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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
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Saher Lotfy Elgayar, Ph.D
- Telefoonnummer: +201020429911
- E-mail: saherlotfy020@gmail.com
Studie Contact Back-up
- Naam: Mohammed Youssef Elhamrawy, Ph.D
- Telefoonnummer: +201282805567
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
Accepteert gezonde vrijwilligers
Beschrijving
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.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Actieve vergelijker: 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.
|
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Actieve vergelijker: 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.
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Balance
Tijdsspanne: 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.
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Baseline and after 8 weeks
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Health-Related Quality of Life
Tijdsspanne: 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.
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Baseline and after 8 weeks
|
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Risk of Fall
Tijdsspanne: 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.
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Baseline and after 8 weeks
|
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Core Muscle Function
Tijdsspanne: 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.
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Baseline and after 8 weeks
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Medewerkers en onderzoekers
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- Electromagnetic Intervention
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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