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- Essai clinique NCT07646912
Effect of High-Intensity Focused Electromagnetic Therapy on Balance and Quality of Life in Patients With Multiple Sclerosis
Effect of High-Intensity Focused Electromagnetic Technology on Balance and Quality of Life in Patients With Multiple Sclerosis: A Randomized Controlled Trial
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
Patients diagnosed with multiple sclerosis will be recruited from outpatient neurology and physical therapy clinics. Following clinical screening, eligible participants will be randomly assigned into two parallel groups:
The Study Group: Will receive High-Intensity Focused Electromagnetic Therapy sessions targeted at the core/trunk muscles plus a structured balance exercise program for 8 weeks.
The Control Group: Will receive the structured balance exercise program only for 8 weeks.
Type d'étude
Inscription (Estimé)
Phase
- N'est pas applicable
Contacts et emplacements
Coordonnées de l'étude
- Nom: Saher Lotfy Elgayar, Ph.D
- Numéro de téléphone: +201020429911
- E-mail: saherlotfy020@gmail.com
Sauvegarde des contacts de l'étude
- Nom: Mohammed Youssef Elhamrawy, Ph.D
- Numéro de téléphone: +201282805567
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
Accepte les volontaires sains
La description
Inclusion Criteria:
- Confirmed clinical diagnosis of Multiple Sclerosis according to the revised McDonald criteria.
- Expanded Disability Status Scale score range between 3.0 and 5.5.
- Clinically stable condition with no neurological relapses or corticosteroid therapy within the past 3 months.
Exclusion Criteria:
- Presence of pacemakers, internal defibrillators, or metallic implants in the torso/abdominal region.
- Severe cognitive impairment interfering with the understanding of instructions or questionnaires.
- Other concomitant neurological or musculoskeletal orthopedic conditions that independently affect balance or gait.
- Severe visual deficits or uncorrected vestibular disorders.
- Pregnancy.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Comparateur actif: Experimental group
Patients with multiple sclerosis who will receive High-Intensity Focused Electromagnetic Therapy targeted at the abdominal and paraspinal core musculature, combined with a specialized balance training program for 8 weeks
|
For 8 weeks, two weekly sessions of High-Intensity Focused Electromagnetic Therapy will be used to induce supramaximal contractions to strengthen the central core stabilizers (rectus abdominis, transversus abdominis, and erector spinae)
Standardized balance training including static stance variations, dynamic weight-shifting, perturbation training, and functional gait adjustments will be conducted for 30-45 minutes per session through three weekly sessions for a total duration of 8 weeks.
|
|
Comparateur actif: Control group
Patients with multiple sclerosis who will receive the standardized balance training program alone for 8 weeks.
|
Standardized balance training including static stance variations, dynamic weight-shifting, perturbation training, and functional gait adjustments will be conducted for 30-45 minutes per session through three weekly sessions for a total duration of 8 weeks.
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Balance
Délai: Baseline and after 8 weeks
|
Berg Balance Scale will be used to assess balance.
A 14-item objective clinical rating scale evaluating functional balance performance (e.g., reaching, turning, standing on one leg).
Scores range from 0 to 56, where higher scores indicate better balance control.
|
Baseline and after 8 weeks
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Health-Related Quality of Life
Délai: Baseline and after 8 weeks
|
Multiple Sclerosis Quality of Life-54 Questionnaire will be used to assess quality of life.
It is a multidimensional, disease-specific questionnaire combining generic and disease-specific items.
It generates 12 subscales along with distinct physical and mental health composite summary scores.
Higher scores indicate a better quality of life.
|
Baseline and after 8 weeks
|
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Risk of Fall
Délai: Baseline and after 8 weeks
|
The Fall Risk Questionnaire will be used to assess the risk of fall.
The Fall Risk Questionnaire consists of 12 yes/no questions.
For scoring, a "no" answer is scored as zero for all questions, while a "yes" answer is scored as two for the first two questions and as one for the remaining 10 questions.
A total Fall Risk Questionnaire score of 4 or higher indicates increased fall risk.
|
Baseline and after 8 weeks
|
|
Core Muscle Function
Délai: Baseline and after 8 weeks
|
The Trunk Impairment Scale will be used to assess core muscle function.
It scores static sitting balance, dynamic sitting balance, and trunk coordination.
Total scores range from 0 to 23, with higher scores indicating superior core control.
|
Baseline and after 8 weeks
|
Collaborateurs et enquêteurs
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- Electromagnetic Intervention
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Informations sur les médicaments et les dispositifs, documents d'étude
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