A Randomized Controlled Trial of a Multicomponent Walking Aid Program
A Randomized Controlled Trial of a Multicomponent Walking Aid Program for People With MS
We could not find results for this trial
What it found
We found no results in the registry or in papers.
This trial finished 3 years ago. We found no results in the registry or in any paper that cites it.
What was tested
Treatment tested
- ADSTEP
What it measured
Main measures
Change from Baseline in Self-Reported Falls at 8 months
daily for 8 months
Walking and mobility
Other measures (1)
Change from Baseline in Functional Gait Assessment / Dynamic Gait Index
At baseline, 8 weeks, and 8 months
Walking and mobility
Who could take part
MS (type not specified) · 18 and over
Show the full criteria
Inclusion criteria
1. A definite diagnosis of MS of any type; 2. 18 years of age or older; 3. Self-reported history of at least one fall in the previous year; 4. Ability to walk at least 25 feet with or without an assistive device; 5. Intermittent or constant unilateral or bilateral assistance required to walk; 6. No MS exacerbations for the past 30 days; 7. Willingness to complete a written daily record of falls for about 8 months.
Exclusion criteria
1. Currently receiving physical therapy, or having any plans to receive physical therapy in the upcoming 8 months (duration of study participation); 2. Serious psychiatric or medical conditions that would preclude reliable participation in the study (e.g. dementia, deafness, blindness); 3. Inability to follow directions in English.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
This is a randomized controlled trial of the Assistive Device Selection, Training, and Education Program (ADSTEP). ADSTEP is a training program of six weekly one-on-one sessions with a physical therapist intended to reduce falls among people who use a hand-held walking aid, such as a cane or a walker. ADSTEP focuses on training in the use of the walking aid, and includes gait evaluation, walking aid selection and fitting, and progressive task-oriented training with the walking aid. Participants will be randomized to receive ADSTEP or a waitlist control intervention; those in the control condition will receive National MS Society brochures on fall prevention and walking aid selection, and a letter will be sent informing their care provider that the subject reports falling. All subjects will complete an assessment visit at baseline, and follow-up assessments at about 8 weeks and about 6 months after that. Subjects will complete paper questionnaires of patient reported outcomes (PROs), a modified Functional Gait Assessment / Dynamic Gait Index, and will track fall sustained over their participation in the study using monthly paper fall calendars. At the end of study participation, all subjects in the control group will be offered the opportunity to receive ADSTEP.
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History
Started
Feb 2020
Main results due
Jan 2023
Finished
Jan 2023