Forty Five Patients With Multiple Sclerosis Recieved Vestibular Rehabilitation and Balance Training

NCT03670459 | Completed

• 1 other identifier: Identifier No. 11
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Patients with multiple sclerosis (MS) might develop dizziness or vertigo as a first manifestation or during the course of the illness. Many patients with MS experience chronic or intermittent dizziness. Acute symptoms of dizziness or vertigo in MS fall into two categories; acute vestibular syndrome (AVS) and positional vertigo. Vestibular disorder due to MS decreases whole body dynamic postural control and causes many functional limitations as limitations in ambulation, dynamic balance and trunk control and that decreases the quality of life. Vestibular dysfunction has long been recognized as causing some of the most common symptoms in MS, true vertigo is found at presentation in up to 17% of patients, several recent reports have suggested that vestibular symptoms develop early in the disease process. Vestibular Rehabilitation has been shown to be effective in reducing symptoms and improving function for patients with vestibular disorders. The goal of vestibular rehabilitation is to promote the central nervous system compensation through exercise-based strategies.

Conditions

Neurologic Disorder

Outcome Measures

Primary Outcomes (1)

• Isokinetic dynamometer

  Assessment of trunk kinetics

  up to 30 days

Study Arms (3)

Group 1

EXPERIMENTAL

Patients in G1 will receive traditional physical therapy program (balance exercises) for twelve sessions; day after day

Other: Balance exercises

Group 2

EXPERIMENTAL

Patients in G2 will receive Cawthorne Cooksey Exercises in addition to traditional physical therapy program for twelve sessions; day after day .

Other: Cawthorne Cooksey exercises

Group 3

EXPERIMENTAL

Patients in G3 will receive vestibular habituation exercises in addition to traditional physical therapy program for twelve sessions; day after day.

Other: Vestibular habituation exercises

Interventions

Cawthorne Cooksey exercises OTHER

Eye movements and head movements

Group 2

Vestibular habituation exercises OTHER

Move from a sitting position to flat on the back

Group 3

Balance exercises OTHER

Weight Shift Forward and Back

Group 1

Eligibility Criteria

• Age: 35 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• All the Patients in this study will be referred from the neurologist and will be diagnosed as relapsing-remitting multiple sclerosis in the form of hemiparesis with muscle tone of 1,1+ modified Ashworth scale.
• The diagnosis will be confirmed by MRI or CT scan and all the patients will follow the neurological examination.
• Forty five female patients ages will range from 35-55 years.
• All selected patients with central vertigo (central vestibular disorder) according to Dix Hallpike test (Cohen, 2004)
• The Degree of disability of multiple sclerosis will be from 2 - 2.5 (according to expanded disability status scale (EDSS)) (Kaufman et al, 2000)
• All the selected patients will have grade 3 group muscle test of lower limb muscles.
• All the selected patients will have scored 27-30 in mini-mental state examination (Crum et al, 1993)
• Patients who are selected in the study will be ambulant.
• Patients will be medically stable.

You may not qualify if:

• Patients with musculoskeletal deformity.
• Patients with diabetes mellitus.
• Patients with psychological disturbance or seizures.
• Patients with visual or impairment.
• Patients with inner ear disorders
• Patients with other neurological disorders such as cerebellar lesion

Sponsors & Collaborators

• October 6 University: lead

Study Sites (1)

October 6 University

Giza, 12511, Egypt

Location

MeSH Terms

Conditions

Nervous System Diseases

Study Officials

• Hosam Magdy Metwally, Doctoral

  October 6 University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Hossam.magdy.pt@o6u.edu.eg

Study Record Dates

• First Submitted: September 7, 2018
• First Posted: September 13, 2018
• Study Start: December 31, 2017
• Primary Completion: July 21, 2018
• Study Completion: September 4, 2018
• Last Updated: September 13, 2018

Record last verified: 2018-09

Locations

EG (1)