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Multiple SclerosisNCT04142853

Underlying Causes and Related Factors, and Rehabilitation Approaches

A study testing Training intervention + Dance intervention in people with Multiple Sclerosis, run by Hasselt University at 2 sites in Belgium.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will be a cross-sectional observational study, followed by a pilot intervention. The aim of the study is to examine the underlying causes of walking-related performance fatigability, together with other related and influencing factors, to make up a clinical profile of patients with MS showing… Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Multiple Sclerosis
What is being tested?
Training intervention + Dance intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
2 sitesBelgium
Study dates
1 Mar 2019to 31 Dec 2019
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 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Age between 18 and 70 years.
  • MS diagnosis according to McDonald Criteria.
  • Capable of walking 6 minutes (independent or with unilateral support) without stopping.

Who cannot join

  • Exacerbation or relapse within last 3 months before study
  • Other medical condition interfering with walking ability (e.g. cardiac or respiratory diseases, arthritis and fibromyalgia, stroke, Parkinson).

Trial locations and contacts

2 sites in 1 country.

Belgium2 sites
  • Hasselt University

    Hasselt, 3500

  • Centre Hospitalier Universitaire de Liège

    Liège, 4000

Other trials in Belgium

About this study

Official title: Walking-related Performance Fatigabitity in People With Multiple Sclerosis: Clinical Profile o

This study will be a cross-sectional observational study, followed by a pilot intervention. The aim of the study is to examine the underlying causes of walking-related performance fatigability, together with other related and influencing factors, to make up a clinical profile of patients with MS showing walking-related performance fatigability. In the second part of the study a pilot intervention will be executed to see if the investigators can improve the clinical status of the MS patients with walking-related performance fatigability.

Being tested
Training intervention + Dance intervention
Medical subject headings
Multiple Sclerosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Training intervention + Dance interventionOther

    Training intervention + Dance intervention

Study groups in NCT04142853
Study groupRoleWhat they receive
Persons with MS, dance groupExperimentalNot described
Receives: Other: Training intervention + Dance intervention
Persons with MS, art groupActive comparatorNot described
Receives: Other: Training intervention + Dance intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. the Coordination test

    Participant is seated with legs strapped in to the mounts and moves legs to the beat of a metronome to assess central motor control.

    Measured: Day 1

  2. TST (Triple Stimulation Technique)

    Technique in which nerves are stimulated to check guidance in the central nervous system

    Measured: day 3

  3. TMS (Transcranial Magnetic Stimulation)

    Technique in which nerves are stimulated to check guidance in the central nervous system

    Measured: Day 3

  4. the Voluntary Drive test

    The participant is seated in a Biodex. While performing a leg extension the Quadriceps muscle is stimulated to check the guidance of electrical signals to the muscles.

    Measured: Day 1

  5. the Fatigability Index Legs

    Participant is seated in a Biodex and a protocol is performed to establish the muscle strength and muscle endurance of the legs.

    Measured: Day 1

  6. Analysis of a Muscle Biopsy

    A small piece of muscle tissue of the weakest leg will be biopsied and analyzed in the lab.

    Measured: Day 3

  7. the Digit Span

    Cognitive test where numbers must be recalled in a certain order to evaluate short term memory

    Measured: Baseline

  8. the Digit Span

    Cognitive test where numbers must be recalled in a certain order to evaluate short term memory

    Measured: Week 11

  9. the Stroop test

    Cognitive test to evaluate attention and simultaneous processing of multiple stimuli.

    Measured: Baseline

  10. the Stroop test

    Cognitive test to evaluate attention and simultaneous processing of multiple stimuli.

    Measured: week 11

  11. the Paced Auditory Serial Addition Test (PASAT)

    This is a cognitive test where the participant will try to retain certain numbers they hear and do math. Correct answer last 1/3 vs first 1/3

    Measured: Baseline

  12. the Paced Auditory Serial Addition Test (PASAT)

    This is a cognitive test where the participant will try to retain certain numbers they hear and do math. Correct answer last 1/3 vs first 1/3

    Measured: Week 11

  13. the Symbol Digit Modality Test (SDMT) (Cognitive fatigability)

    his is a cognitive performance test, substantiated with focus, speed, and visual scanning. Correct answers last 30 seconds vs first 30 seconds

    Measured: Baseline

  14. the Symbol Digit Modality Test (SDMT) (Cognitive fatigability)

    his is a cognitive performance test, substantiated with focus, speed, and visual scanning. Correct answers last 30 seconds vs first 30 seconds

    Measured: week 11

  15. Motor function test (lower limb muscle strength)

    This is a motor test to assess the functional lower limb muscle strength. The participant is asked to stand from a seated position and sit down again as fast as possible for five times in a row.

    Measured: Baseline

  16. Motor function test (lower limb muscle strength)

    This is a motor test to assess the functional lower limb muscle strength. The participant is asked to stand from a seated position and sit down again as fast as possible for five times in a row.

    Measured: week 11

  17. 25 Foot Walk (T25FW) test

    his is a motor test at which the participant is instructed to walk 25 ft (=7,62 meter) as fast and safely as possible. This is a quantitative performance test to assess mobility and leg function.

    Measured: Baseline

  18. 25 Foot Walk (T25FW) test

    his is a motor test at which the participant is instructed to walk 25 ft (=7,62 meter) as fast and safely as possible. This is a quantitative performance test to assess mobility and leg function.

    Measured: week 11

  19. Nine Hole Peg Test (NHPT)

    This is a motor test to assess the participant's manual skills. This test records the time the participant needs to place 9 pins in the pegboard and remove them again.

    Measured: Baseline

  20. Nine Hole Peg Test (NHPT)

    This is a motor test to assess the participant's manual skills. This test records the time the participant needs to place 9 pins in the pegboard and remove them again.

    Measured: week 11

  21. Fatigability Index Hand

    Grip strength will be evaluated through a Jamar dynamometer.

    Measured: Baseline

  22. Fatigability Index Hand

    Grip strength will be evaluated through a Jamar dynamometer.

    Measured: week 11

  23. Activity tracker

    A sensor will be placed around the foot and worn by the participant for 5 days and nights to evaluate physical activity and quality of sleep.

    Measured: Up to 5 days

  24. Glycocheck

    A small camera will be placed under the tongue of the participant and blood vessels will be filmed to determine the quality of the blood vessels and immunity.

    Measured: Baseline

  25. Six minute walking test

    Participant have to walk as far as they can for 6 minutes. Total distance walked and fatigability by comparing first and last minute distance will be calculated.

    Measured: once during the observational study

Secondary outcomes (20)
  1. Fatigue severity scale (FSS)

    A self-report scale of nine items about fatigue, its severity and how it affects certain activities. Answers are scored on a seven point scale where 1 = strongly disagree and 7 = strongly agree. This means the minimum score possible is nine and the highest is 63. The higher the score, the more severe the fatigue is and the more it affects the person's activities. It is simple to understand and takes an average of eight minutes to answer

    Measured: baseline

  2. Fatigue severity scale (FSS)

    A self-report scale of nine items about fatigue, its severity and how it affects certain activities. Answers are scored on a seven point scale where 1 = strongly disagree and 7 = strongly agree. This means the minimum score possible is nine and the highest is 63. The higher the score, the more severe the fatigue is and the more it affects the person's activities. It is simple to understand and takes an average of eight minutes to answer

    Measured: week 11

  3. Modified Fatigue Impact Scale (MFIS)

    This is a short questionnaire to evaluate to impact of general fatigue. This questionnaire measures the effects of fatigue on three levels: physical, cognitive and psychosocial. The MFIS is a 21-item questionaire, scale 0 (never)-4 (always), scale range 0-40

    Measured: baseline

  4. Modified Fatigue Impact Scale (MFIS)

    This is a short questionnaire to evaluate to impact of general fatigue. This questionnaire measures the effects of fatigue on three levels: physical, cognitive and psychosocial.The MFIS is a 21-item questionaire, scale 0 (never)-4 (always), scale range 0-40

    Measured: week 11

  5. Fatigue Scale of Motor and Cognitive Functions (FSMC)

    This is a short questionnaire to cognitive and motor fatigue in people with MS. The FSMC is an assessment of MS-related cognitive and motor fatigue. A Likert-type 5-point scale (ranging from 'does not apply at all' to 'applies completely') produces a score between 1 and 5 for each scored question. Thus minimum value is 20 (no fatigue at all) and maximum value is 100 (severest grade of fatigue). Two subscales (mental and physical fatigue) can be made. Items included in the subscale mental are 1-4-7-8-11-13-15-17-18-20 and items included in the subscale physical are 2-3-5-6-9-10-12-14-16-19.

    Measured: baseline

  6. Fatigue Scale of Motor and Cognitive Functions (FSMC)

    This is a short questionnaire to cognitive and motor fatigue in people with MS. The FSMC is an assessment of MS-related cognitive and motor fatigue. A Likert-type 5-point scale (ranging from 'does not apply at all' to 'applies completely') produces a score between 1 and 5 for each scored question. Thus minimum value is 20 (no fatigue at all) and maximum value is 100 (severest grade of fatigue). Two subscales (mental and physical fatigue) can be made. Items included in the subscale mental are 1-4-7-8-11-13-15-17-18-20 and items included in the subscale physical are 2-3-5-6-9-10-12-14-16-19.

    Measured: week 11

  7. Hospital Anxiety and Depression Scale (HADS)

    This is a short questionnaire that evaluates symptoms of anxiety and depression in daily life. Each item on the questionnaire is scored from 0-3 and this means that a person can score between 0 and 21 for either anxiety or depression..

    Measured: baseline

  8. Hospital Anxiety and Depression Scale (HADS)

    This is a short questionnaire that evaluates symptoms of anxiety and depression in daily life. Each item on the questionnaire is scored from 0-3 and this means that a person can score between 0 and 21 for either anxiety or depression.

    Measured: Week 11

  9. The Sleep Condition Indicator (SCI)

    This is a short questionnaire to evaluate sleeping pattern and potential sleeping disorders. The Sleep Condition Indicator (SCI) is an eight-item rating scale (4-0) that was developed to screen for insomnia disorder based on DSM-5 criteria.

    Measured: baseline

  10. The Sleep Condition Indicator (SCI)

    This is a short questionnaire to evaluate sleeping pattern and potential sleeping disorders. The Sleep Condition Indicator (SCI) is an eight-item rating scale (4-0) that was developed to screen for insomnia disorder based on DSM-5 criteria.

    Measured: week 11

  11. Social Role Participation Questionnaire (SRPQ)

    This is a short questionnaire to evaluate social participation. scale 1 (not important) - 5(very important)

    Measured: baseline

  12. Social Role Participation Questionnaire (SRPQ)

    This is a short questionnaire to evaluate social participation. scale 1 (not important) - 5 (very important)

    Measured: week 11

  13. pre-interventionMSWS-12 score

    short questionnaire to map out walking difficulties in daily living. The Multiple Sclerosis Walking Scale is a self-assessment scale which measures the impact of MS on walking. It consists of 12 questions concerning the limitations to walking due to MS during the past 2 weeks. Each item can be answered with 5 options, with 1 meaning no limitation and 5 extreme limitation.

    A total score can be generated and transformed to a 0 to 100 scale by subtracting the minimum score possible (12) from the patient's score, dividing by the maximum score possible minus the minimum possible (60-12 or 48), and multiplying the result by 100. Walking improvement on the MSWS-12 is indicated by negative change scores.

    Measured: baseline

  14. post-interventionMSWS-12 score

    short questionnaire to map out walking difficulties in daily living. The Multiple Sclerosis Walking Scale is a self-assessment scale which measures the impact of MS on walking. It consists of 12 questions concerning the limitations to walking due to MS during the past 2 weeks. Each item can be answered with 5 options, with 1 meaning no limitation and 5 extreme limitation.

    A total score can be generated and transformed to a 0 to 100 scale by subtracting the minimum score possible (12) from the patient's score, dividing by the maximum score possible minus the minimum possible (60-12 or 48), and multiplying the result by 100. Walking improvement on the MSWS-12 is indicated by negative change scores.

    Measured: baseline

  15. pre-interventionMSWS-12 score

    short questionnaire to map out walking difficulties in daily living. The Multiple Sclerosis Walking Scale is a self-assessment scale which measures the impact of MS on walking. It consists of 12 questions concerning the limitations to walking due to MS during the past 2 weeks. Each item can be answered with 5 options, with 1 meaning no limitation and 5 extreme limitation.

    A total score can be generated and transformed to a 0 to 100 scale by subtracting the minimum score possible (12) from the patient's score, dividing by the maximum score possible minus the minimum possible (60-12 or 48), and multiplying the result by 100. Walking improvement on the MSWS-12 is indicated by negative change scores.

    Measured: week 11

  16. post-interventionMSWS-12 score

    short questionnaire to map out walking difficulties in daily living. The Multiple Sclerosis Walking Scale is a self-assessment scale which measures the impact of MS on walking. It consists of 12 questions concerning the limitations to walking due to MS during the past 2 weeks. Each item can be answered with 5 options, with 1 meaning no limitation and 5 extreme limitation.

    A total score can be generated and transformed to a 0 to 100 scale by subtracting the minimum score possible (12) from the patient's score, dividing by the maximum score possible minus the minimum possible (60-12 or 48), and multiplying the result by 100. Walking improvement on the MSWS-12 is indicated by negative change scores.

    Measured: week 11

  17. Multiple Sclerosis Impact Scale (MSIS-29)

    This is a short self-report questionnaire used to assess the day-to-day life in the past two weeks. This questionnaire has a physical and psychological scale. The MSIS-29 is a 29-item self-report measure with 20 items associated with a physical scale and 9 items with a psychological scale. Items ask about the impact of MS on day-to-day life in the past two weeks. All items have 5 response options: 1 "not at all" to 5"extremely". Each of the two scales are scored by summing the responses across items, then converting to a 0-100 scale where 100 indicates greater impact of disease on daily function (worse health).

    The physical impact score is computed by summing items number 1-20 inclusive. This score can then be transformed to a score on a scale of 0 -100

    Measured: Baseline

  18. Multiple Sclerosis Impact Scale (MSIS-29)

    This is a short self-report questionnaire used to assess the day-to-day life in the past two weeks. This questionnaire has a physical and psychological scale. The MSIS-29 is a 29-item self-report measure with 20 items associated with a physical scale and 9 items with a psychological scale. Items ask about the impact of MS on day-to-day life in the past two weeks. All items have 5 response options: 1 "not at all" to 5"extremely". Each of the two scales are scored by summing the responses across items, then converting to a 0-100 scale where 100 indicates greater impact of disease on daily function (worse health).

    The physical impact score is computed by summing items number 1-20 inclusive. This score can then be transformed to a score on a scale of 0 -100

    Measured: week 11

  19. Short Form Health survey (SF-36)

    questionnaire to measure health status. The Optum® SF-36v2® Health Survey asks 36 questions to measure functional health and well-being from the patient's point of view. It is a practical, reliable and valid measure of physical and mental health that can be completed in five to ten minutes.

    Measured: Baseline

  20. Short Form Health survey (SF-36)

    questionnaire to measure health status. The Optum® SF-36v2® Health Survey asks 36 questions to measure functional health and well-being from the patient's point of view. It is a practical, reliable and valid measure of physical and mental health that can be completed in five to ten minutes.

    Measured: week 11

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Oct 2019
  2. Study start1 Mar 2019
  3. Primary completion31 Dec 2019
  4. Study completion31 Dec 2019

Resources

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
Screening
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04142853
Sponsor's protocol ID
B707201835771
Status last verified
May 2020
First submitted
25 Oct 2019
Last updated
1 Jun 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Goetschalckx M, Van Geel F, Meesen R, Triccas LT, Geraerts M, Moumdjian L, Feys P. Interlimb Coordination Performance in Seated Position in Persons With Multiple Sclerosis: Reduced Amplitude Over 6 min and Higher Coordination Variability in Persons With Walking Fatigability. Front Hum Neurosci. 2021 Oct 20;15:765254. doi: 10.3389/fnhum.2021.765254. eCollection 2021.

    PubMed 34744669

Questions about this trial

What is this clinical trial studying?

A study testing Training intervention + Dance intervention in people with Multiple Sclerosis, run by Hasselt University at 2 sites in Belgium.

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 2 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 1 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Belgium. 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?

the Coordination test (time frame: Day 1). The study lists 25 primary outcomes in all. 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 NCT04142853, 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 1 Jun 2020.

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