Effects of Telerehabilitation-Based Motor Imagery Training on Pain in People With Multiple Sclerosis

NCT05326711 | Completed

• 1 other identifier: 2021/29-24
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 2

Brief Summary

In this studly, the effects of an 8-week telerehabilitation-based motor imagery training on pain and related factors in persons with multiple sclerosis will be investigated.

Conditions

Multiple Sclerosis; Pain

Keywords

multiple sclerosis; motor imagery; pain; telerehabilitation

Outcome Measures

Primary Outcomes (1)

• Change in Visual Analog Scale (VAS) Score

  VAS will be used to numerically determine the general pain intensities felt by participants in the last 2 days and the pain intensities of the areas they feel painful on six regions: neck, shoulder, back, hand/wrist, knee, foot/ankle. Participants will be told that 0mm above the 100mm line had "no pain"; It will be stated that 100 mm represents "the most unbearable pain". The degree of pain will be recorded numerically between 0 and 100.

  The assessments will be applied at baseline, 8, and 12 weeks.

Secondary Outcomes (15)

• Expanded Disability Status Scale

  The assessment will be applied at baseline.

• Change in Patient-Determined Disease Steps Scale Score

  The assessments will be applied at baseline and 8 weeks.

• Change in Numeric Rating Scale Score

  The assessments will be applied at baseline, 8, and 12 weeks

• Change in PainDETECT Questionnaire Score

  The assessments will be applied at baseline, 8, and 12 weeks

• Change in Nordic Musculoskeletal Questionnaire Score

  The assessments will be applied at baseline, 8, and 12 weeks

Study Arms (2)

Telerehabilitation-based motor imagery training

EXPERIMENTAL

The first 2 weeks of the treatment period, will reserved for implicit motor imagery / lateralization training. It will be performed by the "noi group application" application that can be downloaded to the participants' mobile devices. Participants will be asked to use the app 3 times a day. In each application session, the right / left discrimination of the region in the photograph will be requested within 5 seconds and 30 photographs will be shown for each painful region. Each session will last 2-3 minutes on average. For 3rd to 8th weeks of the treatment period telehabilitation-based motor imagery training will be given to the participants individually, in synchronization, using the Google Meet videoconference platform, under the guidance of a physiotherapist. The duration of the sessions will last 20-30 minutes.

Behavioral: Telerehabilitation-based motor imagery training

Control

NO INTERVENTION

No specific intervention

Interventions

Telerehabilitation-based motor imagery training BEHAVIORAL

Telerehabilitation has been defined as "the delivery of rehabilitation services through information and communication technologies".

Telerehabilitation-based motor imagery training

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Having been diagnosed with MS according to McDonald diagnostic criteria
• Not having an attack in the last 3 months.
• To have sufficient smartphone/tablet or computer knowledge to participate in the study or to have a relative who can help in this regard.
• Having an active internet connection at home.
• Having a smart phone/tablet or computer suitable for videoconferencing.
• Having a smartphone or tablet.
• Having a pain level of at least 30 mm on the 100 mm visual analog scale (VAS) for at least 3 months in at least one of the hand/wrist, foot/ankle, knee, shoulder, neck and back regions.
• No change in medications used for pain in the last 2 months.
• Not receiving additional treatment other than routine treatments.
• To be able to read and understand Turkish.

You may not qualify if:

• Pregnancy
• Having a musculoskeletal, cardiovascular, pulmonary, metabolic, or other disease severe enough to preclude participation in the study.
• Presence of conditions other than MS that can cause pain, such as cancer, diabetes, overt osteoarthritis, or rheumatoid arthritis based on laboratory or imaging findings
• Having a psychiatric illness.
• Presence of severe cognitive impairment detected by the physician at a level that prevents the tests from being performed
• Having severe vision and hearing problems.

Sponsors & Collaborators

• Dokuz Eylul University: lead
• Izmir Katip Celebi University: collaborator

Study Sites (2)

Dokuz Eylul University Hospital, MS Outpatient Clinic

Izmir, Inciralti, 35340, Turkey (Türkiye)

Location

Dokuz Eylul University Hospital, MS Outpatient Clinic

Izmir, 35430, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Multiple Sclerosis; Pain

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNS; Autoimmune Diseases of the Nervous System; Nervous System Diseases; Demyelinating Diseases; Autoimmune Diseases; Immune System Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc Prof

Study Record Dates

• First Submitted: November 16, 2021
• First Posted: April 13, 2022
• Study Start: April 11, 2022
• Primary Completion: November 21, 2022
• Study Completion: November 21, 2022
• Last Updated: July 11, 2023

Record last verified: 2023-07

Locations

TU (2)