About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
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
Parallel
Treatments tested in this trial
Dual Task Training
Other interventionIn dual task training, patients will be given cognitive exercises such as counting backwards from 100 by 3, counting the names of cities, girls and boys while walking.
Cognitive Rehabilitation
Other interventionIn cognitive rehabilitation, patients will be given paper-and-pencil activities and exercises to find the difference between two pictures.
Conventionel Physiotherapy
Other interventionIn conventionel physiotherapy, patients will be given posture exercises for balance and strengthening.
Treatment groups
Trial outcomes
Primary outcomes
Dynamic Gait Index (DGI)
DGI is a test that measures the capacity to adapt to changes in walking.It evaluates a total of 8 parameters over 24 points. Values of 19 points and below define the presence of a fall risk.
Secondary outcomes
Timed 25 Food Walk Test (T25FWT)
Timed 25 Food Walk Test is a test that evaluates walking speed. In the test, the patient is asked to walk 25 steps as quickly and safely as possible and the time is recorded in seconds with the average of 2 trials.
The 12-item MS Walking Scale (12-MSWS)
The 12-item MS Walking Scale (12-MSWS) that evaluates walking ability over the last 2 weeks, scaled from 0 to 100.
BICAMS (Brief International Cognitive Assessment for MS)
BICAMS (Brief International Cognitive Assessment for MS) is an international initiative to recommend and support a cognitive assessment that is brief, practical and universal.
Trial Making Test (TMT)
Trial Making Test (TMT)is used to evaluate individuals' executive functions, visual-motor perception, visual scanning and attention speed, motor function, organization, and planning.
Sponsors and contacts
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