Telerehabilitation Based Motor Imagery and Action Observation Training in Multiple Sclerosis

NCT06295601 | Completed

• 1 other identifier: 2025/7369
• Study Type: interventional
• Target: 29
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Multiple Sclerosis

Keywords

motor imagery; telerehabilitation; action observation therapy

Outcome Measures

Primary Outcomes (4)

• Berg Balance Scale

  Berg Balance Scale consists of a total of 14 items. Evaluation for each stage is made between 0-4. Higher score indicates better functional balance performance

  Baseline

• Berg Balance Scale

  Berg Balance Scale consists of a total of 14 items. Evaluation for each stage is made between 0-4. Higher score indicates better functional balance performance

  6 weeks after baseline

• Muscle strength and functional mobility

  The participant will be asked to sit and stand up from a standard chair between 42-45 cm, with hands crossed on the chest, without support, 5 times. The time will be stopped when the participant completes the last sitting. It will be recorded in seconds.

  Baseline

• Muscle strength and functional mobility

  The participant will be asked to sit and stand up from a standard chair between 42-45 cm, with hands crossed on the chest, without support, 5 times. The time will be stopped when the participant completes the last sitting. It will be recorded in seconds.

  6 weeks after baseline

Secondary Outcomes (4)

• Fatigue Severity Scale

  Baseline

• Fatigue Severity Scale

  6 weeks after baseline

• Multiple Sclerosis International Quality of Life (MusiQoL) questionnaire

  Baseline

• Multiple Sclerosis International Quality of Life (MusiQoL) questionnaire

  6 weeks after baseline

Study Arms (2)

Experimental group

EXPERIMENTAL

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

Other: Traditional rehabilitation; Other: Action observation therapy and motor imagery

Control group

EXPERIMENTAL

Individuals will receive standard rehabilitation.

Other: Traditional rehabilitation

Interventions

Traditional rehabilitation 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.

Control group; Experimental group

Action observation therapy and motor imagery 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.

Experimental group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• Having another additional neurological disease that may cause balance and coordination disorders,
• having received physical therapy and regularly engaged in sports in the last 6 months
• Having an attack in the last 3 months
• Refusal to participate in the study.

Sponsors & Collaborators

• Inonu University: lead

Study Sites (1)

Inonu University

Malatya, Battalgazi, 44280, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Multiple Sclerosis

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNS; Autoimmune Diseases of the Nervous System; Nervous System Diseases; Demyelinating Diseases; Autoimmune Diseases; Immune System Diseases

Study Officials

• Burcu talu

  Inonu University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor

Study Record Dates

• First Submitted: February 21, 2024
• First Posted: March 6, 2024
• Study Start: April 20, 2025
• Primary Completion: November 15, 2025
• Study Completion: November 25, 2025
• Last Updated: June 2, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: After the study was published
• Access Criteria: If requested from the authors, it can be shared with researchers at the authors' discretion.

Locations

TU (1)