Effects of Exercises in MS on Postural Control With Dual Task

Effects of Combined Exercises on Postural Control With and Without Dual Task in Patients With Multiple Sclerosis

Multiple sclerosis is a progressive neurological disease that associated with demyelinization and axonal damage. Decreased postural control is one of the initial symptom of disease. Improving postural control in people with neurological impairment is a common goal of physiotherapy. Doing exercises in water or land are examples for effective solutions. Pilates and aquaplyometric exercises are some of these approaches.

Performing daily activities at the same time requires dual tasking or multi tasking. Dual tasking is frequently impaired in MS. The aim of the study was to determine effect of combined Pilates and Aquaplyometric exercises on postural control with or without dual task in patients with multiple sclerosis.

MS patients with decreased postural control will be enrolled eight-week, 45 minutes combined Pilates and aquaplyometric exercise programme. Postural control, hand dexterity and other functional parameteres will assess besaline and at the eighth week of exercise programme by the physiotherapist. Postural control will evaluate with and without dual task.

Inclusion Criteria:

• being over 18 years old
• ability to walk independently or with single walking aid
• having stable symptoms

Exclusion Criteria:

• being acute or unstable phase of disease
• having EDSS score>6
• insuitable for the pool (incontinance, dermatological disease etc.)