title: Evaluation of the effectiveness of home based or hospital based calisthenic exercises in patients with multiple sclerosis.
abstract: OBJECTIVE
  The aim of this study is to evaluate the effects of calisthenic exercises on balance, walking speed, fatigue, quality of life, and psychological status in patients with Multiple Sclerosis (MS).
  
  
  METHODS
  Forty patients diagnosed with MS were randomized into two exercise groups (group 1 = hospital-based, group 2 = home-based). Outcome measures including the MS International Quality of Life Scale, 10-meter walking test, Berg Balance Scale, Fatigue Severity Scale and the Hospital Anxiety Depression Inventory were assessed at the baseline and at 12-weeks.
  
  
  RESULTS
  Thirty-six participants completed the exercise programme (hospital based = 16, home based = 20). The mean age was 32.83 ± 3.64 years. The mean duration of disease was 6.97 ± 3.15 years. Hospital-based and home-based exercise groups had significant improvements in the balance, 10-meter walking test, anxiety, and the quality of life after the 12-week exercise programme. There was a significant improvement in the hospital-based patients in terms of the depression scores. No significant improvement was observed in terms of fatigue in any of the groups. When both groups were compared, the improvement in the balance and depression scores of the hospital-based patients was significantly higher than the home-based patients.
  
  
  CONCLUSIONS
  Calisthenic exercises can be easily performed both at home and in hospital setting. In patients with MS, calisthenic exercises performed at home or at the hospital may improve the balance, quality of life, and the functional and psychological status, while no significant effect has been observed on fatigue.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmi Alem Vakıf University, Istanbul, Turkey. makifsariyildiz@hotmail.com.
authors.forename: T
authors.initials: T
authors.lastname: Aydın
authors.forename: M
authors.initials: M
authors.lastname: Akif Sarıyıldız
authors.forename: M
authors.initials: M
authors.lastname: Guler
authors.forename: A
authors.initials: A
authors.lastname: Celebi
authors.forename: H
authors.initials: H
authors.lastname: Seyithanoglu
authors.forename: I
authors.initials: I
authors.lastname: Mirzayev
authors.forename: C
authors.initials: C
authors.lastname: Peru
authors.forename: E
authors.initials: E
authors.lastname: Sezer
authors.forename: I
authors.initials: I
authors.lastname: Batmaz
mesh_terms: D000328:Adult; D004185:Disability Evaluation; D005080:Exercise Test; D005081:Exercise Therapy / Q000379:methods*; D017079:Exercise Tolerance; D005260:Female; D005684:Gait; D006173:Gymnastics; D018575:Home Care Services, Hospital-Based; D006801:Humans; D008297:Male; D020529:Multiple Sclerosis, Relapsing-Remitting / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D018763:Muscle Fatigue; D004856:Postural Balance; D011446:Prospective Studies; D011788:Quality of Life; D020127:Recovery of Function; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014421:Turkey; D016138:Walking