kırıkkale uni med j The Journal of Kırıkkale University Faculty of Medicine 2148-9645 Kirikkale University 10.24938/kutfd.1624416 Health Care Administration Sağlık Kurumları Yönetimi THE IMPACT OF YOGA ON FATIGUE, POSTURAL CONTROL AND DEPRESSION IN PEOPLE WITH MULTIPLE SCLEROSIS Yoganın Multipl Sklerozlu İnsanlarda Yorgunluk, Postüral Kontrol ve Depresyon Üzerine Etkisi https://orcid.org/0000-0002-8003-4440 Denizoğlu Külli Hilal Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Istanbul Atlas University, ISTANBUL, TÜRKİYE https://orcid.org/0000-0002-9743-3341 Kaya Meltem Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Istanbul Atlas University, ISTANBUL, TÜRKİYE https://orcid.org/0000-0002-7211-1805 Uçgun Hikmet Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Istanbul Atlas University, ISTANBUL, TÜRKİYE https://orcid.org/0000-0002-7695-3575 Kazancı Telli Büşra Physiotherapy and Rehabilitation Master's Program, Graduate Education Institute, Istanbul Atlas University, ISTANBUL, TÜRKİYE 04 27 2026 28 1 1 6 01 21 2025 11 24 2025 Copyright © 1999, The Journal of Kırıkkale University Faculty of Medicine 1999 The Journal of Kırıkkale University Faculty of Medicine

Objective: Multiple sclerosis (MS) is a chronic and progressive neurodegenerative disease that influences patients’ physical, mental, and social functioning. Yoga is one of the most popular forms of mind-body approaches in people with MS (pwMS) to overcome the symptoms of the disease. This study aimed to investigate the effect of the yoga training program on fatigue, postural control, and depression level in pwMS. Material and Methods: Ten pwMS aged between 22-42 years were included in the study. The structured yoga training program was applied an hour per session, five times a week over 5 weeks. The yoga program consisted of basic yoga poses, breathing and warming exercises. Each session was focused on strengthening, postural control, relaxation, and flexibility. The yoga poses were asked to maintain for 15 seconds to 2 minutes. Patients were evaluated with The Fatigue Severity Scale for fatigue level, with single leg stance test for postural control, and with Beck depression inventory for depression level. Patients were evaluated before and after the therapeutic yoga program. Results: After 5 weeks of therapeutic yoga program, statistically significant improvements were detected in terms of fatigue, postural control, and depression level in pwMS (p=0.005; p=0.005; and p=0.007, respectively). Conclusion: This study showed that a supervised therapeutic yoga program might be effective on fatigue, postural control, and depression level in pwMS.

Objective: Multipl skleroz (MS), hastaların fiziksel, zihinsel ve sosyal işlevlerini etkileyen kronik ve ilerleyici nörodejeneratif bir hastalıktır. Yoga, MS’li bireylerde hastalığın semptomları ile başa çıkmak için uygulanan en popüler zihin-beden yaklaşımlarından biridir. Bu çalışmanın amacı; MS’li bireylerde yoga eğitim programının yorgunluk, postüral kontrol ve depresyon düzeyine etkisini araştırmaktı. Gereç ve Yöntemler: Çalışmaya yaşları 22-42 yıl aralığında olan 10 MS’li birey dâhil edildi. Yapılandırılmış yoga eğitim program, 5 hafta boyunca haftada beş kez, her seans bir saat olacak şekilde uygulandı. Yoga programı temel yoga pozlarını, solunum ve ısınma egzersizlerini içermekteydi. Her seansta kuvvetlendirme, postüral kontrol, gevşeme ve esnekliğe odaklanıldı. Yoga pozlarının 15 saniye ile 2 dakika arasında sürdürülmesi istendi. Hastaların yorgunluk şiddetini değerlendirmek için yorgunluk şiddet ölçeği, postüral kontrolünü değerlendirmek için tek ayak üzerinde durma testi, depresyon düzeylerini değerlendirmek için Beck depresyon envanteri kullanıldı. Hastalar hem terapötik yoga programı öncesinde hem de sonrasında değerlendirildi. Bulgular: Beş hafta süren terapötik yoga programından sonra MS hastalarının yorgunluk, postüral kontrol ve depresyon düzeyinde istatistiksel olarak anlamlı gelişmeler tespit edildi (sırasıyla p=0,005; p=0,005 ve p=0,007). Sonuç: Bu çalışma, MS’li bireylerde denetimli uygulanan terapötik yoga programının yorgunluk, postüral kontrol ve depresyon düzeyi üzerinde etkili olabileceğini göstermiştir.

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