Exercise Training for People With Advanced Multiple Sclerosis

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Ottawa

About this trial

The goal of this interventional study is to test the feasibility of 12 weeks of aerobic exercise for people with advanced multiple sclerosis (i.e., wheelchair users). The main questions it aims to answer are:

* Is the exercise intervention feasible in terms of study processes, resources, management, safety, and acceptability? * Can the intervention improve aerobic fitness, function in daily life, cognition, symptoms of fatigue and pain, and sensation? * What are participants' experiences of taking part in the exercise intervention?

Participants will take part in moderate-intensity aerobic exercise twice a week for 12 weeks in a supervised research setting. Outcomes will be measured at baseline (0 weeks), mid-intervention (6 weeks), post-intervention (12 weeks), and 12-weeks after the intervention (24 weeks). The outcomes include feasibility measures, aerobic fitness, function in daily life, cognition, symptoms of fatigue and pain, sensation, and participant experiences of taking part in the exercise intervention.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

≥18 years of age

Self-reported diagnosis of MS

Expanded Disability Status Score ≥ 7.0

Stable course of disease-modifying therapy over past six months

Disqualifiers

Diagnosis of other neurological conditions

Relapse within 30 days

Signs or symptoms of acute or uncontrolled cardiovascular, renal or metabolic disease or other conditions that make it unsafe to exercise

Currently engaging in regular aerobic exercise (≥ 2 sessions/week for ≥ 12 weeks)

Trial design

Design model

Single group

Treatments tested in this trial

  • Aerobic Exercise Training

    Behavioral

    Moderate intensity (40-59% heart rate reserve) aerobic exercise using a recumbent stepper, total body ergometer, and/or functional electrical stimulation leg cycle. Sessions will be delivered twice per week for up to 40 minutes per session for 12 weeks (i.e., up to 24 sessions total). Exercise will be prescribed based on individual fitness testing results and participant preferences, with progression in intensity and duration over 12-weeks.

Treatment groups

12 Participants
are divided into 1 treatment group
Group A: Aerobic Exercise TrainingExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Feasibility - Recruitment duration

Total number of days taken to recruit participants.

Time frame
Ongoing during the study recruitment period.
2

Feasibility - Recruitment methods

All methods (types/sources) used to recruit participants.

Time frame
Ongoing during the study recruitment period.
3

Feasibility - Recruitment screening time

Time spent screening each participant (minutes).

Time frame
Ongoing during the study recruitment period.
4

Feasibility - Recruitment eligibility rate

Percentage of screened individuals who were eligible for study participation.

Time frame
Ongoing during the study recruitment period.

Secondary outcomes

1

Cardiorespiratory fitness

Peak volume of oxygen uptake (VO2peak) achieved during a cardiopulmonary exercise test on a recumbent stepper

Time frame
Baseline and 12 weeks
2

Sensory function

Functional Systems Score (FSS) for the sensory system within the Expanded Disability Status Scale (EDSS) clinical examination. Higher scores indicate greater sensory impairment.

Time frame
Baseline, 6, 12 and 24 weeks
3

Function in daily life

Late-Life Function and Disability Instrument (LLFDI). Higher scores indicate greater functional capacity in daily life.

Time frame
Baseline, 6, 12 and 24 weeks
4

Physical function with a mobility aid

Short Form Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function with Mobility Aid questionnaire. Higher scores indicate greater physical function.

Time frame
Baseline, 6, 12 and 24 weeks

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Ottawa

Lead sponsor

Multiple Sclerosis Society of Canada

Collaborator

This trial is not recruiting at the moment. You can still explore other options: