Trunk control in people with multiple sclerosis with different disability level: a cross-sectional study

• Published in: Physiotherapy theory and practice Vol. 41; no. 1; pp. 28 - 34
• Main Authors: Ozen, Melike Sumeyye, Dogan, Ali, Aksu-Yildirim, Sibel
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis Ltd 2025
• Subjects: Adult; Cross-Sectional Studies; Disability; Disability Evaluation; Female; Humans; Male; Middle Aged; Multiple sclerosis; Multiple Sclerosis - physiopathology; Postural Balance - physiology; Torso - physiopathology; Treatment programs; Multiple sclerosis; disability level; trunk control
• ISSN: 0959-3985; 1532-5040; 1532-5040
• DOI: 10.1080/09593985.2024.2316306

Trunk control is significant for a quality movement. Trunk control is reduced in people with Multiple Sclerosis compared to healthy individuals. The study aims to compare trunk control in people with Multiple Sclerosis according to disability level and to examine the relationship between disability level and trunk control. A total of one hundred-two people with Multiple Sclerosis were included in the study. The disability level was recorded with the Expanded Disability Status Scale score. Trunk control was evaluated with the Trunk Impairment Scale and core stability tests. Additionally, people with Multiple Sclerosis were divided into subgroups according to their disability levels (Expanded Disability Status Scale ≤ 3 and ≥ 3.5). Trunk Impairment Scale scores and core stability test results were statistically significantly lower in the group of people with Multiple Sclerosis with a higher Expanded Disability Status Scale score (3.5-6.5) than in the group with a lower Expanded Disability Status Scale score (1-3) (  = 0.001). A correlation was found between the level of disability and all parameters of trunk control in the total sample (  = 0.001). A significant relationship was detected between the disability level and most trunk control parameters in the Expanded Disability Status Scale ≤ 3 and ≥ 3.5 subgroups (  < 0.05). As the level of disability increases in people with Multiple Sclerosis, trunk control decreases, suggesting that care should be taken regarding trunk control during the progression of the disease. Evaluation of trunk control will be guiding when creating treatment programs.