Effect of Dual-Task Training and Cognitive Rehabilitation in Individuals With Multiple Sclerosis.

Toros University

Status: Enrolling

Conditions: Multiple Sclerosis

Treatments: Other: Dual Task Training; Other: Cognitive Rehabilitation; Other: Conventionel Physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06949696

TU-FTR-AK-01

Details and patient eligibility

About

The purpose of this study is to examine the effects of dual-task training and cognitive rehabilitation on gait, balance, fatigue and cognitive performance in individuals with multiple sclerosis.

Full description

Multiple sclerosis (MS) is a complex disease characterized by chronic, inflammatory, demyelinating and neurodegenerative processes of the central nervous system (CNS) with heterogeneous clinical symptoms. Balance, gait and cognitive impairment are among the biggest problems in individuals with MS and significantly affect their daily lives.

Dual Task (DT); is the process of performing two tasks that can be performed independently and have different purposes simultaneously. Walking with dual tasks has recently been shown to resemble typical walking performance in daily life, thus providing clinicians with a realistic walking performance measurement in daily life. Although the effects of dual task performance in various neurological diseases have been partially described in the literature, the comparison of dual task training and cognitive rehabilitation on walking, balance, fatigue and cognitive performance has not been made and due to this deficiency in the literature, our study was planned and has originality. The aim of our study is to investigate the effects of dual task training and cognitive rehabilitation on walking, balance, fatigue and cognitive performance in individuals with MS.

Enrollment: 30 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Definite MS diagnosis by a neurologist
• Can walk independently
• Expanded Disability Status Scale (EDSS) score below 5
• Has not had an attack in the last 3 months, has been medically stable for 6 months
• Has not received a regular physiotherapy program in the last 6 months volunteer

Exclusion criteria

• Scoring 26 or below on the Montreal Cognitive Assessment Scale (MoCA)
• Having systemic, orthopedic and neurological problems that may affect walking and balance in the assessments
• Having additional psychiatric disorders

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 3 patient groups

Dual Task Training Group

Experimental group

Description:

The dual task training group will receive training 2 days a week for 6 weeks. Patients will receive dual task training. They will also receive 30 minutes of individual physiotherapy exercises. 2 days a week. The effects of dual task training and cognitive rehabilitation on gait, balance, fatigue and cognitive performance will be compared.

Treatment:

Other: Dual Task Training

Cognitive Rehabilitation Group

Experimental group

Description:

The cognitive rehabilitation group will receive training 2 days a week for 6 weeks. Patients will receive cognitive rehabilitation group. They will also receive 30 minutes of individual physiotherapy exercises 2 days a week.

Treatment:

Other: Cognitive Rehabilitation

Conventionel Physiotherapy Group

Active Comparator group

Description:

The conventionel physiotherapy group will receive training 2 days a week for 6 weeks.This group will only receive individual physiotherapy 2 days a week.

Treatment:

Other: Conventionel Physiotherapy