Investigating the Impact of Treadmill-integrated Virtual Reality Training on Walking Outside the Clinic
Investigating the Acute and Long-term Effects of Treadmill-integrated Virtual Reality (VR) Training on Real-World Mobility and Fall-Related Outcomes in People With Multiple Sclerosis
This study will test whether a treadmill-based virtual reality walking program is safe, practical, and helpful for people with multiple sclerosis (MS). Participants will complete a 6-week training program and wear smart socks that measure how they walk before, during, and after the program. The study will also track changes in balance, fatigue, fall risk, fear of falling, confidence with walking, and overall quality of life.
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Szczegółowy opis
People with multiple sclerosis (MS) often have trouble with walking and balance, which can increase the risk of falls and make daily life harder. While therapy can improve walking in a clinic, it is not always clear if those improvements carry over to real life at home or in the community. In addition, most walking tests are done over short periods and may not show how a person moves throughout the day. This study will look at new ways to better understand and improve walking in everyday settings. Researchers will use a treadmill-based virtual reality program, along with smart socks that track walking during daily activities. This approach will help show how people respond to training and whether those changes last outside the clinic. Standard care for people with MS usually includes physical therapy and clinic-based walking tests, but these may miss important changes in daily movement.
Participants will be asked to provide basic health information and complete surveys about their walking, fatigue, balance, thinking, and quality of life at different times during the study. They will also complete simple walking and balance tests to measure their mobility. As part of the study, participants will take part in a 6-week treadmill-based virtual reality training program, with two sessions each week. During the study, they will wear smart socks that collect information about how they walk in their daily lives, including before, during, and after the training program. These socks will track how often they walk, how steady they are, and how their walking changes over time. After the training ends, participants will continue wearing the socks for several weeks so researchers can see if improvements last. The results will help researchers learn if this approach can improve walking, lower fall risk, and support better mobility and quality of life for people living with MS.
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Nie dotyczy
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Julie F Stowell, DPT
- Numer telefonu: 4046035049
- E-mail: julie.stowell@shepherd.org
Lokalizacje studiów
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Georgia
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Atlanta, Georgia, Stany Zjednoczone, 30309
- Rekrutacyjny
- Shepherd Center
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Kontakt:
- Julie F Stowell, DPT
- Numer telefonu: 404-603-5049
- E-mail: julie.stowell@shepherd.org
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Główny śledczy:
- Julie F Stowell, DPT
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- Have a clinically confirmed diagnosis of multiple sclerosis (MS).
- Be 18 years of age or older.
- Demonstrate ≥10% variability in stride length, step length, or gait asymmetry.
- Can ambulate without an assistive device, with a unilateral, or with a bilateral assistive device.
- Demonstrate no more than mild cognitive impairment, indicated by the Mini-Mental State Exam (score >19).
- Possess adequate cognitive function to understand and follow research instructions.
- Be able to safely participate in the study and training procedures as determined by study staff.
- Be fluent in English and able to communicate discomfort, fatigue, or pain in English.
- Be able to travel to Shepherd Center to complete key assessment points in-person and for in-person training sessions twice per week.
Exclusion Criteria:
- Have a diagnosis of any other neurological condition or recent orthopedic conditions that affects gait, balance, or mobility.
- Exhibit <10% variability in stride length, step length, or gait asymmetry.
- Are unable to ambulate (i.e. wheelchair bound or bedbound individuals).
- Have legal blindness or severe visual impairment that would interfere with virtual reality engagement or safe ambulation.
- Have a body weight exceeding 300 lbs., which exceeds the safety limits of the treadmill and body weight support system.
- Have uncontrolled or untreated hypertension, hypotension, or angina.
- Have a past or current history of epilepsy or any other type of seizure disorder, whether controlled or uncontrolled.
- Have undergone major surgery within the past 6 months or hospitalization within the past 3 months.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Nie dotyczy
- Model interwencyjny: Zadanie dla jednej grupy
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
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Eksperymentalny: Arm 1
Gait training |
6-week training program with 2 training sessions each week |
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Spatiotemporal metrics of gait
Ramy czasowe: Initial visit to the end of the program in 12 weeks
|
step length (m) |
Initial visit to the end of the program in 12 weeks
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Spatiotemporal metrics of gait
Ramy czasowe: Initial visit to the end of the program in 12 weeks
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stride length (m) |
Initial visit to the end of the program in 12 weeks
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|
Spatiotemporal metrics of gait
Ramy czasowe: Initial visit to the end of the program in 12 weeks
|
step time (s) |
Initial visit to the end of the program in 12 weeks
|
|
Spatiotemporal metrics of gait
Ramy czasowe: Initial visit to the end of the program in 12 weeks
|
single support time (s) |
Initial visit to the end of the program in 12 weeks
|
|
Spatiotemporal metrics of gait
Ramy czasowe: Initial visit to the end of the program in 12 weeks
|
double support time (s) |
Initial visit to the end of the program in 12 weeks
|
|
Spatiotemporal metrics of gait
Ramy czasowe: Initial visit to the end of the program in 12 weeks
|
gait cycle (s) |
Initial visit to the end of the program in 12 weeks
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|
Spatiotemporal metrics of gait
Ramy czasowe: Initial visit to the end of the program in 12 weeks
|
cadence (steps/s) |
Initial visit to the end of the program in 12 weeks
|
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Spatiotemporal metrics of gait
Ramy czasowe: Initial visit to the end of the program in 12 weeks
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stance time (s) |
Initial visit to the end of the program in 12 weeks
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Spatiotemporal metrics of gait
Ramy czasowe: Initial visit to the end of the program in 12 weeks
|
speed(m/s) |
Initial visit to the end of the program in 12 weeks
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Spatiotemporal metrics of gait
Ramy czasowe: Initial visit to the end of the program in 12 weeks
|
swing time (s) |
Initial visit to the end of the program in 12 weeks
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Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Fear of falling (FOF)
Ramy czasowe: Surveys will be conducted at the initial visit, week 2, 5, 8, and 12.
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FOF as determined by Falls Efficacy Scale-International (FES-I); Scale: Not at all concerned = 1, Somewhat concerned = 2, Fairly concerned = 3, Very concerned = 4; Lowest score = 16, Highest score = 64, lower scores indicated less FOF (better), higher scores indicated more FOF (worse), total score divided by 64. |
Surveys will be conducted at the initial visit, week 2, 5, 8, and 12.
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Współpracownicy i badacze
Sponsor
Sponsor
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- 1111
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Shepherd Center will publish findings as appropriate and will maintain confidential records as necessary.
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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