Physical, cognitive and psychosocial effects of telerehabilitation-based motor imagery training in people with multiple sclerosis: A randomized controlled pilot trial.
Identifieur interne : 000074 ( Main/Exploration ); précédent : 000073; suivant : 000075Physical, cognitive and psychosocial effects of telerehabilitation-based motor imagery training in people with multiple sclerosis: A randomized controlled pilot trial.
Auteurs : Turhan Kahraman [Turquie] ; Sema Savci [Turquie] ; Asiye Tuba Ozdogar [Turquie] ; Zumrut Gedik [Turquie] ; Egemen Idiman [Turquie]Source :
- Journal of telemedicine and telecare [ 1758-1109 ] ; 2020.
Descripteurs français
- KwdFr :
- MESH :
- rééducation et réadaptation : Sclérose en plaques.
- Adulte, Adulte d'âge moyen, Cognition, Démarche, Femelle, Humains, Marche à pied, Mâle, Projets pilotes, Qualité de vie, Téléréadaptation.
English descriptors
- KwdEn :
- MESH :
- rehabilitation : Multiple Sclerosis.
- Adult, Cognition, Female, Gait, Humans, Male, Middle Aged, Pilot Projects, Quality of Life, Telerehabilitation, Walking.
Abstract
INTRODUCTION
Motor imagery training delivered at home via telerehabilitation is a novel rehabilitation concept. The aim was to investigate the effects of telerehabilitation-based motor imaging training (Tele-MIT) on gait, balance and cognitive and psychosocial outcomes in people with multiple sclerosis (pwMS).
METHODS
This randomized, controlled pilot trial included pwMS and healthy individuals. pwMS were randomly divided into two groups, intervention and control. The intervention group received Tele-MIT twice a week for 8 weeks. The control group was a wait-list group without any additional specific treatment. Healthy participants served as a baseline comparison. The Dynamic Gait Index, used to assess dynamic balance during walking, was the primary outcome. Secondary outcomes included assessments of walking speed, endurance and perceived ability, balance performance assessed by a computerized posturography device, balance confidence, cognitive functions, fatigue, anxiety, depression and quality of life.
RESULTS
Baseline comparisons with healthy individuals revealed that motor imagery abilities were preserved in pwMS (
DISCUSSION
Tele-MIT is a novel method that proved feasible and effective in improving dynamic balance during walking, walking speed and perceived walking ability, balance confidence, cognitive functions, fatigue, anxiety, depression and quality of life in pwMS.
DOI: 10.1177/1357633X18822355
PubMed: 30744491
Affiliations:
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Izmir</wicri:regionArea><wicri:noRegion>Izmir</wicri:noRegion></affiliation></author><author><name sortKey="Savci, Sema" sort="Savci, Sema" uniqKey="Savci S" first="Sema" last="Savci">Sema Savci</name><affiliation wicri:level="1"><nlm:affiliation>School of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>School of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir</wicri:regionArea><wicri:noRegion>Izmir</wicri:noRegion></affiliation></author><author><name sortKey="Ozdogar, Asiye Tuba" sort="Ozdogar, Asiye Tuba" uniqKey="Ozdogar A" first="Asiye Tuba" last="Ozdogar">Asiye Tuba Ozdogar</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Health Sciences, Dokuz Eylül University, Izmir, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Institute of Health Sciences, Dokuz Eylül University, Izmir</wicri:regionArea><wicri:noRegion>Izmir</wicri:noRegion></affiliation></author><author><name sortKey="Gedik, Zumrut" sort="Gedik, Zumrut" uniqKey="Gedik Z" first="Zumrut" last="Gedik">Zumrut Gedik</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, Izmir Katip Celebi University, Izmir, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Psychology, Izmir Katip Celebi University, Izmir</wicri:regionArea><wicri:noRegion>Izmir</wicri:noRegion></affiliation></author><author><name sortKey="Idiman, Egemen" sort="Idiman, Egemen" uniqKey="Idiman E" first="Egemen" last="Idiman">Egemen Idiman</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Dokuz Eylül University, Izmir, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Neurology, Dokuz Eylül University, Izmir</wicri:regionArea><wicri:noRegion>Izmir</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of telemedicine and telecare</title><idno type="eISSN">1758-1109</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Cognition (MeSH)</term><term>Female (MeSH)</term><term>Gait (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Multiple Sclerosis (rehabilitation)</term><term>Pilot Projects (MeSH)</term><term>Quality of Life (MeSH)</term><term>Telerehabilitation (MeSH)</term><term>Walking (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Cognition (MeSH)</term><term>Démarche (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Marche à pied (MeSH)</term><term>Mâle (MeSH)</term><term>Projets pilotes (MeSH)</term><term>Qualité de vie (MeSH)</term><term>Sclérose en plaques (rééducation et réadaptation)</term><term>Téléréadaptation (MeSH)</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Multiple Sclerosis</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Sclérose en plaques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cognition</term><term>Female</term><term>Gait</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pilot Projects</term><term>Quality of Life</term><term>Telerehabilitation</term><term>Walking</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Cognition</term><term>Démarche</term><term>Femelle</term><term>Humains</term><term>Marche à pied</term><term>Mâle</term><term>Projets pilotes</term><term>Qualité de vie</term><term>Téléréadaptation</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>Motor imagery training delivered at home via telerehabilitation is a novel rehabilitation concept. The aim was to investigate the effects of telerehabilitation-based motor imaging training (Tele-MIT) on gait, balance and cognitive and psychosocial outcomes in people with multiple sclerosis (pwMS).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>This randomized, controlled pilot trial included pwMS and healthy individuals. pwMS were randomly divided into two groups, intervention and control. The intervention group received Tele-MIT twice a week for 8 weeks. The control group was a wait-list group without any additional specific treatment. Healthy participants served as a baseline comparison. The Dynamic Gait Index, used to assess dynamic balance during walking, was the primary outcome. Secondary outcomes included assessments of walking speed, endurance and perceived ability, balance performance assessed by a computerized posturography device, balance confidence, cognitive functions, fatigue, anxiety, depression and quality of life.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Baseline comparisons with healthy individuals revealed that motor imagery abilities were preserved in pwMS (</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>Tele-MIT is a novel method that proved feasible and effective in improving dynamic balance during walking, walking speed and perceived walking ability, balance confidence, cognitive functions, fatigue, anxiety, depression and quality of life in pwMS.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">30744491</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>14</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>14</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1758-1109</ISSN><JournalIssue CitedMedium="Internet"><Volume>26</Volume><Issue>5</Issue><PubDate><Year>2020</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Journal of telemedicine and telecare</Title><ISOAbbreviation>J Telemed Telecare</ISOAbbreviation></Journal><ArticleTitle>Physical, cognitive and psychosocial effects of telerehabilitation-based motor imagery training in people with multiple sclerosis: A randomized controlled pilot trial.</ArticleTitle><Pagination><MedlinePgn>251-260</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/1357633X18822355</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Motor imagery training delivered at home via telerehabilitation is a novel rehabilitation concept. The aim was to investigate the effects of telerehabilitation-based motor imaging training (Tele-MIT) on gait, balance and cognitive and psychosocial outcomes in people with multiple sclerosis (pwMS).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This randomized, controlled pilot trial included pwMS and healthy individuals. pwMS were randomly divided into two groups, intervention and control. The intervention group received Tele-MIT twice a week for 8 weeks. The control group was a wait-list group without any additional specific treatment. Healthy participants served as a baseline comparison. The Dynamic Gait Index, used to assess dynamic balance during walking, was the primary outcome. Secondary outcomes included assessments of walking speed, endurance and perceived ability, balance performance assessed by a computerized posturography device, balance confidence, cognitive functions, fatigue, anxiety, depression and quality of life.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Baseline comparisons with healthy individuals revealed that motor imagery abilities were preserved in pwMS (<i>p</i> > 0.05). The intervention group exhibited significant improvements in dynamic balance during walking (<i>p</i> = 0.002), walking speed (<i>p</i> = 0.007), perceived walking ability (<i>p</i> = 0.008), balance confidence (<i>p</i> = 0.002), most cognitive functions (<i>p</i> = 0.001-0.008), fatigue (<i>p</i> = 0.001), anxiety (<i>p</i> = 0.001), depression (<i>p</i> = 0.005) and quality of life (<i>p</i> = 0.002). No significant changes were observed in the control group in any of the outcome measures (<i>p</i> > 0.05).</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Tele-MIT is a novel method that proved feasible and effective in improving dynamic balance during walking, walking speed and perceived walking ability, balance confidence, cognitive functions, fatigue, anxiety, depression and quality of life in pwMS.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kahraman</LastName><ForeName>Turhan</ForeName><Initials>T</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-8776-0664</Identifier><AffiliationInfo><Affiliation>Department of Physiotherapy and Rehabilitation, Izmir Katip Celebi University, Izmir, Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Savci</LastName><ForeName>Sema</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>School of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ozdogar</LastName><ForeName>Asiye Tuba</ForeName><Initials>AT</Initials><AffiliationInfo><Affiliation>Institute of Health Sciences, Dokuz Eylül University, Izmir, Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gedik</LastName><ForeName>Zumrut</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>Department of Psychology, Izmir Katip Celebi University, Izmir, Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Idiman</LastName><ForeName>Egemen</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Neurology, Dokuz Eylül University, Izmir, Turkey.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>02</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Telemed Telecare</MedlineTA><NlmUniqueID>9506702</NlmUniqueID><ISSNLinking>1357-633X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003071" MajorTopicYN="Y">Cognition</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005684" MajorTopicYN="N">Gait</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009103" MajorTopicYN="N">Multiple Sclerosis</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000069350" MajorTopicYN="Y">Telerehabilitation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016138" MajorTopicYN="Y">Walking</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Multiple sclerosis</Keyword><Keyword MajorTopicYN="N">cognition</Keyword><Keyword MajorTopicYN="N">motor imagery</Keyword><Keyword MajorTopicYN="N">quality of life</Keyword><Keyword MajorTopicYN="N">telerehabilitation</Keyword><Keyword MajorTopicYN="N">walking</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>2</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>2</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30744491</ArticleId><ArticleId IdType="doi">10.1177/1357633X18822355</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Turquie</li></country></list><tree><country name="Turquie"><noRegion><name sortKey="Kahraman, Turhan" sort="Kahraman, Turhan" uniqKey="Kahraman T" first="Turhan" last="Kahraman">Turhan Kahraman</name></noRegion><name sortKey="Gedik, Zumrut" sort="Gedik, Zumrut" uniqKey="Gedik Z" first="Zumrut" last="Gedik">Zumrut Gedik</name><name sortKey="Idiman, Egemen" sort="Idiman, Egemen" uniqKey="Idiman E" first="Egemen" last="Idiman">Egemen Idiman</name><name sortKey="Ozdogar, Asiye Tuba" sort="Ozdogar, Asiye Tuba" uniqKey="Ozdogar A" first="Asiye Tuba" last="Ozdogar">Asiye Tuba Ozdogar</name><name sortKey="Savci, Sema" sort="Savci, Sema" uniqKey="Savci S" first="Sema" last="Savci">Sema Savci</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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