RecruitingNot ApplicableNCT07292545

Video-Based Proprioceptive Exercise Program in ALS

Examining the Effectiveness of Video-Based Proprioceptive Home Exercise Program in Amyotrophic Lateral Sclerosis Patients

Sponsor

Tarsus University

Enrollment

20 participants

Start Date

Jul 14, 2025

Study Type

INTERVENTIONAL

Conditions

Amyotrophic Lateral Sclerosis

Summary

In the project, it was aimed to evaluate the proprioceptive system in the disease, which is still mysterious and therefore has no curative treatment under current conditions, and to examine the effects of the video-based proprioceptive home exercise programme on trunk and limb control and daily life activity as well as trunk and limb control. The study was planned to include 20 patients with a definite diagnosis of ALS. Proprioceptive sensory examination will be performed again in these patients, who are currently being followed up with ALS diagnosis and whose physical examination including neurological examination has been performed in detail, and the "Revised Amyotrophic Lateral Sclerosis Functional Rating Scale" (R-ALSFRS) will be applied to the patients. Subsequently, the patients will be followed up by applying a video-based proprioceptive home exercise programme 3 days a week for 8 weeks. At the end of the 8th week, a detailed neurological examination including proprioceptive sensation will be performed and the R-ALSFRS scale will be applied. In addition, ALS quality of life scale will be applied to the patients before and after the home programme. The data obtained after the treatment programme will be analysed and interpreted.

Eligibility

Min Age: 18 YearsMax Age: 70 Years

Inclusion Criteria5

ALS patients aged 18-70
Those with a definite ALS diagnosis according to the Gold Coast criteria
Those who can sit independently
Those who have no cognitive problems
Those who agree to participate in the study will be included in the study.

Exclusion Criteria3

ALS patients with neurological, orthopedic or visual dysfunction mimicking ALS,
Those who cannot complete active joint movements in the upper and lower extremities,
ALS patients who do not agree to participate in the study will not be included in the study.

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Interventions

OTHERvideo based exercise

Description: The proprioceptive home exercises that will be presented to patients who meet the inclusion criteria and whose preliminary evaluation has been completed will be taught by a physiotherapist in a clinical setting, and all questions about the exercises will be answered. The proprioceptive home exercises program includes 60 and 120 degrees of shoulder flexion with eyes open and closed, respectively, while lying on the back, shoulder abduction, 65 and full normal joint movement limit elbow flexion with eyes open and closed, respectively, while lying on the back, hip and knee flexion with eyes open and closed, respectively, 90 degrees of knee flexion with eyes open and closed, respectively, while sitting, 45 and 90 degrees of knee flexion with eyes open and closed, respectively, forward and side reaching movements in the sitting position, and sitting position, eyes open and then eyes closed, for 1 minute. All patients will be asked to perform these exercises. For patients who c