Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 1825  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
 »   Next article
 »   Previous article
 »   Table of Contents

 Resource Links
 »   Similar in PUBMED
 »Related articles
 »   Citation Manager
 »   Access Statistics
 »   Reader Comments
 »   Email Alert *
 »   Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded10    
    Comments [Add]    

Recommend this journal


Year : 2021  |  Volume : 69  |  Issue : 6  |  Page : 1798--1801

The Effect of the Activation of the Core Muscles on Tremor in a Patient with Multiple Sclerosis

1 Yüksek İhtisas University, Vocational School Of Health Services, Electroneurophysiology Programme, Ankara, Turkey
2 Hacettepe University, Faculty of Physiotherapy and Rehabilitation, Ankara, Turkey
3 Hacettepe University, School of Medicine, Neurology Department, Ankara, Turkey

Correspondence Address:
Aysegul Usta
Yuksek Ihtisas University, Vocational School Of Health Services, Electroneurophysiology Programme, Ankara
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.333519

Rights and Permissions

Background: Trunk stabilization is important in providing postural control and extremity movements, and is maintained by the muscles called “core”. Objective: The aim of this report was to demonstrate the effect of core muscles contraction on upper extremity tremor. Materials and Methods: A 22-year-old Multiple Sclerosis patient with right extremity ataxia was included in this report. Scale of Assessment and Rating Ataxia (SARA), Expanded Disability Status Scale (EDSS), Accelerometric Tremorogram and Purdue Peg Board Test (PPBT) were performed. Assessments were made with and without the core muscles contraction. Results: The total score of SARA decreased from 16 to 14 due to the reduction of dysmetria and tremor scores. Tremor amplitude decreased with contraction in tremorogram. At the 1st position, the tremor amplitude changed from -14.6 before the contraction to -18.3 after the contraction. At position 2, 6 Hz tremor was disappeared with contraction. In the PPBT, ataxic extremity performance increased from 5 to 7. Conclusion: Contraction of core muscles reduced postural tremor and improved upper extremity performance. It should be considered planning the training program of ataxic MS patients.


Print this article     Email this article

Online since 20th March '04
Published by Wolters Kluwer - Medknow