Multiple Sclerosis
Conditions
Brief summary
The purpose of this study is to compare the effectiveness of 2 different types of Home Exercise Programs (HEP) on mobility in persons with Multiple Sclerosis (MS). Specifically, we will be comparing the Standard of Care (SOC) a program based on aerobic conditioning and calisthenics to a Task Specific Program (TSP). Primary Question: Will persons with who receive a Task Specific HEP have greater improvement in mobility than those who receive the SOC? Secondary question: Will a task specific HEP be as well tolerated as the SOC HEP by persons with MS
Detailed description
Persons with MS have been shown to benefit from exercise to address the symptoms of their disease. Exercise programs are customarily given by Physical Therapists (PT) in either an inpatient or outpatient setting. Outpatient PT is typically augmented with a Home exercise Program (HEP) which is meant to enhance the work that is done directly with the PT. Since the amount of exercise done at home is often greater than what is done with the PT, the HEP is of great importance. However, the types of exercise that are the most useful for useful for persons with MS has not been established. Previous research has shown that due to the unique ways in which MS can affect the nervous system, exercise programs that may be appropriate for persons without MS may not be ideal for those that have the disease
Interventions
BEHAVIORALTask Specific Physical Therapy Home Program
Home exercise program based on specific findings from physical therapy evaluations.
Sponsors
New York Presbyterian Brooklyn Methodist Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
Definitive diagnosis of Multiple sclerosis * Ability to walk for at least 30 seconds unassisted with or without assistive device * Ability to read, comprehend and sign an informed consent * Is able to attend a 2 outpatient evaluation sessions 6 weeks apart * Between the ages of 18 and 75
Exclusion criteria
* Evidence of recent MS exacerbation * Any orthopedic, cardiopulmonary, or non- MS neurologic condition that prohibits participation in a Physical therapy program * Be currently receiving outpatient physical therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 6 Minute Walk Test | Measured before and after each 4 weeks | Participant walks at best comfortable pace for 6 consecutive minutes; total distance walked and distance per minute is measured. |
| The Functional Gait Assessment | Measured before and after each 4 weeks | A measure of walking balance assessed by participant's performance on specific task. |
| The Mini Balance Evaluation Systems Test (MBEST) | Measured before and after each 4 weeks | Assessment of participant balance during reactive anticipatory, dynamic and sensory aspects of balance tasks. |
Countries
United States
Outcome results
None listed