Nervous System Diseases, Rehabilitation, Technology, Telerehabilitation
Conditions
Brief summary
Congenital or acquired neurological disorders could lead to consistent motor and cognitive disabilities. The continuity and persistency of a tailored home rehabilitation protocol after recovery is crucial to prevent disease aggravation or relapses. The integration of a web-based new technology in home rehabilitation programme can constitute a functional low cost resource by offering patients off-line (and on-line) monitoring and by proposing new motivating ways of rehabilitation through high tech tools such as serious games.
Interventions
OTHERMultimedial Rehabilitation
OTHERUsual care program
Usual care at home program according to healthcare professional's advice
Sponsors
Centro Riabilitativo Villa Beretta
Fondazione Opera S Camillo
Fondazione Don Carlo Gnocchi Onlus
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* age range 18-85 * Parkinson Disease (PD - mild to moderate) in stable treatment for at least 3 months * Multiple Sclerosis (MS) without relapses in the last 3 months (EDSS ≤ 6) * post stroke ( ≥ 6 months after the acute event)
Exclusion criteria
* Mini Mental State Examination \< 20 * limited range of motion * severe pain * severe deficit of visual acuity or auditory perception or communication and severe dysmetry
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Health-related quality of life assessed on the short-form 12-item Health Survey (SF-12) questionnaire | change from baseline after 4 months and after 7 months |
| Global cognitive state assessed on MONTREAL COGNITIVE ASSESSMENT (MOCA) | change from baseline after 4 months and after 7 months |
| Endurance assessed on two-minute walking test (2MWT) | change from baseline after 4 months and after 7 months |
| Positive and negative affective state assessed on Positive and Negative Affect Scale (PANAS) | change from baseline after 4 months and after 7 months |
Secondary
| Measure | Time frame |
|---|---|
| Strength in upper and lower extremities assessed on Motricity Index (MI) | change from baseline after 4 months and after 7 months |
| Attention and concentration assessed on Attention and Concentration test | change from baseline after 4 months and after 7 months |
| Static balance and fall risk assessed on Berg Balance Scale (BBS) | change from baseline after 4 months and after 7 months |
| Caregiver Need assessed on Caregiver Need Assessment (CNA) questionnaire | change from baseline after 4 months and after 7 months |
| Memory abilities assessed on Rivermead Behavioural Memory Test - 3 (RBMT3) | change from baseline after 4 months and after 7 months |
| Finger dexterity assessed on 9-Hole Peg Test (9HPT) | change from baseline after 4 months and after 7 months |
| Unilateral gross manual dexterity assessed on Box and Blocks Test (BBT) | change from baseline after 4 months and after 7 months |
| Walking speed assessed on 10-Meter Walking Test (10MWT) | change from baseline after 4 months and after 7 months |
Countries
Italy
Outcome results
None listed