Web-based physiotherapy for people moderately affected with Multiple Sclerosis; quantitative and qualitative data...

Area of Science:

• Neurology
• Rehabilitation Medicine
• Digital Health

Background:

• Multiple Sclerosis (MS) presents challenges for moderate disability individuals.
• Web-based physiotherapy offers a potential avenue for accessible rehabilitation.

Purpose of the Study:

• To assess the effectiveness and participant experience of web-based physiotherapy for individuals with moderate MS.
• To determine the sample size for a definitive randomized controlled trial.

Main Methods:

• A 12-week randomized controlled pilot study involving 30 adults with moderate MS (EDSS 5-6.5).
• Intervention group received twice-weekly individualized web-based physiotherapy with remote monitoring and adjustments.
• Control group received usual care. Outcome measures included mobility, balance, quality of life, and psychological scales.

Main Results:

• Participants found the web-based physiotherapy easy to use, convenient, and motivating.
• No statistically significant differences were observed in the primary outcome (25 Foot Walk) or most secondary outcomes.
• A significant improvement was noted in the Multiple Sclerosis Impact Scale (P=0.048); effect sizes were small to moderate.

Conclusions:

• Web-based physiotherapy is well-received by individuals with MS.
• The study suggests a sample size of 80 participants (40 per group) is adequate for a future definitive randomized controlled trial.