Multiple Sclerosis Clinical Trial
Official title:
Examining the Efficacy of Non-invasive Neuromodulation in Reducing Symptoms of Multiple Sclerosis - a Pilot Study
The purpose of this pilot study is to determine whether a program involving both in-lab and at-home training using cranial nerve stimulation (CN-NINM) delivered via the tongue can reduce symptoms of multiple sclerosis (MS) and improve movement control and therefore provide ground work for a controlled clinical trial. The effects of the stimulation will be measured using a variety of standardized tests of movement control and cognitive function, functional brain imaging, and MS-specific surveys of your quality of life.
Fourteen MS patients, seven each in an active and a sham stimulation group are expected to
participate.
Participants will receive intensive physical therapy and working memory training for 14
weeks.
Functional magnetic resonance imaging (fMRI) using motor imagery and working-memory tasks
will be completed prior to and following therapy, as will be sensory organization tests
(SOT), motor performance measures, and neuropsychological assessment.
Prior to the start of CN-NINM training, each participant will undergo baseline evaluations
including structural and fMRI, balance tests (SOT), Dynamic Gait Index (DGI),
neuropsychological assessment (Handedness; Wechsler Abbreviated Scale of Intelligence (WASI)
Vocabulary and Matrix Reasoning; California Verbal Learning Test (CVLT)-11; D-Kefs Trails,
Color/Word and Verbal Fluency; Tower of London Second Edition; Ruff 2 and 7; Wechsler Adult
Intelligence Scale Fourth Edition (WAIS-IV) Letter-Number sequencing, Coding and Symbol
Search; Paced Auditory Serial Addition Test (PASAT); Leonard Tapping; and Grooved Pegboard).
In addition, the MS Impairment Scale, Fatigue Impact Scale, Cognitive Function Inventory for
MS, and Beck Depression and Anxiety questionnaires will be completed.
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