COVID-19 is an emerging, rapidly evolving situation.
Get the latest public health information from CDC:

Get the latest research information from NIH: Menu

Home Exercise Intervention in Persons With Multiple Sclerosis (HOMS)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01824550
Recruitment Status : Completed
First Posted : April 4, 2013
Last Update Posted : September 26, 2019
Information provided by (Responsible Party):
Bo Fernhall, University of Illinois at Chicago

Brief Summary:
The objective of this study is to determine the effect of home-based, aerobic exercise training on subclinical atherosclerosis and mobility disability in persons with Multiple Sclerosis (MS). Our central hypothesis is that aerobic exercise training reduces both subclinical atherosclerosis and mobility disability.

Condition or disease Intervention/treatment Phase
Multiple Sclerosis Other: home-based exercise training condition Not Applicable

Detailed Description:

This study will use a two-arm randomized control trial (RCT) design to examine the effect of a home-based exercise training program versus a minimal exercise, attention control condition on markers of subclinical atherosclerosis and mobility disability in persons with MS. The primary outcomes will be subclinical atherosclerosis including measures of arterial structure and function and measures of mobility disability including the six-minute walk and timed 25-foot walk, GaitRite walking assessment and one week of accelerometry data.

Fifty-four persons with MS who have an Expanded Disability Status Score (EDSS) score between 0 and 4.0 will be randomized into either the home-based exercise training condition or the attention control condition. Participation in this study will include a 3-month exercise program to be completed at home. In addition, participants will need to come to University of Illinois at Chicago (UIC) three times to undergo testing. Each visit will take about 3-4 hours to complete. Testing that will take place during these three visits include blood pressure measurement, six vascular (artery) measurements, heart measurements, short walking tests, peak aerobic capacity test, blood draw, five quality of Life questionnaires and two cognitive function tests.

The home-based exercise regimen will include cycle ergometry as an aerobic mode of training 3 times per week with a gradual progression of duration and intensity across a 12-week period. Exercise prescription will be based on the peak aerobic capacity cycling test conducted during the first visit. The attention control will involve stretching using the same frequency and duration across a 12-week period with exercises recommended by the National Multiple Sclerosis Society (NMSS). Both arms will receive weekly internet "coaching" sessions via video chatting.

Subclinical atherosclerosis and mobility disability data will be collected before, after 6 weeks of training and immediately after the 12-week intervention.

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 59 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Exercise, Subclinical Atherosclerosis and Walking Mobility in Multiple Sclerosis
Actual Study Start Date : November 13, 2012
Actual Primary Completion Date : September 7, 2017
Actual Study Completion Date : September 7, 2018

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: home-based exercise training condition
Home based endurance exercise training
Other: home-based exercise training condition
Home based endurance exercise training

No Intervention: attention control condition
Attention control condition - home based flexibility training

Primary Outcome Measures :
  1. Subclinical atherosclerosis [ Time Frame: 3 months ]
    This will me measured through carotid intima media thickness, flow mediated dilation of forearm, and aortic pulse wave velocity

Secondary Outcome Measures :
  1. Mobility disability [ Time Frame: 3 months ]
    This will be measured by the 6-min walk, 25 ft walk, the "Get-up-and-go" test and by gait characteristics.

Other Outcome Measures:
  1. Disease state, and fatigue [ Time Frame: 3 months ]
    This will be measured via questionnaires

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

Layout table for eligibility information
Ages Eligible for Study:   18 Years to 70 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • physically inactive
  • BMI<40
  • 1st stage of MS (i.e., defined as EDSS score of 0 - 4.0)
  • independently ambulatory (walking without an assistive device such as a cane or orthotic)
  • relapse free in the past 30 days
  • confirmed diagnosis of MS
  • asymptomatic (i.e., no underlying clinically diagnosed cardiovascular disease)
  • be on a stable disease modifying therapy
  • physician approval for undertaking exercise testing and training

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01824550

Layout table for location information
United States, Illinois
University of Illinois at Chicago
Chicago, Illinois, United States, 60612
Sponsors and Collaborators
University of Illinois at Chicago
Layout table for investigator information
Principal Investigator: Bo Fernhall, PhD University of Illinois at Chicago

Layout table for additonal information
Responsible Party: Bo Fernhall, Dean and Professor, University of Illinois at Chicago Identifier: NCT01824550    
Other Study ID Numbers: 2012-0836
RG 4702A1/2 ( Other Grant/Funding Number: NMSS )
First Posted: April 4, 2013    Key Record Dates
Last Update Posted: September 26, 2019
Last Verified: September 2019
Additional relevant MeSH terms:
Layout table for MeSH terms
Multiple Sclerosis
Pathologic Processes
Demyelinating Autoimmune Diseases, CNS
Autoimmune Diseases of the Nervous System
Nervous System Diseases
Demyelinating Diseases
Autoimmune Diseases
Immune System Diseases