Physical Telerehabilitation in Multiple Sclerosis



Status:Recruiting
Conditions:Neurology, Neurology, Multiple Sclerosis
Therapuetic Areas:Neurology, Other
Healthy:No
Age Range:22 - Any
Updated:7/28/2017
Start Date:October 2016
End Date:December 2019
Contact:Joseph Finkelstein, MD, PhD
Email:jf193@cumc.columbia.edu
Phone:212-342-0701

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Physical Telerehabilitation in Patients With Multiple Sclerosis With Significant Mobility Impairment

The study aims to evaluate the efficacy of the MS HAT (Multiple Sclerosis Home Automated
Telemanagement) System as an adjunct to the current standard of medical care for patients
with MS (PwMS). The individual patient with MS will be the unit of analysis. For each
participant, the investigators will assess the effect of Home Automated Telemanagement (HAT)
on functional outcomes, levels of disablement including impairment, activity and
participation, socio-behavioral parameters, and satisfaction with medical care as described
below.

People with multiple sclerosis may develop severe disability over the time. Physical therapy
including regular exercise helps patients with severe disability to maintain muscle strength,
reduce disease symptoms and improve quality of life. However physical therapy programs at
clinical settings require constant travel which may limit access of patients with mobility
disability to these services on continuous basis.Technology can allow patients with mobility
disability exercise at home under supervision of their rehabilitation team. Currently it is
unclear how effective this approach is. The study aims to demonstrate that the patients who
were helped by the new technology to exercise at home will have better fitness, less symptoms
and better quality of life. If so, other patients with significant mobility disability will
be able to take advantage of this technology. This approach can be extended to people with
different diseases causing mobility impairment and it can be used not only for physical but
also for cognitive and occupational rehabilitation.

Inclusion Criteria:

- Age >21

- Confirmed diagnosis of Multiple Sclerosis based on McDonald criteria

- EDSS range 5.0-8.0

- Mini-Mental State Examination (MMSE) > 22 or presence of a caregiver to assist in
daily exercise regimen

Exclusion Criteria:

- Coronary artery disease

- Congestive Heart Failure

- Uncontrolled hypertension

- Epilepsy

- Pacemaker or implanted defibrillator

- Unstable fractures or other musculoskeletal diagnoses
We found this trial at
1
site
630 W 168th St
New York, New York
212-305-2862
Phone: 212-342-0701
Columbia University Medical Center Situated on a 20-acre campus in Northern Manhattan and accounting for...
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mi
from
New York, NY
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