Remote Physiotherapy to Protect Physical Health in Duchenne Muscular Dystrophy: Telerehabilitation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Modified Upper Extremity Performance Test
研究概览
简要总结
Duchenne Muscular Dystrophy (DMD) is a progressive genetic neuromuscular disease characterized by progressive loss of motor function, respiratory failure, and cardiomyopathy required regular physiotherapy. With the outbreak of the pandemic rehabilitation centers that make up the weekly physiotherapy routine of children with disabilities have slowed down or even stopped their activities. So DMD who have additional diseases such as respiratory muscle weakness, spinal deformity, obesity, and cardiac dysfunction have also been negatively affected. The 'telerehabilitation' method, which is well planned and prepared for the abilities and needs of patients and caregivers, is seen as a good option at this point.
Studies, reporting the feasibility and safety of telerehabilitation in joint replacement, multiple sclerosis, and post-operative conditions, report that the length of stay was reduced, there was access to the same level of service regardless of the distance, and there was no travel cost. Despite these advantages, the framework and applicability of telerehabilitation programs have been investigated limited and not focused on effectiveness of telerehabilitation in patients with DMD.
According to the current knowledge, telerehabilitation in DMD is a subject that needs to be investigated in terms of its benefits. So, in this study, it was aimed to show the telerehabilitation's feasibility and its effects on performance level, endurance, fall frequency, pulmonary functions, and satisfaction level with the program in individuals with DMD.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 5 Years 至 26 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Able to communicate verbally and visually,
- •Older than 5 years old
排除标准
- •Individuals who had undergone any surgical operations in the past 6 months,
- •Had a severe cognitive and breathing impairment,
- •Using mechanical ventilator continually or intermittent,
- •Having febrile infection
结局指标
主要结局
Modified Upper Extremity Performance Test
时间窗: Change from baseline at 8 weeks
Flexion the shoulder to 90 degrees, flexion the shoulder above 90 degrees (above eye level), abduction of the shoulder 90 degrees, abduction of the shoulder above 90 degrees, doing the same movements with weight, bringing the empty glass to the mouth in a sitting position, bringing the full glass to the mouth were evaluated. It was scored as 0 point (cannot), 1 point (can do with compensation), 2 points (does independently). In addition, the time to pick up 5 coins (50 cents size coin or similar) on the table with one hand was recorded .
Endurance
时间窗: Change from baseline at 8 weeks
Number of times the individuals can flexed and extend their knees in a sitting position for 30 seconds. Also, the number of elbow flexion/extension was recorded
次要结局
- Frequency of falling(Change from baseline at 8 weeks)
- 10 Meter (m) Walking Test(Change from baseline at 8 weeks)
- Stand Up from the Supine Position Test(Change from baseline at 8 weeks)
- Patient Satisfaction Survey(After 8 weeks)
- Brooke Upper Extremity Scale(Change from baseline at 8 weeks)
- Brooke Lower Extremity Scale(Change from baseline at 8 weeks)
- Single Breath Count (SBC)(Change from baseline at 8 weeks)
研究者
Mustafa Sarı
Research Assistant
Lokman Hekim Üniversitesi