Physiotherapist-guided Home Exercise in Moderate to Severe MS
Physiotherapist-guided Home Exercise in Moderate to Severe Multiple Sclerosis
What it found
A paper reports the results; we have not read it yet. See Papers below.
What was tested
Treatment tested
- Physiotherapist-guided home exercise with web-based support
Compared with
- Physiotherapist-guided home exercise with standard support
What it measured
Main measures
Adherence to prescribed exercise program
6 months
Physical functionQuality of life (reported by participants)
Other measures (8)
Injury or fall
6 months
Walking and mobilityPainMultiple Sclerosis Impact Scale (MSIS29 v.2)
6 months
Godin Leisure Time Exercise Questionnaire (GLTEQ)
6 months
Physical functionGrip strength measured on hand dynamometer
6 months
Arm and hand functionPhysical functionTimed 25-Foot Walk Test
6 months
Disability progressionWalking and mobilityTimed Up and Go
6 months
Walking and mobilityFIM (R) instrument
6 months
VisionHospital Anxiety and Depression Scale
6 months
Mood and sleep
Who could take part
MS (type not specified) · 18 and over
Show the full criteria
Inclusion criteria
* diagnosed with MS * moderate to severe disability (PDDS 2-7) * able to access the internet in your current living environment
Exclusion criteria
* already doing structured exercise more than once per week * residing >300km from Saskatoon (unless able to travel to Saskatoon for the appointments) * unable to understand the intent and process of this study
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
Physical activity is a crucial component to wellness and is associated with multiple health benefits. Persons with MS may find it challenging to participate in regular physical activity or exercise, which is activity done to improve health and/or fitness. This research will test an innovative web-based intervention to help persons with moderate-to-severe disability manage their condition through a maintenance exercise program with specialized physiotherapist guidance and support. The researchers will examine adherence to the web-based physiotherapy program compared to standard physiotherapy care. Forty-five people with MS will be randomly assigned to the web group or standard care group at a rate of 2:1. Participants in the web group will receive supported and individualized web-based physiotherapy. Participants in the standard care group will receive a written exercise program. Regular participation (adherence) in the exercise programs will be evaluated in both groups over six months. The research will also examine participant satisfaction with the programs, safety, MS symptoms, and physical function. A web-based approach may be widely accessible to persons with MS in their own homes and could support long-term participation in physical activity important to wellness.
Papers
Results
Physiotherapist and participant perspectives from a randomized-controlled trial of physiotherapist-supported online <i>vs.</i> paper-based exercise programs for people with moderate to severe multiple sclerosis.Disabil Rehabil · 2023
Results
Donkers SJ, Nickel D, Paul L, Wiegers SR, Knox KB. Adherence to Physiotherapy-Guided Web-Based Exercise for Persons with Moderate-to-Severe Multiple Sclerosis: A Randomized Controlled Pilot Study. Int J MS Care. 2020 Sep-Oct;22(5):208-214. doi: 10.7224/1537-2073.2019-048. Epub 2020 Jan 8.
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History
Started
Mar 2017
Main results due
Oct 2018
Finished
Oct 2018