Gait Analysis in Multiple Sclerosis Patients

Istanbul Kültür University

Status: Completed

Conditions: Vestibular Rehabilitation; Multiple Sclerosis; 3D Gait Analysis

Treatments: Other: Vestibular exercises; Other: Standard neurorehabilitation exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT05299151

VR-1

Details and patient eligibility

About

In the literature, the results of vestibular rehabilitation treatment applied in patients with Multiple Sclerosis (MS) have been investigated in detail under the headings such as fatigue, physical activity level, and quality of life, and its effects on walking have also been tried to be examined. However, in the studies conducted, gait assessments were made through questionnaires and timed tests, and devices that provide more objective data such as 3-dimensional gait analysis were not used. Again, the effects of vestibular rehabilitation programs on dual-task were not examined in previous studies.

Therefore, the aims of our study are:

1. To determine the effect of individually designed vestibular rehabilitation exercises on the kinetic and kinematic components of walking;
2. To determine the effect of vestibular rehabilitation exercises specially designed for the person on gait parameters during cognitive and motor tasks.

Enrollment: 22 patients

Sex: All

Ages: 25 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Between aged 25-60 years
• Diagnosed with MS for at least 5 years
• Relapsing and progressive MS according to Mc Donald criteria
• EDSS score of ≤ 3.5 ≤ 6
• Modified Ashworth Scale < 3
• Being eligible to work by a neurologist

Exclusion criteria

• Having had an MS-related attack in the 3 months before the study
• Changes in medications within 6 months prior to the study
• To have participated in the rehabilitation program within 1 month before the study
• Serious neurological, cardiac, pulmonary, rheumatological, audiovisual, or orthopedic disorders that limit assessments and/or intervention programs

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

22 participants in 2 patient groups

Vestibular Rehabilitation Group

Experimental group

Description:

A vestibular rehabilitation exercise program, which is determined based on the literature and personalized according to the functional disabilities of each patient, will be applied to the participants in the experimental group. An exercise session will be performed for a total of 40 minutes, with each exercise for 1-2 minutes. Exercise training will be applied 2 days a week for 8 weeks and they will be asked to do it at home once a week.

Treatment:

Other: Vestibular exercises

Standard Neurorehabilitation Group

Active Comparator group

Description:

A neurorehabilitation program based on stretching, strengthening, posture, mobilization, static and dynamic balance exercises will be applied. Each training session will be 40 minutes in total. Exercise training will be done in the clinical setting 2 days a week for 8 weeks, and they will be asked to do it at home once a week.

Treatment:

Other: Standard neurorehabilitation exercises