Association Between Fatigue and Balance in Patients With Multiple Sclerosis

Association Between Fatigue and Balance in Patients With Multiple Sclerosis

The relationship between fatigue and balance was established. Fatigue was correlated with 8 parameters of balance scales. Moreover, there was a strong correlation between the level of fatigue from one side and depression, quality of life and disease severity from the other side.Fatigue seems to be the main problem in patients with MS which may influence other signs and symptoms such as balance.

Electromagnetic field significantly reduced fatigue level in patients with MS.This effect reflected significantly on other symptoms such as balance, depression, disease severity and the quality of life in those patients.

Virtual reality program significantly improving balance and balance perception .Virtual reality program also improved quality of life by improving general health, physical function and decreasing physical limitation significantly. However, Virtual reality programs did not improve fatigue.

Inclusion Criteria:

• Relapsing remitting type of MS.
• Age between 20-50 years.
• Ambulatory with or without an device.
• Complaining of fatigue, Have a score of 4/10 or more on the fatigue visual analogue scale in last four weeks

Exclusion Criteria:

• An acute episode of MS within the last 30 days.
• Pregnancy at any stage.
• Severely blurred vision.
• A pacemaker.
• Epilepsy of any type.
• Recent organ transplant.
• Cardiac arrhythmia.
• Large aneurysm.
• Heavy psychosis.
• Otitis media in last 2 weeks.