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Selective exercise programs specific to muscle groups, with the workload to be done in line with the muscle's own structure, can enable more strength to be released with less fatigue in MS, and this increase in strength can increase balance and functional activities. to determine the effects of type training (selective exercise training), eccentric and concentric training on function, balance, fatigue and muscle architecture.
Recovery and enhancement of muscle function in MS is one of the main goals in physiotherapy and rehabilitation. In literature studies, it is stated that eccentric and concentric exercises are effective exercise approaches in increasing strength and reducing fatigue. However, the best exercise method is not yet clear in terms of providing better performance adaptation with less fatigue. Considering the architectural features of the lower extremity muscles, it is aimed to increase the angle of pennation with programs that include concentric strengthening of the quadriceps, gastro-soleus and gastrocnemius muscles, which are suitable muscle groups to produce large forces by design. With programs that include eccentric strengthening of the hamstring and tibialis anterior muscles that function in a wide range of motion and have high excursion ability, it is aimed to increase fiber length.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Selective training | Experimental | selective training on lower extremity for 3 days/week |
|
| Downhill walking | Experimental | downhill walking training on the treadmill for 2 days/week |
|
| Uphill walking | Experimental | uphill walking training on the treadmill for 2 days/week |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| exercise | Other | exercise training for 8 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| muscle architecture parameter 1 | The pennation angle were evaluated with Ultrasound | Change from Baseline at 8th weeks and 12th weeks |
| muscle architecture parameter 2 | The fiber length were evaluated with Ultrasound | Change from Baseline at 8th weeks and 12th weeks |
| muscle architecture parameter 3 | The muscle thickness were evaluated with Ultrasound | Change from Baseline at 8th weeks and 12th weeks |
| Muscle strength | low extremity muscles were evaluated with hand dynamometer | Change from Baseline at 8th weeks and 12th weeks |
| Measure | Description | Time Frame |
|---|---|---|
| walking fatigue | Walking Fatigue Index | Change from Baseline at 8th weeks and 12th weeks |
| perceived fatigue | Fatigue Severity Scale | Change from Baseline at 8th weeks and 12th weeks |
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Inclusion Criteria:
Exclusion Criteria:
patients who do not agree to volunteer
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| Name | Affiliation | Role |
|---|---|---|
| TÜZÜN FIRAT | Hacettepe University | Study Director |
| AYHAN ÖZKUR | Sanko University | Study Chair |
| AYŞE MÜNİFE NEYAL | Sanko University | Study Chair |
| ABDURRAHMAN NEYAL | Dr. Ersin Arslan Training and Research Hospital, | Study Chair |
| NEVİN ERGUN | Sanko University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zekiye İpek Katırcı Kırmacı | Gaziantep | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| physical fatigue | Modified Borg Scale before and after 6-minute walking test | Change from Baseline at 8th weeks and 12th weeks |
| static balance | Single standing tests | Change from Baseline at 8th weeks and 12th weeks |
| dynamic balance | 4 square step tests | Change from Baseline at 8th weeks and 12th weeks |
| Functional activities 1 | timed-up go test | Change from Baseline at 8th weeks and 12th weeks |
| Functional activities 2 | 2-minute walk test | Change from Baseline at 8th weeks and 12th weeks |
| Functional activities 3 | 25-feet walk test | Change from Baseline at 8th weeks and 12th weeks |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D001519 | Behavior |