Efficacy of telerehabilitation with digital and robotic tools for the continuity of care of people with chronic neurological disorders: The TELENEURO@REHAB protocol for a randomized controlled trial
Context Chronic Neurological Disorders (CNDs) are among the leading causes of disability worldwide, and their contribution to the overall need for rehabilitation is increasing. Therefore, the identification of new digital solutions to ensure early and continuous care is mandatory. Objective This pro...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-03-01
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| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076241228928 |
| _version_ | 1797268026508181504 |
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| author | Federica Rossetto Fabiola Giovanna Mestanza Mattos Elisa Gervasoni Marco Germanotta Arianna Pavan Davide Cattaneo Irene Aprile Francesca Baglio |
| author_facet | Federica Rossetto Fabiola Giovanna Mestanza Mattos Elisa Gervasoni Marco Germanotta Arianna Pavan Davide Cattaneo Irene Aprile Francesca Baglio |
| author_sort | Federica Rossetto |
| collection | DOAJ |
| description | Context Chronic Neurological Disorders (CNDs) are among the leading causes of disability worldwide, and their contribution to the overall need for rehabilitation is increasing. Therefore, the identification of new digital solutions to ensure early and continuous care is mandatory. Objective This protocol proposes to test the usability, acceptability, safety, and efficacy of Telerehabilitation (TR) protocols with digital and robotic tools in reducing the perceived level of disability in CNDs including Parkinson's Disease (PD), Multiple Sclerosis (MS), and post-stroke patients. Design, Setting, and Subjects This single-blinded, multi-site, randomized, two-treatment arms controlled clinical trial will involve PD (N = 30), MS (N = 30), and post-stroke (N = 30). Each participant will be randomized (1:1) to the experimental group (20 sessions of motor telerehabilitation with digital and robotic tools) or the active control group (20 home-based motor rehabilitation sessions according to the usual care treatment). Primary and secondary outcome measures will be obtained at the baseline (T0), post-intervention (T1, 5 weeks after baseline), and at follow-up (T2, 2 months after treatment). Main Outcome Measures a multifaceted evaluation including quality of life, motor, and clinical/functional measures will be conducted at each time-point of assessment. The primary outcome measures will be the change in the perceived level of disability as measured by the World Health Organization Disability Assessment Schedule 2.0. Conclusion The implementation of TR protocols will enable a more targeted and effective response to the growing need for rehabilitation linked to CNDs, ensuring accessibility to rehabilitation services from the initial stages of the disease. |
| first_indexed | 2024-04-25T01:25:56Z |
| format | Article |
| id | doaj.art-911a52bf5373484485702e54f8c84822 |
| institution | Directory Open Access Journal |
| issn | 2055-2076 |
| language | English |
| last_indexed | 2024-04-25T01:25:56Z |
| publishDate | 2024-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj.art-911a52bf5373484485702e54f8c848222024-03-08T21:05:06ZengSAGE PublishingDigital Health2055-20762024-03-011010.1177/20552076241228928Efficacy of telerehabilitation with digital and robotic tools for the continuity of care of people with chronic neurological disorders: The TELENEURO@REHAB protocol for a randomized controlled trialFederica Rossetto0Fabiola Giovanna Mestanza Mattos1Elisa Gervasoni2Marco Germanotta3Arianna Pavan4Davide Cattaneo5Irene Aprile6Francesca Baglio7 IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan-Florence, Italy Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan-Florence, Italy IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan-Florence, Italy IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan-Florence, Italy Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan-Florence, Italy IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan-Florence, ItalyContext Chronic Neurological Disorders (CNDs) are among the leading causes of disability worldwide, and their contribution to the overall need for rehabilitation is increasing. Therefore, the identification of new digital solutions to ensure early and continuous care is mandatory. Objective This protocol proposes to test the usability, acceptability, safety, and efficacy of Telerehabilitation (TR) protocols with digital and robotic tools in reducing the perceived level of disability in CNDs including Parkinson's Disease (PD), Multiple Sclerosis (MS), and post-stroke patients. Design, Setting, and Subjects This single-blinded, multi-site, randomized, two-treatment arms controlled clinical trial will involve PD (N = 30), MS (N = 30), and post-stroke (N = 30). Each participant will be randomized (1:1) to the experimental group (20 sessions of motor telerehabilitation with digital and robotic tools) or the active control group (20 home-based motor rehabilitation sessions according to the usual care treatment). Primary and secondary outcome measures will be obtained at the baseline (T0), post-intervention (T1, 5 weeks after baseline), and at follow-up (T2, 2 months after treatment). Main Outcome Measures a multifaceted evaluation including quality of life, motor, and clinical/functional measures will be conducted at each time-point of assessment. The primary outcome measures will be the change in the perceived level of disability as measured by the World Health Organization Disability Assessment Schedule 2.0. Conclusion The implementation of TR protocols will enable a more targeted and effective response to the growing need for rehabilitation linked to CNDs, ensuring accessibility to rehabilitation services from the initial stages of the disease.https://doi.org/10.1177/20552076241228928 |
| spellingShingle | Federica Rossetto Fabiola Giovanna Mestanza Mattos Elisa Gervasoni Marco Germanotta Arianna Pavan Davide Cattaneo Irene Aprile Francesca Baglio Efficacy of telerehabilitation with digital and robotic tools for the continuity of care of people with chronic neurological disorders: The TELENEURO@REHAB protocol for a randomized controlled trial Digital Health |
| title | Efficacy of telerehabilitation with digital and robotic tools for the continuity of care of people with chronic neurological disorders: The TELENEURO@REHAB protocol for a randomized controlled trial |
| title_full | Efficacy of telerehabilitation with digital and robotic tools for the continuity of care of people with chronic neurological disorders: The TELENEURO@REHAB protocol for a randomized controlled trial |
| title_fullStr | Efficacy of telerehabilitation with digital and robotic tools for the continuity of care of people with chronic neurological disorders: The TELENEURO@REHAB protocol for a randomized controlled trial |
| title_full_unstemmed | Efficacy of telerehabilitation with digital and robotic tools for the continuity of care of people with chronic neurological disorders: The TELENEURO@REHAB protocol for a randomized controlled trial |
| title_short | Efficacy of telerehabilitation with digital and robotic tools for the continuity of care of people with chronic neurological disorders: The TELENEURO@REHAB protocol for a randomized controlled trial |
| title_sort | efficacy of telerehabilitation with digital and robotic tools for the continuity of care of people with chronic neurological disorders the teleneuro rehab protocol for a randomized controlled trial |
| url | https://doi.org/10.1177/20552076241228928 |
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