Investigation of the Effects of Motor Imagery and Action Observation Training in Individuals With Multiple Sclerosis

Not Applicable

Recruiting

• Conditions: Multiple Sclerosis
• Interventions: Other: Motor Imagery training; Other: Action Observation training; Other: standard rehabilitation

• Registration Number: NCT05377476
• Lead Sponsor: Hacettepe University

Brief Summary

It was planned to examine the effects of motor imagery and action observation training applied in addition to standard rehabilitation in individuals with Multiple Sclerosis on walking, fatigue, trunk control and muscle oxygenation.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2022-05-12
• Study First Submitted QC: 2022-05-16
• Study First Posted: 2022-05-17
• Study Start: 2022-06-01
• Status Verified: 2023-01
• Last Update Submitted: 2023-01-30
• Last Update Posted: 2023-01-31
• Primary Completion: 2024-05-01
• Study Completion: 2024-06-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Being between the ages of 18-65
• Having a definite diagnosis of MS
• Expanded Disability Status Scale (EDSS) score of 4.0 and below (it is determined routinely by the physician during the examination)
• Not having an attack in the last 3 months

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Exclusion Criteria

• Having another musculoskeletal, cardiovascular, pulmonary, metabolic, or neurological disease severe enough to preclude participation in the study.
• Having severe vision and hearing problems
• Presence of severe cognitive impairment detected by the physician at a level that prevents the tests from being performed.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Motor Imagery Group	Motor Imagery training	Individuals included in this group will receive 20 minutes of motor imagery training in addition to 40 minutes of standard rehabilitation. Patients will be trained 3 days a week for 6 weeks.
Action Observation Group	Action Observation training	Individuals included in this group will receive 20 minutes of action observation training in addition to 40 minutes of standard rehabilitation. Patients will be trained 3 days a week for 6 weeks.
Action Observation Group	standard rehabilitation	Individuals included in this group will receive 20 minutes of action observation training in addition to 40 minutes of standard rehabilitation. Patients will be trained 3 days a week for 6 weeks.
Control Group	standard rehabilitation	Individuals included in this group will receive only 40 minutes of standard rehabilitation. Patients will be trained 3 days a week for 6 weeks.
Motor Imagery Group	standard rehabilitation	Individuals included in this group will receive 20 minutes of motor imagery training in addition to 40 minutes of standard rehabilitation. Patients will be trained 3 days a week for 6 weeks.

Primary Outcome Measures

Name	Time	Method
Multiple Sclerosis Walking Scale-12	6 week	It is a scale used to measure walking capacity.
RehaGait® (Hasomed, Magdeburg, Germany) Gait Analysis	6 week	The device gives about the time-distance characteristics and kinematic data of the gait.
Trunk Impairment Scale	6 week	It is used to evaluate trunk control.
Assessment of the Endurance of Core Muscles	6 week	The McGill protocol will be applied to assess the endurance of the core muscles. This protocol consists of a combination of 4 tests; modified Biering-Sorenson test, trunk flexor endurance test, right and left lateral bridge (lateral plank) tests.
Assessment of the Strength of Core Muscles	6 week	It will be evaluated with "Sit-ups" and Modified "Push-ups" tests.
6 Min Walking Test	6 week	It will be used to measure walking capacity. Before the test is applied, necessary information will be given to the individuals and they will be asked to walk as fast as possible for 6 minutes on the 30-meter track.
Dynamic Gait Index	6 week	It is a scale that evaluates gait balance in MS patients. It examines the balance in completely different walking situations, including daily life activities such as turning the head while walking, taking a step over an obstacle, climbing and descending stairs.
Fatigue Severity Scale	6 week	It is a scale that evaluates the extent to which fatigue affects the daily functions of MS patients.
Timed Up and Go Test	6 week	It will be used to assess the functional mobility of individuals. Individuals will be asked to stand up without support from the chair they are sitting in, and to return from the designated area after walking a distance of 3 meters and sit back on the chair without support.

Secondary Outcome Measures

Name	Time	Method
Mental Stopwatch	6 week	Mental stopwatch is a method that enables the objective measurement of motor imagery by examining the time difference between the physical execution of the movement (Movement Execution Time, MET) and the mental visualization of the same movement (Movement Imagery Time, MIT).
Kinesthetic and Visual Imagery Questionnaire	6 week	It is a tool used to assess individuals' imagery levels.
Movement Imagery Questionnaire-3	6 week	It is a tool used to assess individuals' imagery levels.
Measurement of Muscle Oxygenation	6 week	It will be measured over the Quadriceps muscle with the MOXY Monitor Device (saturation, Hb values). The Moxy muscle oxygen monitor is a lightweight (42 g) and small (dimensions: 61 × 44 × 21 mm) device that measures regional blood flow and oxygenation by placing it on the skin non-invasively with near infrared spectroscopy (NIRS).

Trial Locations

Locations (1)

Hacettepe University; 🇹🇷 Ankara, Turkey