Investigation of the Effects of Local Vibration Applied to Different Regions and Spinal Stabilization Exercises
Multiple Sclerosis, Ataxia
About this trial
This is an interventional treatment trial for Multiple Sclerosis focused on measuring Multiple Sclerosis, ataxia, spinal stabilization, local vibration, postural control
Eligibility Criteria
Inclusion Criteria: Being between the ages of 18-50 Having been diagnosed with MS by a neurologist EDSS score between 3-5 EDSS pyramidal system score of 3 or less Not using corticosteroids and/or stopping at least 3 months before starting the study Exclusion Criteria: Having a history of attacks in the last 3 months Having orthopedic or systemic problems Presence of peripheral vestibular complaints Participating in another exercise program in the last 6 months Being mentally affected (Mini-Mental Test Score < 24) Severe spasticity (MAS>3) Refusal to participate in the study
Sites / Locations
- Hacettepe University Faculty of Health Sciences Department of Physical Therapy and Rehabilitation
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Active Comparator
Control Exercise Group
Paraspinal Vibration Group
Gastrosoleus Muscle Complex Vibration Group
Lumbar spinal stabilization exercises will be given. Lumbar spinal stabilization exercises; diaphragmatic breathing, and contraction of the transversus abdominis and multifidus muscles will be taught in the supine position. Activation of these muscles will be studied in different positions (prone, crawling, sitting, and sitting on different surfaces). The focus will be on increasing kinesthetic awareness. It will be desirable to ensure and maintain the activation of these muscles during subsequent exercises. Exercises will be continued according to the patient's functional status and individual needs. Advancement of exercises; extremity movements on dynamic surfaces, narrowing of support surfaces, reciprocal movements, increasing the number of resistance and repetitions. The duration of a session will be 40 minutes.
In addition to lumbar spinal stabilization exercises, LV will be applied to the cervical and lumbar paraspinal muscles. Spinal stabilization exercises will be as in the control group. The duration of a session will be 50 minutes, with spinal stabilization exercises 40 minutes and LV 10 minutes.LV will be applied before the exercises. LV will be applied to the cervical paraspinal muscles for a total of 5 minutes (2.5 minutes on the right side, 2.5 minutes on the left side) while the patients are in a sitting position. LV will be applied to the lumbar paraspinal muscles for a total of 5 minutes (2.5 minutes on the right side, 2.5 minutes on the left side) while the patients are lying in the prone position. LV application will be made with Vibrasens © device and vibration frequency 80 Hz amplitude 1 mm will be selected.
In addition to lumbar spinal stabilization exercises, LV will be applied to the gastrosoleus muscle complex. Spinal stabilization exercises will be as in the other 2 groups. The duration of a session will be 50 minutes, with spinal stabilization exercises 40 minutes and LV 10 minutes.LV application will be applied sequentially, bilaterally, to the gastrosoleus complex. LV will be applied before the exercises. LV will be applied for a total of 10 minutes (5 minutes each on the right and left) while the patients are lying in the prone position. LV application will be made with Vibrasens © device and vibration frequency 80 Hz amplitude 1 mm will be selected.