EXERCISE-BASED TELEREHABILITATION FOR PATIENTS WITH MULTIPLE SCLEROSIS USING PHYSICAL ACTIVITY: A SYSTEMATIC REVIEW

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Authors	SLÁDEČKOVÁ Michaela KOČICA Jan VLČKOVÁ Eva DOSBABA Filip PEPERA Garyfallia SU Jing Jing BAŤALÍK Ladislav
Year of publication	2024
Type	Article in Periodical
Magazine / Source	Journal of Rehabilitation Medicine
MU Faculty or unit	Faculty of Medicine
Citation
web	https://medicaljournalssweden.se/jrm/article/view/40641
Doi	http://dx.doi.org/10.2340/jrm.v56.40641
Keywords	multiple sclerosis; telerehabilitation; rehabilita- tion; patient-reported outcome measures; exercise; syste- matic review
Description	Background: Telerehabilitation is a practical option for individuals with multiple sclerosis (MS) to engage in sustained physical activity without visiting a rehabilitation facility. The aim of this systematic review was to evaluate the feasibility, effectiveness, safety, and adherence of exercise- based telerehabilitation as compared with usual care for MS patients. Methods: A comprehensive literature search adhering to PRISMA guidelines was conducted, focusing on studies published in English since 2000. The systematic review protocol was registered in PROSPERO. The selection process involved strict criteria, including studies focusing on people with MS, telerehabilitation centred on regular exercise, a control group receiving usual care, valid exercise testing, and adherence to randomized controlled trial principles. Methodological quality was assessed using the TESTEX tool, ensuring rigour in study design and reporting. Results: Among the 281 records screened, 10 studies met the criteria. Telerehabilitation interventions varied in format and outcomes were assessed using diverse exercise tests and questionnaires. Despite variations, the studies collectively demonstrated promising feasibility and safety, with minimal withdrawals and minor adverse events. Effectiveness varied, with 5 out of 10 studies showing significant improvements in the intervention group. Adherence rates ranged from 38% to 100%. Conclusion: In most of the assessed aspects, telerehabilitation is comparable to regular centre-based rehabilitation.