Telerehabilitation Based Motor Imagery and Action Observation Training in Multiple Sclerosis

NCT ID: NCT06295601

Last Updated: 2024-03-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-20

Study Completion Date

2025-08-15

Brief Summary

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This study aims to investigate the effects of the treatment combination consisting of motor imagery and action observation therapy on balance, functional mobility, lower extremity muscle strength, fatigue and quality of life.

Detailed Description

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The study population was participants with relapsing remitting multiple sclerosis. The traditional rehabilitation program consists of a joint treatment in which lower extremity strengthening and balance exercises are carried out synchronously for the experimental and control groups. Motor imagery and action observation therapy based on telerehabilitation of certain movements will be applied to the experimental group. All treatments will be carried out online via the zoom program. The treatment program will be applied 3 times a week for 6 weeks. Evaluations will be made before and after the treatment program. Assessments include balance, lower extremity muscle strength and functional mobility, fatigue, and quality of life.

Conditions

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Multiple Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Experimental group

Individuals will receive standard rehabilitation and telerehabilitation-based motor imagery and action observation therapy.

Group Type EXPERIMENTAL

Traditional rehabilitation

Intervention Type OTHER

The program consists of a joint treatment in which lower extremity strengthening and balance exercises are carried out synchronously. The program will include a total of 5 minutes of warm-up, 5 minutes of cool-down and 30 minutes of exercises related to the program. The difficulty of the program will increase by changing the number of exercises and increasing the weight in strengthening exercises. Progress in balance and coordination exercises will vary by changing the ground, increasing the standing time, and keeping the eyes open and closed.

Action observation therapy and motor imagery

Intervention Type OTHER

In the experimental group, in addition to traditional telerehabilitation, action observation and motor imagery of 4 exercises will be performed in each session. A video will be prepared for 4 exercises. Then, the participant will perform 2 minutes of action observation of each movement, followed by 1 minute of motor imagery. In addition to the traditional telerehabilitation program, a 12-minute combination of action observation and motor imagery will be performed in each session. Exercises will be changed every two weeks, gradually increasing the difficulty.

Control group

Individuals will receive standard rehabilitation.

Group Type EXPERIMENTAL

Traditional rehabilitation

Intervention Type OTHER

The program consists of a joint treatment in which lower extremity strengthening and balance exercises are carried out synchronously. The program will include a total of 5 minutes of warm-up, 5 minutes of cool-down and 30 minutes of exercises related to the program. The difficulty of the program will increase by changing the number of exercises and increasing the weight in strengthening exercises. Progress in balance and coordination exercises will vary by changing the ground, increasing the standing time, and keeping the eyes open and closed.

Interventions

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Traditional rehabilitation

The program consists of a joint treatment in which lower extremity strengthening and balance exercises are carried out synchronously. The program will include a total of 5 minutes of warm-up, 5 minutes of cool-down and 30 minutes of exercises related to the program. The difficulty of the program will increase by changing the number of exercises and increasing the weight in strengthening exercises. Progress in balance and coordination exercises will vary by changing the ground, increasing the standing time, and keeping the eyes open and closed.

Intervention Type OTHER

Action observation therapy and motor imagery

In the experimental group, in addition to traditional telerehabilitation, action observation and motor imagery of 4 exercises will be performed in each session. A video will be prepared for 4 exercises. Then, the participant will perform 2 minutes of action observation of each movement, followed by 1 minute of motor imagery. In addition to the traditional telerehabilitation program, a 12-minute combination of action observation and motor imagery will be performed in each session. Exercises will be changed every two weeks, gradually increasing the difficulty.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Being diagnosed with mulltiple sclerosis according to the McDonald criteria
* Expanded Disability Status Scale\<5.5,
* Being between the ages of 18-65,
* Mini mental test score\>24,
* Have a phone that can adapt to participating in a video call

Exclusion Criteria

* Having another additional neurological disease that may cause balance and coordination disorders,
* Receiving physical therapy in the last 6 months,
* Having an attack in the last 3 months
* Refusal to participate in the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Inonu University

OTHER

Sponsor Role lead

Responsible Party

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Burcu Talu

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Burcu talu

Role: STUDY_DIRECTOR

Inonu University

Central Contacts

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Busra CANDIRI

Role: CONTACT

+9005073780717

Dilan DEMIRTAS KARAOBA

Role: CONTACT

Other Identifiers

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2024/5591

Identifier Type: -

Identifier Source: org_study_id

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