Multiple sklerozlu bireylerde Bilişsel Egzersiz Terapi Yaklaşımı’nın yorgunluk ve denge üzerine etkileri

İrem Küçüktepe; Ayla Fil Balkan; Yeliz Salcı; Gamze Arın; Nur Banu Karaca; Kadriye Armutlu; Edibe Ünal

Research Article

Multiple sklerozlu bireylerde Bilişsel Egzersiz Terapi Yaklaşımı’nın yorgunluk ve denge üzerine etkileri

Year 2018, Volume: 5 Issue: 2, 74 - 81, 16.07.2018

İrem Küçüktepe Ayla Fil Balkan Yeliz Salcı , Gamze Arın Nur Banu Karaca Kadriye Armutlu Edibe Ünal

Abstract

Amaç: Bu çalışmanın amacı, Multipl Skleroz (MS)’lu bireylerde Bilişsel Egzersiz Terapi Yaklaşımı’nın (BETY) yorgunluk ve denge üzerine etkinliğini araştırmaktı.

Yöntem: Toplam 31 birey (n çalışma grubu =16, n kontrol grubu =15), çalışma ve kontrol grubu olmak üzere rastgele 2 gruba ayrılarak, 8 hafta boyunca takip edildi. Çalışma grubuna BETY uygulandı, kontrol grubuna ev programı verildi. Bireyler tedavi öncesi ve 8 hafta devam eden 24 seans sonunda olmak üzere iki kez değerlendirildi. Denge değerlendirmesi için; Berg Denge Ölçeği, Tandem Duruş Süresi, Zamanlı Kalk Yürü Testi, Fonksiyonel Uzanma Testi, yorgunluk değerlendirmesi için; Yorgunluk Şiddet Ölçeği, Yorgunluk Etki Ölçeği kullanıldı.

Bulgular: Çalışma grubuna ait tüm değişkenlerde istatistiksel olarak anlamlı iyileşme görüldü (p<0.05).

Sonuç: MS’li bireylerde yorgunluk ve denge kaybı önemlidir. Egzersiz yaklaşımları bu iki parametre üzerine önerilmektedir. Bu çalışma BETY’nin MS’li bireylerde yorgunluk ve denge üzerine etkili olduğunu gösterdi.

Keywords

Egzersiz, Multipl skleroz, Postüral denge, Yorgunluk

References

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2. Motl RW, Sandroff BM. Benefits of exercise training in multiple sclerosis. Curr Neurol Neurosci Rep. 2015;15:62.
3. Gunn, H, Markevics S, Hass B, et al. Systematic review: the effectiveness of interventions to reduce falls and improve balance in adults with multiple sclerosis. Arch Phys Med Rehabil. 2015;96:1898-1912.
4. Learmonth YC, Paul L, Miller L, et al. The effects of a 12-week leisure centre-based, group exercise intervention for people moderately affected with multiple sclerosis: a randomized controlled pilot study. Clin Rehabil. 2011;26:579-593.
5. Galiero A, Fratini F, Mataragka A, et al. Detection of Mycobacterium aviumsubsp. paratuberculosis in cheeses from small ruminants in Tuscany. Int J Food Microbiol. 2016;217:195-199.
6. Kaesler DS, Mellifont RB, Kelly PS, et al. A novel balance exercise program for postural stability in older adults: A pilot study. J Bodywork Mov Ther. 2007;11:37-43.
7. The Multiple Sclerosis Resource Centre: Pilates. http://www.msrc.co.uk/index.cfm/fuseaction/show/pageid/668 (2009, accessed September 2009).
8. Freeman JA, Gear M, Pauli A, et al. 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;16:1377-1384.
9. Tomruk M, Uz M, Kara B, et al. Effects of Pilates Exercises on Sensory Interaction, Postural Control and Fatigue with Multiple Sclerosis. Mult Scler Relat Disord. 2016;7:70-73.
10. Ünal E. Romatoloji bilimi ve biopsikososyal model. In: Romatizmal Hastalıklarda Biyopsikososyal Model: Bilişsel Egzersiz Terapi Yaklaşımı. Eds. 1st ed. Ankara: Pelikan; 2014:8-13.
11. Smedal T, Lygren H, Myhr KM, et al. Balance and gait improved in patients with MS after physiotherapy based on the Bobath concept. Physiother Res Int. 2006;11:104-116.
12. Soyuer, F, Mirza M, Erkorkmaz U. Relationship Between Lower Extremity Muscle Strength And Balance In Multiple Sclerosis. J Neurol Sci. 2006;23:257-263.
13. Cattaneo D, Jonsdottir J, Repetti S. Reliability of four scales on balance disorders in persons with multiple sclerosis. Disabil Rehabil. 2007;29:1920-1925.
14. Tjalf Z. Symptom Management in Patients With Multiple Sclerosis. J Neurol Sci. 2011;311:48-52.
15. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther. 2000;80:896-903.
16. Balaban Ö, Nacır B, Erdem H, et al. Denge fonksiyonunun değerlendirilmesi. FTR Bil Derg. 2009;12:133-139.
17. Teranishi T, Kondo I, Sonoda S, et al. Validity study of the standing test for imbalance and disequilibrium (SIDE): Is the amount of body sway in adopted postures consistent with item order. Gait Posture. 2011;34:295-299.
18. Behrman AL, Light KE, Flynn SM, et al. Is the functional reach test useful for identifying falls risk among individuals with Parkinson's disease?. Arch Phys Med Rehabil. 2002;83:538-542.
19. Tiffany JB, Ronald DC. Fatigue in multiple sclerosis: mechanisms, evaluation, and treatment. Sleep. 2010;33:1061-1067.
20. Armutlu K, Korkmaz NC, Keser I, et al. The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. Int. J Rehabil Res. 2007;30:81-85.
21. Fisk JD, Pontefract A, Ritvo PG, et al. The impact of fatigue on patients with MS. Can J Neurol Sci. 1994;21:9-14.
22. Armutlu K, Keser I, Korkmaz N, et al. Psychometric study of Turkish version of Fatigue Impact Scale in multiple sclerosis patients. J Neurol Sci. 2007;255:64-68.
23. Hebert JR, Corboy JR, Manago MM, et al. Effects of vestibuler rehabilitation on multiple sclerosis- related fatique and upright postural control: a randomized controlled trial. Phys Ther. 2011;91:1166-1183.
24. Tarakci E, Yeldan İ, Huseyinsinoglu BE, et al. Group exercise training for balance, functional status, spasticity, fatigue and quality of life in multiple sclerosis: a randomized controlled trial. Clin Rehabil. 2013;27:813-822.
25. Güçlü Gündüz A, Citaker S, Irkec C, et al. The effects of pilates on balance, mobility and strength in patients with multiple sclerosis. Neurorehabilitation. 2014;34:337-342.
26. Marandi SM, Nejad VS, Shanazari Z, et al. A comparison of 12 weeks of pilates and aquatic training on the dynamic balance of women with multiple sclerosis. Int J Prev Med. 2013;4:110-117.
27. van der Linden ML, Bulley C, Geneen LJ. Pilates for people with multiple sclerosis who use a wheelchair: feasibility, efficacy and participant experiences. Disabil Rehabil. 2013;36:932-939.
28. Roppolo M, Mulasso A, Gollin M. The Role of Fatique in the Associations Between Exercise and Psychological Health in Multiple Sclerosis: Direct and Indirect Effects. Ment Health Phys Act. 2013;6:87-94.
29. Sangelaji B, Kordi M, Banihashemi F, et al. A combined exercise model for improving muscle strength. Balance, walking distance and motor agility in multiple sclerosis: a randomized clinical trial. Iran J Neurol. 2016;15:111-120.
30. Cakt BD, Nacir B, Genç H, et al. Cycling progressive resistance training for people with multiple sclerosis: a randomized controlled study. Am J Phys Med Rehabil. 2010;89:446-457.
31. Schmidt S, Wonneberger M. Long-term endurance exercise improves aerobic capacity in patients with relapsing-remitting multiple sclerosis: impact of baseline fatique. J Neurol Sci. 2014;336:29-35.
32. van den Berg M, Dawes H, Wade DT, et al. Treadmill training for individuals with multiple sclerosis: a pilot randomised trial. J Neurol Neurosug Psychiatry. 2006;77:531-533.
33. Rietberg MB, Brooks D, Uitdehaag BM, et al. Exercise therapy for multiple sclerosis. Cochrane Database Syst Rev. 2005;25:CD003980.
34. Hansen D, Wens I, Keytsman C, et al. Is longterm exercise intervention effective to improve cardiac autonomic control during exercise in subjects with multiple sclerosis? A randomized controlled trial. Eur J Phys Rehabil Med. 2015;51:223-231.
35. Geddes EL, Costello E, Raivel K, et al. The effects of a twelve-week home walking program on cardiovascular parameters and fatique perception of individuals with multiple sclerosis: a pilot study. Cardiopulm Phys Ther J. 2009;20:5-12.
36. Surakka J, Romberg A, Ruutiainen J, et al. Effects of aerobic and strength exercise on motor fatique in men and women with multiple sclerosis: a randomized controlled trial. Clin Rehabil. 2004;18:737-746.

Year 2018, Volume: 5 Issue: 2, 74 - 81, 16.07.2018

İrem Küçüktepe Ayla Fil Balkan Yeliz Salcı , Gamze Arın Nur Banu Karaca Kadriye Armutlu Edibe Ünal

Abstract

References

1. Noseworthy JH, Lucchinetti C, Rodriguez M, et al. Multiple sclerosis. N Eng J Med. 2000;343:938-952.
2. Motl RW, Sandroff BM. Benefits of exercise training in multiple sclerosis. Curr Neurol Neurosci Rep. 2015;15:62.
3. Gunn, H, Markevics S, Hass B, et al. Systematic review: the effectiveness of interventions to reduce falls and improve balance in adults with multiple sclerosis. Arch Phys Med Rehabil. 2015;96:1898-1912.
4. Learmonth YC, Paul L, Miller L, et al. The effects of a 12-week leisure centre-based, group exercise intervention for people moderately affected with multiple sclerosis: a randomized controlled pilot study. Clin Rehabil. 2011;26:579-593.
5. Galiero A, Fratini F, Mataragka A, et al. Detection of Mycobacterium aviumsubsp. paratuberculosis in cheeses from small ruminants in Tuscany. Int J Food Microbiol. 2016;217:195-199.
6. Kaesler DS, Mellifont RB, Kelly PS, et al. A novel balance exercise program for postural stability in older adults: A pilot study. J Bodywork Mov Ther. 2007;11:37-43.
7. The Multiple Sclerosis Resource Centre: Pilates. http://www.msrc.co.uk/index.cfm/fuseaction/show/pageid/668 (2009, accessed September 2009).
8. Freeman JA, Gear M, Pauli A, et al. 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;16:1377-1384.
9. Tomruk M, Uz M, Kara B, et al. Effects of Pilates Exercises on Sensory Interaction, Postural Control and Fatigue with Multiple Sclerosis. Mult Scler Relat Disord. 2016;7:70-73.
10. Ünal E. Romatoloji bilimi ve biopsikososyal model. In: Romatizmal Hastalıklarda Biyopsikososyal Model: Bilişsel Egzersiz Terapi Yaklaşımı. Eds. 1st ed. Ankara: Pelikan; 2014:8-13.
11. Smedal T, Lygren H, Myhr KM, et al. Balance and gait improved in patients with MS after physiotherapy based on the Bobath concept. Physiother Res Int. 2006;11:104-116.
12. Soyuer, F, Mirza M, Erkorkmaz U. Relationship Between Lower Extremity Muscle Strength And Balance In Multiple Sclerosis. J Neurol Sci. 2006;23:257-263.
13. Cattaneo D, Jonsdottir J, Repetti S. Reliability of four scales on balance disorders in persons with multiple sclerosis. Disabil Rehabil. 2007;29:1920-1925.
14. Tjalf Z. Symptom Management in Patients With Multiple Sclerosis. J Neurol Sci. 2011;311:48-52.
15. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther. 2000;80:896-903.
16. Balaban Ö, Nacır B, Erdem H, et al. Denge fonksiyonunun değerlendirilmesi. FTR Bil Derg. 2009;12:133-139.
17. Teranishi T, Kondo I, Sonoda S, et al. Validity study of the standing test for imbalance and disequilibrium (SIDE): Is the amount of body sway in adopted postures consistent with item order. Gait Posture. 2011;34:295-299.
18. Behrman AL, Light KE, Flynn SM, et al. Is the functional reach test useful for identifying falls risk among individuals with Parkinson's disease?. Arch Phys Med Rehabil. 2002;83:538-542.
19. Tiffany JB, Ronald DC. Fatigue in multiple sclerosis: mechanisms, evaluation, and treatment. Sleep. 2010;33:1061-1067.
20. Armutlu K, Korkmaz NC, Keser I, et al. The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. Int. J Rehabil Res. 2007;30:81-85.
21. Fisk JD, Pontefract A, Ritvo PG, et al. The impact of fatigue on patients with MS. Can J Neurol Sci. 1994;21:9-14.
22. Armutlu K, Keser I, Korkmaz N, et al. Psychometric study of Turkish version of Fatigue Impact Scale in multiple sclerosis patients. J Neurol Sci. 2007;255:64-68.
23. Hebert JR, Corboy JR, Manago MM, et al. Effects of vestibuler rehabilitation on multiple sclerosis- related fatique and upright postural control: a randomized controlled trial. Phys Ther. 2011;91:1166-1183.
24. Tarakci E, Yeldan İ, Huseyinsinoglu BE, et al. Group exercise training for balance, functional status, spasticity, fatigue and quality of life in multiple sclerosis: a randomized controlled trial. Clin Rehabil. 2013;27:813-822.
25. Güçlü Gündüz A, Citaker S, Irkec C, et al. The effects of pilates on balance, mobility and strength in patients with multiple sclerosis. Neurorehabilitation. 2014;34:337-342.
26. Marandi SM, Nejad VS, Shanazari Z, et al. A comparison of 12 weeks of pilates and aquatic training on the dynamic balance of women with multiple sclerosis. Int J Prev Med. 2013;4:110-117.
27. van der Linden ML, Bulley C, Geneen LJ. Pilates for people with multiple sclerosis who use a wheelchair: feasibility, efficacy and participant experiences. Disabil Rehabil. 2013;36:932-939.
28. Roppolo M, Mulasso A, Gollin M. The Role of Fatique in the Associations Between Exercise and Psychological Health in Multiple Sclerosis: Direct and Indirect Effects. Ment Health Phys Act. 2013;6:87-94.
29. Sangelaji B, Kordi M, Banihashemi F, et al. A combined exercise model for improving muscle strength. Balance, walking distance and motor agility in multiple sclerosis: a randomized clinical trial. Iran J Neurol. 2016;15:111-120.
30. Cakt BD, Nacir B, Genç H, et al. Cycling progressive resistance training for people with multiple sclerosis: a randomized controlled study. Am J Phys Med Rehabil. 2010;89:446-457.
31. Schmidt S, Wonneberger M. Long-term endurance exercise improves aerobic capacity in patients with relapsing-remitting multiple sclerosis: impact of baseline fatique. J Neurol Sci. 2014;336:29-35.
32. van den Berg M, Dawes H, Wade DT, et al. Treadmill training for individuals with multiple sclerosis: a pilot randomised trial. J Neurol Neurosug Psychiatry. 2006;77:531-533.
33. Rietberg MB, Brooks D, Uitdehaag BM, et al. Exercise therapy for multiple sclerosis. Cochrane Database Syst Rev. 2005;25:CD003980.
34. Hansen D, Wens I, Keytsman C, et al. Is longterm exercise intervention effective to improve cardiac autonomic control during exercise in subjects with multiple sclerosis? A randomized controlled trial. Eur J Phys Rehabil Med. 2015;51:223-231.
35. Geddes EL, Costello E, Raivel K, et al. The effects of a twelve-week home walking program on cardiovascular parameters and fatique perception of individuals with multiple sclerosis: a pilot study. Cardiopulm Phys Ther J. 2009;20:5-12.
36. Surakka J, Romberg A, Ruutiainen J, et al. Effects of aerobic and strength exercise on motor fatique in men and women with multiple sclerosis: a randomized controlled trial. Clin Rehabil. 2004;18:737-746.

There are 36 citations in total.

Details

Primary Language	Turkish
Journal Section	Articles
Authors	İrem Küçüktepe This is me 0000-0002-5574-2613 Ayla Fil Balkan This is me Yeliz Salcı Gamze Arın This is me Nur Banu Karaca This is me Kadriye Armutlu This is me Edibe Ünal
Publication Date	July 16, 2018
Submission Date	February 10, 2018
Published in Issue	Year 2018 Volume: 5 Issue: 2

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Vancouver	Küçüktepe İ, Fil Balkan A, Salcı Y, Arın G, Karaca NB, Armutlu K, Ünal E. Multiple sklerozlu bireylerde Bilişsel Egzersiz Terapi Yaklaşımı’nın yorgunluk ve denge üzerine etkileri. JETR. 2018;5(2):74-81.

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