Benefits of an intensive task-oriented circuit training in Multiple Sclerosis patients with mild disability

Chisari, Carmelo; Venturi, Martina; Bertolucci, Federica; Fanciullacci, Chiara; Rossi, Bruno

doi:10.3233/nre-141144

Cited by 24 publications

(9 citation statements)

References 46 publications

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“…The results of this study follow a positive trend similar to the already published data of Chisari et al ( 33 ), in which a group of 17 patients with MS showed significant improvement in the TUG test and a positive trend in the SF-36 questionnaire. In another study published by Tramonti et al ( 14 , 15 ), a group of 15 patients with MS showed only an insignificant trend in TUG test, but a clear improvement in the MFIS and MSWS-12 questionnaires.…”

Section: Discussionsupporting

confidence: 91%

Intensive Circuit Class Therapy in Patients with Relapsing-Remitting Multiple Sclerosis

Kočica¹,

Kolčava

Sládečková³

et al. 2022

JRM

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Objective: Long-term physiotherapy is of considerable benefit to patients with motor dysfunction or gait impairment in patients with multiple sclerosis (MS). The aim of this study was to determine the effectiveness of 12-week intensive circuit class therapy (ICT) for patients with MS, with a wider focus on fatigue and gait ability. Methods: A total of 46 relapsing-remitting MS patients were divided randomly: Twenty-three of them (mean Expanded Disability Status Scale (EDSS) 2.33±0.74) took part in an intensive 12-week course of ICT and 23 (mean EDSS 2.04±0.63) served as a control group. The EDSS, Timed Up and Go (TUG) test and Four-Stage Balance Test (FSBT) made up the physical testing part, supplemented by questionnaires such as the Modified Fatigue Impact Scale (MFIS), 12-Item Multiple Sclerosis Walking Scale (MSWS-12), Beck Depression Inventory (BDI) and 36-Item Short Form Survey (SF-36). Results: Significant improvements were found among ICT-exercising patients in FSBT (p<0.05), TUG test (p<0.01), MFIS (p<0.01), BDI (p<0.05), MSWS-12 (p<0.05) and the three subscales of SF-36 after 12 weeks of ICT, while there were no significant changes in the control group. ICT-exercising patients exhibited significant improvements in FSBT (p=0.005), TUG test (p=0.005), MFIS (p=0.001), BDI (p=0.002), MSWS-12 (p=0.001) and the three subscales of SF-36 after 12 weeks of ICT compared to control group. Conclusion: Intensive circuit class therapy is an effective therapeutic approach for improving gait and balance problems in patients with MS. It has also proved to alleviate fatigue and symptoms of depression.

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Section: Discussionsupporting

confidence: 91%

Intensive Circuit Class Therapy in Patients with Relapsing-Remitting Multiple Sclerosis

Kočica¹,

Kolčava

Sládečková³

et al. 2022

JRM

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“…However, there are many difficulties in reacquiring independent gait after stroke due to the neurological disorder of the body and the psychological fear of falling (Fletcher and Hirdes, 2004; Fritz et al, 2007). Representative gait trainings for stroke patients in clinical practice include treadmill walking training (Lindquist et al, 2007), task-oriented circuit training (Chisari et al, 2014), imagery training (Braun et al, 2006), gait training in various obstacle courses (Dean et al, 2000), and virtual reality programs (Lord et al, 2004). However, these exercises are only available to the stable indoor environment and do not take into account the various environmental factors, which are required for patients to participate in community activities (Lord and Rochester, 2005).…”

Section: Introductionmentioning

confidence: 99%

The effects of a community-based walking program on walking ability and fall-related self-efficacy of chronic stroke patients

et al. 2019

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The objectives of this study were to evaluate the effects of community-based walking training (CWT) on the walking ability and fall-related self-efficacy of chronic stroke patients and compare the effects of CWT to the conventional walking programs in stroke patients. Previous studies focused on walking speed, walking endurance, and balance. However, no studies have examined the changes in fall-related self-efficacy after CWT. In order to achieve purpose of this study, 45 chronic stroke patients, who were hospitalized at National Rehabilitation Center, were randomly divided into the CWT group (CWTG, n=15), the treadmill walking training group (TWTG, n=15), and the control group (CG, n=15). The treatment was conducted 3 times per week (30 min each) for 4 weeks. CWT was carried out by gradually increasing the difficulty level in various environments outside the hospital room. The results revealed that the CWTG was more effective in enhancing the walking ability and fall-related self-efficacy than the TWTG and the CG. These findings demonstrated that the CWTG increased the walking ability and fall-related self-efficacy of chronic stroke patients. Therefore, we suggest that adding CWT to standard rehabilitation might be an effective method for improving walking ability and fall-related self-efficacy in chronic stroke patients.

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“…The CCT programme in this study differed to the clinical trials in the literature with respect to dose and setting. Although many studies based in the inpatient setting provided CCT as much as five times per week (Blennerhassett & Dite, 2004;Chisari, Venturi, Bertolucci, Fanciullacci, & Rossi, 2014;English et al, 2007), 85% of our participants reported the frequency of classes as either excellent or good. Free-text comments related to this question highlighted that participants had other appointments they needed to attend and transportation was a challenge for some.…”

Section: Discussionmentioning

confidence: 61%

characteristics and experiences of international physiotherapy graduates seeking registration to practise in Australia

Foo¹,

Storr²,

Maloney³

2017

NZJP

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This study aimed to identify the characteristics, and explore the experiences, of international physiotherapy graduates seeking registration to practise in Australia. Participants of a clinical-skills revision workshop run by an Australian University for internationally trained physiotherapists seeking to apply for registration were surveyed between 2013 and 2014. Survey questions focused on the experience of the registration process, and what it meant to participants. Data were analysed with descriptive statistics and thematic analysis. Seventy-three survey responses were received. Most participants were under 40 years old (88%), 48% were permanent Australian residents, and 37% had a Master’s level degree or higher. The median years since graduation was eight (interquartile range 6–12), 85% of participants spoke more than one language, and 56% reported that they would consider working in a rural location. Thematic analysis revealed insights into the risks perceived by participants while seeking registration to practise, affecting their personal wellbeing, professional development and recognition, partners and children, and resources. International physiotherapy graduates have potential to improve healthcare provision and address Australia’s growing health workforce needs, through their experience, diversity, and willingness to work in rural locations. However, international physiotherapy graduates also perceive significant risks associated with seeking registration to practise.

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Benefits of an intensive task-oriented circuit training in Multiple Sclerosis patients with mild disability

Cited by 24 publications

References 46 publications

Intensive Circuit Class Therapy in Patients with Relapsing-Remitting Multiple Sclerosis

Intensive Circuit Class Therapy in Patients with Relapsing-Remitting Multiple Sclerosis

The effects of a community-based walking program on walking ability and fall-related self-efficacy of chronic stroke patients

characteristics and experiences of international physiotherapy graduates seeking registration to practise in Australia

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