Tablet app-based dexterity training in multiple sclerosis (TAD-MS): a randomized controlled trial.
Mobile health applications (mHealth apps) may lead to health benefits. In recent years, the use of apps in multiple sclerosis (MS) has increased. Apps to train and improve dexterity in MS are scarce. This study investigated the effectiveness of a tablet app-based home-based training to improve dexte...
| Publicado en: | Disability & Rehabilitation: Assistive Technology Vol. 19; no. 3; pp. 889 - 900 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Apr2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176495470&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176495470 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17483107 1X04 jtl: Disability & Rehabilitation: Assistive Technology issn: 17483107 maglogo: Y pubinfo: dt: Apr2024 vid: 19 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 176495470 159893810 176495470 176495470 10.1080/17483107.2022.2131915 176495470 ppf: 889 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Tablet app-based dexterity training in multiple sclerosis (TAD-MS): a randomized controlled trial. aug: au: van Beek, Judith J. W. Lehnick, Dirk Pastore-Wapp, Manuela Wapp, Simona Kamm, Christian P. Nef, Tobias Vanbellingen, Tim affil: Neurocenter, Cantonal Hospital Lucerne, Lucerne, Switzerland sug: subj: Mobile Applications Utilization Multiple Sclerosis Rehabilitation Agility Training Effect (Physiology) Evaluation Telehealth Outcome Assessment Human Funding Source Randomized Controlled Trials Pretest-Posttest Control Group Design Comparative Studies Random Assignment Home Health Care Upper Extremity Physiology Questionnaires Patient-Reported Outcomes Activities of Daily Living Grip Strength Quality of Life Descriptive Statistics Program Evaluation Fingers Physiology Muscle Strength Switzerland Male Female Adolescence Adult Middle Age Aged Clinical Assessment Tools Mann-Whitney U Test Analysis of Covariance Exploratory Research Home Environment Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Mobile health applications (mHealth apps) may lead to health benefits. In recent years, the use of apps in multiple sclerosis (MS) has increased. Apps to train and improve dexterity in MS are scarce. This study investigated the effectiveness of a tablet app-based home-based training to improve dexterity in individuals with MS. In a randomized controlled trial, two standardized 4-week home-based interventions focussing on different aspects of dexterity and upper limb function were compared. Assessments were done at baseline, post-intervention and 12-week follow-up. The primary endpoint was the Arm Function in Multiple Sclerosis Questionnaire, a dexterity-related measure of patient-reported activities of daily living. Secondary endpoints were dexterous function, grip strength and health-related quality of life. Forty-eight individuals were randomly assigned to a tablet app-based program (n = 26) or a control strengthening exercise program (n = 22). No significant differences were found for the primary endpoint (p = 0.35). Some significant differences in favour of the app-group were found in fine coordinated finger movements and strength. No significant differences were found at the 12-week follow-up for all endpoints. Adherence in both groups was above 90%. App-based training was not superior compared to a control strengthening exercise program concerning the arm- and hand function from the participant's perspective. However, app-based training was found to be effective in improving specific dimensions (finger movements and strength), and can easily be applied at home. Therefore, individuals living with MS with impaired dexterity should consider app-based training. Clinicaltrials.gov NCT03369470. This study provides initial evidence for the effectiveness of a home-based app-based program for improving dexterous function in individuals living with multiple sclerosis through the implementation of a tablet app-based dexterity training. App-based training was not superior compared to a control strengthening exercise program concerning the arm- and hand function from the participant's perspective. Patients attending the app-based dexterity program showed some statistically significant improvements in fine coordinated finger movements and strength. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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