Results of a feasibility study of a patient informed, racially tailored home-based exercise program for black persons with multiple sclerosis

A prospective, randomized, three-arm, evaluator blinded study to demonstrate the feasibility of a telerehabilitation (TR) program in individuals with ambulatory deficits secondary to Multiple Sclerosis (MS) and evaluate its efficacy when compared to conventional on-site physical therapy (PT) was completed. Thirty participants were evaluated at baseline and randomized to one of three groups with intervention lasting 8 weeks: Group 1 (control)- customized unsupervised home-based exercise program (HEP) 5 days a week; Group 2 (TR)- remote PT supervised via audio/visual real-time telecommunication twice weekly; Group 3 (PT)- in-person PT at the medical facility twice weekly. Outcomes included patient reported outcomes (PROs) obtained through questionnaires, and measurements of gait and balance performed with bedside tests and a computerized system. Functional gait assessment improved from baseline in all three groups. There were no significant differences between the TR and the conventional PT groups for a variety of outcome measures. TR is a feasible method to perform PT in persons with MS and has comparable efficacy to conventional in-person PT as measured by patient reported outcomes and objective outcomes of gait and balance.

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INDIVIDUALIZED HOME-BASED EXERCISE PROGRAM FOR THE IDIOPATHIC PULMONARY ARTERIAL HYPERTENSION PATIENTS: FEASIBILITY STUDY

10.26226/morressier.5ab4d4efd462b80296ca51f2 ◽

2018 ◽

Author(s):

Līna Butāne

Keyword(s):

Pulmonary Arterial Hypertension ◽

Arterial Hypertension ◽

Feasibility Study ◽

Exercise Program ◽

Idiopathic Pulmonary Arterial Hypertension ◽

Home Based ◽

Pulmonary Arterial

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Tele-monitoring of a home-based exercise program in amyotrophic lateral sclerosis: a feasibility study

European Journal of Physical and Rehabilitation Medicine ◽

10.23736/s1973-9087.18.05129-8 ◽

2018 ◽

Vol 54 (3) ◽

Author(s):

Anna C. Braga ◽

Anabela Pinto ◽

Susana Pinto ◽

Mamede de Carvalho

Keyword(s):

Amyotrophic Lateral Sclerosis ◽

Feasibility Study ◽

Exercise Program ◽

Home Based ◽

Tele Monitoring ◽

Lateral Sclerosis

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Lifestyle, exercise and activity package for people living with progressive multiple sclerosis (LEAP-MS): Protocol for a Single-Arm Feasibility Study.

10.21203/rs.3.rs-30578/v1 ◽

2020 ◽

Author(s):

Julie Latchem-Hastings ◽

Elizabeth Randell ◽

Kate Button ◽

Fiona Jones ◽

Rachel Lowe ◽

...

Keyword(s):

Physical Activity ◽

Multiple Sclerosis ◽

Process Evaluation ◽

Feasibility Study ◽

Progressive Multiple Sclerosis ◽

Feasibility Trial ◽

Self Management ◽

Physiotherapy Intervention ◽

Home Based

Abstract Background. We have co-designed a tailored blended physiotherapy intervention for people with Progressive Multiple Sclerosis (MS) who often struggle to access support for physical activity. Underpinned by self-management principles, the Lifestyle, Exercise and Activity Package for people with MS intervention, which we call the LEAP-MS intervention, incorporates face-to-face or online physiotherapy coaching sessions with an accompanying online physical activity platform. The LEAP-MS platform is a multi-user system enabling user and physiotherapist to co-create activity plans. The LEAP-MS platform consists of an information and activity suite, interactive components enabling selection of exercises into an activity programme, goal setting, and activity logging. The platform also facilitates online remote support from a physiotherapist through an embedded online messaging function. We aim to evaluate the LEAP-MS platform in a feasibility trial. Methods. LEAP-MS will be evaluated within a single arm feasibility study with embedded process evaluation. After registration and initial eligible screening, 21 participants will be required to complete baseline self-completion measures. This will be followed by an initial home-based or online coaching session with a physiotherapist (who has received tailored self-management and digital resource training) and access to the online intervention for an initial three-month period. During this period participants are given the option to request up to five further home-based or online physiotherapy coaching sessions. Follow-up questionnaires and semi-structured interviews will be administered three months after baseline with participants and intervention physiotherapists. The LEAP-MS platform will be available to participants for a further three months. Usage of the LEAP-MS platform will be tracked during the full six-month period and final follow up will be conducted six months after baseline. Discussion. Feasibility outcomes (recruitment, retention, intervention uptake and safety) will be reported. The process evaluation will be undertaken to identify possible mechanisms for any observed effects. The data here will inform full scale evaluations of this co-produced, blended physiotherapy intervention. Trial registration: ClinicalTrials.gov NCT03951181. Registered 15th May 2019 https://clinicaltrials.gov/ct2/show/NCT03951181

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Pilot feasibility study of a home‐based fall prevention exercise program ( StandingTall ) delivered through a tablet computer (iPad) in older people with dementia

Australasian Journal on Ageing ◽

10.1111/ajag.12717 ◽

2019 ◽

Vol 39 (3) ◽

Cited By ~ 4

Author(s):

Morag E. Taylor ◽

Jacqueline C. T. Close ◽

Stephen R. Lord ◽

Susan E. Kurrle ◽

Lyndell Webster ◽

...

Keyword(s):

Older People ◽

Feasibility Study ◽

Fall Prevention ◽

Exercise Program ◽

Tablet Computer ◽

People With Dementia ◽

Home Based ◽

Pilot Feasibility Study

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Lifestyle, exercise and activity package for people living with progressive multiple sclerosis (LEAP-MS): protocol for a single-arm feasibility study

Pilot and Feasibility Studies ◽

10.1186/s40814-021-00852-w ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Julie Latchem-Hastings ◽

Elizabeth Randell ◽

Kate Button ◽

Fiona Jones ◽

Rachel Lowe ◽

...

Keyword(s):

Physical Activity ◽

Multiple Sclerosis ◽

Process Evaluation ◽

Feasibility Study ◽

Progressive Multiple Sclerosis ◽

Self Management ◽

Link Type ◽

Physiotherapy Intervention ◽

Home Based

Abstract Background We have co-designed a tailored blended physiotherapy intervention for people with progressive multiple sclerosis (PwPMS) who often struggle to access support for physical activity. Underpinned by self-management principles, the Lifestyle, Exercise and Activity Package for people with Multiple Sclerosis (LEAP-MS) intervention incorporates face-to-face or online physiotherapy coaching sessions with an accompanying online physical activity platform. The LEAP-MS platform is a multi-user system enabling user and physiotherapist to co-create activity plans. The LEAP-MS platform consists of an information and activity suite, interactive components enabling selection of exercises into an activity programme, goal setting and activity logging. The platform also facilitates online remote support from a physiotherapist through an embedded online messaging function. We aim to evaluate the LEAP-MS platform in a feasibility trial. Methods LEAP-MS will be evaluated within a single-arm feasibility study with embedded process evaluation. After registration and initial eligible screening, 21 participants will be required to complete baseline self-completion measures. This will be followed by an initial home-based or online coaching session with a physiotherapist (who has received tailored self-management and digital resource training) and access to the online intervention for an initial 3-month period. During this period, participants are given the option to request up to five further home-based or online physiotherapy coaching sessions. Follow-up questionnaires and semi-structured interviews will be administered 3 months after baseline with participants and intervention physiotherapists. The LEAP-MS platform will be available to participants for a further 3 months. Usage of the LEAP-MS platform will be tracked during the full 6-month period and final follow-up will be conducted 6 months after baseline. Discussion Feasibility outcomes (recruitment, retention, intervention uptake and safety) will be reported. The process evaluation will be undertaken to identify possible mechanisms for any observed effects. The data will inform full-scale evaluations of this co-produced, blended physiotherapy intervention. Trial registration ClinicalTrials.gov, NCT03951181. Registered 15 May 2019

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Physical Telerehabilitation Improves Quality of Life in Patients with Multiple Sclerosis

10.3233/shti210752 ◽

2021 ◽

Author(s):

In cheol Jeong ◽

Herbert Karpatkin ◽

Joseph Finkelstein

Keyword(s):

Quality Of Life ◽

Multiple Sclerosis ◽

Cognitive Function ◽

Controlled Trial ◽

Intervention Group ◽

Exercise Program ◽

Rehabilitation Program ◽

Control Group ◽

Home Based

The purpose of this study was to investigate the effect of physical telerehabilitation on the quality of life (QOL) in patients with multiple sclerosis (PwMS) in a randomized controlled trial. PwMS in both groups received home-based individualized exercise plan based on their physical therapy exam. PwMS in the intervention group were guided by a telerehabilitation system in following their exercise program on a daily basis whereas PwMS in the control group received periodic newsletters. Disease-specific QOL was assessed by MSQOL-54 survey at the baseline and the end of 3-month rehabilitation program. Among the MSQOL sub-scales, the mean sub-score values for pain and cognitive function in control and intervention groups were significantly different as demonstrated by one-way ANOVA (pain: F = 4.301, p = 0.044, cognitive function: F = 5.053, p = 0.030). Our results demonstrated positive effects of physical telerehabilitation on MS symptoms and QOL. Development of further approaches promoting continuous participation in telerehabilitation in PwMS is warranted.

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