多発性硬化症患者におけるグループエクササイズと遠隔リハビリテーションによるハイブリッドリハビリテーションアプローチ
The aim of the study is to determine the benefits of outpatient group rehabilitation with subsequent telerehabilitation. The patient will participate in a 12-week circuit training, including training once a week in a group of six under the guidance of two physiotherapists. After the outpatient rehabilitation, the patient will gain access to a mobile application and will be asked to record all physical activities there.
調査の概要
詳細な説明
In the Czech population more than 20,000 people have been diagnosed with multiple sclerosis (MS), an autoimmune disease affecting a patient's central nervous system. This disease has a wide range of symptoms, with the most common ones being various motor disorders that negatively affect the locomotor function and patients' quality of life.
The positive effect of physical activity on human health is well known. This study aims to examine the effect of hybrid exercise program on people with MS. This exercise program includes ambulatory circuit training for twelve weeks followed by telerehabilitation. The aim of the study is to find out whether the exercise program will positively affect the movement skills of probands and improve their quality of life. Testing will done before the start of the exercise program, after twelve weeks and after 6 months. Movement skills will be tested by a set of movement tests called miniBEST test. For measuring quality of life the investigators will the SF-36 questionnaire will be used. Another goal will analyze participants' satisfaction with the intervention and adherence to regular physical activity.
The investigators anticipate that regular physical training combined with telerehabilitation will increase the motivation and effectiveness of independent training in people with MS leading to improvment of physical fitness, physical activity levels and quality of life.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
-
-
Czech Republic
-
Brno、Czech Republic、チェコ、625 00
- Michaela Sládečková
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Age ≥ 18
- Confirmed diagnosis of Multiple Sclerosis based on McDonald criteria
- Minimal one month from last relapse
- Possibility to use smartphone or tablet because of using rehabilitation application
Exclusion Criteria:
- Illnesses which can limiting exercises activities (e.g. orthopedic, cardiology or other neurological diseases)
- Cognitive deficit which can limiting cooperation (fill a questionnaire, comply with movement task, using application)
- Relapse of diseases during study
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：Circuit training and telerehabilitation
The experimental group will participate in a 12-week rehabilitation program, including training once a week. After the end of this outpatient program, participants will gain access to a mobile application in which participants will record all their physical activities.The mobile application will also include a library of exercises taught during the outpatient program so patients can practice them at home. |
Patients participate in an ambulatory rehabilitation program (12 weeks) and then gain access to mobile application to record their movement activities. This application will aslo inlude a library with exercise vidoes from the ambulatory program. These videos should inspire patients to do the exercises at home. |
|
偽コンパレータ：Usual Care
Patients have usual care and usual information about importance of regular movement activities and recommendation of proper exercises. Patients don't visit ambulatory rehabilitation program and they don't have access to an application |
Patients have usual information about importance of regular movement activities and recommendation of proper exercises |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change from Baseline Movement skills score at 12 weeks and 6 months
時間枠：Baseline, 12 weeks, 6 months
|
Mini Balance Evaluation Systems Test (Mini BESTest) - 14-item scale for measure postural stability. Maximum value is 28 points, minimum value is 0 point. Higher scores mean a better outcome. |
Baseline, 12 weeks, 6 months
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change from Baseline Depression score at 12 weeks and 6 months
時間枠：Baseline, 12 weeks, 6 months
|
Beck's Depression Inventory (BDI) - 21-item, self-report rating. Maximum value is 63 points, minimum value is 0 point. Higher scores mean a worse outcome. |
Baseline, 12 weeks, 6 months
|
|
Change from Baseline Walking skills score at 12 weeks and 6 months
時間枠：Baseline, 12 weeks, 6 months
|
12-Item Multiple Sclerosis Walking Scale - self-report rating. Maximum value is 60 points, minimum value is 12 point. Higher scores mean a worse outcome. |
Baseline, 12 weeks, 6 months
|
|
Exercise adherence
時間枠：6 months
|
Number of added movement activities in application. Higher scores mean better adherence to exercise. |
6 months
|
|
Change from Baseline Health related quality of life score at 12 weeks and 6 months
時間枠：Baseline, 12 weeks, 6 months
|
Short Form Survey (SF-36) - 36-item. Maximum value is 100 points, minimum value is 36 point. Higher score mean a better outcome. |
Baseline, 12 weeks, 6 months
|
協力者と研究者
スポンサー
捜査官
- 主任研究者：Ladislav Batalik、Department of Rehabilitation, University Hospital Brno, Czech Republic
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
追加の関連 MeSH 用語
その他の研究ID番号
- Hybrid rehabilitation approach
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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