Objectives
The purpose of this study was to investigate the effectiveness of structured telerehabilitation on fatigue, health status, quality of life (QoL), and activities of daily living (ADL) and compare the possible effects with structured supervised exercise programs in patients with Multiple Sclerosis.
Materials and methods
This study was a randomized, single‐blind trial. Thirty patients with relapsing‐remitting Multiple Sclerosis were included in the study and randomly divided into two groups; structured supervised exercise group (Group 1) and telerehabilitation group (Group 2). Group 1 (n = 15) completed a 12 week structured supervised exercise program. Group 2 (n = 15) completed a 12 week structured home‐based exercise program. Patients were evaluated with functional independence measure (FIM), first section of Nottingham Health Profile (NHP‐I), fatigue severity scale (FSS), and quality of life scale (QoLS) before and after the intervention.
Results
Significant differences were found in all parameters in both groups after the treatment (p < .05). No significant difference was found between groups regarding FIM‐total, FIM‐motor, FIM‐cognitive, NHP sub‐parameters, and QoLS (p > .05). Between‐group differences revealed a significant difference in FSS and NHP total in favor of Group 1 (p < .05).
Conclusion
A structured home‐based exercise program can be an alternative to supervised exercises with no side effects in patients with multiple sclerosis. Home‐based rehabilitation exercises that are checked and controlled through telerehabilitation can help patients improve their health‐related QoL and ADL. However, supervised exercises can be more beneficial regarding the fatigue and health profile compared to the home‐based exercises.
Background/aims Cerebral palsy is a lifelong condition resulting in weakness in the muscles, difficulty moving and excessive tension in the muscles of the arms and legs. This study aimed to investigate the effects of adding Kinesio taping and neuromuscular electrical stimulation to neurodevelopmental treatment on joint range of motion, muscle tone and functional ability in children with cerebral palsy. Methods A total of 30 children were included in the study. They were allocated to one of two groups: Kinesio taping (n=15) or neuromuscular electrical stimulation (n=15). The children in both groups received 20 sessions of twice-weekly neurodevelopmental treatment. Range of motion, Modified Ashworth Scale, Duruoz Hand Index, Manual Ability Classification System, Gross Motor Function Classification System, Minnesota Hand Skill Test and Jebsen Hand Function Test were assessed before and after the treatment programme. Results Statistically significant improvements (P<0.05) were found in all measures except Gross Motor Function Classification System in both groups. Significant between-group differences in left shoulder flexion, left shoulder abduction and unilateral Minnesota Hand Skill Test were found in favour of neuromuscular electrical stimulation; whereas significant improvement in left elbow flexion was found in favour of Kinesio taping. Conclusions The addition of Kinesio taping and neuromuscular electrical stimulation to neurodevelopmental treatment improved the joint range of motion and functional ability of children with cerebral palsy.
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