Telerehabilitation in Multiple Sclerosis: Results of a Randomized Feasibility and Efficacy Pilot Study

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 com...

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Main Authors: Cecilie Fjeldstad-Pardo, Amy Thiessen, Gabriel Pardo
Format: Article
Language:English
Published: University Library System, University of Pittsburgh 2018-12-01
Series:International Journal of Telerehabilitation
Online Access:http://telerehab.pitt.edu/ojs/index.php/Telerehab/article/view/6256
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author Cecilie Fjeldstad-Pardo
Amy Thiessen
Gabriel Pardo
author_facet Cecilie Fjeldstad-Pardo
Amy Thiessen
Gabriel Pardo
author_sort Cecilie Fjeldstad-Pardo
collection DOAJ
description 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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spelling doaj.art-5e2c5a8be7df4a91bd2ecd9aeb47c6302022-12-22T00:03:45ZengUniversity Library System, University of PittsburghInternational Journal of Telerehabilitation1945-20202018-12-01102556410.5195/ijt.2018.62566052Telerehabilitation in Multiple Sclerosis: Results of a Randomized Feasibility and Efficacy Pilot StudyCecilie Fjeldstad-Pardo0Amy ThiessenGabriel PardoOklahoma Medical Research Foundation, MS Center of ExcellenceA 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.http://telerehab.pitt.edu/ojs/index.php/Telerehab/article/view/6256
spellingShingle Cecilie Fjeldstad-Pardo
Amy Thiessen
Gabriel Pardo
Telerehabilitation in Multiple Sclerosis: Results of a Randomized Feasibility and Efficacy Pilot Study
International Journal of Telerehabilitation
title Telerehabilitation in Multiple Sclerosis: Results of a Randomized Feasibility and Efficacy Pilot Study
title_full Telerehabilitation in Multiple Sclerosis: Results of a Randomized Feasibility and Efficacy Pilot Study
title_fullStr Telerehabilitation in Multiple Sclerosis: Results of a Randomized Feasibility and Efficacy Pilot Study
title_full_unstemmed Telerehabilitation in Multiple Sclerosis: Results of a Randomized Feasibility and Efficacy Pilot Study
title_short Telerehabilitation in Multiple Sclerosis: Results of a Randomized Feasibility and Efficacy Pilot Study
title_sort telerehabilitation in multiple sclerosis results of a randomized feasibility and efficacy pilot study
url http://telerehab.pitt.edu/ojs/index.php/Telerehab/article/view/6256
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