Tele-monitoring of a home-based exercise program in amyotrophic lateral sclerosis: a feasibility study

Braga, Anna Caroline; Pinto, Anabela; Pinto, Susana; Carvalho, Mamede de

doi:10.23736/s1973-9087.18.05129-8

Cited by 9 publications

(3 citation statements)

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“…The intensity of aerobic exercise may be monitored by heart rate or subjective ratings of patient tolerance [e.g., Borg or rate of perceived exertion (RPE) scale]. Braga et al ( 13 ) reported a successful feasibility study in 10 patients with ALS involving a telerehabilitation-based walking program using a treadmill or outdoors walking for persons with ALS, with remote vital signs monitoring (heart rate and pulse oximetry) to ensure safety.…”

Section: Specific Exercises and Adaptability To Telehealthmentioning

confidence: 99%

“…App-based asynchronous combined exercise programs have demonstrated improved functional outcomes for persons with multiple sclerosis ( 33 ). There is evidence which demonstrates the effectiveness of asynchronous interventions to support adherence to exercise programs in ALS and ensure safety through monitoring of heart rate and pulse oximetry during exercise sessions ( 13 ).…”

Section: Implementation Of Telerehabilitation-based Exercise For Alsmentioning

confidence: 99%

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Telehealth-based exercise in amyotrophic lateral sclerosis

Kudritzki

Howard

2023

Front. Neurol.

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The Veterans Health Administration (VHA) has served as a leader in the implementation of telerehabilitation technologies and continues to expand utilization of non-traditional patient encounters to better serve a geographically and demographically diverse population. Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disease impacting Veterans at a higher rate than the civilian population and associated with high levels of disability and limited access to subspecialized care. There is growing evidence supporting exercise-based interventions as an independent or adjunctive treatment to maintain or restore function for this patient population; many of these interventions can be delivered remotely by telehealth. The recent advancements in disease-modifying therapies for neuromuscular disorders will likely increase the importance of rehabilitation interventions to maximize functional outcomes. Here, we review the evidence for specific exercise interventions in ALS and the evidence for telehealth-based exercise in neuromuscular disorders. We then use this existing literature to propose a framework for telehealth delivery of these treatments, including feasible exercise interventions and remote outcome measures, recommended peripheral devices, and an example of a current remote group exercise program offered through VHA.

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Section: Specific Exercises and Adaptability To Telehealthmentioning

confidence: 99%

Section: Implementation Of Telerehabilitation-based Exercise For Alsmentioning

confidence: 99%

Telehealth-based exercise in amyotrophic lateral sclerosis

Kudritzki

Howard

2023

Front. Neurol.

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“…Those studies vary depending on the NPI applied. Some studies used aerobic/endurance training [26][27][28][29][30]. Others utilized resistance/strengthening training [31][32][33][34][35], and others a combination of endurance and resistance training [36][37][38][39][40][41][42].…”

Section: Introductionmentioning

confidence: 99%

Non-Pharmacological Interventions on Pain in Amyotrophic Lateral Sclerosis Patients: A Systematic Review and Meta-Analysis

Papadopoulou,

Papapostolou,

Dimakopoulos

et al. 2024

Healthcare

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Background: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disorder affecting upper and lower motor neurons. Some ALS patients exhibit concomitant nonmotor signs; thus, ALS is considered a multisystemic disorder. Pain is an important nonmotor symptom. Observational and case–control studies report high frequency of pain in ALS patients and it has been correlated with depression and quality of life. There are no specific scales for the assessment of pain and no randomized controlled trials (RCTs) regarding the drug management of pain in ALS. Aim: To systematically review the evidence for the nonpharmacological interventions (NPIs) in relieving pain in ALS, on March 2024, we searched the following databases: Pubmed, Scopus, Web of Science, and Cochrane. We also checked the bibliographies of trials identified to include further published or unpublished trials. Main results: A total of 1003 records were identified. Finally, five RCTs including 131 patients (64 in the intervention group and 67 in the control group) were included for meta-analysis. The interventions of the included RCTs consisted of muscle exercise, combined aerobics–strength intervention, and osteopathic manual treatment. The meta-analysis did not find a statistically significant difference in favor of NPIs for alleviating pain in ALS patients. Conclusions: ALS has a fulminant course and irreversibly leads to death. Pain in ALS patients, although a common nonmotor symptom, is often unrecognized and undertreated, and this is underlined by the lack of any RCTs on drug therapy for pain. Albeit NPIs are considered safe, as adverse effects are rarely reported, this systematic review did not provide sufficient evidence for a beneficial effect on pain. The scarceness of relevant literature highlights the need for future studies, with larger samples, more homogeneous in terms of interventions and population characteristics (stage of disease), and better choice of measurement scales to further investigate the efficacy, if any, of various pain interventions in ALS patients.

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Telerehabilitation in Amyotrophic Lateral Sclerosis

O’Connell¹,

Salsman²

2022

Telerehabilitation

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Tele-monitoring of a home-based exercise program in amyotrophic lateral sclerosis: a feasibility study

Cited by 9 publications

References 0 publications

Telehealth-based exercise in amyotrophic lateral sclerosis

Telehealth-based exercise in amyotrophic lateral sclerosis

Non-Pharmacological Interventions on Pain in Amyotrophic Lateral Sclerosis Patients: A Systematic Review and Meta-Analysis

Telerehabilitation in Amyotrophic Lateral Sclerosis

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