Contributions
Abstract: P1289
Type: Poster Sessions
Abstract Category: Therapy - Others
Background: Multiple sclerosis (MS) affects central postural control mechanism and leads an increase of postural sway. The relationship between core muscles activation and postural sway is still unclear.
Purpose: To demonstrate the relationship between core muscle thickness and postural sway in PwMS. The second purpose is to compare the core muscle thickness of MS patients with HC.
Methods: This prospective, cross-sectional study was conducted at Hospital Neurology Unit, Department of Physiotherapy and Rehabilitation, Hacettepe University. Twenty- five MS patients with the EDSS score ≤ 4.5 and 18 HC were recruited. Patients 'disability level were assessed with EDSS, Postural sway were assessed with force plate (Bertec Co, Columbus, OH). Four experimental conditions were employed for postural stability assessment.: Condition 1- flat surface, eyes open Condition 2- flat surface eyes closed Condition 3: 10.5 cm thick foam block, eyes open Condition 4: 10.5 cm thick foam block, eyes open . Transversus abdominus, multifidus internal oblique and external obligue muscle thickness (rested and contracted) were evaluated with SDU-1200 ultrasound imager (Shimadzu, Japan).
Results: Multifidus rested/contracted thickness and transversus abdominus contracted thickness were significantly different with healthy population (p: 0.006 p:0.016 p: 0.006 respectively). There were no difference in other muscle thicknesses. Multifidus contracted thickness was correlated with anterior/posterior sway range in condition 1 and 2 ( p: 0.044, p: 0.030 respectively) . Additionally rested/contracted multifidus thickness and contracted transversus abdominus thickness were correlated with condition 1 and 2 stability scores. (condition 1: p:0.017, p:0.007, p:0.018 condition 2 : p:0.045, p:0.031, p:0.019 respectively)
Conclusion: The present study demonstrates the importance of core muscles and impact on postural sway. In a clinical point of view, core trunk muscles training should be added fully ambulatory MS patient's rehabilitation program in order to improve postural control.
Disclosure: nothing to disclose
Abstract: P1289
Type: Poster Sessions
Abstract Category: Therapy - Others
Background: Multiple sclerosis (MS) affects central postural control mechanism and leads an increase of postural sway. The relationship between core muscles activation and postural sway is still unclear.
Purpose: To demonstrate the relationship between core muscle thickness and postural sway in PwMS. The second purpose is to compare the core muscle thickness of MS patients with HC.
Methods: This prospective, cross-sectional study was conducted at Hospital Neurology Unit, Department of Physiotherapy and Rehabilitation, Hacettepe University. Twenty- five MS patients with the EDSS score ≤ 4.5 and 18 HC were recruited. Patients 'disability level were assessed with EDSS, Postural sway were assessed with force plate (Bertec Co, Columbus, OH). Four experimental conditions were employed for postural stability assessment.: Condition 1- flat surface, eyes open Condition 2- flat surface eyes closed Condition 3: 10.5 cm thick foam block, eyes open Condition 4: 10.5 cm thick foam block, eyes open . Transversus abdominus, multifidus internal oblique and external obligue muscle thickness (rested and contracted) were evaluated with SDU-1200 ultrasound imager (Shimadzu, Japan).
Results: Multifidus rested/contracted thickness and transversus abdominus contracted thickness were significantly different with healthy population (p: 0.006 p:0.016 p: 0.006 respectively). There were no difference in other muscle thicknesses. Multifidus contracted thickness was correlated with anterior/posterior sway range in condition 1 and 2 ( p: 0.044, p: 0.030 respectively) . Additionally rested/contracted multifidus thickness and contracted transversus abdominus thickness were correlated with condition 1 and 2 stability scores. (condition 1: p:0.017, p:0.007, p:0.018 condition 2 : p:0.045, p:0.031, p:0.019 respectively)
Conclusion: The present study demonstrates the importance of core muscles and impact on postural sway. In a clinical point of view, core trunk muscles training should be added fully ambulatory MS patient's rehabilitation program in order to improve postural control.
Disclosure: nothing to disclose