Contributions
Abstract: EP1571
Type: ePoster
Abstract Category: Therapy - symptomatic - Quality of life
Introduction: Walking limitations are among the most visible manifestations of multiple sclerosis (MS). Approximately 75% of patients with MS experience clinically significant walking disturbance. The exercise training is associated with an improvement in walking mobility among individuals with MS. The Six Spot Step Test (SSST) has been reported to be a more comprehensive assessment of lower-extremity function than other walking tests, such as the Timed 25-Foot Walk (T25FW) and the Timed 5-Meter Walk (T5MW).
Objective: To evaluate the gait and balance performance with SSST in patients with MS and the efficacy of functional balance exercises on SSST and other valid measures.
Methods: Fourteen Relapsing Remitting MS, 9 Secondary Progressive MS, 4 Primary Progressive MS patients (Expanded Disability Status Scale range 1-6.5) and 14 healthy control subjects were assessed in this study. Subjects were asked to postural control exercise with Biodex balance sd device two times a week (40 min per session) for 8 weeks. Results were compared with pre- and post-training sessions. In this study, we used the 36-item Short Form Health Survey (SF-36) to evaluate the quality of life. SF-36 is supplemented by eight symptom-specific measures (physical functioning, physical role limitations, pain, general health perceptions, vitality, social functioning, emotional role limitations and mental health). In the pre- and post-training sessions, all participants completed the SSST, T25FW, T5MW, the 12-item MS Walking Scale (MSWS-12).
Results: There was a statistically significant decrease between EDSS-scores of pre and post-training sessions. When assessing the quality of life, according to the domains of the SF-36, we found a statistically significant effect of the Time factor on the scores of the SF-36 questionnaire.There was a statistically significant effect of the Time factor on the T25FW, T5MW and MSWS-12 scores of pre and post-training sessions. SSST performance was strongly associated with other valid measures of ambulation.
Conclusion: Exercise training is associated with a moderate improvement in walking mobility among individuals with MS. The SSST can be used as a relevant alternative for the T25FW as the ambulation component of the MSFC. The SSST has been reported to be a more comprehensive assessment of lower-extremity function than other walking tests because it evaluates various factors that contribute to ambulatory ability, including coordination and balance.
Disclosure: Esra COŞKUNER: nothing to disclose
Turan POYRAZ: nothing to disclose
Bilge KARA: nothing to disclose
Muhammed Zahid UZ: nothing to disclose
Egemen İDİMAN: nothing to disclose
Abstract: EP1571
Type: ePoster
Abstract Category: Therapy - symptomatic - Quality of life
Introduction: Walking limitations are among the most visible manifestations of multiple sclerosis (MS). Approximately 75% of patients with MS experience clinically significant walking disturbance. The exercise training is associated with an improvement in walking mobility among individuals with MS. The Six Spot Step Test (SSST) has been reported to be a more comprehensive assessment of lower-extremity function than other walking tests, such as the Timed 25-Foot Walk (T25FW) and the Timed 5-Meter Walk (T5MW).
Objective: To evaluate the gait and balance performance with SSST in patients with MS and the efficacy of functional balance exercises on SSST and other valid measures.
Methods: Fourteen Relapsing Remitting MS, 9 Secondary Progressive MS, 4 Primary Progressive MS patients (Expanded Disability Status Scale range 1-6.5) and 14 healthy control subjects were assessed in this study. Subjects were asked to postural control exercise with Biodex balance sd device two times a week (40 min per session) for 8 weeks. Results were compared with pre- and post-training sessions. In this study, we used the 36-item Short Form Health Survey (SF-36) to evaluate the quality of life. SF-36 is supplemented by eight symptom-specific measures (physical functioning, physical role limitations, pain, general health perceptions, vitality, social functioning, emotional role limitations and mental health). In the pre- and post-training sessions, all participants completed the SSST, T25FW, T5MW, the 12-item MS Walking Scale (MSWS-12).
Results: There was a statistically significant decrease between EDSS-scores of pre and post-training sessions. When assessing the quality of life, according to the domains of the SF-36, we found a statistically significant effect of the Time factor on the scores of the SF-36 questionnaire.There was a statistically significant effect of the Time factor on the T25FW, T5MW and MSWS-12 scores of pre and post-training sessions. SSST performance was strongly associated with other valid measures of ambulation.
Conclusion: Exercise training is associated with a moderate improvement in walking mobility among individuals with MS. The SSST can be used as a relevant alternative for the T25FW as the ambulation component of the MSFC. The SSST has been reported to be a more comprehensive assessment of lower-extremity function than other walking tests because it evaluates various factors that contribute to ambulatory ability, including coordination and balance.
Disclosure: Esra COŞKUNER: nothing to disclose
Turan POYRAZ: nothing to disclose
Bilge KARA: nothing to disclose
Muhammed Zahid UZ: nothing to disclose
Egemen İDİMAN: nothing to disclose