Effects of Torso Weighting on Muscle Activation During Balance Tests in Individuals With and Without Multiple Sclerosis

Last updated: May 11, 2025
Sponsor: University of St. Augustine for Health Sciences
Overall Status: Active - Recruiting

Phase

N/A

Condition

Multiple Sclerosis

Memory Loss

Scar Tissue

Treatment

balance based torso weighting

Clinical Study ID

NCT06981013
23-1101-275
  • Ages 18-75
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

Rationale: The Balance-Based Torso-Weighting (BBTW) is a patented evaluation system that uses strategic placement of small or lightweight weights on the trunk to improve balance and stability. BBTW has been found to improve the upright mobility of people with multiple sclerosis, however the mechanism underlying the improvement of balance and gait is still unknown.1-2 Purpose: The purpose of this study is to investigate the immediate effects of BBTW on muscle activation of tibialis anterior and gastrocsoleus and sway using electromyography and force plates during balance tests in people with MS and healthy controls?

Eligibility Criteria

Inclusion

Inclusion Criteria for Individuals with Multiple Sclerosis group:

  • self-reported diagnosis of multiple sclerosis (MS)

  • age 18 to 75 years old

  • able to communicate in English

  • able to provide informed consent

  • able to tolerate up to three hours of testing with rest breaks

  • able to walk 20 meters with or without assistive device and without resting (equivalent to Expanded Disability Status Scale of 6.5 or less).

Inclusion criteria for the Healthy Control group:

  • able to communicate in English

  • able to provide informed consent

  • physical criteria that matched each participant with MS which included age (within 7 years), height (within 12.7 cm [5 in]), mass (within 9.1 kg [20 lb]) and sex.

Exclusion Criteria for Individuals with Multiple Sclerosis group:

  • exacerbation of MS within the past two months

  • had a diagnosis of a concurrent neurological disorder (head injury, stroke, Parkinson's disease, etc.)

  • reported pain that could be exacerbated by external perturbations during standing.

Exclusion Criteria for Healthy control group:

  • Known diagnoses

  • current pain that could affect balance.

Study Design

Total Participants: 40
Treatment Group(s): 1
Primary Treatment: balance based torso weighting
Phase:
Study Start date:
March 01, 2025
Estimated Completion Date:
December 31, 2026

Study Description

Research Questions:

Question #1 - Is there a difference in EMG within postural muscles (tibialis anterior and gastrocsoleus) and between healthy and MS when not wearing weighted vest with eyes open? Question #2 - Is there a difference in EMG within postural muscles (tibialis anterior and gastrocsoleus) and between healthy and MS when not wearing weighted vest with eyes closed? Question #3 - Is there a difference in EMG within postural muscles (tibialis anterior and gastrocsoleus) and between healthy and MS when wearing weighted vest eyes open? Question #4 - Is there a difference in EMG within postural muscles (tibialis anterior and gastrocsoleus) and between healthy and MS when wearing weighted vest eyes closed? Question #5 - Is there a difference in SWAY within postural muscles (tibialis anterior and gastrocsoleus) and between healthy and MS when not wearing weighted vest with eyes open? Question #6 - Is there a difference in SWAY within postural muscles (tibialis anterior and gastrocsoleus) and between healthy and MS when not wearing weighted vest with eyes closed? Question #7 - Is there a difference in SWAY within postural muscles (tibialis anterior and gastrocsoleus) and between healthy and MS when wearing weighted vest eyes open? Question #8 - Is there a difference in SWAY within postural muscles (tibialis anterior and gastrocsoleus) and between healthy and MS when wearing weighted vest eyes closed? Research Design: Quasi-experimental design

Connect with a study center

  • University of St. Augustine for Health Sciences

    Saint Augustine, Florida 32086
    United States

    Active - Recruiting

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