Effects of Exercise Training on Fitness, Mobility, Fatigue, and Health-Related Quality of Life Among Adults With Multiple Sclerosis: A Systematic Review to Inform Guideline Development

Latimer-Cheung, Amy E; Pilutti, Lara A.; Hicks, Audrey L.; Ginis, Kathleen A. Martin; Fenuta, Alyssa M.; MacKibbon, K. Ann; Motl, Robert W.

doi:10.1016/j.apmr.2013.04.020

Cited by 495 publications

(383 citation statements)

References 94 publications

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“…Existing recommended levels for physical activity focuses on engaging in structured forms of exercise using moderate to vigorous activities [38,39]. Yet there is evidence to suggest that only 20% of pwMS met the public health guidance for physical activity (moderate to vigorous physical activity !5 days per week or vigorous activity 3 days per week) [40].…”

Section: Insights Into the Reasons Why Pwms Engage In Exercise And Phmentioning

confidence: 99%

Physical activity and exercise priorities in community dwelling people with multiple sclerosis: a Delphi study

Stennett

Souza

Norris

2017

Disability and Rehabilitation

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Aims: Exercise and physical activity have been found to be beneficial in managing disabilities caused by multiple sclerosis. Despite the known benefits, many people with multiple sclerosis are inactive. This study aimed to identify the prioritised exercise and physical activity practices of people with multiple sclerosis living in the community and the reasons why they are engaged in these activities. Methods: A four Round Delphi questionnaire scoped and determined consensus of priorities for the top 10 exercise and physical activities and the reasons why people with multiple sclerosis (n ¼ 101) are engaged in these activities. Data were analysed using content analysis, descriptive statistics, and nonparametric tests. Results: The top 10 exercise and physical activity practices and the top 10 reasons why people with multiple sclerosis (n ¼ 70) engaged in these activities were identified and prioritised. Consensus was achieved for the exercise and physical activities (W ¼ 0.744, p < .0001) and for the reasons they engaged in exercise and physical activity (W ¼ 0.723, p < .0001). Conclusion:The exercise and physical activity practices and the reasons people with multiple sclerosis engaged in exercise and physical activity were diverse. These self-selected activities and reasons highlighted that people with multiple sclerosis might conceptualise exercise and physical activity in ways that may not be fully appreciated or understood by health professionals. Considerations of the views of people with multiple sclerosis may be essential if the goal of increasing physical activity in this population is to be achieved. ä IMPLICATIONS FOR REHABILITATIONHealth professionals should work collaboratively with people with multiple sclerosis to understand how they prioritise activities, the underlying reasons for their prioritisations and embed these into rehabilitation programmes. Health professionals should utilise activities prioritised by people with multiple sclerosis in the community as a way to support, promote, and sustain exercise and physical activity in this population. Rehabilitation interventions should include both the activities people with multiple sclerosis prioritise and the reasons why they engage in exercise and physical activity as another option for increasing physical activity levels and reducing sedentary behaviours. ARTICLE HISTORY

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Section: Insights Into the Reasons Why Pwms Engage In Exercise And Phmentioning

confidence: 99%

Physical activity and exercise priorities in community dwelling people with multiple sclerosis: a Delphi study

Stennett

Souza

Norris

2017

Disability and Rehabilitation

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“…Research establishing the benefits of physical activity for people with MS is burgeoning. 9,10 However, there are still gaps in research aiming to identify effective methods for broadly disseminating evidencebased physical activity interventions. Strategies to address these gaps are also relevant to falls prevention.…”

Section: Sensory Integrationmentioning

confidence: 99%

Drawing on Related Knowledge to Advance Multiple Sclerosis Falls-Prevention Research

Ploughman¹,

Deshpande²,

Latimer-Cheung³

et al. 2014

International Journal of MS Care

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There is much to be learned from falls-related research outside the field of multiple sclerosis (MS), as well as from work within the MS field but not specific to falls or falls prevention. This article describes three examples of such bodies of work that have potential to broaden approaches to falls-prevention research: 1) sensory components of postural control among older adults, 2) lessons learned from physical activity promotion among people with spinal cord injury (SCI), and 3) aging among people with MS. Age-related deterioration in visual, vestibular, and somatosensory systems or in sensory integration can adversely affect postural control and can contribute to falls in older people. Sensory-specific interventions designed for improving balance in older people could be adapted for preventing falls in individuals with MS. Spinal Cord Injury (SCI) Action Canada's strategy for disseminating physical activity promotion interventions for adults with SCI has been successful and widely accepted by community partners. Many of the peer-based interventions developed by SCI Action Canada are potentially relevant and could be adapted to the MS population for both physical activity promotion and falls prevention. Considering that older people with MS constitute a growing proportion of the MS population and over 70% of older people with MS report moderate to extreme balance problems, falls prevention should be one of the key components, particularly for MS management in older or more disabled groups. Overall, given people's different ages, symptoms, strengths, and barriers, a tailored MS falls-prevention intervention that includes peer/caregiver support is critical. Int J MS Care. 2014;16:163-170.

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“…Skjerbaek et al [6] have investigated the negative influence of fatigue and pain-related symptoms on MS patients' performance in the "six minute walk test". Fatigue should be adequately controlled by means of pharmacological therapies and physical activity [7] as well as different coping strategies [8]. Regular fitness training correlates with improvements in the quality of life and a reduction in…”

Section: Introductionmentioning

confidence: 99%

Benefits of Static Stretching, Pliates® and Elastic Bands Resistance Training on Patients with Relapsing-Remitting Multiple Sclerosis: A Longitudinal Study

Ponzano¹,

Beratto²,

Mazza³

et al. 2017

J Neurol Neurophysiol

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Objective: To compare the effects of Pilates ® , a 30 s static stretching protocol and elastic bands resistance training on lower and hand-grip strength, rachis morphology, flexibility and body balance among RRMS patients.Methods: Twenty-two subjects affected by relapsing-remitting multiple sclerosis (RRMS, EDSS ≤ 6) were randomly divided into 3 groups whose members each performed 16 weeks of training. Stabilometry, rachis morphology, sit and reach, handgrip and sit to stand tests were performed three times: T0, after a month of learning training protocols; T1, after eight weeks of training; and T2, after sixteen weeks of training. Results Conclusion:Static stretching, Pilates and resistance training are useful to increase the autonomy in the daily life of people with MS thanks to the adoption of these three different training methods.

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Effects of Exercise Training on Fitness, Mobility, Fatigue, and Health-Related Quality of Life Among Adults With Multiple Sclerosis: A Systematic Review to Inform Guideline Development

Cited by 495 publications

References 94 publications

Physical activity and exercise priorities in community dwelling people with multiple sclerosis: a Delphi study

Physical activity and exercise priorities in community dwelling people with multiple sclerosis: a Delphi study

Drawing on Related Knowledge to Advance Multiple Sclerosis Falls-Prevention Research

Benefits of Static Stretching, Pliates® and Elastic Bands Resistance Training on Patients with Relapsing-Remitting Multiple Sclerosis: A Longitudinal Study

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