Home Rehabilitation as Continuity of Care in MS
"Tele-riabilitazione in Sclerosi Multipla: continuità Terapeutica Domiciliare Dopo Trattamento di Neuro-riabilitazione Intensiva, Studio Randomizzato Controllato Con Piattaforma Integrata Per la Riabilitazione Del Disequilibrio"
What it found
No result yet.
What was tested
Treatment tested
- Telerehabilitation
What it measured
Main measures
Feasibility
Home rehabilitation, from the end of the intensive treatment to the follow up evaluation (12 weeks)
SafetyFeasibility
Other measures (9)
Telehealthcare Satisfaction Questionnaire (TSQ)
From the end of the intensive treatment to the follow up evaluation (12 weeks)
Quality of life (reported by participants)Telehealthcare Usability Questionnaire (TUQ)
From the end of the intensive treatment to the follow up evaluation (12 weeks)
Quality of life (reported by participants)Timed Up and Go test (TUG)
From the end of the intensive treatment to the follow up evaluation (12 weeks)
Walking and mobilityTimed 10-Meter Walk Test
From the end of the intensive treatment to the follow up evaluation (12 weeks)
Walking and mobilityEquiscale test
From the end of the intensive treatment to the follow up evaluation (12 weeks)
Walking and mobility12-Item Multiple Sclerosis Walking Scale
From the end of the intensive treatment to the follow up evaluation (12 weeks)
Walking and mobilityMultiple Sclerosis Quality of Life Questionnaire-54 (MSQoL-54)
From the end of the intensive treatment to the follow up evaluation (12 weeks)
Thinking and memoryBladder, bowel and sexual functionPainQuality of life (reported by participants)Modified Fatigue Impact Scale (M-FIS)
From the end of the intensive treatment to the follow up evaluation (12 weeks)
Thinking and memoryFatiguePatient Health Engagement scale (PHE scale)
From the end of the intensive treatment to the follow up evaluation (12 weeks)
Who could take part
MS (type not specified) · 18 to 65
Show the full criteria
Inclusion criteria
* Expanded Disability Status Scale score between 3 and 6 * Sensory Organisation Test Equitest values indicating balance impairment
Exclusion criteria
* visual impairments * orthopedic impairments * inability to perform balance rehabilitation in stand up position
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
RCT pilot study to evaluate adherence, satisfaction and feasibility in the use of a telemedicine station for balance rehabilitation in patients with multiple sclerosis. The platform is designed as a tool for maintenance rehabilitation in a home setting and not as an alternative to intensive treatment in hospital, and is therefore compared to maintenance treatment as usual (TAU) after intensive treatment.
Papers
Background
Benzel E. Empowerment. World Neurosurg. 2022 Jan;157:xv. doi: 10.1016/j.wneu.2021.10.132. No abstract available.Background
Polman CH, Reingold SC, Banwell B, Clanet M, Cohen JA, Filippi M, Fujihara K, Havrdova E, Hutchinson M, Kappos L, Lublin FD, Montalban X, O'Connor P, Sandberg-Wollheim M, Thompson AJ, Waubant E, Weinshenker B, Wolinsky JS. Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria. Ann Neurol. 2011 Feb;69(2):292-302. doi: 10.1002/ana.22366.Background
Truijen S, Abdullahi A, Bijsterbosch D, van Zoest E, Conijn M, Wang Y, Struyf N, Saeys W. Effect of home-based virtual reality training and telerehabilitation on balance in individuals with Parkinson disease, multiple sclerosis, and stroke: a systematic review and meta-analysis. Neurol Sci. 2022 May;43(5):2995-3006. doi: 10.1007/s10072-021-05855-2. Epub 2022 Feb 17.Background
Yazgan YZ, Tarakci E, Tarakci D, Ozdincler AR, Kurtuncu M. Comparison of the effects of two different exergaming systems on balance, functionality, fatigue, and quality of life in people with multiple sclerosis: A randomized controlled trial. Mult Scler Relat Disord. 2020 Apr;39:101902. doi: 10.1016/j.msard.2019.101902. Epub 2019 Dec 21.Background
Cimino V, Chisari CG, Raciti G, Russo A, Veca D, Zagari F, Calabro RS, Patti F. Objective evaluation of Nintendo Wii Fit Plus balance program training on postural stability in Multiple Sclerosis patients: a pilot study. Int J Rehabil Res. 2020 Sep;43(3):199-205. doi: 10.1097/MRR.0000000000000408.Background
Celesti A, Cimino V, Naro A, Portaro S, Fazio M, Villari M, Calabro RS. Recent Considerations on Gaming Console Based Training for Multiple Sclerosis Rehabilitation. Med Sci (Basel). 2022 Feb 11;10(1):13. doi: 10.3390/medsci10010013.Background
Kim Y, Lai B, Mehta T, Thirumalai M, Padalabalanarayanan S, Rimmer JH, Motl RW. Exercise Training Guidelines for Multiple Sclerosis, Stroke, and Parkinson Disease: Rapid Review and Synthesis. Am J Phys Med Rehabil. 2019 Jul;98(7):613-621. doi: 10.1097/PHM.0000000000001174.Background
Garcia-Munoz C, Cortes-Vega MD, Heredia-Rizo AM, Martin-Valero R, Garcia-Bernal MI, Casuso-Holgado MJ. Effectiveness of Vestibular Training for Balance and Dizziness Rehabilitation in People with Multiple Sclerosis: A Systematic Review and Meta-Analysis. J Clin Med. 2020 Feb 21;9(2):590. doi: 10.3390/jcm9020590.Background
Donze C, Massot C. Rehabilitation in multiple sclerosis in 2021. Presse Med. 2021 Jun;50(2):104066. doi: 10.1016/j.lpm.2021.104066. Epub 2021 May 11.Background
Manjaly ZM, Harrison NA, Critchley HD, Do CT, Stefanics G, Wenderoth N, Lutterotti A, Muller A, Stephan KE. Pathophysiological and cognitive mechanisms of fatigue in multiple sclerosis. J Neurol Neurosurg Psychiatry. 2019 Jun;90(6):642-651. doi: 10.1136/jnnp-2018-320050. Epub 2019 Jan 25.
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History
Started
Nov 2024
Main results due
Nov 2025
Finished
Nov 2026