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The Effect of Internal- or External-Focused Exercise Training, Administered in Conjunction With a Cognitive Task, on Walking, Balance, and Cognitive Functions in Individuals With Multiple Sclerosis

RecruitingNAAges 18 Years - 65 YearsAllKutahya Health Sciences University
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In plain words

What the trial is, and whether it could suit you

This interventional clinical trial aims to investigate the effects of internal and external focus-based exercise training combined with cognitive dual-task training in individuals diagnosed with multiple sclerosis. The primary objective is to determine whether these exercise approaches improve gait, balance, and cognitive functions. The main research questions are: Does dual-task training combined with internal focus-based exercises improve gait, balance, and cognitive performance? Does dual-task training combined with external focus-based exercises lead to greater improvements compared to internal focus strategies? Participants will be divided into two groups, and the researchers will compare the effects of internal focus-based and external focus-based dual-task exercise training on functional outcomes. Participants will: Perform structured exercise sessions under the supervision o

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📋 Eligibility rules (as published)
Inclusion Criteria: * Diagnosis of Multiple Sclerosis according to the revised McDonald criteria * Aged between 20 and 60 years * Ability to understand and follow simple instructions * Ability to stand and walk independently or with an assistive device * Ability to speak and understand Turkish * Score of ≥21 on the Montreal Cognitive Assessment (MoCA) * Willingness to participate in the study Exclusion Criteria: * MS relapse within the last 30 days * Presence of any other neurological disease besides Multiple Sclerosis * Any musculoskeletal condition that may affect walking or balance * History of uncontrolled cardiorespiratory conditions within the last 3 months (e.g., hypertension, arrhythmia, tachycardia, or acute cardiopulmonary events) * Severe visual or hearing impairment
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What it tests

  • Internal Focus Dual-Task Training
  • External Focus Dual-Task Training
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Where

1 site
Kütahya Sağlık Bilimleri Üniversitesi, Sağlıklı Yaşam Fizyoterapi ve Rehabilitasyon Merkezi
Kütahya, Turkey (Türkiye)
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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