Multiple Sclerosis (MS)
Conditions
Keywords
Aerobic, Exercise, Elliptical trainer, Treadmill, 6 Minute Walk Test (6MWT), Timed Up & Go (TUG), Berg Balance Scale (BBS), 10 Meter Walk Test (10MWT), Informed Consent Form (ICF)
Brief summary
The aim of this study is to examine the effects of aerobic exercise training using an elliptical trainer compared to a treadmill on gait and walking abilities, expressed in dynamic stability, balance, and walking speed, in people with Multiple Sclerosis with moderate severity.
Detailed description
A total of 30 MS subjects to be enrolled in the study. Subjects to be assigned into one of two groups named: Group 1 - Elliptical Training and Group 2 - Treadmill Training. Effort capacity will measured by heart rate and RPE. Outcome measures will be measured by using, 6 min. walking test (6MWT), Timed Up & Go (TUG), Berg Balance Scale (BBS) and 10 Meter Walk Test (10MWT) to be used to assess the quality of life at Baseline (T0), During study - 6 weeks from baseline (T1), End of training program - 12 weeks from baseline (T2) and 6 weeks post T2 (T3). The exercise program to be applied for 12 weeks with 2 trainings per week.
Interventions
OTHERPhysical Training
Group 1 - Elliptical Trainer Group 2 - Treadmill
Sponsors
Soroka University Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
The study will assess the effect of 12 weeks of aerobic exercise on an elliptical trainer (group 1) vs a treadmill (group 2), on gait and walking abilities, expressed in dynamic stability, balance and walking speed, in people with Multiple Sclerosis.
Eligibility
Sex/Gender
ALL
Age
25 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
1. Patients signed Informed Consent Form 2. At least 6 months post MS diagnosis 3. 25-55 years old adults 4. EDSS 3.0-6.5 5. Standing stability - for at least 30 seconds 6. 6MWT - minimal distance to be measured as 210 meters 7. No physical routinely training e.g. walking, elliptical or cycling within 3 months prior screening visit.
Exclusion criteria
1. Active Heart Disease 2. Lungs and/or respiratory system diseases 3. Metabolic Disease 4. Any other medical condition(s) which might impact the patient's participant in the study, as per PI medical judgement 5. Major medical treatment change (as per PI medical judgement) up to 12 weeks prior ICF signature by the patient.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life outcomes | Baseline (screening), T1 (Week 6), T2 (Week 12), T3 (Follow-up, 6 weeks post T2) | Quality of life to be assessed by using a Short-form 36 health status questionnaire (SF-36). SF-36 consists of 36 questions in total. Each participant will be asked to fill in the questionnaire alone and by reading it themselves. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 6 Minute Walk Test (6MWT) | Baseline (screening), T1 (Week 6), T2 (Week 12), T3 (Follow-up, 6 weeks post T2) | Each subject will be asked to perform a 6 min walk and the max distance to be measured, |
| Timed Up & Go (TUG) | Baseline (screening), T1 (Week 6), T2 (Week 12), T3 (Follow-up, 6 weeks post T2) | Patients wear their regular footwear and can use a walking aid, if needed. The patient stands up upon therapist's command: walks 3 meters, turns around, walks back to the chair and sits down. The time stops when the patient is seated |
| Berg Balance Scale (BBS) | Baseline (screening), T1 (Week 6), T2 (Week 12), T3 (Follow-up, 6 weeks post T2) | The Berg Balance Scale (BBS) is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks. |
| 10 Meter Walk Test (10MWT) | Baseline (screening), T1 (Week 6), T2 (Week 12), T3 (Follow-up, 6 weeks post T2) | The 10 Metre Walk Test is a performance measure used to assess walking or gait speed in meters per second over a short distance |
Countries
Israel
Outcome results
None listed