Multiple SclerosisNCT02209467
Balance and Falls in Multiple Sclerosis
A study testing Group balance training in people with Multiple Sclerosis, run by Örebro County Council at 7 sites in Sweden.
Trial summary
The study hypothesis is that for people with moderate to severe multiple sclerosis postural balance and walking improve and the risk of accidental falls are reduced after participating in a specific training intervention of 7 weeks. The hypothesis is also the the effect remain a further 7 weeks post training. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Multiple Sclerosis
- What is being tested?
- Group balance training
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 52 participants
- Where
- 7 sitesSweden
- Study dates
- Aug 2014to Aug 2015
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- diagnosed multiple sclerosis
- Expanded Disability Scale Score of 5-6.5
- walking speed of less than 0.8 m/s as tested on a 10 meter walking test
Who cannot join
- Ongoing relapse
- Cognitive or language difficulties that prohibit participating in the intervention or performing the outcome measures
- Change in specific MS medication during the last 30 days
Trial locations and contacts
7 sites in 1 country.
7 sites in 1 country
Sweden7 sites
Neurorehab Mälarsjukhuset
Eskilstuna
Physiotherapy department Gävle hospital
Gävle
Rehab unit Karlskoga hospital
Karlskoga
Primary Health Care
Linköping
Nyköping hospital
Nyköping
Physiotherapy department University hospital
Örebro
Rehab unit Västerås hospital
Västerås
About this study
Official title: Balance and Falls in Multiple Sclerosis: Intervention and Perceptions From Patients and Next of Kins
The study hypothesis is that for people with moderate to severe multiple sclerosis postural balance and walking improve and the risk of accidental falls are reduced after participating in a specific training intervention of 7 weeks. The hypothesis is also the the effect remain a further 7 weeks post training.
Multiple Sclerosis (MS) is disease affecting the central nervous system. Walking and postural balance are often affected early in the course of the disease. The risk of falls is large. Many persons with MS have decreased trunk stability compared to healthy persons . In an earlier study including people with mild to moderate MS we found that a period of core stability exercises reduced the risk of falls. In this study the training concept will be applied for persons with more severe walking limitations.
- Conditions
- Multiple Sclerosis
- Being tested
- Group balance training
- Keywords
- walking, postural balance, falls
- Medical subject headings
- Multiple Sclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Group balance trainingOther
Group balance training 60 minutes 2 times per week plus 3-5 home exercises 2 times/week. Exercises focus om core stability in sitting, standing and lying.
| Study group | Role | What they receive |
|---|---|---|
| Group balance training late start | No intervention | Participants randomized to late start act as No intervention group during the study period. |
| Group balance training early start | Experimental | Group balance training focusing on core stability exercises 2 times per week for 7 weeks and 2 home training sessions per weeks. Receives: Other: Group balance training |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in Berg Balance Scale at 8 weeks
Measured: baseline, 8 weeks
Secondary outcomes (20)
Change from baseline in 10 repetitions Sit to stand test at 15 weeks
Measured: baseline, 15 weeks
Change from baseline in Trunk Impairment scale at 8 weeks
Measured: baseline, 8 weeks
Change from baseline in the Trunk Impairment Scale at 15 weeks
Measured: baseline, 15 weeks
Change from baseline in the 10 repetition Si to stand test at 8 weeks
Measured: baseline, 8 weeks
Change from baseline in the Berg Balance scale at 15 weeks
Measured: baseline, 15 weeks
Change from baseline on the Timed Up and Go test at 8 weeks
Measured: baseline, 8 weeks
Change from baseline on the Timed Up and Go test at 15 weeks
Measured: baseline, 15 weeks
Change from baseline on the10 meter walking test at 8 weeks
Measured: baseline, 8 weeks
Change from baseline on the 10 meter walking test at 15 weks
Measured: baseline, 15 weeks
Change from baseline on the 2 minutes walking test at 8 weeks
Measured: baseline, 8 weeks
Change from baseline on the 2 minutes walking test at 15 weeks
Measured: baseline, 15 weeks
Change from baseline in postural sway at 8 weeks
Measured: baseline, 8 weeks
Change from baseline in postural sway at 15 weeks
postural sway in standing on the floor is assessed
Measured: baseline, 15 weeks
Change from baseline on the Falls-Efficacy scale at 8 weeks
Measured: baseline, 8 weeks
Change from baseline on the Falls Efficacy scale at 15 weeks
Measured: baseline, 15 weeks
Change from baseline on the Fatigue Scale for Motor and Cognitive functions at 8 weeks
Measured: baseline, 8 weeks
Change from baseline on the Fatigue Scale for Motor and Cognitive functions at 15 weeks
Measured: baseline, 15 weeks
Change from baseline on the MS Walking Scale-12 at 8 weeks
Measured: baseline, 8 weeks
Change from baseline on the MS Walking scale-12 at 15 weeks
Measured: baseline, 15 weeks
The number of falls and accidental falls
the number of falls and accidental falls are noted by the participant in a study-specific falls diary.
Measured: from baseline to 15 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Aug 2014 (estimated)
- Study startAug 2014
- Primary completionMar 2015
- Study completionAug 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Multiple SclerosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 52 participants (actual)
Sponsor and investigators
- Lead sponsor
- Örebro County Council
- Sponsor type
- Other government
- Responsible party
- Principal investigator, Anette Forsberg, PhD, Örebro County Council
- Investigators
- Anna Carling, MSc, Principal investigator, Centre for Health Care Sciences, Örebro County CouncilAnette Forsberg, PhD, Study chair, Family Medicine Research Centre, Örebro County CouncilYlva Nilsagård, PhD, Study director, Centre for Health Care Sciences, Örebro County Council
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02209467
- Sponsor's protocol ID
- Researchweb 153691
- Status last verified
- Oct 2015
- First submitted
- 4 Aug 2014
- Last updated
- 29 Oct 2015
- Results posted
- No
- Data monitoring committee
- No
Publications
Nilsagard YE, von Koch LK, Nilsson M, Forsberg AS. Balance exercise program reduced falls in people with multiple sclerosis: a single-group, pretest-posttest trial. Arch Phys Med Rehabil. 2014 Dec;95(12):2428-34. doi: 10.1016/j.apmr.2014.06.016. Epub 2014 Jul 6.
PubMed 25004466
Study at a glance
From the registry record, last updated by the sponsor on 29 Oct 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Balance and Falls in Multiple Sclerosis: Intervention and Perceptions From Patients and Next of Kins
- ClinicalTrials.gov ID
- NCT02209467
- Acronym / sponsor ID
- Researchweb 153691
- Conditions
- Multiple Sclerosis
- Keywords
- walking, postural balance, falls
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 52 participants (actual)
- Lead sponsor
- Örebro County CouncilOther government
- Study start
- Aug 2014
- Primary completion
- Mar 2015 (actual)
- Study completion
- Aug 2015 (actual)
- First posted
- 6 Aug 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study hypothesis is that for people with moderate to severe multiple sclerosis postural balance and walking improve and the risk of accidental falls are reduced after participating in a specific training intervention of 7 weeks. The hypothesis is also the the effect remain a further 7 weeks post training.
Multiple Sclerosis (MS) is disease affecting the central nervous system. Walking and postural balance are often affected early in the course of the disease. The risk of falls is large. Many persons with MS have decreased trunk stability compared to healthy persons . In an earlier study including people with mild to moderate MS we found that a period of core stability exercises reduced the risk of falls. In this study the training concept will be applied for persons with more severe walking limitations.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind (investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Group balance training late start | No intervention | –Participants randomized to late start act as No intervention group during the study period. |
| Group balance training early start | Experimental | Other: Group balance trainingGroup balance training focusing on core stability exercises 2 times per week for 7 weeks and 2 home training sessions per weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- diagnosed multiple sclerosis
- Expanded Disability Scale Score of 5-6.5
- walking speed of less than 0.8 m/s as tested on a 10 meter walking test
Key exclusion criteria (3 listed)
- Ongoing relapse
- Cognitive or language difficulties that prohibit participating in the intervention or performing the outcome measures
- Change in specific MS medication during the last 30 days
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Group balance trainingGroup balance training 60 minutes 2 times per week plus 3-5 home exercises 2 times/week. Exercises focus om core stability in sitting, standing and lying. | Other | Group balance training early start |
Primary outcome
Change from baseline in Berg Balance Scale at 8 weeks
Time frame: baseline, 8 weeks
20 secondary outcomes
Change from baseline in 10 repetitions Sit to stand test at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline in Trunk Impairment scale at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline in the Trunk Impairment Scale at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline in the 10 repetition Si to stand test at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline in the Berg Balance scale at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline on the Timed Up and Go test at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline on the Timed Up and Go test at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline on the10 meter walking test at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline on the 10 meter walking test at 15 weks
Time frame: baseline, 15 weeks
Change from baseline on the 2 minutes walking test at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline on the 2 minutes walking test at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline in postural sway at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline in postural sway at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline on the Falls-Efficacy scale at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline on the Falls Efficacy scale at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline on the Fatigue Scale for Motor and Cognitive functions at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline on the Fatigue Scale for Motor and Cognitive functions at 15 weeks
Time frame: baseline, 15 weeks
Change from baseline on the MS Walking Scale-12 at 8 weeks
Time frame: baseline, 8 weeks
Change from baseline on the MS Walking scale-12 at 15 weeks
Time frame: baseline, 15 weeks
The number of falls and accidental falls
Time frame: from baseline to 15 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Oct 2015.
- Background: PubMed 25004466Nilsagard YE, von Koch LK, Nilsson M, Forsberg AS. Balance exercise program reduced falls in people with multiple sclerosis: a single-group, pretest-posttest trial. Arch Phys Med Rehabil. 2014 Dec;95(12):2428-34. doi: 10.1016/j.apmr.2014.06.016. Epub 2014 Jul 6.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Anna Carling, MSc principal investigator
Centre for Health Care Sciences, Örebro County Council
Anette Forsberg, PhD study chair
Family Medicine Research Centre, Örebro County Council
Ylva Nilsagård, PhD study director
Centre for Health Care Sciences, Örebro County Council
7 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Group balance training in people with Multiple Sclerosis, run by Örebro County Council at 7 sites in Sweden.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 29 Oct 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 7 sites in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from baseline in Berg Balance Scale at 8 weeks (time frame: baseline, 8 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02209467, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Oct 2015.