Investigation of the Effects of the Synchronized Telerehabilitation-based Upper Extremity Training Program on Hand-arm Function, Pain, Fatigue, Quality of Life, and Participation in People With Multiple Sclerosis
试验速览
- 阶段
- 不适用
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Nine-Hole Peg Test
研究概览
简要总结
In this studly, the effects of an 8-week telerehabilitation-based upper extremity training in persons with multiple sclerosis will be investigated.
详细描述
Multiple sclerosis is a chronic, progressive, and demyelinating disease of the central nervous system that affects more than 2.5 million people worldwide and is more common in young adults. The most common clinical signs and symptoms include motor dysfunction, fatigue, spasticity, cognitive impairment, chronic pain, depression, decreased quality of life, and bladder and bowel dysfunction.
66% of people with MS have impaired upper extremity function. As a result of the deterioration in upper extremity function, the performance of many daily living activities affects performance. In conclusion, there is a decrease in the functional independence of individuals, quality of life, and participation in activities in the community.
Telerehabilitation has been defined as "the delivery of rehabilitation services through information and communication technologies." Synchronized telerehabilitation provides the participant with advantages such as customized treatment, instant feedback, and a social environment such as face-to-face training. Telerehabilitation has proven to be a valuable modality for people with MS by increasing physical activity and reducing fatigue.
In terms of telerehabilitation-based upper extremity exercise training results, the MS population is deficient. Considering the importance of bilateral hand/arm function in daily life, this deficiency in the telerehabilitation-based training effect is eliminated.
For this reason, the results of this study, which will be created for the development of upper extremity telerehabilitation strategies in MS patients, will aim to improve the hand/arm function and fine motor skills of people with MS, aiming to increase the quality of life of individuals and to participate more actively in society.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Having a definitive diagnosis of MS according to the 2017 McDonald criteria
- •Being over 18 years old
- •Having answered yes to the question "Do you experience restriction in your hand-arm function and fine motor skills while performing your functional activities in daily life, and does this restriction limit your activities?"
- •To have sufficient computer knowledge or to have a relative who can help in this regard to participate in the study for people with MS in the telerehabilitation group
- •Having a computer and active internet connection at home for individuals with MS in the telerehabilitation group
- •To be willing to participate in the study.
排除标准
- •Having a neurological disease other than MS
- •Having a relapse 30 days before or during the study
- •Having an orthopedic problem that may affect the function of the upper extremity
- •Cognitive disability at a level that hinders assessment and treatment.
结局指标
主要结局
Nine-Hole Peg Test
时间窗: Change from Baseline at 8 weeks
The Nine-Hole Peg Test measures finger dexterity.
次要结局
- Impact of Participation and Autonomy Questionnaire(Change from Baseline at 8 weeks)
- Sensewear Armband(Change from Baseline at 8 weeks)
- Arm Function in Multiple Sclerosis Questionnaire(Change from Baseline at 8 weeks)
- Preference-based Multiple Sclerosis Index(Change from Baseline at 8 weeks)
- Expanded Disability Status Scale(Baseline)
- Jamar Hand Dynamometer(Change from Baseline at 8 weeks)
- The Modified Fatigue Impact Scale - 5(Change from Baseline at 8 weeks)
- Brief Pain Inventory-Short Form(Change from Baseline at 8 weeks)
- Global Perceived Effect Scale(At 8 weeks)
研究者
Turhan Kahraman
Principal Investigator
Izmir Katip Celebi University