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Respiratory Function and Walking Capacity in Multiple Sclerosis

Primary Purpose

Multiple Sclerosis, Respiratory; Disorder, Functional, Impaired, Difficulty Walking

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Breathing exercises
Sponsored by
Region Örebro County
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Sclerosis focused on measuring Multiple sclerosis, Self-assessment, Physical endurance, Respiratory function, Fatigue

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Inhabitant in Orebro county, Sweden, that are diagnosed with MS according to the revised McDonald criteria and registered in the Swedish MS-registry with EDSS (Expanded disability status scale) score in the interval ≥ 3.0 - ≤ 7.0.
  • Participants must understand verbal and written information and must be relapse free ≥ 3 months prior to inclusion.

Exclusion Criteria:

  • Patients with diseases that may have influence on walking ability and respiratory function (other than MS). Such conditions include heart and lung diseases, orthopedic disorders, patients recently subjected to surgery, and non-MS related neurological dysfunction.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    No Intervention

    Arm Label

    Breathing exercises

    Control

    Arm Description

    Daily deep breathing exercises during two month

    Control group

    Outcomes

    Primary Outcome Measures

    Respiratory muscle strength
    Maximum expiratory pressure

    Secondary Outcome Measures

    Full Information

    First Posted
    January 18, 2013
    Last Updated
    January 16, 2017
    Sponsor
    Region Örebro County
    Collaborators
    Örebro County Council
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01774201
    Brief Title
    Respiratory Function and Walking Capacity in Multiple Sclerosis
    Official Title
    Respiratory Function and Walking Capacity in Multiple Sclerosis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2012 (undefined)
    Primary Completion Date
    December 2014 (Actual)
    Study Completion Date
    December 2014 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Region Örebro County
    Collaborators
    Örebro County Council

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Multiple sclerosis (MS) is a chronic progressive neurological disease. Respiratory dysfunction due to weakness in the respiratory musculature has been described in MS. This leads to increased morbidity and mortality in late stages of the disease. It is possible that respiratory dysfunction influence physical fitness in earlier stages as well. Walking disability and fatigue causes significant impact on health in patients with MS, even in earlier stages. The hypothesis is that there is a relationship between respiratory function, walking capacity and fatigue and that daily deep breathing exercise during two months will improve respiratory function, walking capacity and fatigue.
    Detailed Description
    Presented above.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Multiple Sclerosis, Respiratory; Disorder, Functional, Impaired, Difficulty Walking
    Keywords
    Multiple sclerosis, Self-assessment, Physical endurance, Respiratory function, Fatigue

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Investigator
    Allocation
    Randomized
    Enrollment
    50 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Breathing exercises
    Arm Type
    Experimental
    Arm Description
    Daily deep breathing exercises during two month
    Arm Title
    Control
    Arm Type
    No Intervention
    Arm Description
    Control group
    Intervention Type
    Other
    Intervention Name(s)
    Breathing exercises
    Intervention Description
    Breathing exercises with positive expiratory pressure.
    Primary Outcome Measure Information:
    Title
    Respiratory muscle strength
    Description
    Maximum expiratory pressure
    Time Frame
    Two months

    10. Eligibility

    Sex
    All
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Inhabitant in Orebro county, Sweden, that are diagnosed with MS according to the revised McDonald criteria and registered in the Swedish MS-registry with EDSS (Expanded disability status scale) score in the interval ≥ 3.0 - ≤ 7.0. Participants must understand verbal and written information and must be relapse free ≥ 3 months prior to inclusion. Exclusion Criteria: Patients with diseases that may have influence on walking ability and respiratory function (other than MS). Such conditions include heart and lung diseases, orthopedic disorders, patients recently subjected to surgery, and non-MS related neurological dysfunction.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Elisabeth Westerdahl, Phd
    Organizational Affiliation
    Department of Physiotherapy, Örebro University Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    Citations:
    PubMed Identifier
    25620034
    Citation
    Westerdahl E, Wittrin A, Kanahols M, Gunnarsson M, Nilsagard Y. Deep breathing exercises with positive expiratory pressure in patients with multiple sclerosis - a randomized controlled trial. Clin Respir J. 2016 Nov;10(6):698-706. doi: 10.1111/crj.12272. Epub 2015 Mar 2.
    Results Reference
    result
    PubMed Identifier
    25782023
    Citation
    Nilsagard Y, Westerdahl E, Wittrin A, Gunnarsson M. Walking Distance as a Predictor of Falls in People With Multiple Sclerosis. Physiother Res Int. 2016 Jun;21(2):102-8. doi: 10.1002/pri.1625. Epub 2015 Mar 17.
    Results Reference
    result

    Learn more about this trial

    Respiratory Function and Walking Capacity in Multiple Sclerosis

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