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Effects of Task-oriented Training on Functional Mobility and Fatigue in Patients With Multiple Sclerosis

Not Applicable
Conditions
Multiple Sclerosis, Relapsing-Remitting
Interventions
Other: Combined exercise training
Other: Task-oriented training
Registration Number
NCT03497468
Lead Sponsor
Bezmialem Vakif University
Brief Summary

Multiple Sclerosis (MS) is inflammatory, demyelinating and autoimmune disease of the central nervous system. It is usually seen with relapses and genetic and environmental factors play a role in the etiology. Neurological symptoms seen in MS restrict the patient's daily activity and social role participation. Mobility problems and fatigue are the most important reasons of role limitations and decreased quality of life. The importance of exercise training in disease management has been emphasized in recent years. However, few studies have investigated the effects of task-oriented trainings on symptoms of the disease. The aim of this sudy is to investigate the effects of task-oriented training additional to combined exercise training on functional capacity, mobility, balance, fatigue and quality of life in patients with MS.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
34
Inclusion Criteria
  • Multiple Sclerosis diagnosis
  • Expanded Disability Status Scale > 5,5
  • No cognitive problems
  • No relapses in the last 3 months
  • No other neurological or chronic disease
Exclusion Criteria
  • Relapse during the intervention
  • Exercise intolerance

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Control groupCombined exercise trainingPatients in this group will receive combined exercise training included aerobic and strengthening exercises, 3 times a week for 6 weeks. All exercise sessions will be performed under the supervision of a physiotherapist.
Training groupTask-oriented trainingPatients in this group will receive task-oriented training additional to combined exercise training 3 times a week for 6 weeks. Task-oriented training included more functional daily life mobility activities like reaching, obstacle walking, stairs climbing. All exercise sessions will be performed under the supervision of a physiotherapist.
Primary Outcome Measures
NameTimeMethod
Functional capacity6 weeks

Change from baseline functional capacity with six minute walking test

Secondary Outcome Measures
NameTimeMethod
dynamic gait skills6 weeks

Change from baseline functional mobility with dynamic gait index

limitation of gait6 weeks

Change from baseline functional mobility with MS walking scale-12

dynamic balance and fall risk6 weeks

Change from baseline functional mobility with timed up and go test

sitatic balance6 weeks

Change from baseline balance with functional reach test

dynamic balance6 weeks

Change from baseline balance with berg balance scale

severity of fatigue6 weeks

Change from baseline fatigue with fatigue severity scale

impact of fatigue6 weeks

Change from baseline fatigue with fatigue impact scale

Quality of life6 weeks

Change from baseline quality of life with MS quality of life instrument-54

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