Adapted Resistance Training Improves Strength in Eight Weeks in Individuals with Multiple Sclerosis

Keller, Jennifer; Fritz, Nora; Chiang, Chen Chun; Jiang, Allen; Thompson, Terry A.; Cornet, Nicole; Newsome, Scott D.; Calabresi, Peter A.; Zackowski, Kathleen M.

doi:10.3791/53449

Cited by 11 publications

(22 citation statements)

References 22 publications

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“…Participants in both groups were instructed to complete 30 minutes of endurance training (eg, cycling, treadmill, or overground walking) 2 times per week and a lower extremity strength training program using resistance bands 3 times per week for 8 weeks. Strength training focused on lower extremity muscles (hip flexion, extension and abduction, and knee flexion and extension) using resistance bands, following the methods of Keller et al 29 All participants were assigned 2 functional exercises to complete each week (see Supplemental Digital Content 2C, available at: http://links.lww. com/JNPT/A294, which describes the functional exercises).…”

Section: Testing Sessions At Baseline Visit 1 Participantsmentioning

confidence: 99%

Calling Out MS Fatigue: Feasibility and Preliminary Effects of a Pilot Randomized Telephone-Delivered Exercise Intervention for Multiple Sclerosis Fatigue

Kratz

Atalla

Whibley

et al. 2020

Journal of Neurologic Physical Therapy

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Background and Purpose: Fatigue is a common and debilitating symptom of multiple sclerosis (MS). Exercise therapy is effective in reducing MS-related fatigue; however, its feasibility, acceptability, and effectiveness when delivered over the telephone remain unknown. This randomized study aimed to determine the feasibility and acceptability of a telephone-delivered exercise intervention for MS-related fatigue. In addition, pre-/postchange in fatigue and secondary outcomes were compared with an otherwise identical in-person delivered exercise intervention. Methods: Twenty participants with MS and clinically significant fatigue were randomized to 8 sessions of either telephone (n = 10) or in-person (n = 10) delivered exercise therapy. Primary outcome measures concerned feasibility (number of sessions attended), acceptability (Client Satisfaction Questionnaire), and fatigue (Fatigue Severity Scale and two 11-point numeric rating scales: fatigue intensity and interference). Data on a range of secondary outcome measures were also collected.

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Section: Testing Sessions At Baseline Visit 1 Participantsmentioning

confidence: 99%

Calling Out MS Fatigue: Feasibility and Preliminary Effects of a Pilot Randomized Telephone-Delivered Exercise Intervention for Multiple Sclerosis Fatigue

Kratz

Atalla

Whibley

et al. 2020

Journal of Neurologic Physical Therapy

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“…Future studies should examine pain, cognition, and quality of life measures in combination with more commonly-measured motor impairments (e.g., strength). We have previously shown that quantitative strength, balance, and walking measures are useful for assessing function in MS (Fritz, 2015a, 2015b) and are amenable to rehabilitation (Keller, 2016). Rehabilitation can impact quality of life, pain, and cognition; given the results of this study, future work should also examine structural brain changes that might accompany these behavioral improvements.…”

Section: Discussionmentioning

confidence: 99%

Pain, cognition and quality of life associate with structural measures of brain volume loss in multiple sclerosis

Fritz

Roy

Keller

et al. 2016

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BACKGROUND Multiple sclerosis (MS) is characterized by physical and mental impairments that often result in pain and reduced quality of life. OBJECTIVE To understand the relationship of pain, quality of life, and cognition to structural measures of brain volume. METHODS Behavioral measures were assessed in a single session using standardized questionnaires and rating scales. Brain volume measures were assessed with structural magnetic resonance imaging (MRI). RESULTS Twenty-nine individuals with relapsing-remitting MS and 29 age-matched controls participated in this study. Pain, quality of life, and cognition were significantly interrelated. Higher fluid attenuation inversion recovery weighted lesion volume was significantly associated with increased reports of pain (p = 0.01), lower physical quality of life (p < 0.0001), and lower cognitive performance (p = 0.001) in our cohort. CONCLUSIONS Assessment of pain and quality of life along with structural MRI highlights the importance of understanding structure-function relationships in MS and suggests that therapists should not only evaluate individuals for cognition and quality of life, but should consider rehabilitation goals that target these areas.

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“…21 • In managing weakness, our study showed that significant improvements can be made in as little as 8 weeks using resistance strength training. 22 Endurance training has also been effective in strength improvement 23 ; however, the dose and intensity required to achieve the most optimal gains remain unclear.…”

Section: Strengthmentioning

confidence: 99%

Gait and Balance Assessment

Zackowski

2016

Semin Neurol

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Gait and balance deficits are commonly experienced by individuals with a variety of neurologic disorders. These deficits can be particularly frustrating because they often profoundly impact a person's quality of life. The author applies information about gait and balance based on the neurologic examination and summarizes important relationships among common impairment measures of gait and balance deficits. She also provides an interpretation of these relationships to assist the clinician in how to identify and manage gait and balance deficits.

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Adapted Resistance Training Improves Strength in Eight Weeks in Individuals with Multiple Sclerosis

Cited by 11 publications

References 22 publications

Calling Out MS Fatigue: Feasibility and Preliminary Effects of a Pilot Randomized Telephone-Delivered Exercise Intervention for Multiple Sclerosis Fatigue

Calling Out MS Fatigue: Feasibility and Preliminary Effects of a Pilot Randomized Telephone-Delivered Exercise Intervention for Multiple Sclerosis Fatigue

Pain, cognition and quality of life associate with structural measures of brain volume loss in multiple sclerosis

Gait and Balance Assessment

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