Investigation of the Effects of Local Vibration Applied to Different Regions and Spinal Stabilization Exercises on Postural Control in Patients with Ataxic Multiple Sclerosis

CompletedNot a drug-phase studyMS (type not specified)NCT05885282

We could not find results for this trial

What it found

No results found

We found no results in the registry or in papers.

This trial finished 2 years ago. We found no results in the registry or in any paper that cites it.

What was tested

Treatment tested

  • paraspinal vibration
  • gastrosoleus muscle complex vibration
  • Control Exercise

What it measured

Main measures

  • Expanded Disability Status Scale

    Assessment will be done before treatment starts ( on average 15 minutes takes).

    Disability progression
  • International Cooperative Ataxia Rating Scale

    Change from International Cooperative Ataxia Rating Scale at 8 weeks (each assessment on average 20 minutes takes).

    Walking and mobilityPhysical function
  • Berg Balance Scale

    Change from Berg Balance Scale at 8 weeks (each assessment on average 20 minutes takes).

    Walking and mobility
  • Trunk Impairment Scale

    Change from Trunk Impairment Scale at 8 weeks (each assessment on average 10 minutes takes).

    Walking and mobility
  • Limits of Stability and Postural Sways

    Change from limits of stability and postural sways at 8 weeks (each assessment on average 15 minutesutes takes).

    Walking and mobilityArm and hand function
  • Gait Analysis

    Change from gait 8 weeks (each assessment on average 5 minutes takes).

    Walking and mobility
  • Prone Bridge Test

    Change from lumbopelvic muscle endurance at 8 weeks . In the test, how many seconds they stop is tested.

  • Lateral Bridge Test

    Change from lumbopelvic muscle endurance at 8 weeks . In the test, how many seconds they stop is tested.

  • Sorensen Test (Trunk Extensor Test)

    Change from lumbopelvic muscle endurance at 8 weeks . In the test, how many seconds they stop is tested.

    Arm and hand function
  • Trunk Flexors Test

    Change from lumbopelvic muscle endurance at 8 weeks . In the test, how many seconds they stop is tested.

Who could take part

MS (type not specified) · 18 to 50 · EDSS 3 to 5

Show the full criteria

Inclusion criteria

* Being between the ages of 18-50 * Having been diagnosed with MS by a neurologist * EDSS score between 3-5 * EDSS pyramidal system score of 3 or less * Not using corticosteroids and/or stopping at least 3 months before starting the study

Exclusion criteria

* Having a history of attacks in the last 3 months * Having orthopedic or systemic problems * Presence of peripheral vestibular complaints * Participating in another exercise program in the last 6 months * Being mentally affected (Mini-Mental Test Score \< 24) * Severe spasticity (MAS>3) * Refusal to participate in the study

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

About this trial

In the sponsor's words

The aim of this study is to investigate the effects of local vibration application applied to different regions on postural control in addition to spinal stabilization training in ataxic multiple sclerosis (MS) patients. The study was planned as a single-blind, randomized controlled trial. The patients included in the study will be divided into 3 groups by the closed-envelope randomization method. Each treatment will be 8 weeks, 3 days a week. The control group will be given 40 minutes of lumbar spinal stabilization exercises. Paraspinal vibration group; In addition to 40 minutes of lumbar spinal stabilization exercises, LV will be applied to the paraspinal muscles for 10 minutes. LV application will be applied to the cervical paraspinal muscles for 5 minutes and to the lumbar paraspinal muscles for 5 minutes, bilaterally, sequentially. Gastrosoleus vibration group; In addition to 40 minutes of lumbar spinal stabilization exercises, LV will be applied to the gastrosoleus muscle complex for 10 minutes. LV application will be applied bilaterally, sequentially (5 minutes on the right and left). Assessments will be made by a blind assessor. In assessments; demographic information, Expanded Disability Status Scale (EDSS) /Extended Disability Status Scale (disease stage), International Cooperative Ataxia Rating Scale (ataxia severity), Berg Balance Scale (performance-based balance), Trunk Impairment Scale (trunk control), Neurocom Balance Master Static Posturography (limits of stability and postural sway), OptoGait (gait analysis), lumbopelvic muscle endurance tests will be used.

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History

    1. Started

      Jul 2023

    2. Main results due

      Jun 2024

    3. Finished

      Aug 2024

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