Evaluation of remote assessments for multiple sclerosis in an in-home setting.

Disability Evaluation Humans Multiple Sclerosis / diagnosis Walking
Disability Edss Multiple sclerosis Remote assessment

Journal

Multiple sclerosis and related disorders
ISSN: 2211-0356
Titre abrégé: Mult Scler Relat Disord
Pays: Netherlands
ID NLM: 101580247

Informations de publication

Date de publication:
Sep 2021
Historique:
received: 23 02 2021
revised: 25 06 2021
accepted: 27 06 2021
pubmed: 11 7 2021
medline: 6 10 2021
entrez: 10 7 2021
Statut: ppublish

Résumé

There is an urgent clinical need for reliable remote monitoring methods in Multiple Sclerosis (MS). We evaluated the use of remotely patient-recorded timed 25-foot walk (rT25FW) and nine-hole peg test (r9HPT). Seventy-one people with MS completed a previously-validated online EDSS (webEDSS) and r9HPT, and 108 completed the webEDSS and rT25FW. There was a mild-moderate positive correlation between webEDSS and rT25FW, and no significant correlation between webEDSS and r9HPT. Distributions of rT25FW and r9HPT times were positively skewed. Our results provide pilot evidence that remote monitoring of MS is potentially valid but requires refinement before wide-scale implementation. With a median EDSS of 4.5 and EDSS range of 0 - 8.0, at least some patients with ambulatory difficulty are able to complete the assessments.

Sections du résumé

BACKGROUND BACKGROUND
There is an urgent clinical need for reliable remote monitoring methods in Multiple Sclerosis (MS). We evaluated the use of remotely patient-recorded timed 25-foot walk (rT25FW) and nine-hole peg test (r9HPT).
METHODS METHODS
Seventy-one people with MS completed a previously-validated online EDSS (webEDSS) and r9HPT, and 108 completed the webEDSS and rT25FW.
RESULTS RESULTS
There was a mild-moderate positive correlation between webEDSS and rT25FW, and no significant correlation between webEDSS and r9HPT. Distributions of rT25FW and r9HPT times were positively skewed.
CONCLUSIONS CONCLUSIONS
Our results provide pilot evidence that remote monitoring of MS is potentially valid but requires refinement before wide-scale implementation. With a median EDSS of 4.5 and EDSS range of 0 - 8.0, at least some patients with ambulatory difficulty are able to complete the assessments.

Identifiants

DOI: 10.1016/j.msard.2021.103125 PMID: 34246018
pubmed: 34246018
pii: S2211-0348(21)00392-8
doi: 10.1016/j.msard.2021.103125
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

103125

Informations de copyright

Copyright © 2021. Published by Elsevier B.V.

Auteurs

Ashvin Kuri (A)

Preventive Neurology Unit, Wolfson Institute of Preventive Medicine, QMUL.

Benjamin Meir Jacobs (BM)

Preventive Neurology Unit, Wolfson Institute of Preventive Medicine, QMUL; Department of Neurology, Royal London Hospital.

Sara Leddy (S)

Preventive Neurology Unit, Wolfson Institute of Preventive Medicine, QMUL; Department of Neurology, Brighton and Sussex University Hospital NHS Trust.

Klaus Schmierer (K)

Department of Neurology, Royal London Hospital; Blizard Institute, QMUL.

Benjamin Turner (B)

Department of Neurology, Royal London Hospital.

Kimberley Allen-Philbey (K)

Department of Neurology, Royal London Hospital; Blizard Institute, QMUL.

Andrea Stennett (A)

Preventive Neurology Unit, Wolfson Institute of Preventive Medicine, QMUL; Department of Neurology, Royal London Hospital.

Gavin Giovannoni (G)

Preventive Neurology Unit, Wolfson Institute of Preventive Medicine, QMUL; Department of Neurology, Royal London Hospital; Blizard Institute, QMUL.

Alison Thomson (A)

Preventive Neurology Unit, Wolfson Institute of Preventive Medicine, QMUL.

Ruth Dobson (R)

Preventive Neurology Unit, Wolfson Institute of Preventive Medicine, QMUL; Department of Neurology, Royal London Hospital. Electronic address: ruth.dobson@qmul.ac.uk.

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Classifications MeSH

questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Évaluation de l'invalidité › Evaluation of remote assessments for multiple...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Evaluation of remote assessments for multiple...
questionsmedicales.fr › Maladies du système immunitaire › Maladies auto-immunes › Maladies auto-immunes du système nerveux › Maladies démyélinisantes auto-immunes du SNC › Sclérose en plaques › Evaluation of remote assessments for multiple...
questionsmedicales.fr › Activités humaines › Activités de loisirs › Loisir › Sports › Marche à pied › Evaluation of remote assessments for multiple...