To determine the efficacy of telerehabilitation in MS patients and to compare two types of the intervention: an intensive rehabilitation and a standard rehabilitation program.

The telerehabilitation was provided because of the COVID-19 pandemic.

Published data demonstrate promising results of the rehabilitation in patients with multiple sclerosis (MS), including telerehabilitation technologies.

A total number of 32 patients participated in the study. The investigated group consisted of 19 MS patients: 11 females and 8 males, mean age 39,54±5,44 years. The control group included 13 participants: 6 males and 7 females, mean age 38,95±8,04 years. Both groups were equivalent in such parameters as gender, age and EDSS scale.

The telerehabilitation was provided in the investigated group for 10 days. The patients used PC with an installed TRUECONF client.

Control group patients had standard rehabilitation program in the outpatient department in the MS Center 5 times a week for 2 weeks.

Motor function was evaluated using the EDSS scale, 9-HPT, 6MWT, T25FW, Rivermead mobility index, Berg balance scale, Barthel Index and Rankin scale. Cognitive function was reported using the Montreal Cognitive Assessment Test (MoCA).

All the patients were examined by an independent neurologist before and after the intervention.

Statistically significant improvement in motor and cognitive functions was identified in the investigated groupafter intensive rehabilitation. The following results were observed: improved parameters of 9-HPT, 5 STS, Berg balance scale scores and Rivermead mobility index. Improvement in cognitive function was demonstrated by the MoCA (p=0,007).

Upon completion of the telerehabilitation program there was a significant improvement of Berg balance scale score and the performance of 9-HPT test. Cognitive function improvement was demonstrated by MoCA, SDMT and PASAT-3.

Based on the obtained results it is possible to conclude that the use of telemedicine is very promising in terms of rehabilitation of the MS patients.