Vigorous Cool Room Treadmill Training
Intensive Aerobic and Task-specific Training to Restore Walking and Boost Neuroplasticity Among People With MS-related Walking Disability: a Proof of Principle Trial
What it found
A paper reports the results; we have not read it yet. See Papers below.
What was tested
Treatment tested
- Body-weight supported treadmill training in a room cooled to 16°C
What it measured
Main measures
Feasibility of conducting vigorous cool room treadmill training
10 weeks
FeasibilitySafety
Other measures (14)
Timed 25 foot walk test
Following completion of the 10-week exercise intervention and 3-months post-exercise intervention
Disability progressionWalking and mobilitySpatiotemporal parameters of gait measured while walking at fast and self-selected pace
Following completion of the 10-week exercise intervention and 3-months post-exercise intervention
Walking and mobilityFatigue severity scale
Following completion of the 10-week exercise intervention and 3-months post-exercise intervention
FatigueModified fatigue impact scale
Following completion of the 10-week exercise intervention and 3-months post-exercise intervention
Thinking and memoryFatigueMaximal oxygen consumption during graded exercise test
Following completion of the 10-week exercise intervention and 3-months post-exercise intervention
Physical functionHealth-related quality of life assessed using 36-Item Short-Form Health Survey
Following completion of the 10-week exercise intervention and 3-months post-exercise intervention
Quality of life (reported by participants)Serum brain derived neurotrophic factor
Following completion of the 10-week exercise intervention and 3-months post-exercise intervention
Physical functionSerum interleukin-6
Following completion of the 10-week exercise intervention and 3-months post-exercise intervention
Physical functionImmune responseMontreal cognitive assessment
Following completion of the 10-week exercise intervention and 3-months post-exercise intervention
Thinking and memoryCorticospinal excitability measured using transcranial magnetic stimulation
Following completion of the 10-week exercise intervention and 3-months post-exercise intervention
Who could take part
MS (type not specified) · 18 to 75 · EDSS 6.0 to 7.0
Show the full criteria
Inclusion criteria
* clinically definite MS * relapse-free in the previous 3 months * requiring ambulatory assistive devices (EDSS 6.0-7.0) * negative PAR-Q screen for risk factors * greater than 6-weeks post Botulinum Toxin injection (if received) in the lower extremity
Exclusion criteria
* pregnancy or intention of becoming pregnant * finished a drug/device study in the last 30 days * over 75 years of age * unable to control bowel and bladder on physical exertion * currently attending physical rehabilitation * having no difficulty walking in the community (self-selected walking speed >120 cm/s)
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
People with multiple sclerosis (MS) are often offered walking aids and compensatory strategies rather than restorative rehabilitation. We have developed a cool room treadmill training method that uses body-weight support that people with MS fatigue and heat sensitivity can tolerate. Our previous research shows that people with advanced MS use three times more energy for essential tasks such as walking. This project will test whether 10 weeks of body-weight supported treadmill training in a room cooled to 16°C improves walking, fitness and fatigue in people with advanced MS.
Papers
Results
Vigorous cool room treadmill training to improve walking ability in people with multiple sclerosis who use ambulatory assistive devices: a feasibility study.BMC Neurol · 2020
Results
Chaves AR, Devasahayam AJ, Kelly LP, Pretty RW, Ploughman M. Exercise-Induced Brain Excitability Changes in Progressive Multiple Sclerosis: A Pilot Study. J Neurol Phys Ther. 2020 Apr;44(2):132-144. doi: 10.1097/NPT.0000000000000308.
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History
Started
Jul 2018
Main results due
Jul 2019
Finished
Jul 2019