Cawthorne Cooksey Versus Vestibular Habituation Exercises on Trunk Kinetics and Velocity of Gait in Patients With Multiple Sclerosis

CompletedNot a drug-phase studyRelapsing MSNCT03670459

What it found

No results found

We found no results in the registry or in papers.

This trial finished 8 years ago. We found no results in the registry or in any paper that cites it.

What was tested

Treatment tested

  • Cawthorne Cooksey exercises
  • Vestibular habituation exercises
  • Balance exercises

What it measured

Main measures

  • Isokinetic dynamometer

    up to 30 days

    Physical function

Who could take part

Relapsing MS · 35 to 55

Show the full criteria

Inclusion criteria

* All the Patients in this study will be referred from the neurologist and will be diagnosed as relapsing-remitting multiple sclerosis in the form of hemiparesis with muscle tone of 1,1+ modified Ashworth scale. * The diagnosis will be confirmed by MRI or CT scan and all the patients will follow the neurological examination. * Forty five female patients ages will range from 35-55 years. * All selected patients with central vertigo (central vestibular disorder) according to Dix Hallpike test (Cohen, 2004) * The Degree of disability of multiple sclerosis will be from 2 - 2.5 (according to expanded disability status scale (EDSS)) (Kaufman et al, 2000) * All the selected patients will have grade 3 group muscle test of lower limb muscles. * All the selected patients will have scored 27-30 in mini-mental state examination (Crum et al, 1993) * Patients who are selected in the study will be ambulant. * Patients will be medically stable.

Exclusion criteria

* Patients with musculoskeletal deformity. * Patients with diabetes mellitus. * Patients with psychological disturbance or seizures. * Patients with visual or impairment. * Patients with inner ear disorders * Patients with other neurological disorders such as cerebellar lesion

As registered. Criteria can change, so ask the trial team or your neurologist.

About this trial

In the sponsor's words

Patients with multiple sclerosis (MS) might develop dizziness or vertigo as a first manifestation or during the course of the illness. Many patients with MS experience chronic or intermittent dizziness. Acute symptoms of dizziness or vertigo in MS fall into two categories; acute vestibular syndrome (AVS) and positional vertigo. Vestibular disorder due to MS decreases whole body dynamic postural control and causes many functional limitations as limitations in ambulation, dynamic balance and trunk control and that decreases the quality of life. Vestibular dysfunction has long been recognized as causing some of the most common symptoms in MS, true vertigo is found at presentation in up to 17% of patients, several recent reports have suggested that vestibular symptoms develop early in the disease process. Vestibular Rehabilitation has been shown to be effective in reducing symptoms and improving function for patients with vestibular disorders. The goal of vestibular rehabilitation is to promote the central nervous system compensation through exercise-based strategies.

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History

    1. Started

      Dec 2017

    2. Main results due

      Jul 2018

    3. Finished

      Sept 2018

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