Research Article
BibTex RIS Cite

Mutual Relationship Between Upper Extremity Function and Core Muscle Endurance in Patients with Multiple Sclerosis

Year 2021, Volume: 11 Issue: 1, 42 - 46, 31.03.2021
https://doi.org/10.33808/clinexphealthsci.809605

Abstract

Objective: This study aimed to determine the relationship between upper extremity function and core muscle endurance in patients with
multiple sclerosis (PwMS).

Methods: Twenty-two PwMS and 20 healthy controls (HC) were included in this retrospective cross-sectional study. The upper extremity function was assessed by the Nine Hole Peg Test (NHPT). In addition, the core muscle endurance was assessed by the side bridge test, trunk flexor endurance test, trunk extensor test, and prone bridge test.

Results: Upper extremity function and core muscle endurance (except extensor endurance) in PwMS were lower compared to HC (p<0.05). In
addition, the results of correlation analyses in PwMS showed that both sides’ upper extremity functions were related to EDSS, and trunk flexor
endurance (p<0.05). Moreover, the right-upper extremity function was related to the right side bridge endurance test performance while the
left-upper extremity function was related to left side bridge endurance test performance and disease duration (p<0.05).

Conclusion: These results demonstrated the mutual relationship between upper extremity function and core muscle endurance in PwMS. Therefore, the core stabilization training may improve both the core muscle endurance and upper extremity function in PwMS.

Supporting Institution

Destekleyen kurum bulunmamaktadır.

Project Number

Proje numarası bulunmamaktadır.

Thanks

The authors are grateful to all participants in this study.

References

  • 1. Kister I, Bacon TE, Chamot E, Salter AR, Cutter GR, Kalina JT, Herbert, J. Natural history of multiple sclerosis symptoms. Int J MS Care 2013;15(3):146-156.
  • 2. Yozbatıran N, Baskurt F, Baskurt Z, Ozakbas S, Idiman E. Motor assessment of upper extremity function and its relation with fatigue, cognitive function and quality of life in multiple sclerosis patients. J Neurol Sci 2006;246(1-2):117-122.
  • 3. Rosenblum S, Josman N. The relationship between postural control and fine manual dexterity. Phys Occup Ther Pediatr 2003;23(4):47-60. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med 2006;36(3):189-198.
  • 4. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med 2006;36(3):189-198
  • 5. Shinkle J, Nesser TW, Demchak TJ, McMannus DM. Effect of core strength on the measure of power in the extremities. J Strength Cond Res 2012;26(2):373-380.
  • 6. Willson JD, Dougherty CP, Ireland ML, Davis IM. Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surg 2005;13(5):316-325.
  • 7. Bergmark A. Stability of the lumbar spine: a study in mechanical engineering. Acta Orthop Scand 1989;60(sup230):1-54.
  • 8. Fry DK, Huang M, Rodda BJ. Core muscle strength and endurance measures in ambulatory persons with multiple sclerosis: validity and reliability. Int J Rehabil Res 2015;38(3):206-212.
  • 9. Peate W, Bates G, Lunda K, Francis S, Bellamy K. Core strength: a new model for injury prediction and prevention. J Occup Med Toxicol 2007;2(1):3.
  • 10. Flatters I, Mushtaq F, Hill LJ, Holt RJ, Wilkie RM, Mon-Williams M. The relationship between a child's postural stability and manual dexterity. Exp Brain Res 2014;232(9):2907-2917.
  • 11. Kalkan AC, Kahraman T, Ugut BO, Colakoglu BD, Genc A. A comparison of the relationship between manual dexterity and postural control in young and older individuals with Parkinson's disease. J Clin Neurosci 2020;75:89-93.
  • 12. Soke F, Kul Karaali H, Ilgin D, Yuksel E, Ozcan O, Arslan T. Relationship between Postural Control and Hand Function in the Subjects Aged 65 Years and Over. Turk J Phys Med Rehabil 2018.
  • 13. Cetisli Korkmaz N, Can Akman T, Kilavuz Oren G, Bir LS. Trunk control: The essence for upper limb functionality in patients with multiple sclerosis. Mult Scler Relat Disord 2018;24:101-106.
  • 14. Thompson AJ, Banwell BL, Barkhof F, Carroll WM, Coetzee T, Comi G, Correale, J, Fazekas, F, Filippi, M, Freedman, M.S. Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. Lancet Neurol 2018;17(2):162-173.
  • 15. Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology 1983;33(11):1444-1452.
  • 16. Feys P, Lamers I, Francis G, Benedict R, Phillips G, LaRocca N, Hudson, L.D, Rudick, R, Consortium, Multiple Sclerosis Outcome Assessments. The Nine-Hole Peg Test as a manual dexterity performance measure for multiple sclerosis. Mult Scler 2017;23(5):711-720.
  • 17. Mathiowetz V, Weber K, Kashman N, Volland G. Adult norms for the nine hole peg test of finger dexterity. OTJR 1985;5(1):24-38.
  • 18. McGill SM. Low back stability: from formal description to issues for performance and rehabilitation. Exerc Sport Sci Rev 2001;29(1):26-31.
  • 19. Evans K, Refshauge KM, Adams R. Trunk muscle endurance tests: reliability, and gender differences in athletes. J Sci Med Sport 2007;10(6):447-455.
  • 20. McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil 1999;80(8):941-944.
  • 21. Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth Analg 2018;126(5):1763-1768.
  • 22. Cutter GR, Baier ML, Rudick RA, Cookfair DL, Fischer JS, Petkau J, Syndulko, K, Weinshenker, B.G, Antel, J.P and Confavreux, C. Development of a multiple sclerosis functional composite as a clinical trial outcome measure. Brain 1999;122(5):871-882.
  • 23. Lamers I, Kelchtermans S, Baert I, Feys P. Upper limb assessment in multiple sclerosis: a systematic review of outcome measures and their psychometric properties. Arch Phys Med Rehabil 2014;95(6):1184-1200.
  • 24. Bertoni R, Lamers I, Chen CC, Feys P, Cattaneo D. Unilateral and bilateral upper limb dysfunction at body functions, activity and participation levels in people with multiple sclerosis. Mult Scler 2015;21(12):1566-1574.
  • 25. Hodges PW. Core stability exercise in chronic low back pain. Orthop Clin 2003;34(2):245-254.
  • 26. Freund JE, Stetts DM, Vallabhajosula S. Relationships between trunk performance, gait and postural control in persons with multiple sclerosis. NeuroRehabilitation 2016;39(2):305-317.
  • 27. Kocahan T, Akinoglu B. Determination of the relationship between core endurance and isokinetic muscle strength of elite athletes. J Exerc Rehabil 2018;14(3):413-418.
  • 28. Lehman GJ, Story S, Mabee R. Influence of static lumbar flexion on the trunk muscles' response to sudden arm movements. Chiropr Osteopat 2005;13(1):23.
  • 29. Saeterbakken AH, Van den Tillaar R, Seiler S. Effect of core stability training on throwing velocity in female handball players. J Strength Cond Res 2011;25(3):712-718.
  • 30. Misirlioglu TO, Eren I, Canbulat N, Cobanoglu E, Gunerbuyuk C, Demirhan M. Does a core stabilization exercise program have a role on shoulder rehabilitation? A comparative study in young females. Turk J Phys Med Rehabil 2018;64(4):328-336.
  • 31. Miyake Y, Kobayashi R, Kelepecz D, Nakajima M. Core exercises elevate trunk stability to facilitate skilled motor behavior of the upper extremities. J Bodyw Mov Ther 2013;17(2):259-265.
  • 32. Bulguroglu I, Guclu-Gunduz A, Yazici G, Ozkul C, Irkec C, Nazliel B, Batur-Caglayan, HZ. The effects of Mat Pilates and Reformer Pilates in patients with Multiple Sclerosis: A randomized controlled study. NeuroRehabilitation 2017;41(2):413-422.
  • 33. Freeman JA, Gear M, Pauli A, Cowan P, Finnigan C, Hunter H, Mobberley, C, Nock, A, Sims, R, Thain, J. The effect of core stability training on balance and mobility in ambulant individuals with multiple sclerosis: a multi-centre series of single case studies. Mult Scler 2010;16(11):1377-1384.
Year 2021, Volume: 11 Issue: 1, 42 - 46, 31.03.2021
https://doi.org/10.33808/clinexphealthsci.809605

Abstract

Project Number

Proje numarası bulunmamaktadır.

References

  • 1. Kister I, Bacon TE, Chamot E, Salter AR, Cutter GR, Kalina JT, Herbert, J. Natural history of multiple sclerosis symptoms. Int J MS Care 2013;15(3):146-156.
  • 2. Yozbatıran N, Baskurt F, Baskurt Z, Ozakbas S, Idiman E. Motor assessment of upper extremity function and its relation with fatigue, cognitive function and quality of life in multiple sclerosis patients. J Neurol Sci 2006;246(1-2):117-122.
  • 3. Rosenblum S, Josman N. The relationship between postural control and fine manual dexterity. Phys Occup Ther Pediatr 2003;23(4):47-60. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med 2006;36(3):189-198.
  • 4. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med 2006;36(3):189-198
  • 5. Shinkle J, Nesser TW, Demchak TJ, McMannus DM. Effect of core strength on the measure of power in the extremities. J Strength Cond Res 2012;26(2):373-380.
  • 6. Willson JD, Dougherty CP, Ireland ML, Davis IM. Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surg 2005;13(5):316-325.
  • 7. Bergmark A. Stability of the lumbar spine: a study in mechanical engineering. Acta Orthop Scand 1989;60(sup230):1-54.
  • 8. Fry DK, Huang M, Rodda BJ. Core muscle strength and endurance measures in ambulatory persons with multiple sclerosis: validity and reliability. Int J Rehabil Res 2015;38(3):206-212.
  • 9. Peate W, Bates G, Lunda K, Francis S, Bellamy K. Core strength: a new model for injury prediction and prevention. J Occup Med Toxicol 2007;2(1):3.
  • 10. Flatters I, Mushtaq F, Hill LJ, Holt RJ, Wilkie RM, Mon-Williams M. The relationship between a child's postural stability and manual dexterity. Exp Brain Res 2014;232(9):2907-2917.
  • 11. Kalkan AC, Kahraman T, Ugut BO, Colakoglu BD, Genc A. A comparison of the relationship between manual dexterity and postural control in young and older individuals with Parkinson's disease. J Clin Neurosci 2020;75:89-93.
  • 12. Soke F, Kul Karaali H, Ilgin D, Yuksel E, Ozcan O, Arslan T. Relationship between Postural Control and Hand Function in the Subjects Aged 65 Years and Over. Turk J Phys Med Rehabil 2018.
  • 13. Cetisli Korkmaz N, Can Akman T, Kilavuz Oren G, Bir LS. Trunk control: The essence for upper limb functionality in patients with multiple sclerosis. Mult Scler Relat Disord 2018;24:101-106.
  • 14. Thompson AJ, Banwell BL, Barkhof F, Carroll WM, Coetzee T, Comi G, Correale, J, Fazekas, F, Filippi, M, Freedman, M.S. Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. Lancet Neurol 2018;17(2):162-173.
  • 15. Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology 1983;33(11):1444-1452.
  • 16. Feys P, Lamers I, Francis G, Benedict R, Phillips G, LaRocca N, Hudson, L.D, Rudick, R, Consortium, Multiple Sclerosis Outcome Assessments. The Nine-Hole Peg Test as a manual dexterity performance measure for multiple sclerosis. Mult Scler 2017;23(5):711-720.
  • 17. Mathiowetz V, Weber K, Kashman N, Volland G. Adult norms for the nine hole peg test of finger dexterity. OTJR 1985;5(1):24-38.
  • 18. McGill SM. Low back stability: from formal description to issues for performance and rehabilitation. Exerc Sport Sci Rev 2001;29(1):26-31.
  • 19. Evans K, Refshauge KM, Adams R. Trunk muscle endurance tests: reliability, and gender differences in athletes. J Sci Med Sport 2007;10(6):447-455.
  • 20. McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil 1999;80(8):941-944.
  • 21. Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth Analg 2018;126(5):1763-1768.
  • 22. Cutter GR, Baier ML, Rudick RA, Cookfair DL, Fischer JS, Petkau J, Syndulko, K, Weinshenker, B.G, Antel, J.P and Confavreux, C. Development of a multiple sclerosis functional composite as a clinical trial outcome measure. Brain 1999;122(5):871-882.
  • 23. Lamers I, Kelchtermans S, Baert I, Feys P. Upper limb assessment in multiple sclerosis: a systematic review of outcome measures and their psychometric properties. Arch Phys Med Rehabil 2014;95(6):1184-1200.
  • 24. Bertoni R, Lamers I, Chen CC, Feys P, Cattaneo D. Unilateral and bilateral upper limb dysfunction at body functions, activity and participation levels in people with multiple sclerosis. Mult Scler 2015;21(12):1566-1574.
  • 25. Hodges PW. Core stability exercise in chronic low back pain. Orthop Clin 2003;34(2):245-254.
  • 26. Freund JE, Stetts DM, Vallabhajosula S. Relationships between trunk performance, gait and postural control in persons with multiple sclerosis. NeuroRehabilitation 2016;39(2):305-317.
  • 27. Kocahan T, Akinoglu B. Determination of the relationship between core endurance and isokinetic muscle strength of elite athletes. J Exerc Rehabil 2018;14(3):413-418.
  • 28. Lehman GJ, Story S, Mabee R. Influence of static lumbar flexion on the trunk muscles' response to sudden arm movements. Chiropr Osteopat 2005;13(1):23.
  • 29. Saeterbakken AH, Van den Tillaar R, Seiler S. Effect of core stability training on throwing velocity in female handball players. J Strength Cond Res 2011;25(3):712-718.
  • 30. Misirlioglu TO, Eren I, Canbulat N, Cobanoglu E, Gunerbuyuk C, Demirhan M. Does a core stabilization exercise program have a role on shoulder rehabilitation? A comparative study in young females. Turk J Phys Med Rehabil 2018;64(4):328-336.
  • 31. Miyake Y, Kobayashi R, Kelepecz D, Nakajima M. Core exercises elevate trunk stability to facilitate skilled motor behavior of the upper extremities. J Bodyw Mov Ther 2013;17(2):259-265.
  • 32. Bulguroglu I, Guclu-Gunduz A, Yazici G, Ozkul C, Irkec C, Nazliel B, Batur-Caglayan, HZ. The effects of Mat Pilates and Reformer Pilates in patients with Multiple Sclerosis: A randomized controlled study. NeuroRehabilitation 2017;41(2):413-422.
  • 33. Freeman JA, Gear M, Pauli A, Cowan P, Finnigan C, Hunter H, Mobberley, C, Nock, A, Sims, R, Thain, J. The effect of core stability training on balance and mobility in ambulant individuals with multiple sclerosis: a multi-centre series of single case studies. Mult Scler 2010;16(11):1377-1384.
There are 33 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Çağla Özkul 0000-0001-9367-9910

Arzu Güçlü Gündüz 0000-0001-8464-1929

Murat Esmer 0000-0001-7885-4610

Muhammed Şeref Yıldırım 0000-0002-8529-986X

Kader Eldemir 0000-0002-1167-8971

Ceyla İrkeç This is me 0000-0002-4713-8010

Project Number Proje numarası bulunmamaktadır.
Publication Date March 31, 2021
Submission Date October 13, 2020
Published in Issue Year 2021 Volume: 11 Issue: 1

Cite

APA Özkul, Ç., Güçlü Gündüz, A., Esmer, M., Yıldırım, M. Ş., et al. (2021). Mutual Relationship Between Upper Extremity Function and Core Muscle Endurance in Patients with Multiple Sclerosis. Clinical and Experimental Health Sciences, 11(1), 42-46. https://doi.org/10.33808/clinexphealthsci.809605
AMA Özkul Ç, Güçlü Gündüz A, Esmer M, Yıldırım MŞ, Eldemir K, İrkeç C. Mutual Relationship Between Upper Extremity Function and Core Muscle Endurance in Patients with Multiple Sclerosis. Clinical and Experimental Health Sciences. March 2021;11(1):42-46. doi:10.33808/clinexphealthsci.809605
Chicago Özkul, Çağla, Arzu Güçlü Gündüz, Murat Esmer, Muhammed Şeref Yıldırım, Kader Eldemir, and Ceyla İrkeç. “Mutual Relationship Between Upper Extremity Function and Core Muscle Endurance in Patients With Multiple Sclerosis”. Clinical and Experimental Health Sciences 11, no. 1 (March 2021): 42-46. https://doi.org/10.33808/clinexphealthsci.809605.
EndNote Özkul Ç, Güçlü Gündüz A, Esmer M, Yıldırım MŞ, Eldemir K, İrkeç C (March 1, 2021) Mutual Relationship Between Upper Extremity Function and Core Muscle Endurance in Patients with Multiple Sclerosis. Clinical and Experimental Health Sciences 11 1 42–46.
IEEE Ç. Özkul, A. Güçlü Gündüz, M. Esmer, M. Ş. Yıldırım, K. Eldemir, and C. İrkeç, “Mutual Relationship Between Upper Extremity Function and Core Muscle Endurance in Patients with Multiple Sclerosis”, Clinical and Experimental Health Sciences, vol. 11, no. 1, pp. 42–46, 2021, doi: 10.33808/clinexphealthsci.809605.
ISNAD Özkul, Çağla et al. “Mutual Relationship Between Upper Extremity Function and Core Muscle Endurance in Patients With Multiple Sclerosis”. Clinical and Experimental Health Sciences 11/1 (March 2021), 42-46. https://doi.org/10.33808/clinexphealthsci.809605.
JAMA Özkul Ç, Güçlü Gündüz A, Esmer M, Yıldırım MŞ, Eldemir K, İrkeç C. Mutual Relationship Between Upper Extremity Function and Core Muscle Endurance in Patients with Multiple Sclerosis. Clinical and Experimental Health Sciences. 2021;11:42–46.
MLA Özkul, Çağla et al. “Mutual Relationship Between Upper Extremity Function and Core Muscle Endurance in Patients With Multiple Sclerosis”. Clinical and Experimental Health Sciences, vol. 11, no. 1, 2021, pp. 42-46, doi:10.33808/clinexphealthsci.809605.
Vancouver Özkul Ç, Güçlü Gündüz A, Esmer M, Yıldırım MŞ, Eldemir K, İrkeç C. Mutual Relationship Between Upper Extremity Function and Core Muscle Endurance in Patients with Multiple Sclerosis. Clinical and Experimental Health Sciences. 2021;11(1):42-6.

14639   14640