Multipl Skleroz hastalarında aerobik eğitim ile kombine gövde stabilizasyon eğitiminin denge, alt ekstremite kas kuvveti ve kor stabilite üzerine etkilerinin incelenmesi: randomize kontrollü bir çalışma

Amaç: Çalışmanın amacı, Multipl Skleroz (MS) hastalarında aerobik eğitim ile kombine gövde stabilizasyon eğitiminin denge, alt ekstremite kas kuvveti ve kor stabilite üzerine etkilerinin incelenmesiydi.Yöntem: Çalışmaya relapsing remitting tip MS tanısı alan 16 birey dahil edildi. MS-egzersiz grubuna (6’sı kadın, 2’si erkek) aerobik eğitim ile kombine gövde stabilizasyon eğitimi, MS-aktif kontrol grubuna (5’i kadın, 3’ü erkek) aerobik eğitim verildi. Haftada 2 gün ve toplam 8 hafta olmak üzere egzersiz eğitimi uygulandı. Denge, alt ekstremite kas kuvveti ve kor endurans tedavi öncesi ve sonrası değerlendirildi.Bulgular: Çalışma sonucunda MS-egzersiz grubunda dengenin alt parametreleri olan postüral stabilite ve stabilite limitinde, alt ekstremite kas kuvveti ve kor enduransta anlamlı gelişme olduğu (p<0,05), MS-aktif kontrol grubunda postüral stabilite ve alt ekstremite kas kuvvetinde anlamlı gelişme olduğu (p<0,05), stabilite limiti ve kor endurans değerlerlerinde ise anlamlı bir değişim olmadığı belirlendi (p>0,05). MS-egzersiz ve MS-aktif kontrol gruplarının eğitim öncesi ve sonrası stabilite limitleri ve kor endurans test sonuçlarının farkları arasında anlamlı bir değişim olduğu (p<0,05), postüral stabilite ve alt ekstremite kas kuvveti test sonuçlarının farkları arasında ise anlamlı bir değişim olmadığı gözlemlendi (p>0,05).Sonuç: Aerobik eğitim ile kombine gövde stabilizasyon eğitimi denge, alt ekstremite kas kuvveti ve kor endurans üzerine etkilidir. Aerobik eğitim ile kombine gövde stabilizasyon eğitiminin daha ileri özür düzeyindeki relapsing-remitting tip MS hastalarında daha uzun süreli etkilerinin araştırılacağı çalışmalara ihtiyaç vardır.

Anahtar Kelimeler:

Denge, Egzersiz, Multipl Skleroz, Kas kuvveti

Investigation of the effects of trunk stabilization training combined with aerobic training on balance, lower limb muscle strength, and core stability in patients with Multiple Sclerosis: a randomized controlled study

Purpose: To examine the effects of trunk stabilization training combined with aerobic training on balance, lower extremity muscle strength, and core stability in patients with Multiple Sclerosis (MS).Methods: Sixteen individuals diagnosed with relapsing-remitting MS were included in the study. Trunk stabilization training combined with aerobic training was given to the MS-exercise group (6 women, 2 men), and aerobic group was given to the MS-active control group (5 women, 3 men). Exercise training was applied 2 days a week for 8 weeks. Balance, lower extremity muscle strength and core endurance were assessed before and after the training.Results: There was a significant improvement in postural stability and stability limit, which are sub-parameters of balance, lower extremity muscle strength and core endurance in MS-exercise group (p<0.05), there was a significant improvement in postural stability and lower extremity muscle strength (p<0.05), and there was no significant change in stability limits and core endurance (p>0.05) in MS-active control group. There was a significant change between the stability limits and core endurance test results differences before and after the training of MS-exercise and MS-active control groups (p<0.05), but there was no significant change between the differences in postural stability and lower extremity muscle strength test results (p>0.05).Conclusion: Trunk stabilization training combined with aerobic training is effective on balance, lower extremity muscle strength and core endurance. There is a need for studies to investigate the longer-term effects of trunk stabilization training combined with aerobic training in relapsing-remitting MS patients with more severe disability.

Keywords:

Balance, Exercise, Multiple Sclerosis, Muscle strength,

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