Optimizing and reinforcing walking skills in people with severe multiple sclerosis using high-intensity circuit training and telerehabilitation.
Official title: Unravelling The Optimisation And Consolidation Of Motor Skills In People With Multiple Sclerosis With Severe Gait Impairment Via High Intensity Task Oriented Circuit Training: A Feasibility Study
Run by University Hospital of Ferrara · NCT07058896 · Data updated 2026-11-12
This trial will try a short program of high-intensity, task-focused circuit training followed by six months of telerehabilitation to improve walking and balance in people with progressive MS who have severe gait problems (EDSS ≥6.5).
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 18 (estimated) |
| Sponsor | University Hospital of Ferrara Academic / other |
| Locations | 1 site (Ferrara, FE) |
| Status | Recruiting |
| Started | October 28, 2024 |
| Main results expected | October 31, 2025 |
| Study ends | October 31, 2025 |
| Registry record updated | July 10, 2025 |
| Trial ID | NCT07058896 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with primary or secondary progressive MS, EDSS ≥6.5, MMSE >24, stable on medications for at least three months, and without major cardiopulmonary, renal, liver, psychiatric, or other neurological comorbidities.
✕Probably not a fit
People with significant medical comorbidities, cognitive impairment (MMSE ≤24), recent medication changes, pregnancy, or who cannot attend in-person sessions at the Ferrara site are unlikely to be eligible or to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults with primary or secondary progressive MS, preserved cognition (MMSE >24), and marked gait impairment (EDSS ≥6.5) will complete a supervised high-intensity, task-oriented circuit training program (about 12 sessions) to practice and consolidate motor skills. After the supervised phase, participants will be offered a telerehabilitation program intended to maintain gains over a six-month follow-up. The study will monitor feasibility, safety, and changes in gait and balance using standardized outcome measures at baseline, post-intervention, and during follow-up. The intervention is delivered at Ferrara University Hospital with remote components for the maintenance phase.
Why it matters
Potential benefit: If successful, the approach could improve walking ability and balance in people with severe MS and help them keep those gains at home through telerehabilitation.
How similar studies have gone: Previous motor rehabilitation and high-intensity training studies have shown benefits for walking in people with MS, but evidence specifically for those with severe gait impairment and for sustaining gains via telerehabilitation is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnosis of primary or secondary progressive multiple sclerosis according to the McDonald criteria. * Mini-Mental State Examination (MMSE) score \> 24. * Expanded Disability Status Scale (EDSS) score ≥ 6.5. Exclusion Criteria: * Presence of other psychiatric or neurological disorders. * Cardiopulmonary, renal, or liver diseases. * Pregnancy. * Modifications in drug treatment within the last 3 months.
Where it's running
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Ferrara University Hospital
Ferrara, Fe, Italy Recruiting
Study contacts
- Study coordinator: Sofia Straudi, MD, PhD
- Email: sofia.straudi@unife.it
- Phone: +390532238720
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.