Endurance and Walking Training by Nordic Walking in Multiple Sclerosis
Effect of Nordic Walking Training Compared With Conventional Endurance Training in Walking Capacity in People With Multiple Sclerosis: a Simple Blinded Randomized Controlled Trial
What it found
A paper reports the results; we have not read it yet. See Papers below.
What was tested
Treatment tested
- Nordic Walking Training
Compared with
- Conventional endurance training
What it measured
Main measures
6 Minute Walk Test (6MWT)
Assessment will take place at baseline and after 10 weeks
Walking and mobilityChange from baseline 6 Minute Walk Test (6MWT) to 6 months
Assessment will take place up to 6 months, through the study completion
Walking and mobility
Other measures (14)
Timed 25 Foot Walk Test
Assessment will take place at baseline and after 10 weeks
Disability progressionWalking and mobilityChange from baseline Timed 25 Foot Walk Test to 6 months
Assessment will take place up to 6 months, through the study completion
Disability progressionWalking and mobilityMultiple Sclerosis Walking Scale 12
Assessment will take place at baseline and after 10 weeks
Walking and mobilityChange from baseline Multiple Sclerosis Walking Scale 12 to 6 months
Assessment will take place up to 6 months, through the study completion
Walking and mobilityTimed Up and Go Test
Assessment will take place at baseline and after 10 weeks
Walking and mobilityChange from baseline Timed Up and Go Test to 6 months
Assessment will take place up to 6 months, through the study completion
Walking and mobilityBerg Balance Scale
Assessment will take place at baseline and after 10 weeks
Walking and mobilityChange from baseline Berg Balance Scale to 6 months
Assessment will take place up to 6 months, through the study completion
Walking and mobilityActivities Specific Balance Confidence Scale
Assessment will take place at baseline and after 10 weeks
Walking and mobilityChange from baseline Activities Specific Balance Confidence Scale to 6 months
Assessment will take place up to 6 months, through the study completion
Walking and mobility
Who could take part
MS (type not specified) · 18 and over
Show the full criteria
Inclusion criteria
* People over 18 diagnosed of MS following the Mc Donald criteria, clinically stable who: * show mild to moderate balance disorder (BBS>45). Mild risk of falls. * refer fatigue during walking and restriction on their usual walking distance during the last 6 months. * Accept to participate in the study and signed the informed consent.
Exclusion criteria
* Other neurological disorders. * Moderate to severe spasticity (Ashworth>2) * Non stable heart diseases, diabetes mellitus, arthritis in lower limbs, acute pain in lower limbs, peripheral neuropathies, severe orthopedics problems, psychiatric problems, pregnancy. * Incapacity to maintain a minimum walking rhythm at least during 15 minutes. * Cognitive disability or body schema disorder that limits to fill in the assessment questionaires or understanding and applying the technique. * To be training in other physical activities that can modify the level of fatigue or walking ability.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
Walking capacity is one of the most valuable body functions among persons with multiple sclerosis (MS) and it is one of the most frequently affected, even in early stages of the disease. Inactivity and deconditioning can accelerate gait impairment and promote other pathologies related with sedentary lifestyle. Nordic walking (NW) is a fun and effective fitness and rehabilitation activity. The benefits of NW have been extensively described in healthy and elderly population (Tschentscher, 2013; Kappor, 2013) and it is proving to be highly recommended to different neurological conditions, specially to Parkinson Disease (Reuter 2006; van Eijkeren 2008; Fritz 2011; Ebersbach 2014). There is no evidence on NW and MS, although it's supposed to be an ideal physical activity for many reasons: it tones the upper and lower body at the same time, uses 90% of the skeletal muscles, burns up to 46% more calories than ordinary walking, reduces the pressure on knees and joints, poles propel the walker along easier and faster and it is one of the most effective cross training techniques for people who require improve cardiovascular and endurance conditioning.
Papers
Results
Motl RW, McAuley E, Snook EM. Physical activity and multiple sclerosis: a meta-analysis. Mult Scler. 2005 Aug;11(4):459-63. doi: 10.1191/1352458505ms1188oa.Results
Rietberg MB, Brooks D, Uitdehaag BM, Kwakkel G. Exercise therapy for multiple sclerosis. Cochrane Database Syst Rev. 2005 Jan 25;2005(1):CD003980. doi: 10.1002/14651858.CD003980.pub2.Results
Motl RW, Fernhall B, McAuley E, Cutter G. Physical activity and self-reported cardiovascular comorbidities in persons with multiple sclerosis: evidence from a cross-sectional analysis. Neuroepidemiology. 2011;36(3):183-91. doi: 10.1159/000327749. Epub 2011 May 20.Results
Dalgas U, Stenager E, Ingemann-Hansen T. Multiple sclerosis and physical exercise: recommendations for the application of resistance-, endurance- and combined training. Mult Scler. 2008 Jan;14(1):35-53. doi: 10.1177/1352458507079445. Epub 2007 Sep 19.Results
Dalgas U, Stenager E, Jakobsen J, Petersen T, Hansen HJ, Knudsen C, Overgaard K, Ingemann-Hansen T. Fatigue, mood and quality of life improve in MS patients after progressive resistance training. Mult Scler. 2010 Apr;16(4):480-90. doi: 10.1177/1352458509360040. Epub 2010 Mar 1.Results
Newman MA, Dawes H, van den Berg M, Wade DT, Burridge J, Izadi H. Can aerobic treadmill training reduce the effort of walking and fatigue in people with multiple sclerosis: a pilot study. Mult Scler. 2007 Jan;13(1):113-9. doi: 10.1177/1352458506071169.Results
Mostert S, Kesselring J. Effects of a short-term exercise training program on aerobic fitness, fatigue, health perception and activity level of subjects with multiple sclerosis. Mult Scler. 2002 Apr;8(2):161-8. doi: 10.1191/1352458502ms779oa.Results
Weikert M, Dlugonski D, Balantrapu S, Motl RW. Most common types of physical activity self-selected by people with multiple sclerosis. Int J MS Care. 2011 Spring;13(1):16-20. doi: 10.7224/1537-2073-13.1.16.Results
McAuley E, Motl RW, Morris KS, Hu L, Doerksen SE, Elavsky S, Konopack JF. Enhancing physical activity adherence and well-being in multiple sclerosis: a randomised controlled trial. Mult Scler. 2007 Jun;13(5):652-9. doi: 10.1177/1352458506072188. Epub 2007 Feb 9.Results
Dettmers C, Sulzmann M, Ruchay-Plossl A, Gutler R, Vieten M. Endurance exercise improves walking distance in MS patients with fatigue. Acta Neurol Scand. 2009 Oct;120(4):251-7. doi: 10.1111/j.1600-0404.2008.01152.x. Epub 2009 Jan 28.
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History
Started
Sept 2016
Main results due
Jun 2019
Finished
Mar 2020