Tests home telerehabilitation for people with Parkinson disease or multiple sclerosis
Compares online rehabilitation exercise programs with educational treatment in people with Parkinson or multiple sclerosis.
Key facts
- Who runs it
- Fondazione Don Carlo Gnocchi ETS
- Where
- Bari, Genova, Lecco, Milan, Modena, and Pavia, ItalySee the 6 sites
- Trial code
- Registry title
- TeleNEURO-Rehabilitation Systems for Neurodegenerative Conditions: the FIT4TeleNEURO Pragmatic Trial
- Status
- Recruiting
- People taking part
- 300 people, planned
- Started
- 23 Oct 2024
- Planned end
- 30 Jun 2026
- Type of study
- Interventional, 3 groupsOne group gets a placebo (a dummy treatment), for comparison.
- Treatments tested
- Telerehabilitation_TRsA
- Educational treatment
- Telerehabilitation_TRcA
- Record updated
- 3 March 2025
Who can take part
AI summary
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for adults aged 25 to 85 with Parkinson's disease or multiple sclerosis who are not in a rehabilitation program. It compares home telerehabilitation with educational treatment.
- Age
- 25 to 85 years
- Sex
- All sexes can join.
- Disease stage
- Parkinson's disease: probable PD by MDS criteria, stage 1 to 3 on the Hoehn & Yahr scale. Multiple sclerosis: diagnosed by the McDonald 2010 criteria, with an EDSS disability score of 4.5 or lower.
- Earlier treatment
- No rehabilitation program in place at enrolment. Drug treatment stable for the last three months: L-Dopa or dopamine agonists (Parkinson's), or Disease Modifying Therapies (multiple sclerosis).
- Biomarker or test result
- MoCA cognitive test score above 15.5.
Main reasons for not taking part
- Other illnesses that make a safe home program impossible or cause clinical instability, such as severe orthopedic or severe cognitive problems
- Major psychiatric problems or personality disorders
- Severe problems with sight or hearing
- Falls with injury, or more than 2 falls in the 6 months before recruitment
- Pregnancy
The registry criteria, word for word
Show all 13 criteriaShow less
Who can take part
- diagnosis of probable PD according to MDS criteria (Postuma et al., 2015) in staging between 1 and 3 on the Hoehn \& Yahr scale (Goetz et al., 2004) or diagnosis of MS according to the criteria of MC Donald 2010 (Polman et al., 2011) with disability level at the Expanded Disability Status Scale EDSS (Kurtzke, 1983) ≤ 4.5
- age between 25 and 85 years
- preserved cognitive level at the Montreal Cognitive Assessment test (MoCA test >15.5) (Santangelo et al., 2015)
- no rehabilitation program in place at the time of enrolment
- stable drug treatment (last three month) with L-Dopa or dopamine agonists (PD group) or Disease Modifying Therapies (DMTs) (MS group)
Who cannot take part
- falls resulting in injuries or more than 2 falls in the 6 months prior to recruitment (PD and MS groups)
- presence of major psychiatric complications or personality disorders
- presence of severe impairment of visual and/or acoustic perception
- presence of comorbidities that might prevent patients from undertaking a safe home program or determining clinical instability (i.e., severe orthopedic or severe cognitive deficits)
- pregnancy
- relapse ongoing/at least 3 months since the last relapse (MS group)
- presence of "frequent" freezing as recorded at the administration of Section II (daily life activity) of the UPDRS (score ≥ 3) (PD group)
- EDSS-FS (cerebellar function) ≥ 3 (MS group)
Check if you might fit
Answer for yourself. This is not a decision: only the study team can say whether you can take part.
- Are you between 25 and 85 years old?
Where in Italy
- Istituti Clinici Scientifici Maugeri SpABari, ItalyContact: Stefania De Trane, MDTaking people
- IRCCS Azienda Ospedaliera Universitaria San MartinoGenova, ItalyContact: Angelo Schenone, MDTaking people
- Centro Riabilitativo Villa BerettaLecco, ItalyContact: Franco Molteni, MDTaking people
- Fondazione Don Carlo Gnocchi Onlus, IRCCSMilan, ItalyContact: Chiara Fanciullacci, Clinical Trial officeTaking people
- University of Modena and Reggio EmiliaModena, ItalyContact: FRANCESCA BAGLIO, MD FRANCESCA BAGLIO, MDTaking people
- Istituto Neurologico Nazionale IRCCS Casimiro MondinoPavia, ItalyContact: Roberto Deicco, MDTaking people
About the trial
What the trial wants to find out
The goal of the FIT4TeleNEURO pragmatic trial is to verify, in real-life care contexts, the superiority in terms of the effectiveness of early rehabilitation intervention with Telerehabilitation (TR) protocols (TR single Approach, task-oriented - TRsA; TR combined approach, task-oriented and impairment-oriented - TRcA) compared to conventional management (Educational treatment, ET).
Read full original descriptionShow less
The main questions it aims to answer are:
* Are Telerehabilitation protocols more effective than educational treatment? * Is the TRcA treatment more effective than the TRsA? The study investigates the effects of rehabilitation treatment by comparing the two target cases (Multiple Sclerosis - MS and Parkinson's Diseases - PD).
Participants will be subjective to:
* 3 time-point of assessment (baseline, post-treatment and follow up) with motor, cognitive and quality-of-life measures * A 5-weeks rehabilitation treatment (4 times/week)
The 3 groups in the trial
- TRsATreatment being tested
Telerehabilitation (TR) single Approach - TRsA
Treatment: Telerehabilitation_TRsA
- TRcATreatment being tested
Telerehabilitation (TR) combined Approach - TRcA
Treatment: Telerehabilitation_TRcA
- ETPlacebo, for comparison
Educational treatment - ET
Treatment: Educational treatment
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorData and sources
- Registry record
- Listed on ClinicalTrials.gov.
- Official title
- Effectiveness of TeleNEUROrehabilitation Systems for Timely and Personalized Interventions and Vigilant Care in Neurodegenerative Conditions: the FIT4TeleNEURO Pragmatic Trial
- Plain-language title
- Tests home telerehabilitation for people with Parkinson disease or multiple sclerosisGenerated from the registry record. The registry title is the official one.
- AI summary
- From the trial's eligibility criteria. Read by machine on 12 November 2026.
- Fit questions
- Built from NCT06685744, who can take part
- Record updated
- 3 March 2025