Telerehabilitation in Duchenne Muscular Dystrophy

Not Applicable

Completed

• Conditions: Duchenne Muscular Dystrophy
• Interventions: Other: Telerehabilitation

• Registration Number: NCT05305976
• Lead Sponsor: Karadeniz Technical University

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 Timeline

• Study Start: 2021-01-11
• Primary Completion: 2021-11-15
• Study Completion: 2022-01-01
• Status Verified: 2022-03
• Study First Submitted: 2022-03-14
• Study First Submitted QC: 2022-03-23
• Last Update Submitted: 2022-03-23
• Study First Posted: 2022-03-31
• Last Update Posted: 2022-03-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Male
• Target Recruitment: 43

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Non-ambulant Group	Telerehabilitation	Individuals who can walk according to the Brooke Function Classification System
Ambulant Group	Telerehabilitation	Individuals unable to walk according to the Brooke Function Classification System

Primary Outcome Measures

Name	Time	Method
Functional level	Before the intervention, up to one month	Brooke Function Classification System
Socio-demographics	Before the intervention, up to one month	gender, body weight, height
Walking test (Before intervention)	Before the intervention, up to one month.	The distance of 10 m was determined in a suitable indoor environment.
Walking test (After intervention)	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)	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)	After the intervention, average two weeks.	The time to stand up from the supine position was recorded.
Endurance (Before intervention)	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)	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)	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)	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)	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)	After the intervention, average two weeks.	Value when the patient counts audibly in a single expiration after maximum inspiratory effort

Secondary Outcome Measures

Name	Time	Method
Patient Satisfaction Survey	After the intervention average two weeks	General satisfaction, internet/connection, physiotherapist's guidance, timing, level of knowledge, reassurance, comfort, knowledge/advice, level of satisfaction with information clarity

Trial Locations

Locations (1)

Karadeniz Technical University; 🇹🇷 Trabzon, Ortahisar, Turkey