Activity Monitoring for Parkinson's Disease and Multiple Sclerosis
Recruiting in Palo Alto (17 mi)
Overseen byMiriam Rafferty, PT, PhD
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Shirley Ryan AbilityLab
Disqualifiers: Dementia, Cognitive disorders, others
No Placebo Group
Approved in 2 Jurisdictions
Trial Summary
What is the purpose of this trial?The purpose of this study is to examine physical activity and exercise behaviors in people with Parkinson's Disease and Multiple Sclerosis over the course of 1-year using a cloud-based remote monitoring platform.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What data supports the effectiveness of the treatment Remote Therapeutic Monitoring Exercise Tracking, Remote Therapeutic Monitoring (RTM), Remote Patient Monitoring (RPM), Telehealth Exercise Tracking for Parkinson's Disease and Multiple Sclerosis?
Research shows that remote patient monitoring (RPM) can reliably track physical activity, which helps doctors make better decisions about patient care. This approach is especially useful for people with neurological diseases like Parkinson's and MS, as it allows for continuous monitoring without needing to visit a clinic.
12345Is remote patient monitoring safe for humans?
Remote patient monitoring (RPM) has been used safely in various conditions, including diabetes and joint surgery recovery, to help manage health at home. It involves using technology to track health data, and there are no reports of significant safety concerns in the studies reviewed.
12678How does activity monitoring differ from other treatments for Parkinson's Disease and Multiple Sclerosis?
Activity monitoring for Parkinson's Disease and Multiple Sclerosis is unique because it uses wearable technology to remotely track physical activity, allowing for real-world assessment of motor function and disability at home. This approach is particularly beneficial for continuous monitoring without the need for frequent hospital visits, making it a flexible and accessible option compared to traditional in-person assessments.
1591011Eligibility Criteria
This trial is for people who can walk on their own or with a cane, have Parkinson's Disease (mild to moderate stages), Parkinsonism, or Multiple Sclerosis. They should be willing to increase physical activity and must agree to the terms of using a remote monitoring app on their smartphone.Inclusion Criteria
I can walk on my own or with a cane.
I have been diagnosed with Parkinson's disease, Parkinsonism, or Multiple Sclerosis.
I am willing to work on improving my physical activity.
+2 more
Exclusion Criteria
I do not have any cognitive or communication issues that would prevent me from using a remote monitoring tool.
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Remote Therapeutic Monitoring
Participants receive 1 year of remote therapeutic monitoring via a connected health app and personal activity tracker to monitor their physical activity and exercise behaviors.
52 weeks
Monthly self-report surveys
Follow-up
Participants are monitored for safety and effectiveness after treatment
4 weeks
Participant Groups
The study is testing how well a cloud-based remote monitoring platform tracks exercise and physical activity in individuals with Parkinson's Disease or Multiple Sclerosis over one year.
1Treatment groups
Experimental Treatment
Group I: Remote Therapeutic MonitoringExperimental Treatment1 Intervention
Participants will receive 1 year of remote therapeutic monitoring via a connected health app and personal activity tracker to monitor their physical activity and exercise behaviors.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Shirley Ryan AbilityLabChicago, IL
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Who Is Running the Clinical Trial?
Shirley Ryan AbilityLabLead Sponsor
References
Physical activity monitoring to assess disability progression in multiple sclerosis. [2022]Clinical outcome measurement in multiple sclerosis (MS) usually requires a physical visit. Remote activity monitoring (RAM) using wearable technology provides a rational alternative, especially desirable when distance is involved or in a pandemic setting.
Implementing Remote Patient Monitoring of Physical Activity in Clinical Practice. [2023]Remote patient monitoring (RPM) is a tool for patients to share data collected outside of office visits. RPM uses technology and the digital transmission of data to inform clinician decision-making in patient care. Using RPM to track routine physical activity is feasible to operationalize, given contemporary consumer-grade devices that can sync to the electronic health record. Objective monitoring through RPM can be more reliable than patient self-reporting for physical activity.
Remote Physical Activity Monitoring in Neurological Disease: A Systematic Review. [2022]To perform a systematic review of studies using remote physical activity monitoring in neurological diseases, highlighting advances and determining gaps.
Feasibility of virtual low-cost quantitative continuous measurement of movements in the extremities of people with Parkinson's disease. [2023]A low-cost quantitative continuous measurement of movements in the extremities of people with Parkinson's disease, a structured motor assessment administered by a trained examiner to a patient physically present in the same room, utilizes sensors to generate output to facilitate the evaluation of the patient. However, motor assessments with the patient and the examiner in the same room may not be feasible due to distances between the patient and the examiner and the risk of transmission of infections between the patient and the examiner. Therefore, we propose a protocol for the remote assessment by examiners in different locations of both (A) videos of patients recorded during in-person motor assessments and (B) live virtual assessments of patients in different locations from examiners. The proposed procedure provides a framework for providers, investigators, and patients in vastly diverse locations to conduct optimal motor assessments required to develop treatment plans utilizing precision medicine tailored to the specific needs of each individual patient. The proposed protocol generates the foundation for providers to remotely perform structured motor assessments necessary for optimal diagnosis and treatment of people with Parkinson's disease and related conditions.
Association of daily physical activity with brain volumes and cervical spinal cord areas in multiple sclerosis. [2023]Remote activity monitoring has the potential to evaluate real-world, motor function, and disability at home. The relationships of daily physical activity with spinal cord white matter and gray matter (GM) areas, multiple sclerosis (MS) disability and leg function, are unknown.
Remote Patient Monitoring Following Total Joint Arthroplasty. [2023]This review article presents the current state of remote patient monitoring (RPM) in total joint arthroplasty. RPM refers to the use of telecommunication with wearable and implantable technology to assess and treat patients. Several forms of RPM are discussed including telemedicine, patient engagement platforms, wearable devices, and implantable devices. The benefits to patients and physicians are discussed in the context of postoperative monitoring. Insurance coverage and reimbursement of these technologies are reviewed.
Long-term Effects of Remote Patient Monitoring in Patients Living with Diabetes: A Retrospective Look at Participants of the Mississippi Diabetes Telehealth Network Study. [2022]Remote patient monitoring (RPM) has demonstrated value as a tool to aid patients in management of their chronic illness in the home. Although the Mississippi Diabetes Telehealth Network Study (MSDTNS) was successful in reducing HbgA1c levels for patients participating in RPM in the Mississippi Delta, the long-term effect of RPM on patients and how to support patients to maintain the treatment effect after discharge remain unclear.
Patient Satisfaction With a Multisite, Multiregional Remote Patient Monitoring Program for Acute and Chronic Condition Management: Survey-Based Analysis. [2023]Remote patient monitoring (RPM) is an option for continuously managing the care of patients in the comfort of their homes or locations outside hospitals and clinics. Patient engagement with RPM programs is essential for achieving successful outcomes and high quality of care. When relying on technology to facilitate monitoring and shifting disease management to the home environment, it is important to understand the patients' experiences to enable quality improvement.
Activity monitor use among persons with multiple sclerosis: Report on rate, pattern, and association with physical activity levels. [2023]Commercially available activity monitors are a promising approach for tracking and changing physical activity in multiple sclerosis.
Assessment Tasks and Virtual Exergames for Remote Monitoring of Parkinson's Disease: An Integrated Approach Based on Azure Kinect. [2023]Motor impairments are among the most relevant, evident, and disabling symptoms of Parkinson’s disease that adversely affect quality of life, resulting in limited autonomy, independence, and safety. Recent studies have demonstrated the benefits of physiotherapy and rehabilitation programs specifically targeted to the needs of Parkinsonian patients in supporting drug treatments and improving motor control and coordination. However, due to the expected increase in patients in the coming years, traditional rehabilitation pathways in healthcare facilities could become unsustainable. Consequently, new strategies are needed, in which technologies play a key role in enabling more frequent, comprehensive, and out-of-hospital follow-up. The paper proposes a vision-based solution using the new Azure Kinect DK sensor to implement an integrated approach for remote assessment, monitoring, and rehabilitation of Parkinsonian patients, exploiting non-invasive 3D tracking of body movements to objectively and automatically characterize both standard evaluative motor tasks and virtual exergames. An experimental test involving 20 parkinsonian subjects and 15 healthy controls was organized. Preliminary results show the system’s ability to quantify specific and statistically significant (p
Evaluation of remote assessments for multiple sclerosis in an in-home setting. [2021]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).