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Rationale and design of a single-blind, randomised controlled trial of exercise training for managing learning and memory impairment in persons with multiple sclerosis.

BMJ open
January 1, 1970
Brian M Sandroff et al. (9 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine if treadmill walking exercise training improves learning, memory, hippocampal volume, and functional connectivity in cognitively impaired persons with multiple sclerosis (MS).

Results Summary

The abstract does not report specific results, as the study is ongoing ("Pre-results"), but it outlines the methodology for assessing treadmill walking's effects on cognitive and brain health outcomes in MS patients.

Population

Fully ambulatory persons with MS who have objective learning and memory impairments.

Effective Dosage

Supervised treadmill walking exercise training three times per week.

Duration

3 months

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
treadmill walking exercise training
neutral
learning and memory performance
persons with multiple sclerosis (MS) who have objective impairments in learning new information
-
examines effects on
#1
treadmill walking exercise training
neutral
hippocampal volume
persons with multiple sclerosis (MS) who have objective impairments in learning new information
-
examines effects on
#2
treadmill walking exercise training
neutral
hippocampal resting-state functional connectivity
persons with multiple sclerosis (MS) who have objective impairments in learning new information
-
examines effects on
#3
treadmill walking exercise training
increase
learning and memory
cognitively impaired persons with MS
-
informing subsequent RCTs for developing
#4
treadmill walking exercise training
neutral
hippocampal outcomes
cognitively impaired persons with MS
-
informing subsequent RCTs for developing
#5
chronic treadmill walking exercise
increase
cognition
clinicians and patients
-
guidelines for better using for improving
#6
chronic treadmill walking exercise
increase
brain health
clinicians and patients
-
guidelines for better using for improving
#7
Abstract

INTRODUCTION: This randomised controlled trial (RCT) examines treadmill walking exercise training effects on learning and memory performance, hippocampal volume, and hippocampal resting-state functional connectivity in persons with multiple sclerosis (MS) who have objective impairments in learning new information. METHODS AND ANALYSIS: Forty fully ambulatory persons with MS who demonstrate objective learning and memory impairments will be randomly assigned into either the intervention or active control study conditions. The intervention condition involves supervised, progressive treadmill walking exercise training three times per week for a 3-month period. The active control condition involves supervised, progressive low-intensity resistive exercise that will be delivered at the same frequency as the intervention condition. The primary outcome will involve composite performance on neuropsychological learning and memory tests, and the secondary outcomes involve MRI measures of hippocampal volume and resting-state functional connectivity administered before and after the 3-month study period. Outcomes will be administered by treatment-blinded assessors using alternate test forms to minimise practice effects, and MRI data processing will be performed by blinded data analysts. ETHICS AND DISSEMINATION: This study has been approved by a university institutional review board. The primary results will be disseminated via peer-reviewed publications and the final data will be made available to third parties in applicable data repositories. If successful, the results from this study will eventually inform subsequent RCTs for developing physical rehabilitation interventions (ie, treadmill walking exercise training) for improving learning and memory and its relationship with hippocampal outcomes in larger samples of cognitively impaired persons with MS. The results from this early-phase RCT will further lay preliminary groundwork for ultimately providing clinicians and patients with guidelines for better using chronic treadmill walking exercise for improving cognition and brain health. This approach is paramount as learning and memory impairment is common, burdensome and poorly managed in MS. TRIAL REGISTRATION NUMBER: NCT03319771; Pre-results.

Medical Subject Headings (MeSH)
AdultDisability EvaluationExerciseFemaleFollow-Up StudiesHippocampusHumansLearning DisabilitiesMagnetic Resonance ImagingMaleMiddle AgedMultiple SclerosisOrgan SizePhysical Conditioning, HumanPhysical FitnessSingle-Blind MethodWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations9
Citations/Year1.3
Relative Citation Ratio0.68
NIH Percentile36.3%
Research Impact Scores
APT Score0.50
Weight Score1.71
Normalized Score0.67
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