About this trial
Fatigue, balance impairment, and fear of falling are common problems in individuals with Multiple Sclerosis (MS). Previous studies have shown significant associations among these variables; however, the mechanisms underlying the relationship between fatigue and fear of falling remain unclear. It is possible that fatigue increases fear of falling indirectly through its negative effects on balance performance.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-65 years
Neurologist-confirmed MS diagnosis
No relapse within the previous 30 days
Ability to walk independently or with an assistive device
Disqualifiers
Recent MS relapse
Severe vestibular disorder
Other neurological diseases
Severe orthopedic conditions affecting mobility
Trial population
The study population will consist of adults diagnosed with multiple sclerosis who are clinically stable and able to complete the study assessments. Eligible participants will be recruited from the outpatient neurology and physical medicine and rehabilitation clinics of Başkent University.
Trial design
Other
Cross-sectional
Treatments tested in this trial
Observational Model: Cross-Sectional
Other interventionObservational Model: Cross-Sectional
Treatment groups
Trial outcomes
Primary outcomes
Falls Efficacy Scale-International
Fear of falling will be assessed using the Falls Efficacy Scale-International (FES-I). The FES-I is a 16-item questionnaire that evaluates concern about falling during a range of daily activities. Total scores range from 16 to 64, with higher scores indicating greater fear of falling.
Secondary outcomes
Fatigue Severity Scale (FSS)
Fatigue severity will be assessed using the Fatigue Severity Scale (FSS). The FSS consists of 9 items rated on a 7-point Likert scale. The total score is calculated as the mean of all items, with higher scores indicating greater fatigue severity.
Baseline (single assessment)
Balance performance will be evaluated using the Mini-Balance Evaluation Systems Test (Mini-BESTest). The Mini-BESTest consists of 14 items assessing dynamic balance. Total scores range from 0 to 28, with higher scores indicating better balance performance.
Sponsors and contacts
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