Effects of isokinetic exercises on balance, proprioception, quality of life, and kinesiophobia in multiple sclerosis


Selcuk M. A., DUYUR ÇAKIT B., Ergun U.

Neurodegenerative Disease Management, cilt.16, sa.2, ss.163-172, 2026 (ESCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 16 Sayı: 2
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1080/17582024.2025.2552599
  • Dergi Adı: Neurodegenerative Disease Management
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, MEDLINE, Health Research Premium Collection (ProQuest)
  • Sayfa Sayıları: ss.163-172
  • Anahtar Kelimeler: Multiple sclerosis, fear of falling, proprioception, kinesiophobia, quality of life
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Aim: To evaluate the effects of isokinetic hamstring and quadriceps muscle (IHGM)-strengthening and home exercises on balance, proprioception, fear of falling (FoF), kinesiophobia, and quality of life in persons with multiple sclerosis (PwMS). Methods: The peak torque/body mass of the IHGMs, the absolute angular error (AAE) and mean AAE of the less and more affected legs, and the scores of the Dynamic Gait Index, 10-meter walk test, Berg Balance Scale (BBS), Modified Falls Efficacy Scale, Multiple Sclerosis Quality of Life-54 (MSQoL-54), Visual Analog Scale, and Tampa Scale of Kinesiophobia-17 (TSK-17) were evaluated before and after the training programs. Results: Isokinetic exercises resulted in significantly higher improvements in the BBS (p = 0.008) and MSQoL-54 physical (p = 0.006) scores and the quadriceps muscle strength at 180°/s angular velocity in the less affected leg (p = 0.001) compared to home exercises. Conclusions: Isokinetic exercises can improve muscle strength, QoL, and balance in PwMS without complications or exacerbations.