Multiple Sclerosis
Conditions
Keywords
Multiple sclerosis, Lung volume recruitment, Pulmonary function impairment, Cough impairment
Brief summary
Multiple sclerosis is a neurological disease that can affect lung function and cough efficacy. This pilot study will examine whether the lung volume recruitment technique can slow down the decline in lung function and cough.
Interventions
Inflation of the lungs to their maximal insufflation capacity by the consecutive delivery, by a manual resuscitator in this study, of volumes of air that are held with a closed glottis
Sponsors
Study design
Eligibility
Inclusion criteria
* History of multiple sclerosis, diagnosed by a neurologist in accordance with the 2010 McDonald criteria
Exclusion criteria
* Concomitant parenchymal pulmonary disease or pleural disease * Symptomatic cardiomyopathy * Unable to perform pulmonary function testing or lung volume recruitment, due to comprehension or cooperation issues, physical inability such as bulbar or cerebellar dysfunction * Contra-indication to pulmonary function testing or lung volume recruitment such as myocardial infarction, bleeding aortic aneurysm, intracranial hemorrhage within the previous month * Known susceptibility to pneumothorax or pneumomediastinum * Not competent to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of decline of FVC (forced vital capacity) | up to 9 months |
Secondary
| Measure | Time frame |
|---|---|
| Rate of decline of peak cough flow | baseline, 2, 4, 6 and 9 months |
| Change from baseline in FVC at 2, 4, 6 and 9 months | baseline vs 2, 4, 6 and 9 months |
| Change from baseline in peak cough flow at 2, 4, 6 and 9 months | baseline vs 2, 4, 6 and 9 months |
Countries
Canada