Correlation Between Daily Physical Activity and Disability, Fatigue, Cognition and Quality of Life in MS Patients

Study Overview
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Brief Summary
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The main purpose of the study is to assess the fatigue, cognition, quality of life and disability correlation to MS-patients daily physical activity.

Official Title
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Correlation Between Daily Physical Activity and Disability, Fatigue, Cognition and Quality of Life in MS Patients

Conditions
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Relapsing Remitting Multiple Sclerosis, Fatigue, Quality of Life, Physical Activity

Intervention / Treatment
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* Device: Physical Activity measurement:


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: RR-MS (relapsing-remitting MS-disease) Age 18-55y Expanded Disability Status Scale (EDSS) score less than equals to (<=) 5.5 Not relapse in previous month Other protocol defined inclusion criteria could apply Exclusion Criteria: PP-MS (primary progressive disease) SPMS (secondary progressive disease) Other protocol defined exclusion criteria could apply.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patient<br>Fatigue, cognition and quality of life measurements with different kind of tests and forms. EDSS and SFMC. Daily physical activity measurement 7days. Berg´s scale. Sit-Up 30 s and 6-minutes walking test. Length, weight and waist measurements. | Device: Physical Activity measurement:<br>* 7 days measurement with Active style Pro HJA-350IT device<br>|
| Control<br>Healthy volunteers. Fatigue, cognition and quality of life measurements with different kind of tests and forms. SFMC. Daily physical activity measurement 7days. Berg´s scale. Sit-Up 30 s and 6-minutes walking test. Length, weight and waist measurements. | Device: Physical Activity measurement:<br>* 7 days measurement with Active style Pro HJA-350IT device<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Correlation between daily physical activity and quality of life to disability. | Daily physical activity will be measured 7 days assessed by ActiGraphTM wGT3X-BT. Person keep this on his/her wake-up time whole 7 days excluding time when she/he is in water like in shower or swimming. Quality of life will be assessed by questionnaires 15-D and RAND-36 and disability will be assessed by EDSS (Expanded Disability Status Scale) and also with MSFC (Multiple Sclerosis Functional Composite) measurement. | Baseline (one measurement) | 
| Correlation between fatigue and cognition to daily physical activity and disability. | Fatigue will be assessed with two different questionnaires FSS (fatigue severity scale) and MFIS (Modified Fatigue Impact Scale). Cognition will be assessed SDMT (Symbol Digital Modality Test) and PASAT-test. Daily physical activity will be measured 7 days with measure ActiGraphTM wGT3X-BT. Person keep this on his/her wake-up time whole 7 days excluding time when she/he is in water like in shower or swimming. Disability will be assessed EDSS (Expanded Disability Status Scale) and also with MSFC (Multiple Sclerosis Functional Composite) measurement. | Baseline (one measurement) | 
| Correlation between fatigue, cognition, quality of life and daily physical activity. | Fatigue will be assessed with two different questionnaires FSS (fatigue severity scale) and MFIS (Modified Fatigue Impact Scale). Cognition will be assessed SDMT (Symbol Digital Modality Test) and PASAT-test. Quality of life will be assessed questionnaires 15-D and RAND-36. Daily physical activity will be measured 7 days with measure ActiGraphTM wGT3X-BT. Person keep this on his/her wake-up time whole 7 days excluding time when she/he is in water like in shower or swimming. | Baseline (one measurement) | 
| Disability level EDSS | Disability will be assessed EDSS (Expanded Disability Status Scale). Scale range is between 0 to 10. (0 level is normal and 10 means death) | Baseline (one measurement) | 
| Disability level MSFC | Disability will be assessed MSFC (Multiple Sclerosis Functional Composite) measurement. Test include three different kind of test The Timed 25-Foot Walk Test, The 9-HPT (9-hole peg test) and The Paced Auditory Serial Addition Test PASAT). The MSFC is based on the concept that scores for these three dimensions-arm, leg, and cognitive function are combined to create a single score (the MSFC) that can be used to detect change over time in a group of multiple sclerosis patients. This is done by creating Z-scores for each component of the MSFC and averaging them to create an overall composite score known as the MSFC score. ex. MSFC Score = {Zarm, average + Zleg, average + Zcognitive} / 3.0 Where Zxxx =Z-score | Baseline (one measurement) | 
| 9-Hole Peg Test | The 9-HPT (9-hole peg test). The 9-HPT is a quantitative measure of upper extremity (arm and hand) function. Both the dominant and non-dominant hands are tested twice (two consecutive trials of the dominant hand, followed immediately by two consecutive trials of the non-dominant hand). Record only the times for the two successfully completed trials for each hand. (time/within 0.1 seconds,lower time is better.) | Baseline (one measurement) | 
| The Timed 25-Foot Walk test | The Timed 25-Foot Walk test is a quantitative measure of lower extremity function. The patient is directed to one end of a clearly marked 25-foot course and is instructed to walk 25 feet as quickly as possible. Record the subject's walk time to within 0.1 second, lower time is better) | Baseline (one measurement) | 
| Daily physical activity | Daily physical activity will be measured 7 days with measure ActiGraphTM wGT3X-BT. Person keep this on his/her wake-up time whole 7 days excluding time when she/he is in water like in shower or swimming. | 7 days | 
| Quality of life 15-D | Quality of life level will be assessed questionnaire 15-D. 15 question (evaluation 5 class in every question= 1 to 5 points) Count together and higher number is worse. | Baseline (one measurement) | 
| Quality of life RAND-36 | Quality of life level will be assessed questionnaire RAND-36.(include 36 question in 8 different kind of section). Higher number is worse. | Baseline (one measurement) | 
| Cognition level SDMT | Cognition will be assessed with SDMT (Symbol Digital Modality Test). Higher number is better. | Baseline (one measurement) | 
| Cognition level PASAT | Cognition will be assessed with PASAT-test.(Paced Auditory Serial Addition Test). The test score is the number of correct sums given (out of 60 possible) in each trial. Higher number is better. | Baseline (one measurement) | 
| Fatigue level FSS | Fatigue will be assessed with questionnaire FSS (fatigue severity scale). FSS questionaire containing nine statements that attempt to explore severity of fatigue symptoms. The subject is asked to read each statement and circle a number from 1 to 7. The scoring is done by calculating the average response to the questions (adding up all the answers and dividing by nine). Higher number is worse. | Baseline (one measurement) | 
| Fatigue level MFIS | Fatigue will be assessed with questionnaire MFIS (Modified Fatigue Impact Scale). 21 questions. (scale 0 to 4 in every questions/ range 0 to 84 in whole questionnaire). Higher number is worse. | Baseline (one measurement) | 
| General condition (endurance) | General condition (endurance) assessed by 6-minutes walking test distance in meters. | Baseline (one measurement) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Body Composition Weight | Body composition evaluation assesment by weight (kg) | Baseline (one measurement) | 
| Body Composition Height | Body composition evaluation assesment by height (cm) | Baseline (one measurement) | 
| Body Composition Weist | Body composition evaluation assesment by weist (cm) | Baseline (one measurement) | 
| Body Composition BMI | BMI (Body Mass index). Weight and height will be combined to report BMI in kg/m^2 | Baseline (one measurement) | 
| Equilibrioception (balance) | Equilibrioception evaluation by Berg´s balance scale. 14 different part and scale in every part 0 to 4. Count together and whole test range 0 to 56. (Higher is better) | Baseline (one measurement) | 
| Abs strength | Abs strength assessed by 30 seconds sit-ups (amount) | Baseline (one measurement) |