Effects of Balance Exercises Performed With Different Visual Stimuli

Comparison of the Effects of Balance Exercises Performed With Different Visual Stimuli in Individuals With Multiple Sclerosis

The study aims to examine the effects of balance exercises applied with different visual stimuli on individuals with MS.

The study aims to examine the effects of balance exercises applied with virtual reality glasses, stroboscopic glasses, and visual-based metaphor imaginary on individuals with MS, on their balance functions, coordination skills, and quality of life, and to compare these exercises with both traditional balance exercises, and compare each of them on motor learning, based on their effects on representational areas in the brain, and balance.

Inclusion Criteria:

• ages of 18-50
• diagnosis of MS by a neurologist according to McDonald 2017 criteria (Carroll, 2018)
• Being between 2.5 and 4.5 on the Expanded Disability Status Scale (EDSS)
• Not having had an attack in the last 3 months
• Absence of spasticity severe enough to affect treatment (spasticity in any joint of the upper extremity and lower extremity is <2 according to the Modified Ashworth Scale)
• Getting ≥ 24 points from the Standardized Mini Mental Test (SMMT)

Exclusion Criteria:

• hearing or vision problems
• pregnancy
• Having changed medication in the last 3 months and using medication containing the active ingredient Fampridine
• Participating or participating in a regular physiotherapy and rehabilitation program in the last 3 months
• other accompanying neurological, orthopedic or vestibular disorders
• an upper or lower extremity contracture that prevents exercises
• History of epileptic seizure, migraine or vertigo attack in the last 6 months