Supervised Perturbation Training Results in Changes in Balance and Falling in Patients With Multiple Sclerosis

Multiple Sclerosis Clinical Trial

Official title:

Supervised Perturbation Training Results in Changes in Balance and Falling in Patients With Multiple Sclerosis

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT04132167
• Other study ID #: 12345
• Status: Active, not recruiting
• Phase: N/A
• Start date: November 20, 2018
• Est. completion date: December 20, 2019

Study information

• Verified date: October 2019
• Source: Suleyman Demirel University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Physical exercise can prevent falls, certain types of exercise may be more effective. Perturbation-based balance training is a novel intervention involving repeated postural perturbations aiming to improve control of rapid balance reactions. The purpose of this study was to estimate the effect of perturbation- based balance training on falls and balance in daily life.Thirty patients with multiple sclerosis (PwMS) will assess with regard to dynamic balance, walking and falling. Patients randomly will allocate to a personalized (PRG) or traditional (TRG) rehabilitation group.

Description:

Thirty patients with multiple sclerosis (PwMS) will assess with regard to dynamic balance, walking and falling. Patients randomly will allocate to a personalized (PRG) or traditional (TRG) rehabilitation group.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 15
• Est. completion date: December 20, 2019
• Est. primary completion date: October 20, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 45 Years

Eligibility

Inclusion Criteria:

• An age older than 18 years

• Stable phase of the disease without relapses or worsening in the last three months

• Referring fear of falling or a history of falls (at least one fall in the last year).

• Individuals with a high level of balance.

Exclusion Criteria:

• Psychiatric disorders

• Blurred vision

• Severe cognitive impairment

• Severely impaired upright postural control or limited participation in a rehabilitation program

• Cardiovascular and respiratory disorders.

Related Conditions & MeSH terms

• Multiple Sclerosis
• Sclerosis

Intervention

Procedure:
• perturbation training
exercises for body stability in different positions (bridge, sitting, quadrupedal, half- kneeling, kneeling, standing, monopodalic) performed with visual biofeedback; transfers training performed in front of a mirror; ambulation training with courses drawn on the ground in a straight line and with more complex tracks with visual controlin particular using the protocols seated balance/strength training, standing bal- ance/weight-bearing training, mobility training and closed-chain training;

Locations

Country	Name	City	State
Turkey	Hatice Yakut	Isparta

Sponsors (1)

Lead Sponsor	Collaborator
Suleyman Demirel University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	dynamic balance	the effects of perturbation dynamic balance training assessed with four square step test >15 seconds = increased risk of falls	6 week
Primary	walking	the effects of perturbation dynamic balance training assessed with 10 meter walking test	6 week
Primary	walking	the effects of perturbation dynamic balance training assessed with time up and go test(TUG).A score of 30 seconds or more suggests that the person may be prone to falls	6 week
Primary	falling	the effects of perturbation dynamic balance training assessed with Falling Efficacy Scale(FES). The FES is a 10-item test. On a scale from 1 to 10, with 1 being very confident and 10 being not confident at all.	6 week
Primary	fear of falling	The short FES-I is a 7-item self-report questionnaire for measuring perceived self-efficacy to avoid a fall in various situations	6 week