Effects of Aerobic Exercise and Daytime Sleep on Neurorehabilitation and Functional Abilities in Multiple Sclerosis: Evidence of Training the Brain in Neurorehabilitation

RecruitingNot a drug-phase studyRelapsing MSNCT07304375

What it found

Still running

No result yet.

What was tested

Treatment tested

  • Aerobic Exercise
  • Daytime Sleep - Nap

What it measured

Main measures

  • Motor/Skill Learning

    Assessed on experiment days 1, 2, 3 and 4.

  • Neurophysiological Measurement I - Cortical Activity

    Assessed on experiment day 1, 2, 3 and 4.

    Nerve conduction tests
  • Neurophysiological Measurement II - Muscular Activity

    Assessed on experiment day 1, 2, 3 and 4.

    Nerve conduction tests
  • Neurophysiological Measurement III - Corticocortical Functional Connectivity

    Assessed on experiment day 1, 2, 3 and 4.

    Nerve conduction tests
  • Neurophysiological Measurement IV - Corticomuscular Functional Connectivity

    Assessed on experiment day 1, 2, 3 and 4.

    Nerve conduction tests
  • Neurophysiological Measurement V - Muscular Functional Connectivity

    Assessed on experiment day 1, 2, 3 and 4.

    Nerve conduction tests

Other measures (6)

  • Actigraphy

    Assessment from day 0 to experiment day 4.

    Physical function
  • Sleep quality - self reported sleep latency.

    Assessed at the days leading up to experiment days 1,2,3, and 4.

    Myelin repairMood and sleep
  • Sleep quality - Self reported sleep duration

    Assessed at the days leading up to experiment days 1,2,3, and 4.

    Mood and sleep
  • Physical fitness level - work load

    Assessed on either experiment day 1 or 3.

    Physical function
  • Physical fitness level - heart rate

    Assessed on either experiment day 1 or 3

    Physical function
  • Physical fitness level - rating of perceived exertion

    Assessed on either experiment day 1 or 3.

    Physical function

Who could take part

Relapsing MS · 18 to 70

Show the full criteria

Inclusion criteria

* Competent individuals (aged 18-70) diagnosed with early relapsing-remitting MS * Expanded Disability Status Score, 1 \< EDSS \< 4.5 * MRC muscle strength ≥ 4+ in the dominant hand

Exclusion criteria

* Implanted devices, such as pacemakers or stimulators * Epilepsy or neuromuscular diseases

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

Contact details on the registry

About this trial

In the sponsor's words

The ExSiMS study is a randomized, controlled crossover study including 20 individuals (18-70 years) diagnosed with relapsing remitting Multiple Sclerosis (MS) This project investigates, through behavioral and neurophysiological measurements, how aerobic exercise on an ergometer bike and sleep in the form of a nap and overnight sleep may enhance cortical motor skill learning evaluated by a complex hand motor skill test and thereby improve functional capacity in individuals with MS. Beyond the effect on motor skill learning, the project investigate the effect on electroencephalography (EEG) - electromyography (EMG) coherence. The study hypothesizes that individuals with neurological conditions, such as multiple sclerosis (MS), may experience beneficial effects on specific motor rehabilitation through systematically planned cardiovascular exercise and sleep scheduling, due to positive impacts on memory consolidation. Aims: * Investigate the brain's neurophysiological responses and memory effects following a training intervention and, separately, sleep, in the form of a power nap, in individuals with MS. * Examine whether these effects persist beyond the few days previously observed in healthy individuals by implementing a longer-term intervention. * Explore whether the training effect is influenced by disease activity in the brain, such as during relapses and during immunosuppressive treatment. * Assess whether the presence of abnormally reduced cognitive endurance (fatigue) affects the impact of the intervention involving exercise and sleep. The study is based on documented positive effects of physical activity and sleep in both young and older adults, as well as in individuals recovering from stroke. The research thus offers promising perspectives for broader applications within neurorehabilitation, and particularly for MS, as the disease is associated with functional impairments. At the same time, both physical exercise and sleep represent meaningful interventions that should be thoughtfully integrated into rehabilitation strategies.

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History

    1. Started

      Dec 2025

    2. Main results due

      Aug 2028

    3. Finished

      Nov 2028

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