Core Stability, Functional Capacity, Balance, Strength, and Fatigue in Pediatric Demyelinating Diseases

This study aims to evaluate balance ability, core stability, functional capacity, lower extremity muscle strength, and fatigue levels in children diagnosed with central nervous system demyelinating diseases, in order to contribute to the development of evidence-based and individualized rehabilitation strategies.

Inclusion Criteria: * Age between 6 and 18 years * Diagnosed with a pediatric demyelinating disease * No relapse within the last 3 months * No botulinum toxin (Botox) injections within the last 3 months * No corticosteroid treatment within the last 3 months * Ability to read and write Exclusion Criteria: * History of concomitant autoimmune diseases * Refusal of the patient and/or caregiver to participate in the study * History of another primary neurological disease * Cognitive impairment that limits understanding of instructions and participation in assessments * Visual and/or hearing impairments that interfere with activities of daily living * Presence of additional rheumatological conditions that may interfere with assessments * Spasticity grade ≥2 according to the Modified Ashworth Scale in any muscle group