Effect of the synchronized telerehabilitation-based upper extremity training program on hand-arm functions in people with multiple sclerosis

IF 2.9 3区医学 Q2 CLINICAL NEUROLOGY Multiple sclerosis and related disorders Pub Date : 2025-06-01 Epub Date: 2025-04-21 DOI:10.1016/j.msard.2025.106438

Seda Dastan , Özge Ertekin , Asiye Tuba Ozdogar , Turhan Kahraman , Cavid Baba , Serkan Ozakbas

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Abstract

Background

Between 60 % and 75 % of people with MS (PwMS) report having upper extremity dysfunction. Synchronized telerehabilitation offers immediate feedback and personalized treatment beyond standard clinical services.

Objectives

To evaluate the effects of an 8-week synchronized telerehabilitation-based upper extremity training program on hand-arm function in PwMS and compare these effects with an asynchronous treatment group.

Method

The Synchronized group (n=12) received online upper extremity exercises twice a week from a physiotherapist. The Asynchronous group (n=13) performed the same exercises via instructional videos. All participants were assessed at baseline and after 8 weeks using the Nine-Hole Peg Test (NHPT), JAMAR Hand Dynamometer, and the Arm Function Questionnaire for Multiple Sclerosis (AMSQ). Additionally, quality of life, fatigue, physical activity, participation, and pain were evaluated using various validated scales and questionnaires.

Results

The Synchronized group showed significant improvements in the NHPT, JAMAR Hand Dynamometer scores, and the AMSQ after 8 weeks (p<0.05). Specifically, the synchronized group demonstrated a marked reduction in the time to complete the NHPT, indicating enhanced dexterity and coordination. The JAMAR Hand Dynamometer scores revealed substantial gains in grip strength, suggesting improved muscle function. Patient-reported outcomes from the AMSQ indicated better perceived upper extremity functionality. Furthermore, the synchronized group experienced a significant reduction in fatigue levels (p<0.05) and an increase in quality of life and participation in daily activities (p<0.05). However, both the synchronized and asynchronous groups did not show significant changes in pain levels (p>0.05). The Asynchronous group also displayed improvements in upper extremity function, but these were less pronounced compared to the synchronized group.

Conclusion

The results show that synchronized-based telerehabilitation training performed with a physiotherapist is an effective method on hand-arm function. In addition, synchronized training seems to be effective on fatigue, quality of life and participation in PwMS,

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同步远程康复上肢训练方案对多发性硬化症患者手臂功能的影响

60% - 75%的多发性硬化症（PwMS）患者报告有上肢功能障碍。同步远程康复提供即时反馈和个性化治疗超越标准的临床服务。目的评价8周同步远程康复上肢训练对PwMS患者手臂功能的影响，并与非同步训练组进行比较。方法同步组（n=12）接受物理治疗师每周2次的在线上肢锻炼。异步组（n=13）通过教学视频进行同样的练习。所有参与者在基线和8周后使用九孔栓测试（NHPT）、JAMAR手测力仪和多发性硬化症手臂功能问卷（AMSQ）进行评估。此外，使用各种有效的量表和问卷对生活质量、疲劳、体力活动、参与和疼痛进行评估。结果同步组在8周后NHPT、JAMAR手测力计评分和AMSQ均有显著改善（p < 0.05）。具体来说，同步组完成NHPT的时间明显减少，表明灵活性和协调性增强。JAMAR手部测功仪得分显示握力有了实质性的提高，表明肌肉功能得到了改善。患者报告的AMSQ结果显示上肢功能更好。此外，同步组的疲劳水平显著降低（p<0.05），生活质量和日常活动参与度也有所提高（p<0.05）。然而，同步组和异步组的疼痛水平均无显著变化（p>0.05）。异步组也表现出上肢功能的改善，但与同步组相比，这些改善不那么明显。结论物理治疗师同步远程康复训练是一种有效的康复方法。此外，同步训练似乎对疲劳、生活质量和参与PwMS有效，

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来源期刊

Multiple sclerosis and related disorders CLINICAL NEUROLOGY-

CiteScore

5.80

自引率

20.00%

发文量

814

审稿时长

66 days

期刊介绍： Multiple Sclerosis is an area of ever expanding research and escalating publications. Multiple Sclerosis and Related Disorders is a wide ranging international journal supported by key researchers from all neuroscience domains that focus on MS and associated disease of the central nervous system. The primary aim of this new journal is the rapid publication of high quality original research in the field. Important secondary aims will be timely updates and editorials on important scientific and clinical care advances, controversies in the field, and invited opinion articles from current thought leaders on topical issues. One section of the journal will focus on teaching, written to enhance the practice of community and academic neurologists involved in the care of MS patients. Summaries of key articles written for a lay audience will be provided as an on-line resource. A team of four chief editors is supported by leading section editors who will commission and appraise original and review articles concerning: clinical neurology, neuroimaging, neuropathology, neuroepidemiology, therapeutics, genetics / transcriptomics, experimental models, neuroimmunology, biomarkers, neuropsychology, neurorehabilitation, measurement scales, teaching, neuroethics and lay communication.