Multiple Sclerosis
Conditions
Keywords
multiple sclerosis, rehabilitation, telerehabilitation, telehealth, veteran health, physical therapy
Brief summary
The primary purpose of this study is to evaluate the effects of an individualized telerehabilitation program on mobility, fatigue, and quality of life for Veterans with MS. The secondary purpose was to assess adherence to exercise recommendations and overall satisfaction with the intervention.
Interventions
OTHERTelerehabilitation
Participants complete a standard physical therapy evaluation in-person. They are then provided telerehabilitation equipment for the telerehabilitation intervention. This intervention utilizes an Xbox Kinect sensor and tablet-based exercise software called Jintronix. The Jintronix exercise library includes an array of exercise activity options for varying functional levels. Exercise activities could be completed in sitting or standing postures and includes activities which focused on active range of motion, strength, balance, or calisthenic movements. Each activity requires the participant to complete a goal-directed game or replicate movements of an on-screen avatar. The therapist will adjust and progress the home exercise program using information provided by the Jintronix and the participant's verbal reports during clinical video teleconferencing. At the end of the intervention, the therapist will complete in-person discharge assessments.
OTHERStandard treatment
Participants complete standard in-person physical therapy evaluation, follow-up, and treatment. Therapeutic exercise and activities will be prescribed to participants to perform at home between standard follow-up treatment appointments. At the end of the intervention, the physical therapist will complete in-person discharge assessments.
Sponsors
Shane.Chanpimol
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
An experimental and control group will be utilized. The experimental group will perform the telerehabilitation intervention.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of MS based on the McDonald criteria * Expanded Disability Status Scale (EDSS) of 3.0 - 6.5 * Cognitive ability (Montreal Cognitive Assessment score \>23/30) * Physician clearance for exercise participation * Physical therapy referral
Exclusion criteria
* MS-related exacerbation within last 3 months * Unstable cardiac or pulmonary disease * Active substance abuse * Uncontrolled seizures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Multiple Sclerosis Walking Scale-12 (MSWS-12) | Change after 12-week intervention | This questionnaire has 12 items and measures self-reported walking ability in MS. The questions assess the limitations of a patient's walking due to MS during the past 2 weeks. Each item ranges from 1 to 5 and the higher the sum, the more severe the degree of limitation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Short Physical Performance Battery (SPPB) | Change after 12-week intervention | The test involves assessments of clinician rated strength tests of standing balance, timed 3 meter walk, and five chair rise repetitions. The rating scale starts at 0 indicating no performance or low performance ranging to as score of 4 indicating high performance. The rating scale ranges from 0 to 12. |
| 25-Foot Walk Test (25FWT) | Change after 12-week intervention | The patient is instructed to walk 25 feet as fast as safely possible. Scoring the 25FW is the average of 2 trials that are performed consecutively. If necessary, assistive devices are allowed to be used. |
| Modified Fatigue Impact Scale (MFIS) | Change after 12-week intervention | This is a standard measure used to measure fatigue. The scale consists of 21 items, with 10 items related to mental fatigue, and 11 items relating to physical and social fatigue. The scoring ranges between 0 and 82, a high score reflecting greater impact. |
| Veteran Rand 12 Quality of Life Measure (VR-12) | Change after 12-week intervention | This 12-item questionnaire has eight principal physical and mental health domains including general health perceptions, physical functioning, role limitations due to physical and emotional problems, bodily pain, energy-fatigue, social functioning, and mental health. The 12 items is summarized into two sub-scores measuring physical health and mental health. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Patient Travel | Start of participation | Patient reported estimates of commute to medical facility. |
Countries
United States
Outcome results
None listed