Telerehabilitation for Multiple Sclerosis (TRHBN)

University of Cadiz

Status: Completed

Conditions: Multiple Sclerosis

Treatments: Other: Exercise program; Other: Telerehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT06871072

v.1 -11/12/2023

Details and patient eligibility

About

Multiple sclerosis (MS) is a neurodegenerative disease affecting the central nervous system and is a leading cause of disability in young adults. It often produces strength deficits. Exercise has been shown to improve strength, mobility, and quality of life while reducing fatigue. Telerehabilitation offers a convenient, accessible alternative for MS patients. This study explores the use of an AI-powered application for prescribing and monitoring strength exercises, ensuring continuous feedback and adherence. Methods: Randomized clinical trial. Intervention of 3 weekly strength training ses-sions for 20 weeks, patients in the experimental group used the AI application, while patients in the control group followed the conventional method, paper-based exercises with access to videos.

Enrollment: 58 patients

Sex: All

Ages: 35 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Diagnosis of multiple sclerosis according to the McDonald criteria 2017:
• Age between 35 and 60 years.
• Score on the Expanded Disability Status Scale in Multiple Sclerosis by Kurtzke (EDSS) between 2 and 6 points.
• Patients who do not require assistive devices for home mobility.
• Patients with no changes in disease-modifying treatment in the last 3 months.
• Patients who have understood, completed, and signed the informed consent and the study information sheet.

Exclusion criteria

• Patients who have been regularly performing strength exercises for more than 3 months prior.
• Moderate/severe cognitive impairment that may interfere with the understanding and/or execution of the study.
• History of alcohol and/or drug abuse.
• Presence of a relapse and/or treatment with corticosteroids within the four weeks prior to the start of the study.
• Patients with severe comorbidities other than MS that may pose a risk for following the exercise guidelines or for their participation in the study for other reasons.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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58 participants in 2 patient groups

Telerehabilitation

Experimental group

Description:

EG performed using an artificial intelli-gence (AI) application called RehBody, which detects body segments, assists in cor-recting the technique and monitoring the exercise, number of sets and repetitions done, and the adherence percentage.

Treatment:

Other: Telerehabilitation

Control group

Active Comparator group

Description:

CG participants followed the exercise program and trained at home with images and videos as support.

Treatment:

Other: Exercise program