Telerehabilitation vs Supervised Exercises in MS

Istanbul University

Status: Completed

Conditions: Multiple Sclerosis

Treatments: Behavioral: Structured Supervised Exercise; Behavioral: Structured telerehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT04413682

MS-TeleRehab2019

Details and patient eligibility

About

Multiple sclerosis (MS) is a complex neurodegenerative autoimmune disease. People with MS (PwMS) have low quality of life (QoL) and activities of daily living (ADL). Exercise is a safe and effective rehabilitation tool for PwMS. A structured and personalized exercise program can improve physical fitness, functional capacity, quality of life and modifiable disorders in PwMS. On the other hand, Telerehabilitation is an alternative rehabilitation method in PwMS. The purpose of this study is to investigate the effectiveness of exercise programs and telerehabilitation on ADL and QoL in PwMS, and compare the effects of supervised exercise and home-based exercise programs for the PwMS.

Full description

Participants are randomly assigned to the structured supervised exercise or structured home-based groups. Interventions in Group 1 (n=15) includes one session per day, 3 days a week over a 12-weeks structured exercise program under the supervision of a physical therapist. Group 2 (n=15) includes a 12-week structured home-based exercise program checked and controlled through telerehabilitation three times a week. All measurements pre-post intervention.

Enrollment: 30 patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

patients with:

1. Stable period at the time of application to the clinic
2. Expanded Disability Status Scale Levels between 2 - 6.5
3. Appropriate cognitive level to understand the exercises
4. No diseases to affect their participation in exercise programs

Exclusion criteria

patients with:

1. Poorly controlled diabetes, hypertension or other medical conditions to be incompatible with study participation,
2. A new history of previous attacks
3. No reliable informed consent

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Supervised Exercise Group

Experimental group

Description:

One session per day, 3 days per week over a 12-weeks structured exercise program under supervision of a physical therapist.

Treatment:

Behavioral: Structured Supervised Exercise

Telerehabilitation Group

Experimental group

Description:

One session per day, 3 days per week over a 12-weeks structured exercise program through Telerehabilitation

Treatment:

Behavioral: Structured telerehabilitation