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Intervention to Master Complex Fall Risk Situations in Persons With Multiple Sclerosis (STAR)
Intervention to Master Complex Fall Risk Situations in Persons With Multiple Sclerosis (STAR)

NCT07378566

Not Yet RecruitingNA

Sponsor: Region Örebro County

Conditions: Multiple Sclerosis, Fall

Interventions: Individual strategies

People with multiple sclerosis (MS) have a higher fall risk compared to older people and to the general population. A meta-analysis reported that 56% of those with mild to moderate MS, fell at least once during a 3-month period. The risk of falling seems to peak when the walking distance starts to be affected and when walking aids are introduced and the walking distance is as short as 100 m. Previous studies have identified a number of fall risk factors, both relating to MS- symptoms and contextual factors. In a study published in 2025, we reported the complexity of fallsituations and the interaction between triggering factors, contextual factors and activities and circumstances that occurred before the fall incidents . The symptoms when having MS varies between individuals as well as over time. I the planned randomised, controlled multicenter study we move forward, producing individual fallrisk analyses based upon the findings from the study published in 2025, and offer individual strategies. This has not been studied before. All participants will receive general information on how fall risk can be prevented. Those randomised to control group will be offered the intervention after ending of the study. The study will be conducted in two phases starting with an internal pilot study followed by a full scale randomized controlled trial (RCT).

Eligibility overview

Sex: ALL

Age: 18 Years to

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria
Inclusion Criteria:

* Diagnosed with MS
* Affected ability to walk du to MS according to the participant
* At least one self-reported fall the last 3 months due to MS according to the participant

Exclusion Criteria:

* Unable to walk 100m even with walking device and/or pauses.
* Apparently affected walking ability due to other conditions such as for example orthopedic or other neurological diseases.
* Difficulty to answer questionnaires written in Swedish