Reducing fear of falling in people with muscular dystrophy
Official title: Fear of Falling in Muscular Dystrophy: Investigation of the Phenomenon and a Multidisciplinary Rehabilitation Approach to Treat it
Run by Universita di Verona · NCT07129954 · Data updated 2026-11-12
This study tests whether adding cognitive-behavioral therapy to motor rehabilitation helps people aged 16–65 with muscular dystrophy who have a persistent fear of falling.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 16 Years to 65 Years |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Universita di Verona Academic / other |
| Locations | 1 site (Verona, verona) |
| Status | Recruiting |
| Started | July 2, 2025 |
| Main results expected | August 1, 2027 |
| Study ends | August 1, 2027 |
| Registry record updated | August 19, 2025 |
| Trial ID | NCT07129954 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal participants are people aged 16–65 with a confirmed form of muscular dystrophy who can walk (FAC ≥1) and meet the MMSE cognitive screening cutoff, with those entering the intervention arm additionally having persistent fear of falling (FES-I ≥16).
✕Probably not a fit
Patients who are non-ambulatory (FAC <1), have significant cognitive impairment, cannot attend on-site rehabilitation, are already in other rehabilitation programs, or cannot adhere to treatment are unlikely to benefit from the interventions tested.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The project will first measure how common fear of falling is among people with various forms of muscular dystrophy and how it changes over time, relating it to clinical, motor, cognitive, and psychological measures. Participants aged 16–65 who can walk (FAC ≥1) and meet the cognitive screening cutoff are followed, with persistent disabling fear of falling (FES-I ≥16 at three months) qualifying them for WP2. In WP2, those with persistent fear are assigned to receive standard motor rehabilitation alone or motor rehabilitation plus cognitive-behavioral psychotherapy and outcomes such as fall frequency, psychological measures, and functional status are tracked. Secondary analyses will look for distinct patient profiles and the impact of treatments on activity, participation, and quality of life.
Why it matters
Potential benefit: If successful, combining CBT with motor rehabilitation could reduce fear of falling, lower fall rates, and improve daily function and quality of life for people with muscular dystrophy.
How similar studies have gone: CBT combined with physical rehabilitation has reduced fear of falling in older adults and some neurological conditions, but its specific effectiveness in muscular dystrophy is not well established and remains relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnosis of muscular dystrophy: myotonic, facio-scapular-humeral, Becker, cingulate, Emery-Dreifuss, and distal; * 16 to 65 years of age; * Patients with residual walking capacity: functional ambulation category (FAC) at least equal to 1 * MMSE corrected for age and education of 23,8 points. Specific Work Package 2 (WP2) inclusion criterion: \- the persistence of Fear Of Falling at 3 months, identified as a score of at least 16 points at the Falls efficacy scale - International (FES-I); Exclusion Criteria: * The presence of factors that may lead to the assumption that it is a priori impossible to ensure adequate adherence to the proposed treatment; * Concurrent management in other rehabilitation centers or participation in other research projects * Language barrier; * Failure to sign informed consent.
Where it's running
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Azienda Ospedaliera Universitaria Integrata Verona - UOC di Neuroriabilitazione
Verona, verona, Italy Recruiting
Study contacts
- Study coordinator: Valentina Varalta, Doctor
- Email: valentina.varalta@univr.it
- Phone: 045 8124956
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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.