EFFECTS OF STATIC AND FUNCTIONAL STRETCHING EXERCISES ON LOWER LIMB SPASTICITY AND FUNCTION IN PEOPLE WITH MULTIPLE SCLEROSIS: A RANDOMIZED CONTROLLED TRIAL

Merziye ERGÜL; Afsun NODEHİ MOGHADAM; Akbar BIGLARIAN

doi:https://doi.org/10.21653/tjpr.762021

Article Details

EFFECTS OF STATIC AND FUNCTIONAL STRETCHING EXERCISES ON LOWER LIMB SPASTICITY AND FUNCTION IN PEOPLE WITH MULTIPLE SCLEROSIS: A RANDOMIZED CONTROLLED TRIAL

Authors:

Merziye ERGÜL | Afsun NODEHİ MOGHADAM | Akbar BIGLARIAN

Publisher:

Türkiye Fizyoterapistler Derneği

Main Topics:

Surgery & related medical specialties

Journal:

Turkish Journal of Physiotherapy and Rehabilitation 2021 Vol.32 Issue 3, pp.43-51

Document Type:

Article

Publication Date:

12/2021

Document Language:

English

Document ID (Org No.):

2000710971

Frequency:

Tri-annual

eISSN:

2651-446X

pISSN:

2651-4451

DOI:

https://doi.org/10.21653/tjpr.762021

Abstract:

 

Purpose: Spasticity is a common problem among people with Multiple Sclerosis (MS). This study aimed to
compare the effects of static stretching exercise (SSE) and functional stretching exercise (FSE) on lower
limb 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) completed
a four-week (12 sessions) SSE of hamstrings, quadriceps, hip adductors and plantar flexors muscles. FSE
group 2 (n=12) completed a four-week (12 sessions) FSE of the same muscles. The outcome measures
were Modified Modified Ashworth Scale, Timed Up and Go Test, Timed 25 Foot Walk Test, active ROM
assessment, Visual Analogue Scale, and EuroQoL 5-Dimension 5-Level questionnaire.
Results: In each group, decrease of spasticity, improvement of functional tests, decrease of pain, increase
of ROM and increase of HRQOL were statistically significant compared to baseline (p0.05). A strong
correlation 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.

 

Amaç: Spastisite, Multipl Sklerozlu bireyler arasında yaygın bir sorundur. Bu çalışmanın amacı, Multipl
Sklerozlu bireylerde statik germe (SG) ve fonksiyonel germenin (FG) alt ekstremite spastisitesi, fonksiyon, alt
ekstremite ağrısı, aktif eklem hareket açıklığı (EHA) ve sağlıkla ilişkili yaşam kalitesi (SİYK) üzerine etkilerini
karşılaştırmaktı.
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. FG
grubuna (n=12) aynı kaslar için dört haftalık (12 seans) fonksiyonel germe egzersizleri uygulandı. Sonuç
ölçümü olarak Modifiye Modifiye Ashworth Skalası, Zamanlı Kalk ve Yürü Testi, Zamanlı 25 Adım Yürüme
Testi, aktif EHA değerlendirilmesi, Görsel Analog Skala ve Avrupa Yaşam Kalitesi Ölçeği-5 Boyut Anketi
kullanıldı.
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). SG
grubunda 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 fonksiyonel
iyileşme arasında (r=0,593, p=0.042) orta düzeyde korelasyon vardı. Azalan spastisite ile SİYK artışı arasında
ise güçlü bir korelasyon vardı (r=0,721, p=0.006)
Tartışma: Düzenli olarak dört hafta boyunca uygulanan SG veya FG, multipl sklerozlu hastalarda alt
ekstremite spastisitesini azaltabilir, fonksiyonu iyileştirebilir, ağrıyı azaltabilir, aktif EHA’nı ve SİYK’ni
artırabilir.

Article Details

EFFECTS OF STATIC AND FUNCTIONAL STRETCHING EXERCISES ON LOWER LIMB SPASTICITY AND FUNCTION IN PEOPLE WITH MULTIPLE SCLEROSIS: A RANDOMIZED CONTROLLED TRIAL

Authors: Merziye ERGÜL | Afsun NODEHİ MOGHADAM | Akbar BIGLARIAN

Publisher: Türkiye Fizyoterapistler Derneği

Main Topics: Surgery & related medical specialties

Journal: Turkish Journal of Physiotherapy and Rehabilitation 2021 Vol.32 Issue 3, pp.43-51

Document Type: Article

Publication Date: 12/2021

Document Language: English

Document ID (Org No.): 2000710971

Frequency: Tri-annual

eISSN: 2651-446X

pISSN: 2651-4451

DOI: https://doi.org/10.21653/tjpr.762021

Issues

Authors:

Merziye ERGÜL | Afsun NODEHİ MOGHADAM | Akbar BIGLARIAN

Publisher:

Türkiye Fizyoterapistler Derneği

Main Topics:

Surgery & related medical specialties

Journal:

Turkish Journal of Physiotherapy and Rehabilitation 2021 Vol.32 Issue 3, pp.43-51

Document Type:

Article

Publication Date:

12/2021

Document Language:

English

Document ID (Org No.):

2000710971

Frequency:

Tri-annual

eISSN:

2651-446X

pISSN:

2651-4451

DOI:

https://doi.org/10.21653/tjpr.762021