Multiple Sclerosis Clinical Trial
Official title:
Neuropsychological Changes After Cognitive-motor Dual Task Training in Patients With Multiple Sclerosis
Verified date | July 2023 |
Source | I.R.C.C.S. Fondazione Santa Lucia |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Clinical features of Multiple Sclerosis (MS) vary widely from patient to other. About the 60% of patients with MS presents cognitive deficits associated with motor disability. The principal consequences of the motor disabilities concern difficult in gait and balance. The principal cognitive deficits concern the speed in elaborating information, the complex attention and the memory. During walking in daily life, it is often required to turn the head for looking something happening in the surrounding environment, for example when a sudden noise is heard, while crossing the street, when there's something interesting around or when is required to verbally answer to someone without stopping walking. All these examples are referred to a common daily life mechanism that has been defined as dual task (DT). Considering that the attention is a limited function, divide it in two different and simultaneous tasks (motor and cognitive), cause a cognitive-motor interference (CMI) that lead to a loss of efficacy in one or in both the tasks. The main aim of the study is to verify the impact of a brief rehabilitation training that combining motor and cognitive therapy using a dual-task paradigm, on balance and gait in MS patients, compared with the traditional therapies that provide a specific postural stability rehabilitation approach. Recruited patients will be randomized in two different groups which perform two different training. Each group perform the allocated training 3 times a week for 4 weeks. All the patients will be evaluated at the baseline (T0), at the end of the training (T1) and 60 days after the end of the training (T2).
Status | Completed |
Enrollment | 42 |
Est. completion date | October 1, 2022 |
Est. primary completion date | May 1, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 30 Years to 65 Years |
Eligibility | Inclusion Criteria: - Diagnosis of MS according with revisited McDonalds criteria; - Expanded Disability Status Scale (EDSS) ranging between 0 and 6; - Ability to walk independently or with aid for at least 50 meters. Exclusion Criteria: - Associated psychiatric and/or neurological disorders (different from the MS); - Clinical relapse within the three months prior to enrollment; - Steroid therapy within 30 days before the enrollment; - Peripheric diseases as visual and/or auditory impairments that could interfere with motor and cognitive tasks execution; - Fracture of lower limb within three months before the enrollment. |
Country | Name | City | State |
---|---|---|---|
Italy | Marco Tramontano | Roma |
Lead Sponsor | Collaborator |
---|---|
I.R.C.C.S. Fondazione Santa Lucia |
Italy,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Balance Evaluation System Test (Mini-BESTest) | Change of MiniBestTest (MBT) from baseline at 4 weeks of the training and at 60 days after the end of the training. The Mini-BESTest values ranging from 0 to 28, where 0 means the worse outcome and 28 the best one. | Baseline, after 4 weeks of training, and 2 months after the end of training | |
Secondary | Modified Barthel Index (MBI) | Change of Modified Barthel Index (MBI) from baseline at 4 weeks of the training and at 60 days after the end of the training. MBI values ranging from 0 to 105, where 0 means the worse outcome and 105 the best one | Baseline, after 4 weeks of training, and 2 months after the end of training | |
Secondary | Tinetti Balance and Gait Scale (TBG) | Change of Tinetti Balance and Gait Scale (TBG) from baseline at 4 weeks of the training and at 60 days after the end of the training. TBG values ranging from 0 to 28, where 0 means the worse outcome and 28 the best one | Baseline, after 4 weeks of training, and 2 months after the end of training | |
Secondary | 10 Meter Walk Test (10MWT) | Change of 10 Meter Walk Test (10MWT) from baseline at 4 weeks of the training and at 60 days after the end of the training. 10MWT allows to evaluate the walking speed. | Baseline, after 4 weeks of training, and 2 months after the end of training | |
Secondary | Inertial sensors-based assessment | Set of seven magneto-inertial sensors (Opal, APDM Inc., Portland, Oregon, USA) will be used during the execution of walking motor tasks.
Changes of continuous accelerometer signals will be recorded from baseline at 4 weeks of the training and at 60 days after the end of the training |
Baseline, after 4 weeks of training, and 2 months after the end of training | |
Secondary | 2 Minute Walking Test (2MWT) | Change of 2 Minute Walking Test (2MWT) from baseline at 4 weeks of the training and at 60 days after the end of the training. 2MWT allows to evaluate the endurance assessing the walking distance over two minutes | Baseline, after 4 weeks of training, and 2 months after the end of training | |
Secondary | 2 Minute Walking Test (2MWT) associated with Cognitive Task | Change of 2 Minute Walking Test (2MWT) associated with Cognitive Task from baseline at 4 weeks of the training and at 60 days after the end of the training. 2MWT associated with Cognitive Task allows to evaluate the endurance assessing the walking distance over two minutes during a cognitive task execution (ex: verbalize the the highest number of animals'names during walking) | Baseline, after 4 weeks of training, and 2 months after the end of training |
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