A guided self-management programme to reduce falls and improve quality of life, balance and mobility in people with secondary progressive Multiple Sclerosis: a feasibility randomised controlled trial
Overview
- Phase
- 未知
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- Plymouth Hospitals NHS Trust
- Enrollment
- 56
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
2017 Protocol article in https://pubmed.ncbi.nlm.nih.gov/28770099/ protocol 2018 Abstract results in https://journals.sagepub.com/doi/full/10.1177/1352458518771862 preliminary results presented at Rehabilitation in Mutiple Sclerosis (RIMS) Conference (added 22/03/2019) 2019 Abstract results in https://www.physiotherapyjournal.com/article/S0031-9406(18)30624-2/abstract preliminary results presented at the Physiotherapy UK Conference 2018 (added 22/03/2019) 2019 Results article in https://www.ncbi.nlm.nih.gov/pubmed/31217069 results (added 21/06/2019) 2021 Results article in https://pubmed.ncbi.nlm.nih.gov/33390184/ (added 10/10/2023)
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. Confirmed diagnosis of secondary progressive MS (SPMS) as determined by neurologist's opinion
- •2\. Aged 18 years or older
- •3\. Willing and able to understand/comply with all trial activities
- •4\. Expanded Disability Status Scale (EDSS) \= 4\.0 \= 7\.0 ie: those people who at best have difficulty waliking 500 metres without aid or rest; and at worst are unable to walk more than 5 metres even with an aid
- •5\. Self\-report two or more falls in the past six months
- •6\. Willing and able to travel to and participate in BRiMS group sessions in local centres and to commit to undertaking their individualised home\-based programme
- •7\. Access to a computer or tablet and to the internet
Exclusion Criteria
- •1\. Patient report of relapse or having received steroid treatment within the last month
- •2\. Any recent changes in disease\-modifying therapies. More specifically patients will be excluded if:
- •2\.1\. They have ever had previous treatment with Alemtuzemab (Lemtrada / Campath)
- •2\.2\. Ceased Nataluzimab (Tysabri) in the last 6 months
- •2\.3\. Within three months of ceasing any other MS disease\-modifying drug
- •3\. Participated in a falls management programme (e.g. for older people) within the past six months
- •4\. Co\-morbidities which may influence the ability of individuals to participate safely in the programme or likely to impact on the trial (e.g. uncontrolled epilepsy)
Outcomes
Primary Outcomes
Not specified