Effect of Manuel Therapy on Tonus, Proprioseption and Balance in Multiple Sclerosis

Tuba Maden

Status: Completed

Conditions: Cervical Region Disorder Nos; Postural Balance; Multiple Sclerosis; Muscle Tonus; Proprioception

Treatments: Other: classic rehabilitation+mobilization; Other: classic rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT04201691

2019/106

Details and patient eligibility

About

This study is investigates the effect of cervical mobilization on tonus, position sense and balance in patient with multiple sclerosis. Half of participants will received classic rehabilitation program, while the other half will received servical mobilization in addition to classic rehabilitation program.

Full description

Cervical region is rich in terms of muscle spindle and reseptors. When this region is touched by physiotherapists, muscle spindles is activited. Thus position sense of joint and balance is developed. Besides, cervical region is parasympathetic area have common relaxed effect. Thus this part can be benefit to regulation of tonus.

Enrollment: 16 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Expanded Disability Status Scale (EDSS) score was between 2-5,
• According to the modified Ashworth Scale, spasticity is between 1 and 3,
• EDSS Cerebellar System Sub-Scale, Functional System Score ˃1,
• medical condition is stable and no medication changes were made in the last month,
• Vertebro-basillar test negative,
• Not have any other neurological disorder and orthopedic problem to prevent participation in this study
• A score of at least 24 from the Mini Mental Test,

Exclusion criteria

• presence of psychiatric or severe cognitive dysfunction,
• pregnancy,
• Having a neurological disease other than MS,
• having had an attack in the last 3 months,
• Botulinum toxin application within the last 6 months,
• participating in physiotherapy program in the last 6 months

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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16 participants in 2 patient groups

conventional group

Experimental group

Description:

Conventional group is received conventional rehabilitation program.

Treatment:

Other: classic rehabilitation+mobilization

Other: classic rehabilitation

mobilization group

Experimental group

Description:

Mobilization group is received cervical mobilization in addition to conventional rehabilitation program.

Treatment:

Other: classic rehabilitation+mobilization

Other: classic rehabilitation