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Published in: Neurological Sciences 6/2020

01-06-2020 | Neurological Tests | COVID-19

Assessing disability and relapses in multiple sclerosis on tele-neurology

Authors: Marcello Moccia, Roberta Lanzillo, Vincenzo Brescia Morra, Simona Bonavita, Gioacchino Tedeschi, Letizia Leocani, Luigi Lavorgna, on behalf of the Digital Technologies Web and Social Media Study Group of the Italian Society of Neurology

Published in: Neurological Sciences | Issue 6/2020

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Abstract

Background

As a consequence of the coronavirus disease 2019 (COVID-19) pandemic, a large amount of consultations will be delivered through tele-medicine, especially for diseases causing chronic disability and requiring immunomodulatory treatments, such as multiple sclerosis (MS).

Methods

We have hereby reviewed available tools for tele-neurology examination in MS, including components of neurological examination that can be assessed through video, patient-reported outcome measures (PROMs), and digital technology.

Results

Overall, we have suggested a battery for assessing MS disability and relapses on tele-medicine, which brings together conventional examination, PROMs (e.g., Patient Determined Disease Steps, MS Impact Scale), and cognitive tests (Symbol Digit Modalities Test) that can be delivered remotely and in multiple languages.

Discussion

The use of common tools for neurological examination could improve tele-neurology practice for both general neurologists and MS specialists, and quality of care for people with MS.
Literature
1.
go back to reference Bonavita S, Tedeschi G, Atreja A, Lavorgna L (2020) Digital triage for people with multiple sclerosis in the age of COVID-19 pandemic. Neurol Sci Bonavita S, Tedeschi G, Atreja A, Lavorgna L (2020) Digital triage for people with multiple sclerosis in the age of COVID-19 pandemic. Neurol Sci
2.
go back to reference Waldman G, Mayeux R, Claassen J et al (2020) Preparing a neurology department for SARS-CoV-2 (COVID-19): early experiences at Columbia University Irving Medical Center and the New York Presbyterian Hospital in New York City. Neurology. Waldman G, Mayeux R, Claassen J et al (2020) Preparing a neurology department for SARS-CoV-2 (COVID-19): early experiences at Columbia University Irving Medical Center and the New York Presbyterian Hospital in New York City. Neurology.
3.
go back to reference Brownlee W, Bourdette D, Broadley S et al (2020) Treating multiple sclerosis and neuromyelitis optica spectrum disorder during the COVID-19 pandemic. Neurology. Brownlee W, Bourdette D, Broadley S et al (2020) Treating multiple sclerosis and neuromyelitis optica spectrum disorder during the COVID-19 pandemic. Neurology.
4.
go back to reference Tur C, Moccia M, Barkhof F et al (2018) Assessing treatment outcomes in multiple sclerosis trials and in the clinical setting. Nat Rev Neurol 14:75–93CrossRef Tur C, Moccia M, Barkhof F et al (2018) Assessing treatment outcomes in multiple sclerosis trials and in the clinical setting. Nat Rev Neurol 14:75–93CrossRef
6.
go back to reference Galán-Mercant A, Cuesta-Vargas AI (2014) Mobile Romberg test assessment (mRomberg). BMC Res Notes 7:640CrossRef Galán-Mercant A, Cuesta-Vargas AI (2014) Mobile Romberg test assessment (mRomberg). BMC Res Notes 7:640CrossRef
7.
go back to reference Lavorgna L, Brigo F, Moccia M et al (2018) e-Health and Multiple Sclerosis: an update. Mult Scler 24:1657–1664CrossRef Lavorgna L, Brigo F, Moccia M et al (2018) e-Health and Multiple Sclerosis: an update. Mult Scler 24:1657–1664CrossRef
8.
go back to reference Robb JF, Hyland MH, Goodman AD (2019) Comparison of telemedicine versus in-person visits for persons with multiple sclerosis: a randomized crossover study of feasibility, cost, and satisfaction. Mult Scler Relat Disord 36:101258CrossRef Robb JF, Hyland MH, Goodman AD (2019) Comparison of telemedicine versus in-person visits for persons with multiple sclerosis: a randomized crossover study of feasibility, cost, and satisfaction. Mult Scler Relat Disord 36:101258CrossRef
9.
go back to reference Yeroushalmi S, Maloni H, Costello K, Wallin M (2019) Telemedicine and multiple sclerosis: a comprehensive literature review Samuel. J Telemed Telecare Yeroushalmi S, Maloni H, Costello K, Wallin M (2019) Telemedicine and multiple sclerosis: a comprehensive literature review Samuel. J Telemed Telecare
10.
go back to reference Bove R, Bevan C, Crabtree E et al (2019) Toward a low-cost, in-home, telemedicine-enabled assessment of disability in multiple sclerosis. Mult Scler 25:1526–1534CrossRef Bove R, Bevan C, Crabtree E et al (2019) Toward a low-cost, in-home, telemedicine-enabled assessment of disability in multiple sclerosis. Mult Scler 25:1526–1534CrossRef
11.
go back to reference Lavorgna L, Sparaco M, Esposito S et al (2017) Validity and reproducibility of the Italian version of the patient determined disease steps scale in people with multiple sclerosis. Mult Scler Relat Disord 18:173–176CrossRef Lavorgna L, Sparaco M, Esposito S et al (2017) Validity and reproducibility of the Italian version of the patient determined disease steps scale in people with multiple sclerosis. Mult Scler Relat Disord 18:173–176CrossRef
12.
go back to reference Learmonth YC, Motl RW, Sandroff BM et al (2013) Validation of patient determined disease steps (PDDS) scale scores in persons with multiple sclerosis. BMC Neurol 13:37CrossRef Learmonth YC, Motl RW, Sandroff BM et al (2013) Validation of patient determined disease steps (PDDS) scale scores in persons with multiple sclerosis. BMC Neurol 13:37CrossRef
13.
go back to reference Wojcik C, Beier M, Costello K et al (2019) Computerized neuropsychological assessment devices in multiple sclerosis: a systematic review. Mult Scler 25:1848–1869CrossRef Wojcik C, Beier M, Costello K et al (2019) Computerized neuropsychological assessment devices in multiple sclerosis: a systematic review. Mult Scler 25:1848–1869CrossRef
14.
go back to reference Silva PHR, Spedo CT, Barreira AA, Leoni RF (2018) Symbol Digit Modalities Test adaptation for Magnetic Resonance Imaging environment: a systematic review and meta-analysis. Mult Scler Relat Disord 20:136–143CrossRef Silva PHR, Spedo CT, Barreira AA, Leoni RF (2018) Symbol Digit Modalities Test adaptation for Magnetic Resonance Imaging environment: a systematic review and meta-analysis. Mult Scler Relat Disord 20:136–143CrossRef
15.
go back to reference Chataway J, Porter B, Riazi A et al (2006) Home versus outpatient administration of intravenous steroids for multiple-sclerosis relapses: a randomised controlled trial. Lancet Neurol 5:565–571CrossRef Chataway J, Porter B, Riazi A et al (2006) Home versus outpatient administration of intravenous steroids for multiple-sclerosis relapses: a randomised controlled trial. Lancet Neurol 5:565–571CrossRef
16.
go back to reference Hobart J, Lamping D, Fitzpatrick R et al (2001) The Multiple Sclerosis Impact Scale (MSIS-29): a new patient-based outcome measure. Brain 124:962–973CrossRef Hobart J, Lamping D, Fitzpatrick R et al (2001) The Multiple Sclerosis Impact Scale (MSIS-29): a new patient-based outcome measure. Brain 124:962–973CrossRef
17.
go back to reference Bigi S, Marrie RA, Till C et al (2017) The computer-based Symbol Digit Modalities Test: establishing age-expected performance in healthy controls and evaluation of pediatric MS patients. Neurol Sci 38:635–642CrossRef Bigi S, Marrie RA, Till C et al (2017) The computer-based Symbol Digit Modalities Test: establishing age-expected performance in healthy controls and evaluation of pediatric MS patients. Neurol Sci 38:635–642CrossRef
Metadata
Title
Assessing disability and relapses in multiple sclerosis on tele-neurology
Authors
Marcello Moccia
Roberta Lanzillo
Vincenzo Brescia Morra
Simona Bonavita
Gioacchino Tedeschi
Letizia Leocani
Luigi Lavorgna
on behalf of the Digital Technologies Web and Social Media Study Group of the Italian Society of Neurology
Publication date
01-06-2020
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue 6/2020
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-020-04470-x

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