Telerehabilitation Based Motor Imagery and Action Observation Training in Multiple Sclerosis

Effect of Telerehabilitation-Based Motor Imagery and Action Observation Training on Balance and Functional Mobility in Multiple Sclerosis: Randomized Controlled Study

This study aims to investigate the effects of the treatment combination consisting of motor imagery and action observation therapy on balance, functional mobility, lower extremity muscle strength, fatigue and quality of life.

The study population was participants with relapsing remitting multiple sclerosis. The traditional rehabilitation program consists of a joint treatment in which lower extremity strengthening and balance exercises are carried out synchronously for the experimental and control groups. Motor imagery and action observation therapy based on telerehabilitation of certain movements will be applied to the experimental group. All treatments will be carried out online via the Whatsapp program. The treatment program will be applied 3 times a week for 6 weeks. Evaluations will be made before and after the treatment program. Assessments include balance, lower extremity muscle strength and functional mobility, fatigue, and quality of life.

Inclusion Criteria:

• Being diagnosed with mulltiple sclerosis according to the McDonald criteria
• Expanded Disability Status Scale<5.5,
• Being between the ages of 18-65,
• Mini mental test score>24,
• Have a phone that can adapt to participating in a video call

Exclusion Criteria:

• Having another additional neurological disease that may cause balance and coordination disorders,
• having received physical therapy and regularly engaged in sports in the last 6 months
• Having an attack in the last 3 months
• Refusal to participate in the study.