Multipl Skleroz Hastalarında Kalça Kas Kuvveti ve Kor Kas Dayanıklılığı ile Yürüme Kapasitesi Arasındaki İlişki
Öz
Amaç: Çalışmanın amacı multipl skleroz hastalarında kalça kas kuvveti ve kor kas dayanıklılığı ile yürüme kapasitesi arasındaki ilişkiyi belirlemekti.
Gereç ve yöntem: Ortalama yaşları 40,34 ± 9,51 yıl olan 50 multipl skleroz hastası (15 kadın, 35 erkek) dahil edildi. Kalça kas kuvveti el dinamometresi ile ölçüldü. Çekirdek kas dayanıklılığı değerlendirilirken gövde fleksiyon dayanıklılık testi, sorenson testi ve lateral köprü testi uygulandı. Yürüme kapasitesi, Zamanlı 25 Metrelik Yürüyüş testi, Zamanlı Kalk-Yürü testi ve 2 Dakika Yürüme testi ile değerlendirildi. Yürüyüşü etkileyen faktörleri belirlemek için regresyon ve korelasyon analizi kullanıldı.
Results: Participants with high hip muscle strength and core muscle endurance had significantly better walking capacity test results. (p< 0.05) Only, trunk flexion endurance test did not show any significant correlation with any walking test. (p>0.05) Regression analysis revealed that hip extension force, sorenson test and right lateral bridge test accounted for 53% variability in Timed 25-Foot Walk test and 62% variability in Timed-Up-and-Go test, and right lateral bridge and hip abduction force explained 60% variability in 2-Minute-Walk test.
Conclusion: Core muscle endurance affects walking capacity of multiple sclerosis patients. Inclusion of exercises that will increase hip muscle strength and core muscle endurance in rehabilitation program is important.
Anahtar Kelimeler
Multipl skleroz kalça kas kuvveti yürüme kapasitesi kor kas dayanıklılığı
Kaynakça
- 1. Sangelaji B, Kordi M, Banihashemi F, Nabavi SM, Khodadadeh S, Dastoorpoor M. A combined exercise model for improving muscle strength, balance, walking distance, and motor agility in multiple sclerosis patients: a randomized clinical trial. Iranian journal of neurology 2016; 15(3):111.
- 2. Hempel S, Fu N, Estrada E, Chen A, Miake-Lye I, Beroes J, Miles J, Shanman R, Shekelle P. Modifiable risk factors in the progression of multiple sclerosis: A systematic review of the epidemiology and treatment 2015.
- 3. Kalron A. Gait variability across the disability spectrum in people with multiple sclerosis. Journal of the neurological sciences 2016; 361:1-6.
- 4. Kalron A, Achiron A. The relationship between fear of falling to spatiotemporal gait parameters measured by an instrumented treadmill in people with multiple sclerosis. Gait & posture 2014; 39(2):739-44.
- 5. Yoosefinejad AK, Motealleh A, Khademi S, Hosseini SF. Lower endurance and strength of core muscles in patients with multiple sclerosis. International Journal of MS Care 2017; 19(2):100-4.
- 6. Broekmans T, Gijbels D, Eijnde BO, Alders G, Lamers I, Roelants M, Feys P. The relationship between upper leg muscle strength and walking capacity in persons with multiple sclerosis. Multiple Sclerosis Journal 2013; 19(1):112-9.
- 7. Socie MJ, Sosnoff JJ. Gait variability and multiple sclerosis. Multiple sclerosis international. 2013;2013.
- 8. Güner S, Hagharı S, Inanıcı F, Alsancak S, Aytekın G. Knee muscle strength in multiple sclerosis: relationship with gait characteristics. Journal of physical therapy science 2015; 27(3):809-13.
- 9. Wagner JM, Kremer TR, Van Dillen LR, Naismith RT. Plantarflexor weakness negatively impacts walking in persons with multiple sclerosis more than plantarflexor spasticity. Archives of physical medicine and rehabilitation 2014; 95(7):1358-65.
- 10. Guerra E, Di Cagno A, Mancini P, Sperandii F, Quaranta F, Ciminelli E, Fagnani F, Giombini A, Pigozzi F. Physical fitness assessment in multiple sclerosis patients: a controlled study. Research in developmental disabilities 2014; 35(10):2527-33.
- 11. Kjølhede T, Vissing K, Langeskov-Christensen D, Stenager E, Petersen T, Dalgas U. Relationship between muscle strength parameters and functional capacity in persons with mild to moderate degree multiple sclerosis. Multiple sclerosis and related disorders 2015; 4(2):151-8.
- 12. Fritz NE, Newsome SD, Eloyan A, Marasigan RER, Calabresi PA, Zackowski KM. Longitudinal relationships among posturography and gait measures in multiple sclerosis. Neurology 2015; 84(20):2048-56.
- 13. Ketelhut NB, Kindred JH, Manago MM. Core muscle characteristics during walking of patients with multiple sclerosis. Journal of rehabilitation research and development 2015; 52(6):713.
- 14. Fritz NE, Marasigan RER, Calabresi PA, Newsome SD, Zackowski KM. The impact of dynamic balance measures on walking performance in multiple sclerosis. Neurorehabilitation and neural repair 2015; 29(1):62-9.
- 15. Akuthota V, Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. Current sports medicine reports 2008; 7(1):39-44.
- 16. Freeman J, Fox E, Gear M, Hough A. Pilates-based core stability training in ambulant individuals with multiple sclerosis: protocol for a multi-centre randomised controlled trial. BMC neurology 2012; 12(1):19.
- 17. Schilling JF, Murphy JC, Bonney JR, Thich JL. Effect of core strength and endurance training on performance in college students: a randomized pilot study. Journal of bodywork and movement therapies 2013; 17(3):278-90.
- 18. White SG, McNair PJ. Abdominal and erector spinae muscle activity during gait: the use of cluster analysis to identify patterns of activity. Clinical Biomechanics 2002; 17(3):177-84.
- 19. Thorborg K, Petersen J, Magnusson S, Hölmich P. Clinical assessment of hip strength using a hand‐held dynamometer is reliable. Scandinavian journal of medicine & science in sports 2010; 20(3):493-501.
- 20. Moreland J, Finch E, Stratford P, Balsor B, Gill C. Interrater reliability of six tests of trunk muscle function and endurance. Journal of Orthopaedic & Sports Physical Therapy 1997; 26(4):200-8.
- 21. Waldhelm A, Li L. Endurance tests are the most reliable core stability related measurements. Journal of Sport and Health Science 2012; 1(2):121-8.
- 22. Bethoux F, Bennett S. Evaluating walking in patients with multiple sclerosis: which assessment tools are useful in clinical practice? International journal of MS care 2011; 13(1):4-14.
- 23. Nilsagard Y, Lundholm C, Gunnarsson LG, Denison E. Clinical relevance using timed walk tests and 'timed up and go' testing in persons with multiple sclerosis. Physiotherapy Research International 2007; 12(2):105-14.
- 24. Gijbels D, Eijnde B, Feys P. Comparison of the 2-and 6-minute walk test in multiple sclerosis. Multiple Sclerosis Journal 2011; 17(10):1269-72.
- 25. Rossier P, Wade DT. Validity and reliability comparison of 4 mobility measures in patients presenting with neurologic impairment. Archives of physical medicine and rehabilitation 2001; 82(1):9-13.
- 26. Kim D, Unger J, Lanovaz JL, Oates AR. The relationship of anticipatory gluteus medius activity to pelvic and knee stability in the transition to single-leg stance. PM&R 2016; 8(2):138-44.
- 27. Scalzitti D.A., Harwood K.J., Maring J.R. Ruckert EA, Costello E. Validation of the 2-minute walk test and other functional measures in persons with multiple sclerosis. International Journal of MS care 2018; 20(4):158-63.
- 28. Zackowski KM, Wang JI, McGready J, Calabresi PA, Newsome SD. Quantitative sensory and motor measures detect change over time and correlate with walking speed in individuals with multiple sclerosis. Multiple sclerosis and related disorders 2015; 4(1):67-74.
- 29. Key J. ‘The core’: understanding it, and retraining its dysfunction. Journal of bodywork and movement therapies 2013; 17(4):541-59.
- 30. Ozkul C, Eldemir, K. Functional Performance, Leg Muscle Strength, and Core Muscle Endurance in Multiple Sclerosis Patients With Mild Disability: A Cross-Sectional Study. Motor Control 2022; 26(4) 729-47.
The Relationship Between Hip Muscle Strength and Core Muscle Endurance with Walking Capacity In Patients with Multiple Sclerosis
Öz
Purpose: The aim of the study was to determine the relationship between hip muscle strength and core muscle endurance with walking capacity in patients with multiple sclerosis.
Materials and methods: 50 multiple sclerosis patients (15 female, 35 male) mean age 40.34 ± 9.51 years were included. Hip muscle strength was measured by handheld dynamometer. Trunk flexion endurance test, sorenson test and lateral bridge test were performed when assessing core muscle endurance. Walking capacity was assessed by Timed 25-Foot Walk, Timed-Up-and-Go, and 2-Minute-Walk test. Regression and correlation analysis were used to determine factors affecting gait.
Results: Participants with high hip muscle strength and core muscle endurance had significantly better walking capacity test results. (p< 0.05) Only, trunk flexion endurance test did not show any significant correlation with any walking test. (p>0.05) Regression analysis revealed that hip extension force, sorenson test and right lateral bridge test accounted for 53% variability in Timed 25-Foot Walk test and 62% variability in Timed-Up-and-Go test, and right lateral bridge and hip abduction force explained 60% variability in 2-Minute-Walk test.
Conclusion: Core muscle endurance affects walking capacity of multiple sclerosis patients. Inclusion of exercises that will increase hip muscle strength and core muscle endurance in rehabilitation program is important.
Anahtar Kelimeler
Multiple sclerosis hip muscle strength core muscle endurance walking capacity
Kaynakça
- 1. Sangelaji B, Kordi M, Banihashemi F, Nabavi SM, Khodadadeh S, Dastoorpoor M. A combined exercise model for improving muscle strength, balance, walking distance, and motor agility in multiple sclerosis patients: a randomized clinical trial. Iranian journal of neurology 2016; 15(3):111.
- 2. Hempel S, Fu N, Estrada E, Chen A, Miake-Lye I, Beroes J, Miles J, Shanman R, Shekelle P. Modifiable risk factors in the progression of multiple sclerosis: A systematic review of the epidemiology and treatment 2015.
- 3. Kalron A. Gait variability across the disability spectrum in people with multiple sclerosis. Journal of the neurological sciences 2016; 361:1-6.
- 4. Kalron A, Achiron A. The relationship between fear of falling to spatiotemporal gait parameters measured by an instrumented treadmill in people with multiple sclerosis. Gait & posture 2014; 39(2):739-44.
- 5. Yoosefinejad AK, Motealleh A, Khademi S, Hosseini SF. Lower endurance and strength of core muscles in patients with multiple sclerosis. International Journal of MS Care 2017; 19(2):100-4.
- 6. Broekmans T, Gijbels D, Eijnde BO, Alders G, Lamers I, Roelants M, Feys P. The relationship between upper leg muscle strength and walking capacity in persons with multiple sclerosis. Multiple Sclerosis Journal 2013; 19(1):112-9.
- 7. Socie MJ, Sosnoff JJ. Gait variability and multiple sclerosis. Multiple sclerosis international. 2013;2013.
- 8. Güner S, Hagharı S, Inanıcı F, Alsancak S, Aytekın G. Knee muscle strength in multiple sclerosis: relationship with gait characteristics. Journal of physical therapy science 2015; 27(3):809-13.
- 9. Wagner JM, Kremer TR, Van Dillen LR, Naismith RT. Plantarflexor weakness negatively impacts walking in persons with multiple sclerosis more than plantarflexor spasticity. Archives of physical medicine and rehabilitation 2014; 95(7):1358-65.
- 10. Guerra E, Di Cagno A, Mancini P, Sperandii F, Quaranta F, Ciminelli E, Fagnani F, Giombini A, Pigozzi F. Physical fitness assessment in multiple sclerosis patients: a controlled study. Research in developmental disabilities 2014; 35(10):2527-33.
- 11. Kjølhede T, Vissing K, Langeskov-Christensen D, Stenager E, Petersen T, Dalgas U. Relationship between muscle strength parameters and functional capacity in persons with mild to moderate degree multiple sclerosis. Multiple sclerosis and related disorders 2015; 4(2):151-8.
- 12. Fritz NE, Newsome SD, Eloyan A, Marasigan RER, Calabresi PA, Zackowski KM. Longitudinal relationships among posturography and gait measures in multiple sclerosis. Neurology 2015; 84(20):2048-56.
- 13. Ketelhut NB, Kindred JH, Manago MM. Core muscle characteristics during walking of patients with multiple sclerosis. Journal of rehabilitation research and development 2015; 52(6):713.
- 14. Fritz NE, Marasigan RER, Calabresi PA, Newsome SD, Zackowski KM. The impact of dynamic balance measures on walking performance in multiple sclerosis. Neurorehabilitation and neural repair 2015; 29(1):62-9.
- 15. Akuthota V, Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. Current sports medicine reports 2008; 7(1):39-44.
- 16. Freeman J, Fox E, Gear M, Hough A. Pilates-based core stability training in ambulant individuals with multiple sclerosis: protocol for a multi-centre randomised controlled trial. BMC neurology 2012; 12(1):19.
- 17. Schilling JF, Murphy JC, Bonney JR, Thich JL. Effect of core strength and endurance training on performance in college students: a randomized pilot study. Journal of bodywork and movement therapies 2013; 17(3):278-90.
- 18. White SG, McNair PJ. Abdominal and erector spinae muscle activity during gait: the use of cluster analysis to identify patterns of activity. Clinical Biomechanics 2002; 17(3):177-84.
- 19. Thorborg K, Petersen J, Magnusson S, Hölmich P. Clinical assessment of hip strength using a hand‐held dynamometer is reliable. Scandinavian journal of medicine & science in sports 2010; 20(3):493-501.
- 20. Moreland J, Finch E, Stratford P, Balsor B, Gill C. Interrater reliability of six tests of trunk muscle function and endurance. Journal of Orthopaedic & Sports Physical Therapy 1997; 26(4):200-8.
- 21. Waldhelm A, Li L. Endurance tests are the most reliable core stability related measurements. Journal of Sport and Health Science 2012; 1(2):121-8.
- 22. Bethoux F, Bennett S. Evaluating walking in patients with multiple sclerosis: which assessment tools are useful in clinical practice? International journal of MS care 2011; 13(1):4-14.
- 23. Nilsagard Y, Lundholm C, Gunnarsson LG, Denison E. Clinical relevance using timed walk tests and 'timed up and go' testing in persons with multiple sclerosis. Physiotherapy Research International 2007; 12(2):105-14.
- 24. Gijbels D, Eijnde B, Feys P. Comparison of the 2-and 6-minute walk test in multiple sclerosis. Multiple Sclerosis Journal 2011; 17(10):1269-72.
- 25. Rossier P, Wade DT. Validity and reliability comparison of 4 mobility measures in patients presenting with neurologic impairment. Archives of physical medicine and rehabilitation 2001; 82(1):9-13.
- 26. Kim D, Unger J, Lanovaz JL, Oates AR. The relationship of anticipatory gluteus medius activity to pelvic and knee stability in the transition to single-leg stance. PM&R 2016; 8(2):138-44.
- 27. Scalzitti D.A., Harwood K.J., Maring J.R. Ruckert EA, Costello E. Validation of the 2-minute walk test and other functional measures in persons with multiple sclerosis. International Journal of MS care 2018; 20(4):158-63.
- 28. Zackowski KM, Wang JI, McGready J, Calabresi PA, Newsome SD. Quantitative sensory and motor measures detect change over time and correlate with walking speed in individuals with multiple sclerosis. Multiple sclerosis and related disorders 2015; 4(1):67-74.
- 29. Key J. ‘The core’: understanding it, and retraining its dysfunction. Journal of bodywork and movement therapies 2013; 17(4):541-59.
- 30. Ozkul C, Eldemir, K. Functional Performance, Leg Muscle Strength, and Core Muscle Endurance in Multiple Sclerosis Patients With Mild Disability: A Cross-Sectional Study. Motor Control 2022; 26(4) 729-47.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Fizyoterapi, Rehabilitasyon |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Erken Görünüm Tarihi | 22 Mayıs 2025 |
| Yayımlanma Tarihi | 28 Mayıs 2025 |
| Gönderilme Tarihi | 12 Eylül 2024 |
| Kabul Tarihi | 8 Ocak 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 11 Sayı: 2 |
