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STUDY: Home-based training to improve manual dexterity in patients with MS

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  • STUDY: Home-based training to improve manual dexterity in patients with MS

    Home-based training to improve manual dexterity in patients with multiple sclerosis: A randomized controlled trial

    Abstract

    Background: Impaired manual dexterity is frequent and disabling in patients with multiple sclerosis (MS), affecting activities of daily living (ADL) and quality of life.

    Objective: We aimed to evaluate the effectiveness of a standardized, home-based training program to improve manual dexterity and dexterity-related ADL in MS patients.

    Methods: This was a randomized, rater-blinded controlled trial. Thirty-nine MS patients acknowledging impaired manual dexterity and having a pathological Coin Rotation Task (CRT), Nine Hole Peg Test (9HPT) or both were randomized 1:1 into two standardized training programs, the dexterity training program and the theraband training program. Patients trained five days per week in both programs over a period of 4 weeks. Primary outcome measures performed at baseline and after 4 weeks were the CRT, 9HPT and a dexterous-related ADL questionnaire. Secondary outcome measures were the Chedoke Arm and Hand Activity Inventory (CAHAI-8) and the JAMAR test.

    Results: The dexterity training program resulted in significant improvements in almost all outcome measures at study end compared with baseline. The theraband training program resulted in mostly non-significant improvements.

    Conclusion: The home-based dexterity training program significantly improved manual dexterity and dexterity-related ADL in moderately disabled MS patients.
    Dave Bexfield
    ActiveMSers

  • #2
    This is fantastic news, but not surprising. PT can help immensely. I searched for the specific exercises used in this study, but no luck. So I've written the researchers! I'll post what I hear.
    Dave Bexfield
    ActiveMSers

    Comment


    • #3
      I'd be interested in trying that program, Dave. Just this morning I poured my spoonful of instant coffee right beside the cup.

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