TY  - JOUR
T1  - EFFECTS OF STATIC AND FUNCTIONAL STRETCHING EXERCISES ON LOWER LIMB SPASTICITY AND FUNCTION IN PEOPLE WITH MULTIPLE SCLEROSIS: A RANDOMIZED CONTROLLED TRIAL
TT  - MULTİPL SKLEROZLU BİREYLERDE STATİK VE FONKSİYONEL GERME EGZERSİZLERİNİN ALT EKSTREMİTE SPASTİSİTESİ VE FONKSİYONU ÜZERİNE ETKİLERİ: RANDOMİZE KONTROLLÜ BİR ÇALIŞMA
AU  - Nodehi Moghadam, Afsun
AU  - Ergül, Merziye
AU  - Bıglarıan, Akbar
PY  - 2021
DA  - December
DO  - 10.21653/tjpr.762021
JF  - Türk Fizyoterapi ve Rehabilitasyon Dergisi
JO  - Turk J Physiother Rehabil
PB  - Türkiye Fizyoterapistler Derneği
WT  - DergiPark
SN  - 2651-4451
SP  - 43
EP  - 51
VL  - 32
IS  - 3
LA  - en
AB  - Purpose: Spasticity is a common problem among people with Multiple Sclerosis (MS). This study aimed tocompare the effects of static stretching exercise (SSE) and functional stretching exercise (FSE) on lowerlimb spasticity, function, lower limb pain, active range of motion (ROM), and health-related quality of life(HRQOL) in patient with MS.Methods: Twenty-six participants were randomly allocated into two groups. SSE group (n=12) completeda four-week (12 sessions) SSE of hamstrings, quadriceps, hip adductors and plantar flexors muscles. FSEgroup 2 (n=12) completed a four-week (12 sessions) FSE of the same muscles. The outcome measureswere Modified Modified Ashworth Scale, Timed Up and Go Test, Timed 25 Foot Walk Test, active ROMassessment, Visual Analogue Scale, and EuroQoL 5-Dimension 5-Level questionnaire.Results: In each group, decrease of spasticity, improvement of functional tests, decrease of pain, increaseof ROM and increase of HRQOL were statistically significant compared to baseline (p0.05). A strongcorrelation was found between decreased spasticity and functional improvement in the SSE group (r=0.793, p=0.002). In the FSE group, there were moderate correlations between decreased spasticity and increased ROM (r=0.689, p=0.013) and between increased ROM and functional improvement (r=0.593, p=0.042). There was also a strong correlation between decreased spasticity and increased HRQOL (r=0.721, p=0.006).Conclusion: The regular four-weeks of SSE or FSE can decrease lower limb spasticity, improve function,decrease pain, increase active ROM and increase HRQOL in patients with MS.
KW  - Mobility Limitation
KW  - Multiple Sclerosis
KW  - Muscle Spasticity
KW  - Muscle Stretching Exercises
KW  - Quality
of Life
N2  - Amaç: Spastisite, Multipl Sklerozlu bireyler arasında yaygın bir sorundur. Bu çalışmanın amacı, MultiplSklerozlu bireylerde statik germe (SG) ve fonksiyonel germenin (FG) alt ekstremite spastisitesi, fonksiyon, altekstremite ağrısı, aktif eklem hareket açıklığı (EHA) ve sağlıkla ilişkili yaşam kalitesi (SİYK) üzerine etkilerinikarşılaştırmaktı.Yöntem: Yirmi altı katılımcı randomize edilerek iki gruba ayrıldı. SG grubuna (n=12) 4 hafta (12 seans)hamstring, quadriseps, kalça adduktor ve plantar fleksor kaslarının statik germe egzersizleri uygulandı. FGgrubuna (n=12) aynı kaslar için dört haftalık (12 seans) fonksiyonel germe egzersizleri uygulandı. Sonuçölçümü olarak Modifiye Modifiye Ashworth Skalası, Zamanlı Kalk ve Yürü Testi, Zamanlı 25 Adım YürümeTesti, aktif EHA değerlendirilmesi, Görsel Analog Skala ve Avrupa Yaşam Kalitesi Ölçeği-5 Boyut Anketikullanıldı.Sonuçlar: Her iki grupta da spastisitede azalma, fonksiyonel test sonuçlarında iyileşme, ağrıda azalma,EHA'nda e SİYK’nde meydana gelen artış başlangıç değerlerine kıyasla istatistiksel olarak anlamlıydı(p0,05). SGgrubunda spastisite azalma ve fonksiyonel iyileşme arasında güçlü bir korelasyon vardı (r=0,793, p=0.002).FG grubunda ise azalmış spastisite ile artmış EHA arasında (r=0,689, p=0.013) ve artmış EHA ile fonksiyoneliyileşme arasında (r=0,593, p=0.042) orta düzeyde korelasyon vardı. Azalan spastisite ile SİYK artışı arasındaise güçlü bir korelasyon vardı (r=0,721, p=0.006)Tartışma: Düzenli olarak dört hafta boyunca uygulanan SG veya FG, multipl sklerozlu hastalarda altekstremite spastisitesini azaltabilir, fonksiyonu iyileştirebilir, ağrıyı azaltabilir, aktif EHA’nı ve SİYK’niartırabilir.
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UR  - https://doi.org/10.21653/tjpr.762021
L1  - https://dergipark.org.tr/tr/download/article-file/1181836
ER  -