Physiotherapist-guided Home Exercise in Moderate to Severe MS
7. april 2021 oppdatert av: Katherine Knox, University of Saskatchewan
Physiotherapist-guided Home Exercise in Moderate to Severe Multiple Sclerosis
Physical activity is a crucial component to wellness and is associated with multiple health benefits.
Persons with MS may find it challenging to participate in regular physical activity or exercise, which is activity done to improve health and/or fitness.
This research will test an innovative web-based intervention to help persons with moderate-to-severe disability manage their condition through a maintenance exercise program with specialized physiotherapist guidance and support.
The researchers will examine adherence to the web-based physiotherapy program compared to standard physiotherapy care.
Forty-five people with MS will be randomly assigned to the web group or standard care group at a rate of 2:1.
Participants in the web group will receive supported and individualized web-based physiotherapy.
Participants in the standard care group will receive a written exercise program.
Regular participation (adherence) in the exercise programs will be evaluated in both groups over six months.
The research will also examine participant satisfaction with the programs, safety, MS symptoms, and physical function.
A web-based approach may be widely accessible to persons with MS in their own homes and could support long-term participation in physical activity important to wellness.
Studieoversikt
Status
Fullført
Forhold
Studietype
Intervensjonell
Registrering (Faktiske)
48
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Saskatchewan
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Saskatoon, Saskatchewan, Canada, S7K 0M7
- Department of Physical Medicine & Rehabilitation, University of Saskatchewan
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år og eldre (Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- diagnosed with MS
- moderate to severe disability (PDDS 2-7)
- able to access the internet in your current living environment
Exclusion Criteria:
- already doing structured exercise more than once per week
- residing >300km from Saskatoon (unless able to travel to Saskatoon for the appointments)
- unable to understand the intent and process of this study
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Støttende omsorg
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
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Eksperimentell: Web-based physio group
Those in the web-based physio group will have an individual exercise program set up by a treating physiotherapist on webbasedphysio.com
after an initial face-to-face assessment.
They will be encouraged to undertake their exercise program at least twice per week and diarize their work.
Participants will receive a weekly phone call from their treating physiotherapist for the first two weeks.
The treating physiotherapist will review the exercise diary of each participant every two weeks, and remotely alter the participant's exercise program as appropriate, by changing exercises, level of difficulty or number of repetitions.
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Those in the web-based physio group will access their exercise program online and will be able to leave messages for their physiotherapist on the platform.
Physiotherapists will monitor usage and respond to messages every two weeks.
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Aktiv komparator: Standard care group
Those in the standard care group will have their exercise program explained to them at an initial face-to-face assessment with a treating physiotherapist as per usual care.
They will receive a written, home-based exercise program.
Participants in the usual care group will also be encouraged to undertake their exercise program at least twice per week, and will be asked to keep an exercise diary, in paper format.
Participants in the usual care group will also receive a weekly phone call from the physiotherapist for the first two weeks to check on progress.
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Those in the standard care group will receive a written, home-based exercise program.
Participants in the usual care group will be asked to keep an exercise diary, in paper format.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Adherence to prescribed exercise program
Tidsramme: 6 months
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Measured by number of completed exercise sessions on exercise diary
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6 months
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Injury or fall
Tidsramme: 6 months
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Participants will be asked to contact their treating physiotherapist in the event of new pain, injury, or fall.
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6 months
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Multiple Sclerosis Impact Scale (MSIS29 v.2)
Tidsramme: 6 months
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6 months
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Godin Leisure Time Exercise Questionnaire (GLTEQ)
Tidsramme: 6 months
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6 months
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Grip strength measured on hand dynamometer
Tidsramme: 6 months
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6 months
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Timed 25-Foot Walk Test
Tidsramme: 6 months
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6 months
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Timed Up and Go
Tidsramme: 6 months
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6 months
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FIM (R) instrument
Tidsramme: 6 months
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The FIM (R) instrument, data set and impairment codes referenced herein are the property of Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.
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6 months
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Hospital Anxiety and Depression Scale
Tidsramme: 6 months
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6 months
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Samarbeidspartnere
Etterforskere
- Hovedetterforsker: Katherine Knox, MD, University of Saskatchewan
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Generelle publikasjoner
- Donkers SJ, Nickel D, Paul L, Wiegers SR, Knox KB. Adherence to Physiotherapy-Guided Web-Based Exercise for Persons with Moderate-to-Severe Multiple Sclerosis: A Randomized Controlled Pilot Study. Int J MS Care. 2020 Sep-Oct;22(5):208-214. doi: 10.7224/1537-2073.2019-048. Epub 2020 Jan 8.
- Knox KB, Nickel D, Donkers SJ, Paul L. Physiotherapist and participant perspectives from a randomized-controlled trial of physiotherapist-supported online vs. paper-based exercise programs for people with moderate to severe multiple sclerosis. Disabil Rehabil. 2022 Mar 28:1-7. doi: 10.1080/09638288.2022.2055159. Online ahead of print.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
6. mars 2017
Primær fullføring (Faktiske)
11. oktober 2018
Studiet fullført (Faktiske)
11. oktober 2018
Datoer for studieregistrering
Først innsendt
20. desember 2016
Først innsendt som oppfylte QC-kriteriene
30. januar 2017
Først lagt ut (Anslag)
1. februar 2017
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
13. april 2021
Siste oppdatering sendt inn som oppfylte QC-kriteriene
7. april 2021
Sist bekreftet
1. april 2021
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- Bio 16-280
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Nei
Studerer et amerikansk FDA-regulert enhetsprodukt
Nei
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .