Relationship of shoulder position sense with trunk control, balance, and walking speed in patients with multiple sclerosis

YAŞA M. E., Özkan T., Korkmaz B., ÜNLÜER N. Ö., VURAL G.

Gulhane Medical Journal, cilt.66, sa.1, ss.23-29, 2024 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 66 Sayı: 1
  • Basım Tarihi: 2024
  • Doi Numarası: 10.4274/gulhane.galenos.2023.99815
  • Dergi Adı: Gulhane Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.23-29
  • Anahtar Kelimeler: balance, Shoulder position sense, trunk control, walking speed
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Aims: This study examined the relationship between altered shoulder joint position sense (JPS) and trunk control, balance, and walking speed in patients with multiple sclerosis (MS). Methods: This case-control study included patients with MS and healthy controls. A digital inclinometer was used to determine shoulder JPS. Balance was measured using the Berg Balance Scale (BBS) and single-leg stance (SLS) test, trunk control using the Trunk Impairment Scale (TIS), and walking speed using the 10 meter walk test (10 mWT). Results: The study included 40 MS patients (mean age: 44.68±8.71 years, 75% were females) and 40 healthy control subjects (mean age: 43.56±9.91 years, 65% were females). The BBS and SLS scores were significantly lower and the 10 mWT time was longer in the patients compared with the controls (p<0.001). The planar and total JPS scores (error rates) for both sides were higher in the MS group (p<0.001). Negative correlations were observed in the MS group between the total JPS score and the BBS, SLS, and total TIS score (r=-0.770, r=-0.619, r=-0.665; respectively) (p<0.001), and a positive correlation was observed between the total JPS score and the 10 mWT (r=0.456, p=0.003) at the dominant side. Total JPS score correlated with BBS, SLS and 10 mWT (r=-0.658, r=-0.522, r=0.531, respectively) (p<0.001) at the non-dominant side. Conclusions: This study showed that decreased shoulder JPS relates to impaired trunk control, balance, and walking speed in MS patients.