Multiple Sclerosis
Conditions
Keywords
multiple sclerosis, balance, gait, dual task, fatigue
Brief summary
The purpose of this study is to examine the effects of dual-task training and cognitive rehabilitation on gait, balance, fatigue and cognitive performance in individuals with multiple sclerosis.
Detailed description
Multiple sclerosis (MS) is a complex disease characterized by chronic, inflammatory, demyelinating and neurodegenerative processes of the central nervous system (CNS) with heterogeneous clinical symptoms. Balance, gait and cognitive impairment are among the biggest problems in individuals with MS and significantly affect their daily lives. Dual Task (DT); is the process of performing two tasks that can be performed independently and have different purposes simultaneously. Walking with dual tasks has recently been shown to resemble typical walking performance in daily life, thus providing clinicians with a realistic walking performance measurement in daily life. Although the effects of dual task performance in various neurological diseases have been partially described in the literature, the comparison of dual task training and cognitive rehabilitation on walking, balance, fatigue and cognitive performance has not been made and due to this deficiency in the literature, our study was planned and has originality. The aim of our study is to investigate the effects of dual task training and cognitive rehabilitation on walking, balance, fatigue and cognitive performance in individuals with MS.
Interventions
OTHERDual Task Training
In dual task training, patients will be given cognitive exercises such as counting backwards from 100 by 3, counting the names of cities, girls and boys while walking.
OTHERCognitive Rehabilitation
In cognitive rehabilitation, patients will be given paper-and-pencil activities and exercises to find the difference between two pictures.
OTHERConventionel Physiotherapy
In conventionel physiotherapy, patients will be given posture exercises for balance and strengthening.
Sponsors
Toros University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
A randomized, single-blind, controlled trial comparing a dual-task training group, a cognitive rehabilitation group, and a conventional physical therapy group.
Intervention model description
Comparison of 3 different physiotherapy groups(dual task training group, cognitive rehabilitation group, conventional physical therapy group)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Definite MS diagnosis by a neurologist * Can walk independently * Expanded Disability Status Scale (EDSS) score below 5 * Has not had an attack in the last 3 months, has been medically stable for 6 months * Has not received a regular physiotherapy program in the last 6 months volunteer
Exclusion criteria
* Scoring 26 or below on the Montreal Cognitive Assessment Scale (MoCA) * Having systemic, orthopedic and neurological problems that may affect walking and balance in the assessments * Having additional psychiatric disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dynamic Gait Index (DGI) | a year | DGI is a test that measures the capacity to adapt to changes in walking.It evaluates a total of 8 parameters over 24 points. Values of 19 points and below define the presence of a fall risk. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Timed 25 Food Walk Test (T25FWT) | a year | Timed 25 Food Walk Test is a test that evaluates walking speed. In the test, the patient is asked to walk 25 steps as quickly and safely as possible and the time is recorded in seconds with the average of 2 trials. |
| The 12-item MS Walking Scale (12-MSWS) | a year | The 12-item MS Walking Scale (12-MSWS) that evaluates walking ability over the last 2 weeks, scaled from 0 to 100. |
| BICAMS (Brief International Cognitive Assessment for MS) | a year | BICAMS (Brief International Cognitive Assessment for MS) is an international initiative to recommend and support a cognitive assessment that is brief, practical and universal. |
| Trial Making Test (TMT) | a year | Trial Making Test (TMT)is used to evaluate individuals' executive functions, visual-motor perception, visual scanning and attention speed, motor function, organization, and planning. |
| Modified Fatigue Impact Scale (MFIS) | a year | It is a multidimensional self-report questionnaire consisting of 21 questions in total, which is frequently used in individuals with MS and evaluates subjective fatigue physically (9 items), cognitively (10 items) and psychosocially (2 items). |
Countries
Turkey (Türkiye)
Contacts
Primary ContactAysun Katmerlikaya, MSc
Backup ContactÖznur Tunca, MSc
Outcome results
None listed