Acute effect of myofascial stretching exercise on spasticity, balance, ambulation status and mobility of posterior chain muscles in multiple sclerosis.
Hanife Abakay, M Fatih Yetkin, Hanife Doğan, Ayşe Güç, Havva Talay Çalış
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引用次数: 0
Abstract
Objective: To investigate the acute effect of myofascial stretching exercises on spasticity, balance, ambulation status and mobility of posterior chain muscles in multiple sclerosis.
Method: The study was conducted as a randomised controlled experimental study. The study included a total of 80 individuals diagnosed with multiple sclerosis (MS) with a mean age of 43.5 ± 9.62 years (experimental group) and 41.4 ± 10.4 years (control group). All individuals were treated once and evaluated before and after the session. After recording the sociodemographic characteristics, spasticity assessment was performed with the Modified Ashword Scale (MAS), balance assessment with the Berg Balance Scale (BBS), ambulation status with the Timed Up and Go Test (TUG), and posterior chain muscle mobility (PCMM) with finger-to-ground distance measurement.
Results: The TUG (time to complete the distance) measurements of the experimental group after treatment were lower than those of the control group (p < 0.05). The value of PCMM measurements of the experimental group before the treatment was lower than that of the control group (p < 0.001). The difference in positive increase in PCMM measurements in the experimental group was higher than that in the control group (p < 0.05). After the treatment, the MAS value in the left knee of the experimental group was lower than that of the control group (p < 0.05).
Discussion: Myofascial stretching exercises applied to individuals with MS made an acute contribution to ambulation status and mobility of posterior chain muscles. There was no difference in the evaluation of spasticity and balance.
目的研究肌筋膜拉伸运动对多发性硬化症患者痉挛、平衡、行走状态和后链肌肉活动度的急性影响:本研究以随机对照实验研究的形式进行。研究共包括 80 名确诊为多发性硬化症(MS)的患者,平均年龄为(43.5 ± 9.62)岁(实验组)和(41.4 ± 10.4)岁(对照组)。所有患者均接受一次治疗,并在治疗前后接受评估。在记录社会人口学特征后,使用修正阿什沃德量表(MAS)进行痉挛评估,使用伯格平衡量表(BBS)进行平衡评估,使用定时上下测试(TUG)进行行走状态评估,使用指到地距离测量法进行后链肌肉活动度(PCMM)评估:结果:实验组治疗后的 TUG(完成距离的时间)测量值低于对照组(P P P P 讨论):对多发性硬化症患者进行的肌筋膜拉伸训练可显著改善其行走状况和后链肌肉的活动能力。对痉挛和平衡的评估没有差异。
期刊介绍:
Neurological Research is an international, peer-reviewed journal for reporting both basic and clinical research in the fields of neurosurgery, neurology, neuroengineering and neurosciences. It provides a medium for those who recognize the wider implications of their work and who wish to be informed of the relevant experience of others in related and more distant fields.
The scope of the journal includes:
•Stem cell applications
•Molecular neuroscience
•Neuropharmacology
•Neuroradiology
•Neurochemistry
•Biomathematical models
•Endovascular neurosurgery
•Innovation in neurosurgery.