Enhancing the Quality of Life of Patients with Multiple Sclerosis: Promising Results on the Role of Cognitive Tele-Rehabilitation Plus Virtual Reality

(1) Background: Patients with multiple sclerosis often face obstacles accessing traditional rehabilitation programs, primarily due to mobility limitations. Tele-rehabilitation (TR) is seen as a promising solution to overcome these barriers, though its precise influence on patients’ quality of life (...

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Main Authors: Maria Grazia Maggio, Antonino Cannavò, Angelo Quartarone, Alfredo Manuli, Paolo Tonin, Rocco Salvatore Calabrò
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/13/12/1636
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author Maria Grazia Maggio
Antonino Cannavò
Angelo Quartarone
Alfredo Manuli
Paolo Tonin
Rocco Salvatore Calabrò
author_facet Maria Grazia Maggio
Antonino Cannavò
Angelo Quartarone
Alfredo Manuli
Paolo Tonin
Rocco Salvatore Calabrò
author_sort Maria Grazia Maggio
collection DOAJ
description (1) Background: Patients with multiple sclerosis often face obstacles accessing traditional rehabilitation programs, primarily due to mobility limitations. Tele-rehabilitation (TR) is seen as a promising solution to overcome these barriers, though its precise influence on patients’ quality of life (QoL) has not been thoroughly investigated. Thus, the aim of the present study was to assess the feasibility of a cognitive TR in a sample of Italian patients with MS. (2) Methods: Thirty-six patients diagnosed with MS, attending the Robotic and Behavioral Neurorehabilitation Unit of the IRCCS “Bonino-Pulejo” Neurolesi Center in Messina, Italy, between October 2019 and March 2020 were enrolled in the study. All patients were randomly assigned, using block randomization with a block size of 2 × 2, to two groups: the control group (CG), composed of 16 patients who received traditional cognitive training, and the experimental group (EG), composed of 20 patients who underwent TR training with a VRRS (virtual reality rehabilitation system). Each patient underwent an assessment before (T0) and immediately after (T1) the rehabilitation treatment, using the Quality of Life-54 Multiple Sclerosis (MSQoL-54). (3) Results: Only in the EG, we observed a statistically significant improvement in the QoL related to mental well-being following the paired T-test (MSQoL <i>p</i>-value < 0.001). Notably, no significant differences were found in the CG (MSQoL <i>p</i>-value of 0.67). (4) Conclusions: Our data suggest that TR training combined with VR has the potential to improve the well-being of individuals with MS.
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spelling doaj.art-133f7da247ff47528190473cb826a25e2023-12-22T13:56:57ZengMDPI AGBrain Sciences2076-34252023-11-011312163610.3390/brainsci13121636Enhancing the Quality of Life of Patients with Multiple Sclerosis: Promising Results on the Role of Cognitive Tele-Rehabilitation Plus Virtual RealityMaria Grazia Maggio0Antonino Cannavò1Angelo Quartarone2Alfredo Manuli3Paolo Tonin4Rocco Salvatore Calabrò5IRCCS Centro Neurolesi “Bonino Pulejo”, 98123 Messina, ItalyA.O.U. Policlinico “G. Martino”, Via Consolare Valeria, 98124 Messina, ItalyIRCCS Centro Neurolesi “Bonino Pulejo”, 98123 Messina, ItalyA.O.U. Policlinico “G. Martino”, Via Consolare Valeria, 98124 Messina, ItalyS’Anna Institute, 88900 Crotone, ItalyIRCCS Centro Neurolesi “Bonino Pulejo”, 98123 Messina, Italy(1) Background: Patients with multiple sclerosis often face obstacles accessing traditional rehabilitation programs, primarily due to mobility limitations. Tele-rehabilitation (TR) is seen as a promising solution to overcome these barriers, though its precise influence on patients’ quality of life (QoL) has not been thoroughly investigated. Thus, the aim of the present study was to assess the feasibility of a cognitive TR in a sample of Italian patients with MS. (2) Methods: Thirty-six patients diagnosed with MS, attending the Robotic and Behavioral Neurorehabilitation Unit of the IRCCS “Bonino-Pulejo” Neurolesi Center in Messina, Italy, between October 2019 and March 2020 were enrolled in the study. All patients were randomly assigned, using block randomization with a block size of 2 × 2, to two groups: the control group (CG), composed of 16 patients who received traditional cognitive training, and the experimental group (EG), composed of 20 patients who underwent TR training with a VRRS (virtual reality rehabilitation system). Each patient underwent an assessment before (T0) and immediately after (T1) the rehabilitation treatment, using the Quality of Life-54 Multiple Sclerosis (MSQoL-54). (3) Results: Only in the EG, we observed a statistically significant improvement in the QoL related to mental well-being following the paired T-test (MSQoL <i>p</i>-value < 0.001). Notably, no significant differences were found in the CG (MSQoL <i>p</i>-value of 0.67). (4) Conclusions: Our data suggest that TR training combined with VR has the potential to improve the well-being of individuals with MS.https://www.mdpi.com/2076-3425/13/12/1636cognitive rehabilitationmultiple sclerosisquality of liferemote cognitive training
spellingShingle Maria Grazia Maggio
Antonino Cannavò
Angelo Quartarone
Alfredo Manuli
Paolo Tonin
Rocco Salvatore Calabrò
Enhancing the Quality of Life of Patients with Multiple Sclerosis: Promising Results on the Role of Cognitive Tele-Rehabilitation Plus Virtual Reality
Brain Sciences
cognitive rehabilitation
multiple sclerosis
quality of life
remote cognitive training
title Enhancing the Quality of Life of Patients with Multiple Sclerosis: Promising Results on the Role of Cognitive Tele-Rehabilitation Plus Virtual Reality
title_full Enhancing the Quality of Life of Patients with Multiple Sclerosis: Promising Results on the Role of Cognitive Tele-Rehabilitation Plus Virtual Reality
title_fullStr Enhancing the Quality of Life of Patients with Multiple Sclerosis: Promising Results on the Role of Cognitive Tele-Rehabilitation Plus Virtual Reality
title_full_unstemmed Enhancing the Quality of Life of Patients with Multiple Sclerosis: Promising Results on the Role of Cognitive Tele-Rehabilitation Plus Virtual Reality
title_short Enhancing the Quality of Life of Patients with Multiple Sclerosis: Promising Results on the Role of Cognitive Tele-Rehabilitation Plus Virtual Reality
title_sort enhancing the quality of life of patients with multiple sclerosis promising results on the role of cognitive tele rehabilitation plus virtual reality
topic cognitive rehabilitation
multiple sclerosis
quality of life
remote cognitive training
url https://www.mdpi.com/2076-3425/13/12/1636
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