Nervous System Diseases Multiple Sclerosis Relapsing-Remitting Type
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: During remission state, after at least one year of disease duration since MS established diagnosis. EDSS less than or equal to 5.5. BMI less than or equal to 35. Depression free patients according to DSM 5 criteria of depressive disorders (Diagnostic and Statistical Manual of Mental Disorders) (APA, 2013). Patients with intact visual field only. Patients Free from any systemic vascular or blood disease, vasculitis, diabetes, liver disease, kidney failure, heart failure, traumatic brain injury (TBI), cerebrovascular accident (CVA), spinal cord injury, human immunosuppressive virus (HIV), hyperthyrodism, cancer or at risk of chemical or atomic radiation exposure. Patients who are controlled by (interferon beta-1a) therapy only. Patients who are consuming, antibiotics or any photosensitizing drugs will be weaned off of it for 21-30 days before joining the study.
Exclusion criteria
Exclusion criteria: Patient passing into an MS relapse during the study period. Female patients who get pregnant during the study period. Patients on Hypolipidemic, Antiepileptic drugs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dynamic Balance, will be tested using Biodex Balance System (BBS):- (Overall stability index (OSI), Anterior/Posterior stability index (AP), Medial/Lateral stability index (ML). ;Cognitive functions, will be tested using:- i. MoCA "Montreal Cognitive Assessment" (Rahman and EL Gaafary, 2009). ii. SDMT "Symbol Digit Modalities Test" (Smith, 1991). iii. BVMT- R "Brief Visuospatial Memory Test - Revised" (Benedict, 1997). iv. Fatigue Severity Scale (FSS) (Al-Sobayel et al, 2016). | — |
Secondary
| Measure | Time frame |
|---|---|
| Serum 25(OH) D. Using Hematology test.;Serum Neurofilament Light chain (sNFL). Using Hematology test. | — |
Countries
Egypt
Contacts
Ass. Prof, PT/ Faculty of Physical Therapy , Cairo University