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| Name | Class |
|---|---|
| University of Modena and Reggio Emilia | OTHER |
| Azienda USL Reggio Emilia - IRCCS | OTHER_GOV |
| S. Anna Hospital | OTHER |
| Azienda Unità Sanitaria Locale Ferrara |
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ErmoSLA is a multicentric, randomized, controlled trial to compare effects of an "intensive" or "standard" motor rehabilitation treatment on motor disability in people with ALS
The study is a multicentric, randomized, controlled trial to compare effects of standard versus intensive motor rehabilitation treatment for people with ALS.
Eligible patients are going to be randomly assigned to the Standard or Intensive treatment (controlling for ALSFRSR rates at enrollment, age and site of onset). Randomization ratio is 1:1.
Standard treatment: 2 sessions/week of motor rehabilitation treatment (45 minutes each one) for 10 weeks for a total of 20 sessions. The program consists of exercises for aerobic endurance, reinforcement at low load and stretching. At the end of the 20 sessions patient and caregiver are going to continue activity with supervision through regular follow up.
Intensive treatment is characterized by an increased volume of the above mentioned exercises: 5 sessions/week (45 minutes each one) for 10 weeks for a total of 50 sessions. At the end of the 50 sessions patient and caregiver are going to continue activity with supervision through regular follow up.
Collection and analysis of data
Recruitment: during the first 18 months of the study. Outcome measures: evaluated at T0-T3-T6-T9-T12-T15-T18-T21-T24. Rating scales will be administered by a neurologist in singe blind method with respect to the treatment.
Data collection will be done through an ad hoc Case Report Form and entered into a database on a dedicated website.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard motor rehabilitation treatment | Active Comparator |
| |
| Intensive motor rehabilitation treatment | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard motor rehabilitation treatment | Procedure | Standard treatment: 2 sessions/week of motor rehabilitation treatment (45 minutes each one) for 10 weeks for a total of 20 sessions, including exercises for aerobic endurance, reinforcement at low load and stretching. At the end of the 20 sessions, patient and caregiver are going to continue motor activity with therapist supervision through regular follow up |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in ALSFRS R | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of complications related to the disease: pressure sores, hospitalizations, infections | 12 months | |
| Perceived quality of care | 12 months | |
| Tracheostomy free survival |
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Inclusion Criteria:
Patients will be required to take the full dose of Riluzole, but not assuming Riluzole do not constitute a criterion for exclusion.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marco Vinceti, MD | Public Health Department, University of Modena and Reggio Emilia (IT) | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Neuroscience, S. Anna Hospital | Ferrara | Italy | ||||
| Department of Neuroscience, S.Agostino-Estense Hospital |
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| ID | Term |
|---|---|
| D000690 | Amyotrophic Lateral Sclerosis |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D016472 | Motor Neuron Disease |
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| UNKNOWN |
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|
| Intensive motor rehabilitation treatment | Procedure | Intensive treatment is characterized by an increased exercises volume: 5 sessions/week)(45 minutes each one) for 10 weeks for a total of 50 sessions, including exercises for aerobic endurance, reinforcement at low load and stretching. At the end of the 50 sessions, patient and caregiver are going to continue motor activity with therapist supervision through regular follow up |
|
| 12 months |
| Time to supporting procedures (NIV and PEG) | 12 months |
| Respiratory function: measured by FVC | 12 months |
| Quality of Life: measured by McGill and ALSAQ40 scales | 12 months |
| Disease symptoms (fatigue) measured with FSS | 12 months |
| Depression measured by Beck Inventory Scale | 12 months |
| Modena |
| Italy |
| Department of Neuroscience, IRCCS Arcispedale Santa Maria Nuova | Reggio Emilia | Italy |
| D019636 | Neurodegenerative Diseases |
| D057177 | TDP-43 Proteinopathies |
| D009468 | Neuromuscular Diseases |
| D057165 | Proteostasis Deficiencies |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |