
Contributions
Abstract: EP1409
Type: ePoster
Abstract Category: Clinical aspects of MS - 8 Clinical assessment tools
Background: Fatigue is one of the most common symptoms seen in about 80% of patients with Multiple Sclerosis (MS). It is known that imbalance that affects physical performance are closely related to symptoms such as fatigue, but the relationship between fatigue and balance is not yet clear in patients with MS.
Objective: The purpose of this study was to investigate the effect of fatigue severity on balance in patients with MS.
Methods: Participants: Forty-one ambulatory patients with MS (Age:36.46±8.61 years, EDSS: 1.62±1.06) participated in the study.
Main measures: Fatigue was assessed using the self-report Fatigue Severity Scale (FSS). Balance was assessed using the Biodex Balance System which included the postural stability test, the limit of stability test, and the sensory organization test. In the postural stability test, the patients were asked to stand for 30 seconds on both feet and 10 seconds each on one foot. In the sensory organization test, the patients were asked to stand on both feet under four altered sensory conditions (1. Eyes open-firm surface, 2. eyes closed-firm surface; 3. Eyes open-foam surface, 4. Eyes closed-foam surface). In the limit of stability test, the patients were asked to reach to 8 predetermined target positions in the forward, backward, rightward, leftward, forward-rightward, forward-leftward, backward-rightward, and backward-leftward directions
Statistical analysis: Spearman correlation analysis was used to determine relationships between balance and fatigue.
Results: In patients with MS, the fatigue severity was associated with the postural stability scores on both feet (r: 0.391, p:0.011); on right foot (r:0.398, p:0.01); on left foot (r:0.351, p:0.024), and was associated with the sensory organization test scores under all condition (r:0.379-0.537, p< 0.05). The fatigue severity was associated with the limit of stability score in only the backward direction (r:- 0.358, p:0.021), but not associated with the limit of stability in others directions (p>0.05).
Conclusion: This study showed that postural sway and fatigue affect each other negatively. More effective results can be obtained by adding fatigue management strategies and balance exercises to the rehabilitation program in patients with MS.
Disclosure: There is no conflict of interest and funding in this study.
Abstract: EP1409
Type: ePoster
Abstract Category: Clinical aspects of MS - 8 Clinical assessment tools
Background: Fatigue is one of the most common symptoms seen in about 80% of patients with Multiple Sclerosis (MS). It is known that imbalance that affects physical performance are closely related to symptoms such as fatigue, but the relationship between fatigue and balance is not yet clear in patients with MS.
Objective: The purpose of this study was to investigate the effect of fatigue severity on balance in patients with MS.
Methods: Participants: Forty-one ambulatory patients with MS (Age:36.46±8.61 years, EDSS: 1.62±1.06) participated in the study.
Main measures: Fatigue was assessed using the self-report Fatigue Severity Scale (FSS). Balance was assessed using the Biodex Balance System which included the postural stability test, the limit of stability test, and the sensory organization test. In the postural stability test, the patients were asked to stand for 30 seconds on both feet and 10 seconds each on one foot. In the sensory organization test, the patients were asked to stand on both feet under four altered sensory conditions (1. Eyes open-firm surface, 2. eyes closed-firm surface; 3. Eyes open-foam surface, 4. Eyes closed-foam surface). In the limit of stability test, the patients were asked to reach to 8 predetermined target positions in the forward, backward, rightward, leftward, forward-rightward, forward-leftward, backward-rightward, and backward-leftward directions
Statistical analysis: Spearman correlation analysis was used to determine relationships between balance and fatigue.
Results: In patients with MS, the fatigue severity was associated with the postural stability scores on both feet (r: 0.391, p:0.011); on right foot (r:0.398, p:0.01); on left foot (r:0.351, p:0.024), and was associated with the sensory organization test scores under all condition (r:0.379-0.537, p< 0.05). The fatigue severity was associated with the limit of stability score in only the backward direction (r:- 0.358, p:0.021), but not associated with the limit of stability in others directions (p>0.05).
Conclusion: This study showed that postural sway and fatigue affect each other negatively. More effective results can be obtained by adding fatigue management strategies and balance exercises to the rehabilitation program in patients with MS.
Disclosure: There is no conflict of interest and funding in this study.