Music-Augmented Rhythmic Gait Training in Multiple Sclerosis
Trial Parameters
Brief Summary
This randomized controlled trial aims to compare the effects of technology-based rhythmic gait training performed with and without music on walking performance and clinical outcomes in individuals with multiple sclerosis (MS). Thirty-two participants with mild to moderate disability will be randomly assigned to either a music-assisted rhythmic gait training group or a non-music control group, with both interventions delivered via telerehabilitation. Outcomes related to gait performance, balance, fatigue, and cognitive function will be assessed before and after a four-week intervention period.
Eligibility 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)