Home Exercise Telerehabiliation for MS
- Conditions
- Multiple Sclerosis
- Interventions
- Other: TelerehabilitationOther: Standard treatment
- Registration Number
- NCT03655431
- Lead Sponsor
- Shane.Chanpimol
- Brief Summary
The primary purpose of this study is to evaluate the effects of an individualized telerehabilitation program on mobility, fatigue, and quality of life for Veterans with MS. The secondary purpose was to assess adherence to exercise recommendations and overall satisfaction with the intervention.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 10
- Clinical diagnosis of MS based on the McDonald criteria
- Expanded Disability Status Scale (EDSS) of 3.0 - 6.5
- Cognitive ability (Montreal Cognitive Assessment score >23/30)
- Physician clearance for exercise participation
- Physical therapy referral
- MS-related exacerbation within last 3 months
- Unstable cardiac or pulmonary disease
- Active substance abuse
- Uncontrolled seizures
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Telerehabilitation Standard treatment Physical therapists will develop an individualized program lasting 12 weeks depending on the needs of a given patient. Veterans will be seen 1 day/week via clinical video teleconferencing (CVT) for treatment. The rehabilitation protocol will last approximately 30 minutes with activities that are individualized to meet the participant's needs (range of motion, balance, strengthening, endurance, and functional activities). Patients assigned to telerehabilitation will utilize the VITAL rehab unit with Jintronix exercise package. Exercises, progression and rest periods will be administered and adjusted remotely by the physical therapist using a web-based clinical portal. Telerehabilitation Telerehabilitation Physical therapists will develop an individualized program lasting 12 weeks depending on the needs of a given patient. Veterans will be seen 1 day/week via clinical video teleconferencing (CVT) for treatment. The rehabilitation protocol will last approximately 30 minutes with activities that are individualized to meet the participant's needs (range of motion, balance, strengthening, endurance, and functional activities). Patients assigned to telerehabilitation will utilize the VITAL rehab unit with Jintronix exercise package. Exercises, progression and rest periods will be administered and adjusted remotely by the physical therapist using a web-based clinical portal.
- Primary Outcome Measures
Name Time Method Multiple Sclerosis Walking Scale-12 (MSWS-12) Change after 12-week intervention This questionnaire has 12 items and measures self-reported walking ability in MS. The questions assess the limitations of a patient's walking due to MS during the past 2 weeks. Each item ranges from 1 to 5 and the higher the sum, the more severe the degree of limitation.
- Secondary Outcome Measures
Name Time Method Short Physical Performance Battery (SPPB) Change after 12-week intervention The test involves assessments of clinician rated strength tests of standing balance, timed 3 meter walk, and five chair rise repetitions. The rating scale starts at "0" indicating no performance or low performance ranging to as score of "4" indicating high performance. The rating scale ranges from 0 to 12.
25-Foot Walk Test (25FWT) Change after 12-week intervention The patient is instructed to walk 25 feet as fast as safely possible. Scoring the 25FW is the average of 2 trials that are performed consecutively. If necessary, assistive devices are allowed to be used.
Veteran Rand 12 Quality of Life Measure (VR-12) Change after 12-week intervention This 12-item questionnaire has eight principal physical and mental health domains including general health perceptions, physical functioning, role limitations due to physical and emotional problems, bodily pain, energy-fatigue, social functioning, and mental health. The 12 items is summarized into two sub-scores measuring physical health and mental health.
Modified Fatigue Impact Scale (MFIS) Change after 12-week intervention This is a standard measure used to measure fatigue. The scale consists of 21 items, with 10 items related to mental fatigue, and 11 items relating to physical and social fatigue. The scoring ranges between 0 and 82, a high score reflecting greater impact.
Trial Locations
- Locations (1)
Washington DC VAMC
🇺🇸Washington, District of Columbia, United States