Effectiveness of Task Specific Home Exercise Program

New York Presbyterian Brooklyn Methodist Hospital

Status: Enrolling

Conditions: Multiple Sclerosis

Treatments: Behavioral: Task Specific Physical Therapy Home Program

Study type: Interventional

Funder types: Other

Identifiers

NCT06486116

2160034

Details and patient eligibility

About

The purpose of this study is to compare the effectiveness of 2 different types of Home Exercise Programs (HEP) on mobility in persons with Multiple Sclerosis (MS). Specifically, we will be comparing the Standard of Care (SOC) a program based on aerobic conditioning and calisthenics to a Task Specific Program (TSP).

Primary Question: Will persons with who receive a Task Specific HEP have greater improvement in mobility than those who receive the SOC? Secondary question: Will a task specific HEP be as well tolerated as the SOC HEP by persons with MS

Full description

Persons with MS have been shown to benefit from exercise to address the symptoms of their disease. Exercise programs are customarily given by Physical Therapists (PT) in either an inpatient or outpatient setting. Outpatient PT is typically augmented with a Home exercise Program (HEP) which is meant to enhance the work that is done directly with the PT. Since the amount of exercise done at home is often greater than what is done with the PT, the HEP is of great importance.

However, the types of exercise that are the most useful for useful for persons with MS has not been established. Previous research has shown that due to the unique ways in which MS can affect the nervous system, exercise programs that may be appropriate for persons without MS may not be ideal for those that have the disease

Enrollment: 30 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Definitive diagnosis of Multiple sclerosis

• Ability to walk for at least 30 seconds unassisted with or without assistive device
• Ability to read, comprehend and sign an informed consent
• Is able to attend a 2 outpatient evaluation sessions 6 weeks apart
• Between the ages of 18 and 75

Exclusion criteria

• Evidence of recent MS exacerbation

  • Any orthopedic, cardiopulmonary, or non- MS neurologic condition that prohibits participation in a Physical therapy program
  • Be currently receiving outpatient physical therapy

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

Individualized Task Specific Physical Therapy Home Exercise Program

Experimental group

Description:

Physical Therapy Home Exercise program based on specific outcome measure findings.

Treatment:

Behavioral: Task Specific Physical Therapy Home Program

Generic physical therapy home exercise program

Active Comparator group

Description:

Generalized fitness-based exercise program

Treatment:

Behavioral: Task Specific Physical Therapy Home Program