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Trial registered on ANZCTR
Registration number
ACTRN12607000101482
Ethics application status
Approved
Date submitted
30/01/2007
Date registered
31/01/2007
Date last updated
31/01/2007
Type of registration
Prospectively registered
Titles & IDs
Public title
A randomized controlled trial of progressive resistance strength training for people with multiple sclerosis who have difficulty walking
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Scientific title
The effects of a community based progressive resistance strength training program on the walking performance of adults with multiple sclerosis who have mild to moderate difficulties walking
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Multiple sclerosis
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Condition category
Condition code
Neurological
1698
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Multiple sclerosis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Community gymnasium based progressive resistance strength training (PRST) program. Participants allocated to the experimental group will complete a 12-week (two times per week, for 90 minutes per session), gymnasium-based strengthening program targeting the major muscle groups of the legs.
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Intervention code [1]
1580
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Rehabilitation
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Comparator / control treatment
Participants allocated to the control group will receive 'usual care plus a social program'. The 'usual care' in the control group may include normal exercise, or therapy, providing it does not include a PRST component. In addition, these people will receive an alternative program of educational and social activities designed to be of interest and of value to the participants. This program will be conducted one-hour each week for 12 weeks to control for the social aspect of the PRST program. The program will comprise leisure and recreational activities that would not be expected to have a fitness or training effect, such as massage, film going, visits to leisure and recreational attractions around Melbourne, luncheons and other social activities.
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Control group
Active
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Outcomes
Primary outcome [1]
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Fast walking speed over 10m.
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Assessment method [1]
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Timepoint [1]
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All outcome measurements will be taken three times: at baseline, after twelve weeks, and after a further twelve weeks (week 24).
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Primary outcome [2]
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Walking endurance.
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Assessment method [2]
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Timepoint [2]
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All outcome measurements will be taken three times: at baseline, after twelve weeks, and after a further twelve weeks (week 24).
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Secondary outcome [1]
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1. Fatigue will be assessed using the Modified Fatigue Impact Sale (MFIS)
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Assessment method [1]
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Timepoint [1]
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People in the experimental and the control groups will have all outcome measurements taken three times: at baseline, after twelve weeks, and after a further twelve weeks (week 24).
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Secondary outcome [2]
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2. Health-related quality of life will be quantified using the WHOQoL-Br?f scale
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Assessment method [2]
4108
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Timepoint [2]
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People in the experimental and the control groups will have all outcome measurements taken three times: at baseline, after twelve weeks, and after a further twelve weeks (week 24).
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Secondary outcome [3]
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3. Self-efficacy will be measured using the Multiple Sclerosis Self-Efficacy scale
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Assessment method [3]
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Timepoint [3]
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People in the experimental and the control groups will have all outcome measurements taken three times: at baseline, after twelve weeks, and after a further twelve weeks (week 24).
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Secondary outcome [4]
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4. Maximal Force generation and muscle endurance.
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Assessment method [4]
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Timepoint [4]
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People in the experimental and the control groups will have all outcome measurements taken three times: at baseline, after twelve weeks, and after a further twelve weeks (week 24).
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Eligibility
Key inclusion criteria
1.Diagnosed with MS 2.have a Hauser Ambulation Index score of 2-4 (mild to moderately severe gait disability) 3.have received a medical clearance to participate in the exercise program.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria:1.an acute exacerbation of MS within two months of starting the program 2.presence of an unstable medical condition such as inadequately controlled diabetes or high blood pressure 3.the presence of any concurrent neurological condition, for example stroke 4.MS of the benign or progressive/relapsing types 5.participation in a strength training program in the six months prior to the start of the study.We will recruit both male and female participants.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed sequentially numbered opaque envelopes administered by the research coordinator
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Block allocation sequence will be generated using a random-number table
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Assessors and data analyst will be blinded
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/04/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
84
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
477
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New Zealand
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State/province [1]
477
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Multiple sclerosis (MS) Research Australia
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
University
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Name
La Trobe University
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Address
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Country
Australia
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Secondary sponsor category [1]
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Charities/Societies/Foundations
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Name [1]
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Multiple Sclerosis (MS) Society
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Address [1]
1659
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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La Trobe University.
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
3443
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Approval date [1]
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23/01/2007
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Ethics approval number [1]
3443
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06/96
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Summary
Brief summary
Muscle weakness is common in people with multiple sclerosis (MS), and this can affect the performance of many everyday activities such as walking. A pilot study we completed showed that for people with MS weight training can lead to increased strength, improved walking ability, and improved physical functioning. Perhaps even more importantly, people in the pilot study overwhelmingly reported that they enjoyed the program because it made them feel more energetic, less disabled and more confident. This study will be the first large scientifically rigorous trial of a gymnasium-based strength training program for people with MS in the world.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Professor Karen Dodd
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Address
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School of Physiotherapy, La Trobe University
VIC 3086
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Country
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Australia
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Phone
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+61 3 94795793
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Fax
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+61 3 94791946
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor Karen Dodd
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Address
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School of Physiotherapy, La Trobe University
VIC 3086
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Country
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Australia
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Phone
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+61 3 94795793
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Fax
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+61 3 94791946
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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