A systematic review with meta-analysis on balance, fatigue, and motor function following aquatic therapy in patients with multiple sclerosis

Shariat, Ardalan; Najafabadi, Mahboubeh Ghayour; Fard, Zahra Soroush; Nakhostin-Ansari, Amin; Shaw, Brandon S.

doi:10.1016/j.msard.2022.104107

Cited by 5 publications

(4 citation statements)

References 54 publications

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“…Several other studies conducted analyses such as the effectiveness of specifics and different interventions to improve balance. All demonstrate that improving the level of PA is essential for cognitive improvement 6,7,10,13 .…”

Section: Discussionmentioning

confidence: 95%

“…There is a paucity of balance training interventions specifically adapted for pwMS that utilize a gradual progression of difficulty and complexity in exercises and with a continuously controlled high level of challenge in exercises throughout the intervention period 48 . The previous systematic reviews have shown that exercise programs positively affect motor and psychological issues such as fatigue, balance, quality of life, and physical fitness in pwMS 13,19 . However, most studies do not quantify the level of PA before and after the intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, interventions in PA and physical rehabilitation aim to improve not only walking performance and balance, but also other aspects such as strength, spasticity, fatigue, and quality of life 4,[10][11][12] . Due to its wide impact on the individual's health and overall well-being, the measurement of PA, postural balance, and other domains (physical, cognition, and psychosocial) are increasingly described as an important piece of information in the assessment of pwMS 6,10,13 .…”

Section: Introductionmentioning

confidence: 99%

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Different levels of physical activity and postural balance in women with multiple sclerosis

Machado,

Moraes,

Bueno

et al. 2023

BJMB

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BACKGROUND:Multiple Sclerosis (MS) presents some clinical manifestations that may indicate motor, sensory and cognitive dysfunctions. Motor dysfunctions in MS are related to balance impairment, muscle weakness, gait, and fatigue and can lead to a significant decrease in quality of life. Postural balance is crucial for daily life activities and can be assessed by posturography. AIM:The primary objective was to evaluate the influence of different levels of habitual physical activity (PA) on postural balance in women with MS. Additionally, we included an evaluation of walking, mobility, fatigue, and quality of life. METHOD:This is a cross-sectional study with 25 women with MS. Habitual PA was measured using the Baecke-Questionnaire, separated into low-level (LL) and high-level (HL) PA. Posturography was used to evaluate postural balance and obtain displacement of the center of pressure (CoP-speed, CoP-area). We evaluated gait spatiotemporal-parameters (GAITRite), walking performance (6MWT), functional mobility (TUG), fatigue (FSS, MFIS), and quality-of-life (FAMS). RESULTS:The difference in CoP-speed and CoP-area was significant (p<0.05) with LL group presented greater values than the HL group. We found a medium effect size CoP-speed (Cohen’s d=0.6) and higher CoP-area (Cohen’s d=1.1). No significant differences with the other variables were found. CONCLUSION:The results showed that the group with a LL PA presented worse postural balance compared to the group HL. Although level of PA and balance seem to be related, the results of this cross-sectional study could not confirm a causal inference. It is important to develop different strategies to increase PA levels and posture balance in women with MS.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Different levels of physical activity and postural balance in women with multiple sclerosis

Machado,

Moraes,

Bueno

et al. 2023

BJMB

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“…Yoga seems to have had positive effects on fatigue [48]. A significant improvement in self-perceived fatigue was detected after Pilates interventions [37], hippotherapy [35], and aquatic therapy [47]. Yoga and aerobic training were more effective in improving dynamic and static balance; aquatic and aerobic training were more effective in improving functional walking ability [43].…”

Section: Characteristics Of the Interventionsmentioning

confidence: 97%

An Overview of Physical Exercise Program Protocols and Effects on the Physical Function in Multiple Sclerosis: An Umbrella Review

Sortino,

Petrigna,

Trovato

et al. 2023

JFMK

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Multiple sclerosis is a disease that concerns a growing number of people, especially females. There are different interventions proposed for this population, and physical activity is one of them. A proper and well-structured physical activity program can be a cheap, feasible, and practical instrument to help this population improve their quality of life. Consequently, the present study aimed to analyze, through an umbrella review, published articles to evaluate the protocols and the effect of intervention on different types of multiple sclerosis and eventually to propose a standardized intervention for this population. Systematic reviews and meta-analyses of randomized controlled trials on multiple sclerosis and physical activity effects were searched for on the electronic databases PubMed, Web of Science, and Scopus up to 22 December 2022. The quality of the studies included was determined and the results were narratively analyzed. The included studies present heterogeneity in the population, in the study design and protocols, and in the outcomes evaluated. Most of the studies detected positive outcomes on the physical function of people with multiple sclerosis. This study highlights the necessity of future studies on a population with similar characteristics, adopting similar protocols to evaluate their feasibility and validity to make physical intervention prescribed as a medicine.

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Krankheitsassoziierte Testverfahren und medizinische Trainingstherapie innerer Erkrankungen

Wolfram,

Bauer

2024

Evidenzbasierte Medizinische Trainingstherapie

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A systematic review with meta-analysis on balance, fatigue, and motor function following aquatic therapy in patients with multiple sclerosis

Cited by 5 publications

References 54 publications

Different levels of physical activity and postural balance in women with multiple sclerosis

Different levels of physical activity and postural balance in women with multiple sclerosis

An Overview of Physical Exercise Program Protocols and Effects on the Physical Function in Multiple Sclerosis: An Umbrella Review

Krankheitsassoziierte Testverfahren und medizinische Trainingstherapie innerer Erkrankungen

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