Functional Balance Intervention for Multiple Sclerosis
This study is looking at how a Functional Balance Intervention (FBI) can help people with Multiple Sclerosis (MS) improve their physical and thinking abilities. The FBI is an exercise program that has been tested before in other groups. You would either participate in this FBI program, which involves exercises in a lab or at home, or a stretching program. Researchers want to see if the FBI helps with physical function, thinking skills, and balance when doing two things at once. They are looking for adults aged 55-80 with MS who have been on stable medication for at least 6 months and can stand up from a chair on their own. The study is currently recruiting 120 participants.
- Study design
- This is a randomized controlled clinical trial with two groups of participants. There will be 120 participants in total, split between two studies.
- What's involved
- If you join, you would participate in either the Functional Balance Intervention or a stretching program for 2 days a week over 4 months. Assessments will be done at Week 3 (before training) and Week 21 (after training).
- Compensation
- Not stated in the trial record.
- Follow-up
- Participants will be assessed at Week 3 (Pre-training Assessment) and Week 21 (Post-training assessment).
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Functional Balance Intervention in Multiple Sclerosis
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Tanvi Bhatt, PhD · PRINCIPAL_INVESTIGATOR · University of Illinois at Chicago
Who to contact
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Inclusion
Exclusion
What this trial measures
- Change in physical functionWeek 3 (Pre-training Assessment), Week 21 (Post-training assessment)
Physical function will be assessed via the Short Physical Performance Battery (SPPB). This batter includes tests for standing balance and muscle strength and is widely used among older adults and people with multiple sclerosis. Higher scores indicate better performance.
- Change in cognitive functionWeek 3 (Pre-training Assessment), Week 21 (Post-training assessment)
Cognitive function will be assessed by the Brief International Cognitive Assessment (BICAMS) The BICAMS is widely used in people with MS and consists of 3 sub-tests including the Symbols Digit Modalities test for assessing processing speed, the California Verbal Learning Test-II for assessing verbal learning and memory and the Brief Visuospatial Memory also for assessing learning and memory as a part of the BICAMS. All these tests are paper pencil questionnaires to assess different domains of cognitive function. Higher scores indicate better performance.
- Change in dual task balance performanceWeek 3 (Pre-training Assessment), Week 21 (Post-training assessment)
Dual task balance performance will be assessed via the limits of Stability with the letter number sequencing test. The Limits of Stability test assesses balance on a computerized balance system, which requires participants to shift weight without losing balance. Maximum excursion will be the outcome assessed using the Limits of Stability test. The Letter Number Sequencing test will be performed simultaneously. This test includes cognitive task involving generating alternating number-letter sequences. The accuracy and total responses will be the outcome measures recorded via this test. Higher values for accuracy and responses indicate better performance.
- Change in dual task gait performanceWeek 3 (Pre-training Assessment), Week 21 (Post-training assessment)
Dual task gait performance will be assessed via the Timed-up and Go test with the letter number sequencing test. The Timed-up and Go test evaluates functional mobility among individuals with multiple sclerosis. Participants will be asked to stand from a chair, walk 3 meters, and sit back. Lesser time to complete indicates better performance. The Letter Number Sequencing test will be performed simultaneously. This test includes cognitive task involves generating alternating number-letter sequences. The accuracy and total responses will be the outcome measures recorded via this test. Higher values for accuracy and responses indicate better performance
- Change in measured community mobilityWeek 3 (Pre-training Assessment), Week 21 (Post-training assessment)
The investigators will use the ActiGraph sensor to assess change in measured community mobility. Participants will be asked to wear the accelerometer device for the following 7 days for at least 12 hours per day. Participants will be asked to always wear the watch except during bathing, charging it, and sleeping. All of these are reliable and sensitive measures for assessing community mobility among people with multiple sclerosis. Greater number of steps per day indicate greater community mobility.
- Change in self-reported community mobilityWeek 3 (Pre-training Assessment), Week 21 (Post-training assessment)
The University of Alabama at Birmingham (UAB) has established a paper pencil questionnaire named "Lifespace Scale Questionnaire" will be used to assess change in self-reported community mobility. The Lifespace scale questionnaire measures a person's mobility in five areas: outside the bedroom, outside the house, in the neighborhood, outside of the neighborhood but in town, and outside town during the past four weeks. Higher scores indicate greater community mobility.
- Change in self-reported quality of LifeWeek 3 (Pre-training Assessment), Week 21 (Post-training assessment)
This will be assessed using the MS Impact Scale (MSIS-29), a self-reported measure that includes both physical (20 items) and psychological (9 items) aspects of life quality. Higher scores indicate better quality of life.