Multiple Sclerosis, Relapsing-Remitting Clinical Trial
Official title:
Effects Aquatic Exercises on Balance and Hand Function in Multiple Sclerosis: Halliwick Versus Aquatic Plyometric Exercises
This study aims to compare and contrast the effects of two different aquatic exercises on postural control and hand functions in people with multiple sclerosis.
Impaired limits of stability causes falls in people with Multiple sclerosis (pwMS) whereas a
well-controlled posture provides improved upper limb functions which are limited in almost
75% of pwMS due to weakness, spasticity or tremor. It is an already known fact that hand
dexterity is an indicator of fall risk due to neuromuscular causes and/or abnormalities in
the corpus callosum in pwMS.
Aquatic therapy (AT) provides a safe and effective environment for many therapeutic purposes.
It is important to understand the effects of each type, intensity, and duration of the
aquatic interventions to accomplish most suitable aquatic exercise program.
Halliwick method, neuromotor treatment approach which uses fluid and mechanical properties of
water, is based on postural control by mobilizing and controlling body parts through the Ten
Point Program.
During Aquatic Plyometric Exercises, proximal part of the body needs to be stabilized to
generate a sudden and powerful contraction at the distal part and stabilization of the
proximal joints is necessary for maintaining distal movements in a coordinated way.
It is important to understand the effects of each type, intensity, and duration of the
aquatic interventions to accomplish most suitable aquatic exercise program. This study aims
to compare and contrast the effects of two different aquatic exercises on postural control
and hand function.
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