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Öğe Effects of Gluteus Maximus Muscle Strength on Ataxia, Gait, and Equilibrium in Multiple Sclerosis(Pera Yayincilik Hizmetleri, 2023) Erdeo, Fatma; Uca, Ali Ulvi; Tokgoz, Osman Serhat; Salci, Yeliz; Balkan, Ayla FilObjective: 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.Öğe Evaluation of upper extremity ataxia through image processing in individuals with multiple sclerosis(Assoc Arquivos Neuro- Psiquiatria, 2022) Erdeo, Fatma; Yildiz, Ibrahim; Uca, Ali Ulvi; Altas, MustafaBackground: Impaired dexterity is a frequently reported disability among people with ataxic multiple sclerosis (MS). Objective: To quantify and standardize the evaluation of upper extremity coordination disorder among patients with multiple sclerosis (MS), using the Tablet Ataxia Assessment Program (TAAP). Methods: The X and Y axis movements of 50 MS patients and 30 healthy individuals who were evaluated using the International Cooperative Ataxia Rating Scale (ICARS) were also assessed using TAAP. The functional times of the participants' right and left hands were recorded using the nine-hole peg test (NHPT). The upper extremity coordination of individuals with MS was evaluated using the upper extremity kinetic functions section of ICARS. Results: The deviations for the X and Y axis movements of the MS group were greater than those of the control group (p<0.05). Significant correlations were shown between TAAP scores and NHPT and ICARS scores. The strongest correlation was found between NHPT and ICARS in the dominant hand (r(nhpt)=0.356, p(nhpt)=0.001; r(icars)=0.439, p(icars)=0.000). In correlating the Y axis with ICARS, the deviations in the Y axis were found to be greater in the non-dominant hand than those in the X axis (r(yright)=0.402, p(yright)=0.004; r(yleft)=0.691, p(yleft)=0.000). Conclusion: Measurement using TAAP is more sensitive than other classical and current methods for evaluating ataxia. We think that TAAP is an objective tool that will allow neurorehabilitation professionals and clinicians to evaluate upper extremity coordination.Öğe Evaluation of upper extremity ataxia through image processing in individuals with multiple sclerosis(Assoc Arquivos Neuro- Psiquiatria, 2022) Erdeo, Fatma; Yildiz, Ibrahim; Uca, Ali Ulvi; Altas, MustafaBackground: Impaired dexterity is a frequently reported disability among people with ataxic multiple sclerosis (MS). Objective: To quantify and standardize the evaluation of upper extremity coordination disorder among patients with multiple sclerosis (MS), using the Tablet Ataxia Assessment Program (TAAP). Methods: The X and Y axis movements of 50 MS patients and 30 healthy individuals who were evaluated using the International Cooperative Ataxia Rating Scale (ICARS) were also assessed using TAAP. The functional times of the participants' right and left hands were recorded using the nine-hole peg test (NHPT). The upper extremity coordination of individuals with MS was evaluated using the upper extremity kinetic functions section of ICARS. Results: The deviations for the X and Y axis movements of the MS group were greater than those of the control group (p<0.05). Significant correlations were shown between TAAP scores and NHPT and ICARS scores. The strongest correlation was found between NHPT and ICARS in the dominant hand (r(nhpt)=0.356, p(nhpt)=0.001; r(icars)=0.439, p(icars)=0.000). In correlating the Y axis with ICARS, the deviations in the Y axis were found to be greater in the non-dominant hand than those in the X axis (r(yright)=0.402, p(yright)=0.004; r(yleft)=0.691, p(yleft)=0.000). Conclusion: Measurement using TAAP is more sensitive than other classical and current methods for evaluating ataxia. We think that TAAP is an objective tool that will allow neurorehabilitation professionals and clinicians to evaluate upper extremity coordination.Öğe Multiple Skleroz'lu Hastalarda Üst Ekstremite Ataksisinin Bilgisayar Analizi İle Değerlendirilmesi(2017) Erdeo, Fatma; Armutlu, Kadriye; Uca, Ali Uca; Yıldız, İbrahimAmaç: Multipl Skleroz (MS) gibi nörolojik ve nörofizyolojik bozukluk ve özrü olan hastalıkları tam ve kusursuz değerlendirmek zordur. MS'te üst ekstremite koordinasyon problemini değerlendirmek amacıyla yeni bir test (Multipl Skleroz Ataksi Testi)(MSAT) geliştirdik. Bu test bize üst ekstremite koordinasyon probleminin şiddetini tam değerlendirmek için bilgisayar tabanlı bir değerlendirme platformu sağlamaktadır. Bulgular: EDSS ile hastaların dominant el (sağ el)arasında istatiksel olarak anlamlı bir korelasyon tespit edilmedi. (p0.05).ICAR değişkeni ile dominant ve non-dominant el arasında anlamlı bir korelasyon tespit edilmedi (p0.05).Hasta ve sağlıklı kişilerin sağ el karşılaştırması için yapılan analizde bu iki grup arasında ortalamalar açısından istatistiksel olarak anlamlı bir farklılık vardır (p0.05). Sonuç: MSAT, üst ekstremite ataksisini daha objektif değerlendirebilir. Tedavi öncesi ve sonrası hastanın fonksiyonel durumu hakkında bilgi verebilir. Bu yöntem, klinik değerlendirme ve araştırmada kaydedilen ilerlemeyi hızlandıracak açık bir potansiyele sahip, eğitim alanında standartlaştırılmış bilgisayara uyarlanmış testlerin yaptığı gibi, MS'deki klinik değerlendirme ve araştırma üzerinde aynı dönüştürücü etkiye sahip olabilir.
