Rehabilitation Clinical Trial
Official title:
Changes in Physical Activity in All Day Life (Steps, Distance, Periods, Max. Speed) in People With MS Before and After the Rehabilitation - A Prospective Observational Study
The primary objective is to observe the impact of in-patient rehabilitation on physical
activity in daily life using miniature, wearable sensors, fixed on the shoes. These sensors
record data about various aspects of walking. The information on the therapy effect on daily
life can complement the clinical information and the patients' subjective report on therapy
induced improvements.
The secondary objective is the association of changes in physical activity, self-rated
walking capacity, self-rated fatigue and self-rated health-related quality of life, wich will
be analysed for disease severity of the participants.
Gait disorders are common in patients with multiple sclerosis (PwMS). Multidisciplinary
in-patient rehabilitation conducted by specialized doctors, nurses and therapists can improve
the ability to walk by tackling the problem with various approaches: by increasing strength
in leg muscles, by improving balance, by increasing cardio- pulmonary fitness, by fitting
walking aids, by reducing fatigue and cognitive deficits, by working out strategies to
compensate for impairments, and by optimising medical treatment. The investigator's patients,
who spend a lot of time (usually 2- 4 weeks) and effort for in-patient rehabilitation in
Valens tell us, that this intensive therapy is usually effective and that their walking
ability improves to a degree that is relevant in daily life. The scientific evidence for the
effectiveness of in- patient rehabilitation is usually based on either clinical assessments
of function (e.g. the 6 minute walking test) or on reports from PwMS, by using questionnaires
e.g. about mobility or quality of life in daily life. Although clinical assessments provide
important information about improvements of the functional capacity, they do not provide
information about the impact of therapy on daily life. Patient reports, on the other hand,
provide important information about the perceived impact in daily life, but the information
is not objective. Objective information about the impact of rehabilitation on daily life is
usually not available.
The primary objective therefore is to observe the impact of in-patient rehabilitation on
physical activity in daily life using miniature, wearable sensors, fixed on the shoes. These
sensors record data about various aspects of walking. The information on the therapy effect
on daily life can complement the clinical information and the patients' subjective report on
therapy induced improvements.
The secondary objective is the association of changes in physical activity, self-rated
walking capacity, self-rated fatigue and self-rated health-related quality of life, wich will
be analysed for disease severity of the participants.
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