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Updated: Aug 23, 2025

The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool

The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool

Published on: June 30, 2014

Tablet app-based dexterity training in multiple sclerosis (TAD-MS): a randomized controlled trial.

Judith J W van Beek^1,2, Dirk Lehnick³, Manuela Pastore-Wapp^1,4

¹Neurocenter, Cantonal Hospital Lucerne, Lucerne, Switzerland.

Disability and Rehabilitation. Assistive Technology

|October 29, 2022

Summary

Tablet app-based training showed no overall superiority for multiple sclerosis (MS) arm function but improved specific finger dexterity and strength. This home-based intervention offers a viable option for individuals with MS seeking to enhance fine motor skills.

Keywords:

Multiple sclerosis home environment mobile applications randomized controlled trial telemedicine upper extremity

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Last Updated: Aug 23, 2025

The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool

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Published on: June 30, 2014

Adapted Resistance Training Improves Strength in Eight Weeks in Individuals with Multiple Sclerosis

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Published on: January 29, 2016

A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills

A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills

Published on: February 13, 2020

Area of Science:

Neurology
Rehabilitation Medicine
Digital Health

Background:

Mobile health applications (mHealth) are increasingly used in healthcare.
The application of mHealth for multiple sclerosis (MS) has grown, yet specific tools for dexterity training are limited.
Dexterity impairment is a common challenge for individuals with MS, impacting daily activities.

Purpose of the Study:

To investigate the effectiveness of a tablet app-based home-based training program for improving dexterity in individuals with MS.
To compare app-based dexterity training against a control strengthening exercise program.

Main Methods:

A randomized controlled trial comparing a 4-week tablet app-based intervention with a control strengthening exercise program.
Assessments included the Arm Function in Multiple Sclerosis Questionnaire, dexterous function, grip strength, and quality of life at baseline, post-intervention, and 12-week follow-up.
Participants were randomly assigned to either the app group (n=26) or the control group (n=22).

Main Results:

No significant difference was observed in the primary endpoint (Arm Function in Multiple Sclerosis Questionnaire) between the app and control groups (p=0.35).
The app-based training group showed significant improvements in fine coordinated finger movements and strength compared to the control group.
Adherence rates in both interventions exceeded 90%, indicating good compliance.

Conclusions:

Tablet app-based training was not superior to a control strengthening program for overall arm and hand function from a patient's perspective.
App-based training demonstrated effectiveness in enhancing specific aspects of dexterity, such as finger movements and strength.
The home-based nature of app-based training makes it a practical and accessible option for individuals with MS experiencing impaired dexterity.