MedPath

Mental Practice and Manipulative Skills Training in Multiple Sclerosis

Not Applicable
Completed
Conditions
Multiple Sclerosis
Registration Number
NCT04325074
Lead Sponsor
Cristina García-Bravo
Brief Summary

Introduction: Multiple sclerosis (MS) is a demyelinating disease of the central nervous system which produces both motor and cognitive dysfunctions. MS causes a decline in the performance of activities of daily living (ADL) due to impairments affecting limb function.

Aim: This pilot study sought to determine whether the use of mental practice (MP) or the combined use of MP and the training of manipulative skills would improve the manipulation motor skills and treatment satisfaction among people with MS.

Methods: The study participants were people with MS. Blinded evaluators performed three assessments for each patient (pre-treatment, post-treatment and at a three month follow up). The patients were divided into three groups with alternate allocation: (A) Mental practice, (B) Mental practice + skills training and (C) Control group.

Keywords: activities of daily living; manual dexterity; mental practice, motor image; multiple sclerosis.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • patients diagnosed with MS of the RRMS and SPMS subtypes, without the presence of flare-ups during the past three months and aged between 25 and 60 years;
  • an Expanded Disability Status Scale (EDSS) score of ≤7,
  • not presenting depressive symptoms (measured using the Beck Depression Inventory, BDI),
  • not presenting cognitive decline, measured using the Montreal Cognitive Assessment (MoCA) or Minimental Status Examination.
  • In addition, they had to be regularly attending physical therapy and/or occupational therapy rehabilitation treatments.
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
The Canadian Occupational Performance Measure (COPM). Pre-treatmentPre-treatment assessments were performed with each patient.

The higher scores mean a better outcome.

Nine Hole Peg Test (NHPT). Pre-treatmentPre-treatment assessments were performed with each patient.

The higher scores mean a worse outcome.

Box and Block Test (BBT). Pre-treatmentPre-treatment assessments were performed with each patient.

The higher scores mean a better outcome.

The ABILHAND questionnaire. Pre-treatmentPre-treatment assessments were performed with each patient.

The higher scores mean a better outcome.

Secondary Outcome Measures
NameTimeMethod
Nine Hole Peg Test (NHPT). Post-treatmentImmediately after treatment assessments were performed with each patient.

The higher scores mean a worse outcome.

Box and Block Test (BBT). Post-treatmentImmediately after treatment assessments were performed with each patient.

The higher scores mean a better outcome.

The Canadian Occupational Performance Measure (COPM). Post-treatmentImmediately after treatment assessments were performed with each patient.

The higher scores mean a better outcome.

The ABILHAND questionnaire. Post-treatmentImmediately after treatment assessments were performed with each patient.

The higher scores mean a better outcome.

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