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The purpose of this study was to compare the effectiveness of two rehabilitation programs (one month) in patients with multiple sclerosis. The first program is combined with physiotherapy, endurance training and resistance training. The second one is physiotherapy in private practice. Another purpose is to assess the length of the benefits of the combined program.
This study will include 240 patients with a diagnosis of Multiple Sclerosis and with an Expanded Disability Status Scale ≤ 5. Patients will be divided into 2 groups, according to a randomization design. At recruitment (J0), after rehabilitation (M1) and at follow up (M3 and M6) each patient will be tested for the primary and secondary outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Combined program | Experimental | Combined program with physiotherapy, endurance training and resistance training. 120 patients will receive this combined program |
|
| Physiotherapy | Active Comparator | Active comparator: physiotherapy in private practice 120 patients will receive this usual rehabilitation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Combined program | Behavioral | Combined program with physiotherapy, endurance training and resistance training |
|
| Measure | Description | Time Frame |
|---|---|---|
| 6 Minute Walk Test | 6 Minute Walk Test (6MWT) at the end of the rehabilitation program (Time Frame : at one month M1) | 6 Minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Functional tests | Functional tests: 10 meters Walk Test, Timed up and go test, Time to ascend and descend stairs, 6 Minute Walk Test Time frame:10 meters walk test = 2 min ; time up and going test= 4 min ; Time to ascend and descend stairs = 4 min ; et 6min walk = 6min | 20 Minutes |
| Aerobic capacity |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Djamel Bensmail, MD | Physical medicine and rehabilation Department, Hôpital RAYMOND POINCARE, 92380 Garches, France | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Physical medicine and rehabilation Department, Hôpital RAYMOND POINCARE | Garches | Hauts DE Seine | 92380 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39818009 | Derived | Bonnyaud C, Hameau S, Zory R, Sznajder M, Heinzlef O, Aymard C, Chenet A, Medee B, Jacota M, Gallien P, Bensmail D; Rehabmuscle Team. Intensive interdisciplinary specialized rehabilitation or regular physiotherapy for multiple sclerosis? A randomised controlled trial with economic evaluation. Ann Phys Rehabil Med. 2025 Mar;68(2):101898. doi: 10.1016/j.rehab.2024.101898. Epub 2025 Jan 15. |
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| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| ID | Term |
|---|---|
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
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| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| D011331 | Private Practice |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
| D011364 | Professional Practice |
| D009934 | Organization and Administration |
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| Physiotherapy in private practice | Behavioral | Physiotherapy in private practice |
|
Aerobic capacity (V02 max) |
| 1h |
| Strength and fatigue of the knee flexors and extensors | Assessment of maximal voluntary strength using an isokinetic dynamometer or assessment of maximal voluntary strength using the 1-RM estimation | 45 min |
| Clinical assessment | Spasticity assessment (Modified Ashworth Scale), passive range of motion of lower limb joint, lower limb strength (Medical Research Council scale), self questionnaire of pain. | 45 min |
| Balance (Berg Balance scale) and postural control assessment | 15 min |
| Quality of Life assessment | Quality of Life assessed by self-reported questionnaire (SEP -59; EQ-5D), mood (HAD), MSIS-29, auto-questionnaire estimating the fatigue (Fatigue Severity Scale, Modified Fatigue Impact Scale) | 55 min |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D006298 |
| Health Services Administration |