From Clinic to Community: An Information and Communication Technology (ICT) Home-Based Exercise Training System for Translating Clinical Findings



Status:Recruiting
Conditions:Neurology, Neurology, Multiple Sclerosis
Therapuetic Areas:Neurology, Other
Healthy:No
Age Range:18 - 65
Updated:4/6/2019
Start Date:February 1, 2017
End Date:June 2019
Contact:Cassandra Herman, MS
Email:caseyh@lakeshore.org
Phone:2054035504

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Dose-Response Effects of Transformative Exercise in Improving Health and Function in Adults With Spinal Cord Injury and Multiple Sclerosis

The specific aim of the study in our example is to conduct a feasibility translational
home-based exercise trial established in the LEADERS (R2) project with the TExt-ME
tele-exercise training system for participants with neurologic disability. We hypothesize
that participants in this home-based tele-exercise training program will achieve similar
gains in health and function outcomes as the onsite exercise training program. Further, there
will be no difference in adverse side effects (safety) between the home-based and onsite
exercise treatment groups.

TExT-ME is a home-based tele-exercise study providing a novel exercise program to
participants with neurologic disabilities. The exercise curriculum is a Movement 2 Music
(M2M) program developed during phase 2 of the grant (clinicaltrials.gov identifier
NCT02533882). The exercise exercise classes are taught by trained dance instructors and are
composed of a set of exercises tailored to the specific needs and capabilities of adults with
neurologic disability. Each set of exercises is performed to high and low tempo music based
on the individual's baseline level of function, with adjustments made to increase or decrease
intensity if needed. The class consists of several training components: a) warmup (10 min.)
to increase range of motion; strength/balance (15-20 min), aerobics (25-30 min. with rest
periods as necessary); cool down (5 min).

The TExT-ME training and monitoring system is a user-centered design (UCD) involving a
tele-exercise coach (e.g., a trained research staff person) interacting remotely with a
participant in their home using video conferencing programs. Participants wear monitors to
maintain safe levels of exercise and provide feedback regarding exercise intensity to the
instructors. Self-reported indicators of exercise intensity are also collected using rating
of perceived exertion.

Inclusion Criteria:

- Diagnosed with stroke

- MS - mild to moderate disability (Patient Determined Disease Steps Score 0-6)

- Able to use arms or arm/legs for exercise

- Ambulatory or use manual wheelchair

Exclusion Criteria:

- Cognitive impairment (Mini-Mental State Exam score < 24)

- Recent weight change (+/- 25 pounds in 1 year)

- Poorly controlled blood pressure

- Cardiovascular disease event within the past six months

- Severe pulmonary disease

- Renal failure

- Current tobacco user or quit within the last six months

- Current use of medications for psychosis

- Active pressure ulcers
We found this trial at
1
site
Birmingham, Alabama 35209
Phone: 205-403-5504
?
mi
from
Birmingham, AL
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