Trial Outcomes & Findings for Physical Telerehabilitation in Veterans With Multiple Sclerosis (NCT NCT02346734)

NCT ID: NCT02346734

Last Updated: 2026-05-05

Results Overview

BBS consists of 14 activities common in daily life and is designed to measure balance in a clinical setting. The patient is asked to perform a task or to sustain a given position for a specific time. Points are deducted if the patient did not fulfill the time or activity requirements or touched an external support or received assistance from the examiner. Each item is rated from 0 to 4. Higher scores indicate a better outcome. The total score sums up to 56. A score of 45 or above implies that an individual can safely move or walk independently.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

51 participants

Primary outcome timeframe

6 month evaluation

Results posted on

2026-05-05

Participant Flow

Participant milestones

Participant milestones
Measure
MSHAT
The study participants will receive a clinical physical therapy evaluation and a physical therapy program to do at their own pace in the home and the intervention group will receive access to the MSHAT system via a website in which they will utilize each day. The study participants in the intervention group will login to the MSHAT system, go through a pre-exercise symptom diary to determine their eligibility to exercise, perform exercise while watching a video demonstration and report results real-time. The intervention group will also be able to send and receive messages via the MSHAT system. The time to complete the daily exercises will vary from patient to patient ranging for 10-30 minutes. Multiple Sclerosis Home Automated Telemanagement (MS HAT) system
Control
The study participants randomized to group 2 will serve as the control. The study participants will receive a clinical physical therapy evaluation and a physical therapy program to do at their own pace in the home and will be given a paper diary to report their exercise completion. The control group will bring their paper diary showing their exercise completion results to their 3 month and 6 month follow-up visits.
Overall Study
STARTED
26
25
Overall Study
COMPLETED
16
8
Overall Study
NOT COMPLETED
10
17

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Physical Telerehabilitation in Veterans With Multiple Sclerosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MSHAT
n=16 Participants
The study participants will receive a clinical physical therapy evaluation and a physical therapy program to do at their own pace in the home and the intervention group will receive access to the MSHAT system via a website in which they will utilize each day. The study participants in the intervention group will login to the MSHAT system, go through a pre-exercise symptom diary to determine their eligibility to exercise, perform exercise while watching a video demonstration and report results real-time. The intervention group will also be able to send and receive messages via the MSHAT system. The time to complete the daily exercises will vary from patient to patient ranging for 10-30 minutes. Multiple Sclerosis Home Automated Telemanagement (MS HAT) system
Control
n=8 Participants
The study participants randomized to group 2 will serve as the control. The study participants will receive a clinical physical therapy evaluation and a physical therapy program to do at their own pace in the home and will be given a paper diary to report their exercise completion. The control group will bring their paper diary showing their exercise completion results to their 3 month and 6 month follow-up visits.
Total
n=24 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=54 Participants
0 Participants
n=60 Participants
0 Participants
n=114 Participants
Age, Categorical
Between 18 and 65 years
16 Participants
n=54 Participants
8 Participants
n=60 Participants
24 Participants
n=114 Participants
Age, Categorical
>=65 years
0 Participants
n=54 Participants
0 Participants
n=60 Participants
0 Participants
n=114 Participants
Age, Continuous
50.4 years
STANDARD_DEVIATION 8.1 • n=54 Participants
54.3 years
STANDARD_DEVIATION 5.9 • n=60 Participants
51 years
STANDARD_DEVIATION 8.1 • n=114 Participants
Sex: Female, Male
Female
7 Participants
n=54 Participants
5 Participants
n=60 Participants
12 Participants
n=114 Participants
Sex: Female, Male
Male
9 Participants
n=54 Participants
3 Participants
n=60 Participants
12 Participants
n=114 Participants
Race/Ethnicity, Customized
Race · White
10 Participants
n=54 Participants
5 Participants
n=60 Participants
15 Participants
n=114 Participants
Race/Ethnicity, Customized
Race · African American
6 Participants
n=54 Participants
3 Participants
n=60 Participants
9 Participants
n=114 Participants
Region of Enrollment
United States
16 participants
n=54 Participants
8 participants
n=60 Participants
24 participants
n=114 Participants

PRIMARY outcome

Timeframe: 6 month evaluation

Population: The analysis population will consist of all control and MSHAT participants enrolled in the study.

BBS consists of 14 activities common in daily life and is designed to measure balance in a clinical setting. The patient is asked to perform a task or to sustain a given position for a specific time. Points are deducted if the patient did not fulfill the time or activity requirements or touched an external support or received assistance from the examiner. Each item is rated from 0 to 4. Higher scores indicate a better outcome. The total score sums up to 56. A score of 45 or above implies that an individual can safely move or walk independently.

Outcome measures

Outcome measures
Measure
Control
n=8 Participants
The study participants randomized to group 2 will serve as the control. The study participants will receive a clinical physical therapy evaluation and a physical therapy program to do at their own pace in the home and will be given a paper diary to report their exercise completion. The control group will bring their paper diary showing their exercise completion results to their 3 month and 6 month follow-up visits.
MSHAT
n=16 Participants
The study participants will receive a clinical physical therapy evaluation and a physical therapy program to do at their own pace in the home and the intervention group will receive access to the MSHAT system via a website in which they will utilize each day. The study participants in the intervention group will login to the MSHAT system, go through a pre-exercise symptom diary to determine their eligibility to exercise, perform exercise while watching a video demonstration and report results real-time. The intervention group will also be able to send and receive messages via the MSHAT system. The time to complete the daily exercises will vary from patient to patient ranging for 10-30 minutes. Multiple Sclerosis Home Automated Telemanagement (MS HAT) system
The Berg Balance Scale (BBS)
50 score on a scale
Standard Deviation 9.9
36.1 score on a scale
Standard Deviation 18.9

SECONDARY outcome

Timeframe: 6-month evaluation

The PDDS is a patient-reported outcome (PRO) of disability in multiple sclerosis. It has nine ordinal levels ranging between 0 (normal) to 8 (bedridden) and can be classified to mild, moderate and severe disability. A higher score indicated a worse outcome.

Outcome measures

Outcome measures
Measure
Control
n=16 Participants
The study participants randomized to group 2 will serve as the control. The study participants will receive a clinical physical therapy evaluation and a physical therapy program to do at their own pace in the home and will be given a paper diary to report their exercise completion. The control group will bring their paper diary showing their exercise completion results to their 3 month and 6 month follow-up visits.
MSHAT
n=8 Participants
The study participants will receive a clinical physical therapy evaluation and a physical therapy program to do at their own pace in the home and the intervention group will receive access to the MSHAT system via a website in which they will utilize each day. The study participants in the intervention group will login to the MSHAT system, go through a pre-exercise symptom diary to determine their eligibility to exercise, perform exercise while watching a video demonstration and report results real-time. The intervention group will also be able to send and receive messages via the MSHAT system. The time to complete the daily exercises will vary from patient to patient ranging for 10-30 minutes. Multiple Sclerosis Home Automated Telemanagement (MS HAT) system
Patient Determined Disease Steps (PDDS)
4.5 score on a scale
Interval 2.0 to 6.0
3.0 score on a scale
Interval 1.0 to 5.0

SECONDARY outcome

Timeframe: 6-month Evaluation

The patient is instructed to walk 25 feet as fast and as safely as possible. Then the patient repeats the task by walking back to the starting point. If necessary. assistive devices are allowed to be used. The amount of time (in seconds) that the patient took to walk 25 feet is measured.

Outcome measures

Outcome measures
Measure
Control
n=16 Participants
The study participants randomized to group 2 will serve as the control. The study participants will receive a clinical physical therapy evaluation and a physical therapy program to do at their own pace in the home and will be given a paper diary to report their exercise completion. The control group will bring their paper diary showing their exercise completion results to their 3 month and 6 month follow-up visits.
MSHAT
n=8 Participants
The study participants will receive a clinical physical therapy evaluation and a physical therapy program to do at their own pace in the home and the intervention group will receive access to the MSHAT system via a website in which they will utilize each day. The study participants in the intervention group will login to the MSHAT system, go through a pre-exercise symptom diary to determine their eligibility to exercise, perform exercise while watching a video demonstration and report results real-time. The intervention group will also be able to send and receive messages via the MSHAT system. The time to complete the daily exercises will vary from patient to patient ranging for 10-30 minutes. Multiple Sclerosis Home Automated Telemanagement (MS HAT) system
The Timed 25-Foot Walk (T25-FW)
13 seconds
Standard Deviation 10.9
6.5 seconds
Standard Deviation 2.6

SECONDARY outcome

Timeframe: 6-month evaluation

Population: The analysis population will consist of all control and MSHAT participants enrolled in the study.

MS Walking Scale (MSWS-12). MSWS-12 is a questionnaire with 12 items, measuring self-reported walking ability in MS. The questions are on limitations to the patient's walking due to MS during the past 2 weeks. Each item ranges from 1 to 5 and the higher the sum of the scores on all 12 tests, the more severe the degree of limitation. A higher score indicates a worse outcome. The raw scores from the 12 items are summed to a total between 12 and 60. Raw scores are then transformed to a 0-100 scale.

Outcome measures

Outcome measures
Measure
Control
n=16 Participants
The study participants randomized to group 2 will serve as the control. The study participants will receive a clinical physical therapy evaluation and a physical therapy program to do at their own pace in the home and will be given a paper diary to report their exercise completion. The control group will bring their paper diary showing their exercise completion results to their 3 month and 6 month follow-up visits.
MSHAT
n=8 Participants
The study participants will receive a clinical physical therapy evaluation and a physical therapy program to do at their own pace in the home and the intervention group will receive access to the MSHAT system via a website in which they will utilize each day. The study participants in the intervention group will login to the MSHAT system, go through a pre-exercise symptom diary to determine their eligibility to exercise, perform exercise while watching a video demonstration and report results real-time. The intervention group will also be able to send and receive messages via the MSHAT system. The time to complete the daily exercises will vary from patient to patient ranging for 10-30 minutes. Multiple Sclerosis Home Automated Telemanagement (MS HAT) system
Multiple Sclerosis Walking Scale (MSWS-12)
65.6 score on a scale
Standard Deviation 32.8
58.1 score on a scale
Standard Deviation 22.9

SECONDARY outcome

Timeframe: 6-month evaluation

The six-minute walk test (6MWT) has been widely used as a measure of functional endurance in cardiopulmonary patients and is now being used as a practical and effective outcome measure to examine functional exercise levels in other chronic diseases including MS. Patients are asked to walk along a long, flat, straight, enclosed corridor with turnaround points marked with a cone. A greater distance (measured in meters) is associated with a better outcome.

Outcome measures

Outcome measures
Measure
Control
n=16 Participants
The study participants randomized to group 2 will serve as the control. The study participants will receive a clinical physical therapy evaluation and a physical therapy program to do at their own pace in the home and will be given a paper diary to report their exercise completion. The control group will bring their paper diary showing their exercise completion results to their 3 month and 6 month follow-up visits.
MSHAT
n=8 Participants
The study participants will receive a clinical physical therapy evaluation and a physical therapy program to do at their own pace in the home and the intervention group will receive access to the MSHAT system via a website in which they will utilize each day. The study participants in the intervention group will login to the MSHAT system, go through a pre-exercise symptom diary to determine their eligibility to exercise, perform exercise while watching a video demonstration and report results real-time. The intervention group will also be able to send and receive messages via the MSHAT system. The time to complete the daily exercises will vary from patient to patient ranging for 10-30 minutes. Multiple Sclerosis Home Automated Telemanagement (MS HAT) system
The Six Minute Walk Test (6MWT)
879.2 Meters
Standard Deviation 611.5
1330.8 Meters
Standard Deviation 372

Adverse Events

MSHAT

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Walter Royal III, MD

Morehouse School of Medicine

Phone: 404-752-5222

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place