RecruitingNot ApplicableNCT07058870

Unravelling The Optimisation And Consolidation Of Motor Skills In People With Multiple Sclerosis With Mild to Moderate Gait Impairment: A Feasibility Study

Unravelling The Optimisation And Consolidation Of Motor Skills In People With Multiple Sclerosis With Mild to Moderate Gait Impairment Via High Intensity Task Oriented Circuit Training: A Feasibility Study

Sponsor

University Hospital of Ferrara

Enrollment

18 participants

Start Date

Oct 15, 2024

Study Type

INTERVENTIONAL

Conditions

Multiple Sclerosis

Summary

The goal of this feasibility study is to test the safety and effectiveness of an high-intensity task oriented circuit training program, followed by three months of telerehabilitation in people with mild to moderate Multiple Sclerosis (MS). The main questions it aims to answer are: * Can high-intensity task oriented circuit training improve gait and balance functional capacity? * Can telerehabilitation mantain the benefits in gait and balance gained via circuit training for a six month period? Participants will: * Complete 10 session ( one hour each, three times a week) of high-intensity task oriented circuit training administered in a hospital setting. The training will target key motor skills such as walking, stepping, supine to stand transitions and general mobility. * Engage in 3 months of asynchronous telerehabilitation (without physiotherapist supervision)

Eligibility

Min Age: 18 YearsMax Age: 75 Years

Plain Language Summary

Simplified for easier understanding

This feasibility study is exploring whether a specific type of motor skills training can help people with progressive multiple sclerosis (MS) who have mild to moderate difficulty walking. The goal is to understand whether a learning-based physical therapy approach is practical and potentially helpful for this group. **You may be eligible if...** - You have been diagnosed with primary or secondary progressive multiple sclerosis - Your thinking and memory are reasonably intact (MMSE score above 24) - Your disability level is mild to moderate (EDSS score of 6 or lower, meaning you can walk with or without a cane) **You may NOT be eligible if...** - You have other neurological or psychiatric conditions - You have severe walking disability (EDSS above 6) - You are currently experiencing a relapse or recently started new MS medications - You have had a fall-related injury in the past 3 months Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALHigh Intensity Task Oriented Circuit Training + Telerehabilitation

Participants will receive 10 sessions of high-intensity, task-oriented circuit training, three times a week. Each session will last 60 minutes, with minutes of active training. Each session will include three rounds, each lasting 55 minutes. During each round, participants will rotate between stations working for four minutes at each station, followed by three minutes of rest. The stations will focus on key motor skills, including supine to stand transitions, walking speed and functional capacity, walking adaptability and stepping. After in-hospital treatment participants will receive 36 sessions of asynchronous telerehabilitation, three times a week for 12 weeks. This intervention will be supported by low-cost, off-the-shelf technology for treatment delivery and monitoring.