Falls are a major concern for individuals with Multiple Sclerosis (MS), negatively affecting balance, mobility, independence, and quality of life, while increasing the risk of injury. This randomized controlled trial aims to investigate the effects of a 5-week exercise-based balance program on fall-related outcomes in individuals with MS. Thirty participants with MS will be randomly allocated to either an intervention group or a control group. The intervention group will follow an Otago-based exercise program supplemented with additional balance and mobility tasks, while the control group will follow the Otago Exercise Program alone. Participants in both groups will perform home-based exercises three times per week. Outcomes will be assessed before and after the intervention period using the FICSIT-4 for balance, the Timed Up and Go test for mobility, the Falls Efficacy Scale-International (FES-I) for fear of falling, and the 12-item Multiple Sclerosis Walking Scale (MSWS-12) for walking limitations.
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Balance Performance (FICSIT-4)
Timeframe: Baseline and immediately after completion of the 5-week intervention
Functional Mobility (Timed Up and Go Test)
Timeframe: Baseline and immediately after completion of the 5-week intervention
Fear of Falling (Falls Efficacy Scale-International)
Timeframe: Baseline and immediately after completion of the 5-week intervention
Walking Limitations (12-item Multiple Sclerosis Walking Scale)
Timeframe: Baseline and immediately after completion of the 5-week intervention