Telerehabilitation in Multiple Sclerosis
The Italian Network of Telerehabilitation: Evaluation of Telerehabilitation System for Continuum of Care in Multiple Sclerosis
What it found
A paper reports the results; we have not read it yet. See Papers below.
What was tested
Treatment tested
- VRRS Khymeia
- VRRS Khymeia plus active tDCS
Compared with
- Usual care program
Placebo
- VRRS Khymeia plus placebo tDCS
What it measured
Main measures
Change in measure of quality of life
Baseline up to 6 weeks and 6 months
Thinking and memoryBladder, bowel and sexual functionPainQuality of life (reported by participants)
Other measures (9)
Change in balance
Baseline up to 6 weeks and 6 months
Walking and mobilityChange in gait
Baseline up to 6 weeks and 6 months
Walking and mobilityChange gross manual dexterity
Baseline up to 6 weeks and 6 months
Arm and hand functionChange in global cognitive status
Baseline up to 6 weeks and 6 months
Thinking and memoryChange cognitive status
Baseline up to 6 weeks and 6 months
Thinking and memoryChange in fatigue
Baseline up to 6 weeks and 6 months
FatigueChange in Emotional Traits
Baseline up to 6 weeks and 6 months
Change in Behavioral (depression)
Baseline up to 6 weeks and 6 months
Mood and sleepChange in Behavioral (anxiety)
Baseline up to 6 weeks and 6 months
Mood and sleep
Who could take part
MS (type not specified) · 25 to 70
Show the full criteria
Inclusion criteria
* Confirmed diagnosis of Multiple Sclerosis (RR and SP) based on McDonald criteria * Education ≥ 8 ages * Italian mother language * Right-handedness * Use of corticosteroids for three months prior to the study, having and no acute exacerbations of symptoms within three months of the study.
Exclusion criteria
* Existence of visual acuity and acoustic perception problems, to prevent performance of VRRS activities * Relapses next to the time of enrolment (3 months) * EDSS > 6.5.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
The main aim of the study is to evaluate the efficacy of the Virtual Reality Rehabilitation System (VRRS, Khymeia) compared to usual care treatment for patients with MS at home. The effects of the intervention on outcome variables will be assessed using a randomized controlled trial design with a comparison group receiving usual care training. The investigators will assess the effect of VRRS system on the quality of life, motor, and cognitive abilities. (Phase I) In the second phase of the present study we aim to evaluate the effects induced by the treatment of active (anodal) transcranial Direct Current Stimulation (tDCS) applied to the left dorsolateral prefrontal cortex (lDLPFC) combined with VRRS compared to placebo tDCS stimulation combined with VRRS. The effects of the intervention patient-relevant outcomes will be assessed using a randomized controlled trial design with four groups. The investigators will assess the effect of VRRS system on patient-relevant outcomes motor, cognitive and participation. (Phase II)
Papers
Results
Effects of home-based virtual reality telerehabilitation system in people with multiple sclerosis: A randomized controlled trial.J Telemed Telecare · 2024
Background
Di Tella S, Pagliari C, Blasi V, Mendozzi L, Rovaris M, Baglio F. Integrated telerehabilitation approach in multiple sclerosis: A systematic review and meta-analysis. J Telemed Telecare. 2020 Aug-Sep;26(7-8):385-399. doi: 10.1177/1357633X19850381. Epub 2019 May 27.
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History
Started
Feb 2018
Main results due
Dec 2018
Finished
Jun 2024