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MS (Multiple Sclerosis)NCT05991297

Effects of Deep Sensory Assisted Rehabilitation on Gait and Balance in Patients With Multiple Sclerosis

A study testing Deep sensory assisted rehabilitation and classical rehabilitation in people with MS (Multiple Sclerosis), run by Nermin Çalışır at 2 sites in Turkey (Türkiye).

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

The effect of physical therapy and rehabilitation on improving the gait and balance disorders of patients has been proven. FTR applications in MS patients have become routine in developed countries. Read more about this study

Who is it for?
Ages 20 to 60 years
Conditions the study is for
MS (Multiple Sclerosis)
What is being tested?
Deep sensory assisted rehabilitation and classical rehabilitation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
2 sitesTurkey (Türkiye)
Study dates
1 Jun 2023to 1 Jun 2024
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 20 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Diagnosed with multiple sclerosis
  • 20-60 years old
  • EDSS between 3.0-5.5 Those with EDSS 0-2.5 and spinal and/or cerebellar involvement
  • Had the last MS attack at least 3 months ago

Who cannot join

  • schizoaffective disorder
  • lower extremity amputation
  • shortness on one side creating asymmetry in the lower extremities
  • diabetes mellitus
  • cognitive impairment (at a level that may interfere with communication)

Trial locations and contacts

2 sites in 1 country.

Turkey (Türkiye)2 sites
  • University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital

    Bursa, Yildirim

  • Romatem Physical Therapy and Rehabilitation Hospitals Bursa Hospital

    Bursa, 16030

Other trials in Turkey (Türkiye)

About this study

The effect of physical therapy and rehabilitation on improving the gait and balance disorders of patients has been proven. FTR applications in MS patients have become routine in developed countries. However, due to the high patient density in our country, FTR cannot be performed at the rate we want due to different reasons such as the inability to separate areas special for MS patients, the lack of special FTR applications for MS patients, and the inability to perform regular FTR follow-ups. Even if FTR is recommended and performed, our patients think that FTR is not very effective due to the above reasons and they do not continue.

A team of neurology, physical therapy specialists, and physiotherapists was formed, in-service training was completed and a special rehabilitation program for MS patients was created. First of all, we will apply routine classical FTR to our patients. Sensory and deep sensory disorders, which are more common and severe, especially in the lower extremities, also negatively affect gait and balance.

A rehabilitation program was created by adding exercises to improve sensation and deep sense, along with muscle strengthening. The results of the 1st and 21st sessions of the patients in the two groups who underwent classical rehabilitation and deep sensory-assisted rehabilitation will be compared. It was planned to evaluate the gait and balance parameters of the patients as numerical data with clinical scales and the C mill device we used in walking and balance exercises.

Read the detailed description

Muscle strengthening in all four extremities; strengthening of trunk and abdominal muscles; providing and maintaining joint range of motion; independent and safe standing, turning, and stepping; able to walk alone on flat ground and on different surfaces (such as sloping-handicapped-soil-stone-sand-grass-rough-stepped); increase in exercise capacity, duration, distance; An increase in the number of steps per minute and step length is expected.

It was thought that both classical rehabilitation and deep sensory-assisted rehabilitation would improve gait and balance parameters.

There has been previous research showing the effects of FTR. What we will do in addition and new with this research;

  • The effects of classical rehabilitation and deep sensory-assisted rehabilitation will be compared
  • A new PTR plan called "deep sensory assisted rehabilitation" was created: it was aimed to develop a sensory and deep sense in the adult age group by making use of sensory integration exercises, which are mostly applied in the childhood age group. Whether these exercises are effective on walking and balance will be evaluated. Patients will be dressed in a vest with an equally distributed weight of 4-6 kg according to their weight, and exercises will be done while walking and standing.
  • the so-called "deep sensory pathway"; The patients will be given standing and walking exercises on sand and stone floors, soft floors made of sponge, hard plastic floors with different sizes of grooves and shapes, and hot-cold floors formed by placing hot packs and cold packs.
  • Most of the previous studies have shown the effect of FTR using clinical scales. In developed countries, gait analysis was performed. In our research, we aimed to measure gait and balance parameters in C-mill walking and balance exercise devices, together with clinical scales, as numerical data and graphics. The patient's standing and walking on the treadmill, stride length, stride symmetry, walking speed, distance, duration, cadence, and percentage deviation from targets during tandem and slalom walking parameters will be recorded as objective numerical data and graphics. These measurements will be recorded in the 1st session and the 21st session.

Changes in patients will be seen with clinical scales and visual evaluations. However, in order to make the evaluation more objective for both the patient and the practitioner, these measurements made with the C mill will also be made.

Being tested
Deep sensory assisted rehabilitation, classical rehabilitation
Keywords
deep sensory assisted rehabilitation, MS gait and balance, deep sensory walkway
Medical subject headings
Multiple Sclerosis

What participants receive

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

  • Deep sensory assisted rehabilitationOther

    A new PTR plan called "deep sensory assisted rehabilitation" was created: it was aimed to develop a sensory and deep sense in the adult age group by making use of sensory integration exercises, which are mostly applied in the childhood age group. Whether these exercises are effective on walking and balance will be evaluated. Patients will be dressed in a vest with an equally distributed weight of 4-6 kg according to their weight, and exercises will be done while walking and standing.

    • the so-called "deep sensory pathway"; The patients will be given standing and walking exercises on sand and stone floors, soft floors made of sponge, hard plastic floors with different sizes of grooves and shapes, and hot-cold floors formed by placing hot packs and cold packs.
  • classical rehabilitationOther

    Muscle strengthening in all four extremities; strengthening of trunk and abdominal muscles; providing and maintaining joint range of motion; independent and safe standing, turning, and stepping; able to walk alone on flat ground and on different surfaces (such as sloping-handicapped-soil-stone-sand-grass-rough-stepped)

Study groups in NCT05991297
Study groupRoleWhat they receive
Classical physical therapy and rehabilitation programActive comparatorClassical rehabilitation program (stretching, strenght, balance and coordination exercise) for fifty minutes.
Receives: Other: classical rehabilitation
Deep sensory asisted therapy and rehabilitation programExperimentalDeep sensory asisted rehabilitation program (stretching, strenght, balance and coordination and deep sensory exercises) for fifty minutes.
Receives: Other: Deep sensory assisted rehabilitation

What is being measured

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

  1. Multipl sclerosis quality of life-54(MSQOL-54)

    : It is calculated with the combined summary scores of physical and mental health. As the total score increases, the quality of life is evaluated positively.

    Measured: 1st day: when rehabilitation applications started

  2. Multipl sclerosis quality of life-54(MSQOL-54)

    : It is calculated with the combined summary scores of physical and mental health. As the total score increases, the quality of life is evaluated positively. The scale has not minimum and maximum value. The change between the participant's prior and values was evaluated.

    Measured: after 7 weeks: when rehabilitation applications ended

  3. MiniBest test

    minimum and maximum score: 0-28: high score indicates good functional balance

    Measured: 1st day: when rehabilitation applications started

  4. MiniBest test

    minimum and maximum score: 0-28: high score indicates good functional balance

    Measured: after 7 weeks: when rehabilitation applications ended

  5. 10 meter walking time

    The patient's walking time of the determined 10-meter distance is measured.

    Measured: 1st day: when rehabilitation applications started

  6. 10 meter walking time

    The patient's walking time of the determined 10-meter distance is measured.

    Measured: after 7 weeks: when rehabilitation applications ended

  7. Nottingham Extended Activities of Daily Living Scale

    minimum and maximum score: 0-66: high score indicates no restriction in activities of daily living.

    Measured: 1st day: when rehabilitation applications started

  8. Nottingham Extended Activities of Daily Living Scale

    minimum and maximum score: 0-66: high score indicates no restriction in activities of daily living.

    Measured: after 7 weeks: when rehabilitation applications ended

  9. Functional Ambulation Classification

    minimum and maximum score :0-5: high score indicates that walking can be done independently.

    Measured: 1st day: when rehabilitation applications started

  10. Functional Ambulation Classification

    minimum and maximum score :0-5: high score indicates that walking can be done independently.

    Measured: after 7 weeks: when rehabilitation applications ended

  11. Fatigue Severity Score

    A score lower than 2.8 indicates no fatigue, a score higher than 6.1 indicates chronic fatigue

    Measured: 1st day: when rehabilitation applications started

  12. Fatigue Severity Score

    A score lower than 2.8 indicates no fatigue, a score higher than 6.1 indicates chronic fatigue

    Measured: after 7 weeks: when rehabilitation applications ended

  13. DN4(Douleur Neuropathique 4 Questions)

    Minimum and maximum score: 0-10: A score of 4 and above indicates neuropathic pain.

    Measured: 1st day: when rehabilitation applications started

  14. DN4(Douleur Neuropathique 4 Questions)

    Minimum and maximum score: 0-10: A score of 4 and above indicates neuropathic pain.

    Measured: after 7 weeks: when rehabilitation applications ended

  15. MSWS-12( MS walking scale-12)

    minimum and maximum scores: 12-54: low scores indicate that gait disturbance has little effect on disability.

    Measured: 1st day: when rehabilitation applications started

  16. MSWS-12( MS walking scale-12)

    minimum and maximum scores: 12-54: low scores indicate that gait disturbance has little effect on disability.

    Measured: after 7 weeks: when rehabilitation applications ended

  17. FES-1: (Falls Efficay Scale-1)

    minimum and maximum score: 16-64: higher score indicates increased anxiety about falling

    Measured: 1st day: when rehabilitation applications started

  18. FES-1: (Falls Efficay Scale-1)

    minimum and maximum score: 16-64: higher score indicates increased anxiety about falling

    Measured: after 7 weeks: when rehabilitation applications ended

Timeline

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

  1. First posted14 Aug 2023
  2. Study start1 Jun 2023
  3. Primary completion1 Feb 2024
  4. Study completion1 Jun 2024

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
classic rehabilitation group vs.deep sensory assisted rehabilitation group
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05991297
Sponsor's protocol ID
ROMATEM-NERMİN ÇALIŞIR 2023
Status last verified
Jan 2026
First submitted
26 Jul 2023
Last updated
13 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Deep sensory assisted rehabilitation and classical rehabilitation in people with MS (Multiple Sclerosis), run by Nermin Çalışır at 2 sites in Turkey (Türkiye).

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 4 inclusion and 5 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 13 Jan 2026. 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 Turkey (Türkiye). 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?

Multipl sclerosis quality of life-54(MSQOL-54) (time frame: 1st day: when rehabilitation applications started). The study lists 18 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 13 Jan 2026.

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