Endurance Training in Severely Disabled Patients With MS - a Feasibility Study
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 12
- 试验地点
- 2
- 主要终点
- Exercise compliance
研究概览
简要总结
In the last decade physical exercise has become an accepted and integrated part of rehabilitation in patients with multiple sclerosis (MS). However, no studies have evaluated whether the most severely disabled patients can tolerate and benefit from exercise therapy. The purpose of this study is therefore to evaluate the feasibility of endurance training in severely disabled patients with MS.
详细描述
For many years, patients with multiple sclerosis (MS) have been advised not to participate in physical exercise. This advice was given in part because some patients were reported to experience symptom instability during exercise as a consequence of increased body temperature. A further argument was that avoiding exercise would preserve energy and thereby result in less fatigue, leaving more energy for activities of daily living. During the last decade, it has been more common to recommend exercise for MS patients, because of its recently proven beneficial effects in these patients.
Resistance- and endurance training constitutes the two extremes of basic physical exercise. To gain insight into the effects of exercise it therefore makes sense to understand the extremes. In mild to moderately impaired MS patients endurance training is well tolerated and providing beneficial effects. However, this exercise modality has not yet been tested in severely disabled patients, and it is therefore unclear if endurance training is feasible and beneficial in these patients. The investigators have, therefore, designed a feasibility study evaluating the effects of 4 weeks of endurance training in severely disabled MS patients (Expanded Disability Status Scale score > 6).
Patients are inpatients at one of the national MS hospitals and endurance training is added to the usual care, and compared to usual care only (control group). Exercise frequency is 3 times per week, and intensity is controlled by HR measurements during exercise.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Signed informed consent
- •>18 years
- •Primary progressive or secondary progressive MS according to the McDonald criteria
- •6.5 ≤ EDSS ≤ 8.0 and pyramidal score between 1 and 4
- •Maximal walking distance ≤ 10m
排除标准
- •Patients are excluded if they:
- •have dementia,alcoholism, or pacemaker treatment
- •any serious medical comorbidities
- •are pregnant
- •have done systematic endurance training (>1day/week) within the last 3 months.
- •complete less than 80% of the planned training sessions
- •medical conditions that exclude performance of a maximal endurance test.
结局指标
主要结局
Exercise compliance
时间窗: Exercise compliance is registered immediatly after all planned exercise sessions during the 4 week intervention
Compliance to exercise is registered and serve as the primary outcome.
Drop out rate
时间窗: Number of participants who drop out is registered at the post measurement just after the intervention.
次要结局
- Peak oxygen consumption(1-2 day before the intervention and 1-2days after the 4 week intervention peak oxygen is measured)
- Box and Block test(1-2 day before the intervention and 1-2days after the 4 week intervention the box and block test is performed)
- Sit to stand test(1-2 day before the intervention and 1-2days after the 4 week intervention the sit to stand test is performed)
- Handgrip test(1-2 day before the intervention and 1-2days after the 4 week intervention the handgrip test is performed)
- Wheel-chair test(1-2 day before the intervention and 1-2days after the 4 week intervention the wheel-chair test is performed)