Effects of Gluteus Maximus Muscle Strength on Ataxia, Gait, and Equilibrium in Multiple Sclerosis

Fatma Erdeo; Ali Ulvi Uca; Osman Serhat Tokgöz; Yeliz Salcı; Ayla Fil Balkan

doi:10.58600/eurjther-199

Authors

Fatma Erdeo Necmettin Erbakan University, Faculty of Health Sciences, Department of Physiotherapy, Konya https://orcid.org/0000-0002-0266-229X
Ali Ulvi Uca Necmettin Erbakan University, Meram Faculty of Medicine, Department of Neurology https://orcid.org/0000-0002-5783-8061
Osman Serhat Tokgöz Necmettin Erbakan University, Meram Faculty of Medicine, Department of Neurology, Konya https://orcid.org/0000-0002-4919-0285
Yeliz Salcı Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy, Ankara https://orcid.org/0000-0002-3728-7194
Ayla Fil Balkan Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy, Ankara https://orcid.org/0000-0002-2721-0222

DOI:

https://doi.org/10.58600/eurjther-199

Keywords:

multiple sclerosis, muscle strenght, balance, gait

Abstract

Introduction: Multiple sclerosis (MS) is an autoimmune disease that causes scar tissue in the nervous system and seriously affects the quality of life of people. Muscle weakness, spasticity and coordination problems are seen primarily in the lower extremities. Strengthening exercises improve muscle strength in people with multiple sclerosis, but there is no consensus on their effect on walking capacity.

Methods: To determine the relationship between gluteus maximus muscle strength, ataxia, balance and walking capacity in Multiple Sclerosis. An experimental study design was applied. Gluteus maximus muscle strength was measured using a dynamometer. Walking capacity was determined by the 6-minute walk test (6MWT) and dynamic gait index (DGI). Balance was evaluated with the one-leg standing test (SLS). The severity of ataxia was measured with the International Ataxia Rating Scale (ICARS). Fatigue was evaluated with VAS and quality of life of all patients with SF36 short form.

Results: EDSS mean of the study = 3.39 ± 1.4; 2 men and 16 women with mean age = 37.17 ± 9.16 years were included. 6MWT, DGI, ALS, ICARS, VAS were different before and after treatment (p<0.05). There was no significant difference other than physical function and general health among the sub-parameters of SF36 (p>0.05). Correlation of muscle strength with ataxia, gait and balance was not significant (p>0.05)

Conclusion: In individuals with MS, the fact that the treatment program consists of modalities that include balance and sensory exercises as well as muscle strengthening exercises increases the success of rehabilitation.

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