Music-enhanced rhythmic walking for people with multiple sclerosis

Music-Augmented Versus Non-Music Technology-Based Rhythmic Gait Training in Multiple Sclerosis: A Randomized Controlled Trial of Gait Performance and Clinical Outcomes

NA · Biruni University · NCT07399262

This trial will test whether adding music to remote rhythmic walking exercises helps adults with mild-to-moderate multiple sclerosis walk, balance, and feel less fatigued.

Quick facts

PhaseNA
Study typeInterventional
Enrollment32 (estimated)
Ages18 Years to 65 Years
SexAll
SponsorBiruni University (other)
Locations1 site (Istanbul, Zeytinburnu)
Trial IDNCT07399262 on ClinicalTrials.gov

What this trial studies

This randomized controlled trial will enroll 32 adults with MS and mild-to-moderate disability (EDSS 0–4) who meet cognitive and ambulation screening criteria. Participants will be randomly assigned to four weeks of telerehabilitation-delivered rhythmic gait training either with music or without music, with both groups following the same supervised exercise program. Outcomes measured before and after the intervention include gait performance, balance, fatigue, and cognitive function. Results will compare change scores between the music-assisted and non-music groups to determine whether music adds measurable benefit.

Who should consider this trial

Good fit: Adults with a confirmed MS diagnosis, EDSS 0–4, MoCA ≥21, functional ambulation stage ≥3, internet access via a smartphone or computer, and no recent relapses or other major comorbidities.

Not a fit: People with more advanced disability (EDSS >4), significant hearing or vision impairments, unstable medical conditions, recent MS relapse or treatment changes, or those already in structured exercise programs are unlikely to benefit from this protocol.

Why it matters

Potential benefit: If successful, adding music to rhythmic gait training could improve walking speed, balance, and reduce fatigue for people with mild-to-moderate MS.

How similar studies have performed: Previous research on rhythmic auditory stimulation and music-based gait training in MS and other neurologic conditions has shown moderate improvements in gait and motor coordination, though telerehabilitation delivery is less well-studied.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Expanded Disability Status Scale (EDSS) score between 0 and 4.0

Access to the internet via a high-speed smartphone or computer

A score of at least 21 on the Montreal Cognitive Assessment (MoCA)

Functional Ambulation Scale score of Stage 3 or higher

Exclusion Criteria:

* Presence of hearing or visual impairments

Current participation in any structured exercise program

Presence of other neurological, cardiovascular, or orthopedic disorders

History of MS relapse or change in disease-modifying treatment within the last 6 months

Physical conditions preventing safe participation in the exercise program

Comorbid conditions that adversely affect oxygen transport (e.g., severe anemia, peripheral arterial disease)

Where this trial is running

Istanbul, Zeytinburnu

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Multiple Sclerosis, Rehabilitation, Rhythmic Gait Training, Music-Based Exercise, Telerehabilitation, Gait Performance

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.