Physical Therapy Clinical Trial
Official title:
An Investigation of Upper Extremity Function in Patients With Multiple Sclerosis, and Its Relation With Shoulder Position Sense and Disability Level
The purposes of this study is to investigate the relationship between upper extremity muscle
function and shoulder position sense in patients with Multiple Sclerosis (MS) and which best
projects the disability status.
Upper extremity dysfunction is considered to be the main cause of the loss performance of
activities of daily living and this problem was include all motor and somatosensory
components of function. Any failure in each of these components will likely create an
impairment in the normal function.
One of the most important components of the somatosensory system is joint position sense, a
sub-modality of proprioception. Position sense disorders are seen from the early stages of
the disease and upper extremity function problems is experienced depending on position sense
disorders in patients with MS.
Expanded Disability Status Scale (EDSS) is one of the most commonly outcome measures in
evaluating the level of disability in MS population. Because EDSS scale emphasis on
ambulation, so it is insensitive to upper extremity function. But the ability to use walking
aids (e.g., canes, walkers, wheelchairs, etc.) may be affected by the UE impairment so
shoulder position sense.
When literature is examined, there is no study which examines the relationship between upper
extremity muscle function and shoulder position sense in patients with Multiple Sclerosis and
which best projects the disability status. For all these reasons, we think that shoulder
position sense is changed both dominant and non-dominant side during flexion and abduction
movements in mild-moderate MS patients and that these deficits are correlated with upper
extremity function and disability level.
This study was aimed to investigate the relationship between upper extremity muscle function
and shoulder position sense in patients with MS and which best projects the disability
status.
21 PwMS and 20 healthy volunteers with matching ages and genders were included the study. A
neurologic examination was performed using the EDSS by a neurologist.
Upper extremity function was evaluated with 9-Hole Peg Test (9-HPT). Shoulder position sense
was evaluated with Dualer IQTM digital inclinometer (J-TECH medical, Salt Lake City, UK,
USA).
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