The Effects of Internet-Based and Supervised Exercise Programs in People With Multiple Sclerosis

Comparison of the Effects of Internet-Based and Supervised Exercise Programs in People With Multiple Sclerosis

The main aim of this study is resarch and compare the effects of supervised exercise programs and internet-based exercise programs, which have started to benefit from their effects in recent years, known for not requiring conditions such as transportation distance, cost and time, on motor disorders and quality of life in people with multiple sclerosis (MS). This study conducting for develop a new perspective on conventional physiotherapy and rehabilitation practices. Our study will be performed in people with MS with a high EDSS score, is seen as an important contribution for the literature.

The groups were included in exercise programs of 16 sessions in total, twice a week for 8 weeks. Exercise programs will consist of warm-up, aerobic exercises, strengthening exercises, balance exercises, breathing exercises, cooling and relaxation exercises. Exercise programs will be created by the physiotherapist and arranged every 2 weeks according to the patients' conditions. Patients who do not participate in the program 2 times in a row will be excluded from the study.

Inclusion Criteria:

• Diagnosed with MS by a neurologist
• Being between ages of 18-65
• Not having had an attack in the last 3 months
• The score of Expanded Disability Status Scale (EDSS) is 5.5- 7.5
• Not participating in a another physiotherapy and rehabilitation program
• Having internet access

Exclusion Criteria:

• Pregnancy
• Severe cognitive impairment that effects participating to rehabilitation
• The cardiopulmonary disease that will prevent aerobic exercise
• Having a major hearing and/or vision problem
• Having a major speech disorder