Effect of CoDuSe Balance Training and Step Square Exercises on Risk of Fall in Multiple Sclerosis

Multiple Sclerosis, Relapsing-Remitting Clinical Trial

— core stability  

Official title:

Effect of CoDuSe Balance Training and Step Square Exercises on Risk of Fall in Multiple Sclerosis

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04528121
• Other study ID #: P.T. REC/012/002865
• Status: Completed
• Phase: N/A
• Start date: September 15, 2020
• Est. completion date: December 30, 2020

Study information

• Verified date: February 2021
• Source: October 6 University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To investigate the effect of CoDuSe balance training and step square exercises on the risk of falls in multiple sclerosis. BACKGROUND: risk of fall & balance disabilities are considered serious problems in multiple sclerosis which results in loss of balance & physical inactivity. ………HYPOTHESES: This study hypothesized that: CoDuSe balance training and step square exercises will have a significant effect on the risk of falling in multiple sclerosis RESEARCH QUESTION: Is there an effect of CoDuSe balance training and step square exercises on risk of fall in multiple sclerosis?

Description:

Fifty-two patients with multiple sclerosis will participate in this study. The patients will randomly be divided into two equal groups; the control group which received the conventional selected exercise program and the study group received the same exercise training program in addition to CoDuSe balance training and step square exercises, three times per week for four weeks. The Evaluation will done pre and post interventions included: Biodex balance system (Risk falling), Short Physical Performance Battery (SPPB) & Morse Fall Scale.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 52
• Est. completion date: December 30, 2020
• Est. primary completion date: December 30, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 40 Years

Eligibility

Inclusion Criteria:

• Fifty-two Remitting-relapsing multiple sclerosis RRMS patients,
• Age will range as (20:40) years old
• Illness duration not more than 10 years,
• with no relapses over the past three months,
• body mass index (25:35)

Exclusion Criteria:

• difficulty to communicate or to understand program instructions
• any other neurological deficits or orthopedic abnormalities,
• secondary musculoskeletal complication
• peripheral vestibulopathy, hepatic, renal, hemopoeitic, thyroid and cardiovascular diseases, cognitive dysfunction,
• hearing deficits, epilepsy or EEG abnormalities

Related Conditions & MeSH terms

• Multiple Sclerosis
• Multiple Sclerosis, Relapsing-Remitting
• Sclerosis

Intervention

Other:
• CoDuSe balance training and step square exercises
The standardized intervention targeted visual, somatosensory, and vestibular aspects of balance and will be included with balance exercises Examples of core stability exercises as follows: in supine position with knees bent, slowly slide one heel forward to straighten leg; and, in four-point kneeling position, slide one foot in a straight line away from the body and lift the leg off the floor. Examples of dual-task exercises as walking while turning one's head and juggling a balloon. Examples of sensory strategies as standing and walking on uneven surfaces and standing with eyes closed.
• conventional balance training
static and dynamic balance training exercises from sitting, standing and ambulation activities

Locations

Country	Name	City	State
Egypt	October 6 University	Giza	El-Sheikh Zayed City Giza 1133 Egypt

Sponsors (1)

Lead Sponsor	Collaborator
Lama Saad El-Din Mahmoud

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Biodex balance system	fast, accurate Fall Risk Screening and Conditioning Programme	4 weeks
Primary	Short Physical Performance Battery (SPPB)	The short physical performance battery (SPPB) is a group of measures that combines the results of the gait speed, chair stand and balance tests . It has been used as a predictive tool for possible disability and can aid in the monitoring of function in older people.; The Short Physical Performance Battery (SPPB)test is designed to measure functional status and physical performance.	4 weeks
Primary	Morse Fall Scale	The Morse Fall Scale (MFS) is a rapid and simple method of assessing a patient's likelihood of falling A patient who scores under 25 points is considered to be at low risk of falling, a patient who scores between 25-45 points is considered to be at moderate risk of falling, and a patient who scores higher than 45 points is considered to be at high risk of falling.	4 weeks