Multipl Sklerozlu Bireylerde Bilişsel Egzersiz Terapi Yaklaşımının Etkinliğinin Araştırılması

Abstract

The aim of this study is to investigate the effectiveness of “Bilişsel Egzersiz Terapi Yaklaşımı” (BETY) on patients with Multiple Sclerosis (MS). A total of 31 patients, 21 female and 10 male, were included in the randomized controlled study and followed up for 8 weeks. Patients, were separated from study group (BETY) and control group (home program consisting of strengthening and stretching exercises). Patients' Extended Disability Status Scale (EDSS) scores ranged from 0-5,5. For the individuals participating in the study, 2 evaluations were performed before and after treatment. To evaluate for balance, Berg Balance Scale (BBS), Tandem Stance Time (TST), Time Up&Go Test (TUG), Functional Reach Test (FRT); for fatique Fatique Severity Scale (FSS), Fatique Impact Scale (FIS), 6 Minute Walking Test (6MWT); for pain, Visuel Analog Scale (VAS; morning, activity, night); for emotional statu, Beck Depression Scale (BDS), Beck Anxiety Scale (BAS); for quality of life, Multiple Sclerosis Quality of Life (MSQOL-54) were used. The study group were found to be statistically significant, with changes in improvement (p≤0.05). In the control group, there were significant changes BERG and FRT (p≤0.05) and there were no significant change in all other variables (p≥0.05). This study showed that BETY is an effective method in patients with MS symptoms on balance, fatique, pain, emotional statu and quality of life.