A randomized, controlled, single-blind, 6-month pilot study to evaluate the efficacy of MS-Line!: a cognitive rehabilitation programme for patients with multiple sclerosis

Mult Scler. 2015 Sep;21(10):1332-43. doi: 10.1177/1352458515572405. Epub 2015 Feb 25.

Abstract

Background: MS-Line! was created to provide an effective treatment for cognitive impairment in multiple sclerosis (MS) patients.

Objective: To assess the efficacy of MS-Line!.

Methods: A randomized, controlled, single-blind, 6-month pilot study. Patients were randomly assigned to an experimental group (cognitive rehabilitation with the programme) or to a control group (no cognitive rehabilitation). Randomization was stratified by cognitive impairment level. Cognitive assessment included: selective reminding test, 10/36 spatial recall test (10/36 SPART), symbol digit modalities test, paced auditory serial addition test, word list generation (WLG), FAS test, subtests of WAIS-III, Boston naming test (BNT), and trail making test (TMT).

Results: Forty-three patients (22 in the experimental group, 21 in the control group) were analyzed. Covariance analysis showed significant differences in 10/36 SPART (P=0.0002), 10/36 SPART delayed recall (P=0.0021), WLG (P=0.0123), LNS (P=0.0413), BNT (P=0.0007) and TMT-A (P=0.010) scores between groups.

Conclusions: The study showed a significant improvement related to learning and visual memory, executive functions, attention and information processing speed, and naming ability in those patients who received cognitive rehabilitation. The results suggest that MS-Line! is effective in improving cognitive impairment in MS patients.

Keywords: MS-Line!; Multiple sclerosis; brief repeatable battery of neuropsychological tests; cognitive impairment; cognitive rehabilitation tools; neurorehabilitation.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cognition Disorders / rehabilitation*
  • Cognition Disorders / therapy
  • Female
  • Humans
  • Learning / physiology*
  • Male
  • Memory / physiology*
  • Mental Recall / physiology*
  • Middle Aged
  • Multiple Sclerosis / psychology
  • Multiple Sclerosis / rehabilitation*
  • Multiple Sclerosis / therapy*
  • Neuropsychological Tests
  • Pilot Projects
  • Single-Blind Method
  • Young Adult