ARMS-MG / PROJECT

About the research

The project studies how the autonomic nervous system responds to everyday physiological and cognitive demands in people with multiple sclerosis and myasthenia gravis.

What we aim to learn

The primary aim is to compare autonomic responses in people with multiple sclerosis or myasthenia gravis with healthy participants during orthostatic and cognitive challenges. The study will also examine associations with fatigue and anxiety.

Study approach

The study plans to include 100 people with multiple sclerosis, 50 with myasthenia gravis and 50 healthy participants. It combines clinical and psychometric assessments with functional autonomic tests. Selected molecular analyses are also planned for the multiple sclerosis group.

Methods for assessing the autonomic nervous system

The study combines several non-invasive and standardised measurements to assess autonomic function from different perspectives.

Cardiovascular function

The Task Force Monitor records cardiovascular responses. Assessment includes the Ewing battery of tests and heart rate variability (HRV) analysis.

Sudomotor function

Q-Sweat assesses postganglionic sympathetic cholinergic function, while SUDOSCAN measures electrochemical skin conductance associated with sweat gland function.

Pupillomotor function

Pupillometry non-invasively records pupil size and its response to light, which are jointly controlled by the sympathetic and parasympathetic systems.

Urogenital function

A bladder ultrasound scanner quickly and non-invasively measures post-void residual urine and supports assessment of autonomic bladder control.

Room used for functional testing of the autonomic nervous system
Functional autonomic testing room
Q-Sweat device, electrode placement on the forearm and sweat measurement capsule
Q-Sweat system for sudomotor function assessment

Work packages

  1. Project coordination and data management
  2. Recruitment and clinical characterization
  3. Functional assessment of autonomic reserve
  4. Molecular analysis
  5. Data integration and dissemination

This overview is based on the project application. Implementation and participation depend on the approved study protocol.