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IRCT20200101045970N7 IRCT 2023-01-01 Esfahan University of Medical Sciences The effect of stabilizing exercises on MS patients The effect of Dynamic Neuromuscular Stabilization on Balance and Balance Confidence in patients with Multiple Sclerosis. 2022-12-22 anticipated 40 Complete https://irct.ir/trial/57219 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, patients are randomly divided into one of two experimental and control groups after examining the inclusion and exclusion criteria. In this study, due to the small number of samples, in consultation with a statistician, it was decided to use the random blocking method. Blocking is usually used to balance the number of samples assigned to each of the groups studied. The statistician used the website https://www.sealedenvelope.com/simple-randomiser/v1/lists, Considering that we had 2 groups, they designed 20 two-person blocks. . A person who divides patients into two groups based on this table is unaware of the study, Blinding description: In this study, because sufficient information about the exercises is given to the participants and it is explained to each of them that they may be randomly placed in one of the two groups, so the participants are not blind. In this study, the evaluator of balance and confidence in balance does not know which group the participant is in, so our evaluator is blind. In addition, the person analyzing the data does not know which person is in which group and only compares the data between the two groups, so they are also blind. N/A Multiple Sclerosis. Intervention 1: Intervention group: Receive dynamic neuromuscular stabilization exercises. These exercises are performed in different positions that are actually modeled on the positions of the growing baby. Exercises start with simple situations and gradually become more complex. In fact, the exercises start with the supine and then progress to the rolling, sitting, bear and squat-like postures. In each training session, 3 different situations are taught. Each exercise is maintained 3 times for 10 seconds and the patient is given 10 seconds of rest between each. Patients are treated for 4 weeks with a regimen of 3 sessions per week, every other day. The duration of each treatment session is 30 minutes. Intervention 2: Control group: Routine balance exercises that include both movement and sensory strategies. Movement strategy includes stabilizing exercises, dual exercises, and ankle balance strategy. Double exercises are generally changed from static to dynamic and walking to make them more advanced. Sensory strategy also tries to strengthen vestibular and sensory-physical information by reducing visual input. Therefore, to achieve this goal, we do some movement phase exercises with closed eyes. Patients are treated for 4 weeks with a regimen of 3 sessions per week, every other day. The duration of each treatment session is 30 minutes. No - There is not a plan to make this available Justification or reason for not sharing IPD is Because of confidentiality
public Ehsan Ghasemi
Faculty of Rehabilitation Sciences, Isfahan University of Medical Sciences and Health Services, Hezar Jerib St.
Isfahan Iran (Islamic Republic of) 81746-73461 +98 31 3669 3089 eghasemi@rehab.mui.ac.ir Esfahan University of Medical Sciences scientific Ehsan Ghasemi
Faculty of Rehabilitation Sciences,Isfahan University of Medical Sciences and Health Services, Hezar Jerib St.
Isfahan Iran (Islamic Republic of) 81746-73461 +98 31 3669 3089 eghasemi@rehab.mui.ac.ir Esfahan University of Medical Sciences Iran (Islamic Republic of) At least one year has passed since the diagnosis Age range 15 to 55 years and being in the disease remission period Having a mild to moderate degree of disability (EDSS = 0-5.5) as determined by your doctor. No recurrence of the disease during the last month No other diseases such as cardiovascular, osteoarthritis, respiratory, skin, cognitive disorders, diabetes and cancer Stability of the patient's vital signs Being able to walk without an aid 15 years 55 years Both Lack of regular participation in training sessions Recurrence of the disease during the project Having certain illnesses, such as heart disease, or problems such as fatigue, so that continuing to exercise is detrimental to her. Use of pharmacological agents to control fatigue Depressive and sleep disorders that lead to fatigue. Participate in an exercise program 8 weeks in past and during treatment Serious balance problems that put a person at risk of falling. G35 Multiple sclerosis Rehabilitation Rehabilitation Intervention group: Receive dynamic neuromuscular stabilization exercises. These exercises are performed in different positions that are actually modeled on the positions of the growing baby. Exercises start with simple situations and gradually become more complex. In fact, the exercises start with the supine and then progress to the rolling, sitting, bear and squat-like postures. In each training session, 3 different situations are taught. Each exercise is maintained 3 times for 10 seconds and the patient is given 10 seconds of rest between each. Patients are treated for 4 weeks with a regimen of 3 sessions per week, every other day. The duration of each treatment session is 30 minutes. Control group: Routine balance exercises that include both movement and sensory strategies. Movement strategy includes stabilizing exercises, dual exercises, and ankle balance strategy. Double exercises are generally changed from static to dynamic and walking to make them more advanced. Sensory strategy also tries to strengthen vestibular and sensory-physical information by reducing visual input. Therefore, to achieve this goal, we do some movement phase exercises with closed eyes. Patients are treated for 4 weeks with a regimen of 3 sessions per week, every other day. The duration of each treatment session is 30 minutes. Balance. Timepoint: Before the start of treatment, after the end of treatment and 2 months after the end of the last treatment session. Method of measurement: Use of Mini BES Test. Balance Confidence. Timepoint: Before the start of treatment, after the end of treatment and 2 months after the end of the last treatment session. Method of measurement: Use of ABC Scale. Assessment of functional mobility. Timepoint: Before the start of treatment, after treatment and 2 months after the end of the last treatment session. Method of measurement: Use of TUG test. Esfahan University of Medical Sciences Approved 2022-11-08 Ethics committee of Isfahan University of Medical Sciences Hezar Jerib Ave Isfahan Isfehan Iran (Islamic Republic of)