Telerehabilitation in Duchenne Muscular Dystrophy

Study Overview
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Brief Summary
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Duchenne Muscular Dystrophy (DMD) is a progressive inherited disease that affects the muscles and causes functional limitations to varying degrees. It is vital to start physiotherapy follow-ups immediately after diagnosis. Patients with DMD are among the most vulnerable groups who have problems in accessing physiotherapy services during the COVID-19 pandemic. The aim of the study was to investigate the effects of the telerehabilitation program developed to protect the physical health of patients with DMD and not to interrupt their follow-up.

Detailed Description
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Forty two patients with DMD were included in the study. 30 of them were ambulant in group 1, and 12 were non-ambulant in group 2. Physiotherapy assessments were performed blindly before the program started. According to the functional levels of the individuals, 2 groups were formed. 9 physiotherapists applied the tele-rehabilitation program for 24 session (3 days in a week).

Official Title
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Remote Physiotherapy Application to Protect Physical Health in Duchenne Muscular Dystrophy

Conditions
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Duchenne Muscular Dystrophy

Intervention / Treatment
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* Other: Telerehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Able to communicate verbally and visually Older than 5 years old Exclusion Criteria: The children who had undergone any surgical operations in the past 6 months, Having a severe cognitive and breathing impairment Using mechanical ventilator continually or intermittent Having a febrile infection

Ages Eligible for Study
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Minimum Age: 5 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Grup 1: Ambulant Group Grup 2: Non-ambulant Group
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Ambulant Group<br>Individuals unable to walk according to the Brooke Function Classification System | Other: Telerehabilitation<br>* The 8 week exercise program with telerehabilitation<br>|
| Experimental: Non-ambulant Group<br>Individuals who can walk according to the Brooke Function Classification System | Other: Telerehabilitation<br>* The 8 week exercise program with telerehabilitation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional level | Brooke Function Classification System | Before the intervention, up to one month | 
| Socio-demographics | gender, body weight, height | Before the intervention, up to one month | 
| Walking test (Before intervention) | The distance of 10 m was determined in a suitable indoor environment. | Before the intervention, up to one month. | 
| Walking test (After intervention) | The distance of 10 m was determined in a suitable indoor environment. | After the intervention, average two weeks. | 
| Time to stand up from the supine position (Before intervention) | The time to stand up from the supine position was recorded. | Before the intervention, up to one month. | 
| Time to stand up from the supine position (After intervention) | The time to stand up from the supine position was recorded. | After the intervention, average two weeks. | 
| Modified upper extremity performance test (Before intervention) | Flexion the shoulder to 90 degrees, flexion the shoulder above 90 degrees (above eye level), abduction of the shoulder 90 degrees, abduction of the shoulder above 90 degrees, doing the same movements with weight, bringing the empty glass to the mouth in a sitting position, bringing the full glass to the mouth | Before the intervention, up to one month. | 
| Modified upper extremity performance test (After intervention) | Flexion the shoulder to 90 degrees, flexion the shoulder above 90 degrees (above eye level), abduction of the shoulder 90 degrees, abduction of the shoulder above 90 degrees, doing the same movements with weight, bringing the empty glass to the mouth in a sitting position, bringing the full glass to the mouth | After the intervention, average two weeks. | 
| Endurance (Before intervention) | The number of knee extensions and elbow flexions they can do in sitting position in 30 seconds | Before the intervention, up to one month. | 
| Endurance (After intervention) | The number of knee extensions and elbow flexions they can do in sitting position in 30 seconds | After the intervention, average two weeks. | 
| Pulmonary Dysfunction Test (Before intervention) | Value when the patient counts audibly in a single expiration after maximum inspiratory effort | Before the intervention, up to one month. | 
| Pulmonary Dysfunction Test (After intervention) | Value when the patient counts audibly in a single expiration after maximum inspiratory effort | After the intervention, average two weeks. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Satisfaction Survey | General satisfaction, internet/connection, physiotherapist's guidance, timing, level of knowledge, reassurance, comfort, knowledge/advice, level of satisfaction with information clarity | After the intervention average two weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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telerehabilitation, satisfaction, Duchenne Muscular Dystrophy