Remote Physiotherapy Application to Protect Physical Health in Duchenne Muscular Dystrophy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 43
- Locations
- 2
- Primary Endpoint
- Functional level
Study Overview
Brief Summary
Duchenne Muscular Dystrophy (DMD) is a progressive inherited disease that affects the muscles and causes functional limitations to varying degrees. It is vital to start physiotherapy follow-ups immediately after diagnosis. Patients with DMD are among the most vulnerable groups who have problems in accessing physiotherapy services during the COVID-19 pandemic. The aim of the study was to investigate the effects of the telerehabilitation program developed to protect the physical health of patients with DMD and not to interrupt their follow-up.
Detailed Description
Forty two patients with DMD were included in the study. 30 of them were ambulant in group 1, and 12 were non-ambulant in group 2. Physiotherapy assessments were performed blindly before the program started. According to the functional levels of the individuals, 2 groups were formed. 9 physiotherapists applied the tele-rehabilitation program for 24 session (3 days in a week).
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 5 Years to — (Child, Adult, Older Adult)
- Sex
- Male
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Able to communicate verbally and visually
- •Older than 5 years old
Exclusion Criteria
- •The children who had undergone any surgical operations in the past 6 months,
- •Having a severe cognitive and breathing impairment
- •Using mechanical ventilator continually or intermittent
- •Having a febrile infection
Outcomes
Primary Outcomes
Functional level
Time Frame: Before the intervention, up to one month
Brooke Function Classification System
Socio-demographics
Time Frame: Before the intervention, up to one month
gender, body weight, height
Walking test (Before intervention)
Time Frame: Before the intervention, up to one month.
The distance of 10 m was determined in a suitable indoor environment.
Walking test (After intervention)
Time Frame: After the intervention, average two weeks.
The distance of 10 m was determined in a suitable indoor environment.
Time to stand up from the supine position (Before intervention)
Time Frame: Before the intervention, up to one month.
The time to stand up from the supine position was recorded.
Time to stand up from the supine position (After intervention)
Time Frame: After the intervention, average two weeks.
The time to stand up from the supine position was recorded.
Endurance (Before intervention)
Time Frame: Before the intervention, up to one month.
The number of knee extensions and elbow flexions they can do in sitting position in 30 seconds
Endurance (After intervention)
Time Frame: After the intervention, average two weeks.
The number of knee extensions and elbow flexions they can do in sitting position in 30 seconds
Pulmonary Dysfunction Test (Before intervention)
Time Frame: Before the intervention, up to one month.
Value when the patient counts audibly in a single expiration after maximum inspiratory effort
Modified upper extremity performance test (Before intervention)
Time Frame: Before the intervention, up to one month.
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
Modified upper extremity performance test (After intervention)
Time Frame: After the intervention, average two 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
Pulmonary Dysfunction Test (After intervention)
Time Frame: After the intervention, average two weeks.
Value when the patient counts audibly in a single expiration after maximum inspiratory effort
Secondary Outcomes
- Patient Satisfaction Survey(After the intervention average two weeks)
Investigators
Arzu ERDEN
Associate Professor
Karadeniz Technical University