength and balance in multiple sclerosis. Journal of Neurological Sciences (Turkish) 23, no.4 (2006): 257 - 263.
MLA	Soyuer Ferhan,MİRZA Meral Relationship between lower extremity muscle strength and balance in multiple sclerosis. Journal of Neurological Sciences (Turkish), vol.23, no.4, 2006, ss.257 - 263.
AMA	Soyuer F,MİRZA M Relationship between lower extremity muscle strength and balance in multiple sclerosis. Journal of Neurological Sciences (Turkish). 2006; 23(4): 257 - 263.
Vancouver	Soyuer F,MİRZA M Relationship between lower extremity muscle strength and balance in multiple sclerosis. Journal of Neurological Sciences (Turkish). 2006; 23(4): 257 - 263.
IEEE	Soyuer F,MİRZA M "Relationship between lower extremity muscle strength and balance in multiple sclerosis." Journal of Neurological Sciences (Turkish), 23, ss.257 - 263, 2006.
ISNAD	Soyuer, Ferhan - MİRZA, Meral. "Relationship between lower extremity muscle strength and balance in multiple sclerosis". Journal of Neurological Sciences (Turkish) 23/4 (2006), 257-263.