Gait Analysis in Multiple Sclerosis Patients

The Effect of Vestibular Rehabilitation on the Kinetic and Kinematic Parameters of Walking in Patients With Multiple Sclerosis

In the literature, the results of vestibular rehabilitation treatment applied in patients with Multiple Sclerosis (MS) have been investigated in detail under the headings such as fatigue, physical activity level, and quality of life, and its effects on walking have also been tried to be examined. However, in the studies conducted, gait assessments were made through questionnaires and timed tests, and devices that provide more objective data such as 3-dimensional gait analysis were not used. Again, the effects of vestibular rehabilitation programs on dual-task were not examined in previous studies.

Therefore, the aims of our study are:

1. To determine the effect of individually designed vestibular rehabilitation exercises on the kinetic and kinematic components of walking;
2. To determine the effect of vestibular rehabilitation exercises specially designed for the person on gait parameters during cognitive and motor tasks.

Inclusion Criteria:

• Between aged 25-60 years
• Diagnosed with MS for at least 5 years
• Relapsing and progressive MS according to Mc Donald criteria
• EDSS score of ≤ 3.5 ≤ 6
• Modified Ashworth Scale < 3
• Being eligible to work by a neurologist

Exclusion Criteria:

• Having had an MS-related attack in the 3 months before the study
• Changes in medications within 6 months prior to the study
• To have participated in the rehabilitation program within 1 month before the study
• Serious neurological, cardiac, pulmonary, rheumatological, audiovisual, or orthopedic disorders that limit assessments and/or intervention programs