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Impact of cognitive fatigue on balance in individuals with multiple sclerosis without cognitive impairment    
Yazarlar (1)
Kübra TURAN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Devamını Göster
Özet
This study aims to examine the impact of cognitive fatigue on balance among individuals with multiple sclerosis (MS) without cognitive impairment. A total 50 individuals with MS aged 20-50 years, without cognitive impairment and with an Expanded Disability Status Scale (EDSS) score of 0-4, participated in the study. Participants were randomly assigned to either a control group (CG) or a study group (SG). The CG rested for 30 minutes, while the SG engaged in cognitive activities lasting 30-45 minutes to induce cognitive fatigue. Cognitive fatigue was assessed using the Visual Analog Scale (VAS) before and after the tasks. Balance was evaluated using clinical tests: the Functional Reach Test (FRT) and the Single Leg Stance Test (SLST), as well as laboratory assessments including the Modified Clinical Test of Sensory Integration and Balance (mCTSIB) and Limits of Stability (LOS) with static posturography. Within-group analyses showed a significant increase in cognitive fatigue on the VAS in the SG ( < 0.001). In the mCTSIB, the SG showed significant changes in firm/eyes open, foam/eyes open, and composite scores, while between-group differences were observed only in firm/eyes open and foam/eyes open conditions ( < 0.005). No significant differences were found between groups in LOS, FRT, or SLST outcomes ( > 0.05). In individuals with MS, the impact observed only in the eyes-open static balance condition suggests that dynamic balance and eyes-closed static balance parameters rely more on automatic mechanisms compared to the eyes-open condition and are not influenced by cognitive fatigue.
Anahtar Kelimeler
Multiple sclerosis | cognitive fatigue | static balance | dynamic balance | posturography
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Neurological Research
Dergi ISSN 0161-6412 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler
Dergi Grubu Q3
Makale Dili İngilizce
Basım Tarihi 02-2025
Cilt No 47
Sayı 3
Sayfalar 178 / 187
Doi Numarası 10.1080/01616412.2025.2462733
Makale Linki https://doi.org/10.1080/01616412.2025.2462733