title: Effect of the cooling suit method applied to individuals with multiple sclerosis on fatigue and activities of daily living.
abstract: OBJECTIVE
  To determine the effects of cooling suit on fatigue and activities of daily living of individuals with multiple sclerosis.
  
  
  BACKGROUND
  Fatigue is one of the most common symptoms in people with multiple sclerosis and adversely affects their activities of daily living. Studies evaluating fatigue associated with multiple sclerosis have reported that most of the fatigue cases are related to the increase in body temperature and that cooling therapy is effective in coping with fatigue.
  
  
  METHODS
  This study used a two sample, control group design.
  
  
  METHODS
  The study sample comprised 75 individuals who met the inclusion criteria. Data were collected with study forms. After the study data were collected, cooling suit treatment was administered to the experimental group. During home visits paid at the fourth and eighth weeks after the intervention, the aforementioned scales were re-administered to the participants in the experimental and control groups.
  
  
  RESULTS
  The analyses performed demonstrated that the severity levels of fatigue experienced by the participants in the experimental group wearing cooling suit decreased. The experimental group also exhibited a significant improvement in the participants' levels of independence in activities of daily living.
  
  
  CONCLUSIONS
  The cooling suit worn by individuals with multiple sclerosis was determined to significantly improve the participants' levels of fatigue and independence in activities of daily living.
  
  
  CONCLUSIONS
  The cooling suit therapy was found to be an effective intervention for the debilitating fatigue suffered by many multiple sclerosis patients, thus significantly improving their level of independence in activities of daily living.
authors.affiliation: Department of Nursing, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey.
authors.forename: Fatma
authors.identifier: http://orcid.org/0000-0001-8059-1821
authors.initials: F
authors.lastname: Özkan Tuncay
authors.affiliation: Department of Nursing, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey.
authors.forename: Mukadder
authors.initials: M
authors.lastname: Mollaoğlu
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D016022:Case-Control Studies; D003020:Clothing; D017679:Cryotherapy / Q000379:methods*; D005221:Fatigue / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000628:therapy*; D011788:Quality of Life; D012720:Severity of Illness Index
keywords: activities of daily living; fatigue; multiple sclerosis; nursing