Comparison of the Effects of Internet-Based and Supervised Exercise Programs in People With Multiple Sclerosis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 34
- Locations
- 3
- Primary Endpoint
- 2 Minutes Walk Test (2MWT) (The change between the initial value and the value after 2 months will be evaluated).
Study Overview
Brief Summary
The main aim of this study is resarch and compare the effects of supervised exercise programs and internet-based exercise programs, which have started to benefit from their effects in recent years, known for not requiring conditions such as transportation distance, cost and time, on motor disorders and quality of life in people with multiple sclerosis (MS). This study conducting for develop a new perspective on conventional physiotherapy and rehabilitation practices. Our study will be performed in people with MS with a high EDSS score, is seen as an important contribution for the literature.
Detailed Description
The groups were included in exercise programs of 16 sessions in total, twice a week for 8 weeks. Exercise programs will consist of warm-up, aerobic exercises, strengthening exercises, balance exercises, breathing exercises, cooling and relaxation exercises. Exercise programs will be created by the physiotherapist and arranged every 2 weeks according to the patients' conditions. Patients who do not participate in the program 2 times in a row will be excluded from the study.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None (Participant)
Masking Description
Statistical analyses were performed by a statistician blinded to group allocation.
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Diagnosed with MS by a neurologist
- •Being between ages of 18-65
- •Not having had an attack in the last 3 months
- •The score of Expanded Disability Status Scale (EDSS) is 5.5- 7.5
- •Not participating in a another physiotherapy and rehabilitation program
- •Having internet access
Exclusion Criteria
- •Pregnancy
- •Severe cognitive impairment that effects participating to rehabilitation
- •The cardiopulmonary disease that will prevent aerobic exercise
- •Having a major hearing and/or vision problem
- •Having a major speech disorder
Arms & Interventions
Group II
Patients who are in the internet-based exercise program group will register cite ''https://www.telenororehab.com /'' which is web- based physiotherapy program for exercises.
Intervention: Internet Based Exercise Program Group (Other)
Group I
The treatment sessions will be terminated by performing relaxation exercises combined with stretching and breathing exercises.
Intervention: Supervised Exercise Program Group (Other)
Outcomes
Primary Outcomes
2 Minutes Walk Test (2MWT) (The change between the initial value and the value after 2 months will be evaluated).
Time Frame: Baseline and end of weeks 8.
This test is performed for the assessment of walking endurance. The patient is informed about the test before starting the test. The distance that a person walks along a 25-meter corridor in 2 minutes is calculated in meters. During the test, patients who have tiredness and shortness of breath can have a rest.
Secondary Outcomes
- Timed 25- Foot Walk (T25- FW) (The change between the initial value and the value after 2 months will be evaluated).(Baseline and end of weeks 8.)
- Timed Get up and Go Test (TUG) (The change between the initial value and the value after 2 months will be evaluated).(Baseline and end of weeks 8.)
- Modified Falls Efficacy Scale (MFES) (The change between the initial value and the value after 2 months will be evaluated).(Baseline and end of weeks 8.)
- Multiple Sclerosis International Quality of Life Questionnaire (MusiQoL) (The change between the initial value and the value after 2 months will be evaluated).(Baseline and end of weeks 8.)
- The Multiple Sclerosis Impact Scale (MSIS- 29) (The change between the initial value and the value after 2 months will be evaluated).(Baseline and end of weeks 8.)
- 5 Times Sit to Stand Test (5TSTS) (The change between the initial value and the value after 2 months will be evaluated).(Baseline and end of weeks 8.)
- Fatigue Severity Scale (FSS) (The change between the initial value and the value after 2 months will be evaluated).(Baseline and end of weeks 8.)
- 12 Item MS Walking Scale (MSWS- 12) (The change between the initial value and the value after 2 months will be evaluated).(Baseline and end of weeks 8.)
- Canadian Occupational Performance Measure (COPM) (The change between the initial value and the value after 2 months will be evaluated).(Baseline and end of weeks 8.)
- Berg Balance Scale (BBS) (The change between the initial value and the value after 2 months will be evaluated).(Baseline and end of weeks 8.)
Investigators
Tahire Basak Demir
Principal Investigator
Istanbul University - Cerrahpasa