Rationale and design of a single-blind, randomised controlled trial of exercise training for managing learning and memory impairment in persons with multiple sclerosis.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.