Exercise prescription for patients with multiple sclerosis; potential benefits and practical recommendations

Halabchi, Farzin; Alizadeh, Zahra; Sahraian, Mohammad Ali; Abolhasani, Maryam

doi:10.1186/s12883-017-0960-9

Cited by 203 publications

(134 citation statements)

References 78 publications

(212 reference statements)

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“…Appropriate exercise can lead to important improvements in different areas of cardiorespiratory fitness (aerobic fitness), muscle strength, flexibility, balance, fatigue resistance, cognition, quality of life and respiratory function in MS patients (Halabchi, Alizadeh, Sahraian, & Abolhasani, 2017). Some general guidelines exist for exercise in MS patients.…”

Section: Resultsmentioning

confidence: 99%

Multiple Sclerosis – A Physiotherapeutic Challenge

Teodoru¹

2019

The European Proceedings of Social and Behavioural Sciences

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Multiple sclerosis (MS) is an autoimmune inflammatory condition that, while following a typical evolution of bursts and remissions, also shows a constant progress which leads, over time, to a cluster of functional deficits. Around 35-40/100,000 people in Romania are affected by this disease. Its aetiopathogenic and clinical complexity, as well as therapeutic intervention, require an in-depth approach to both the patient assessment issues and the selection of means of action that will allow the setting of prophylactic and curative medical rehabilitation protocols. This approach can only be achieved within interdisciplinary teams to carry out a thorough analysis of the posture, the way forward to anticipate possible unfavorable developments that can be prevented. Multiple sclerosis patients could achieve positive results with the help of physiotherapy, namely by using its means: kinetotherapy, hydrotherapy, occupational therapy. Different types of physical exercise show beneficial effects on MS patients, namely on their disabilities and quality of life. There is strong evidence that aerobic training improves the maximum capacity (VO2max) of people with ambulatory MS, while inactivity worsens it (Braddom, 2015(Braddom, , p. 1310. In this paper, we aim to carry out an analysis of specific literature on the means of medical recovery treatment used in multiple sclerosis.

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Section: Resultsmentioning

confidence: 99%

Multiple Sclerosis – A Physiotherapeutic Challenge

Teodoru¹

2019

The European Proceedings of Social and Behavioural Sciences

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“…and is rated on a 5-point Likert scale from 0 (Not at all confident) to 4 (Very confident). The items provide two sub-scores "Goal setting" (item 2, 3,4,5,6,7,8,13,14) and "Symptom management" (item 1,9,10,11,12,15). According to the authors [37], the scale is characterized by good item functioning, measurement invariance, and good concurrent validity (positive correlations with positive affect, sense of coherence and coping strategies and negative correlations with depression and negative affect).…”

Section: Methodsmentioning

confidence: 99%

“…Participation in Physical Activity (PA), particularly exercise training, represents the single most effective non-pharmacological approach for managing symptoms and improving the health-related quality of life (HRQoL) of people with MS [4][5][6]. However, people with MS do less PA compared to non-diseased people [7][8][9], but in similar way as other people suffering from a chronic disease [7].…”

Section: Introductionmentioning

confidence: 99%

The Relationships between Physical Activity, Self-Efficacy, and Quality of Life in People with Multiple Sclerosis

Guicciardi

Carta

Cocco

2019

Behavioral Sciences

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Regular physical activity (PA) can enhance the physical and mental health of people with Multiple Sclerosis (MS) because of its impact on muscular strength, mobility, balance, walking, fatigue, pain and health-related quality of life (HRQoL). Previous studies have hypothesized that the relationship between PA and HRQoL is mediated by self-efficacy. The aim of this research is to evaluate whether self-efficacy in goal setting and self-efficacy in the management of symptoms, mediate the relationship between PA and HRQoL, in a similar way to exercise self-efficacy. A sample of 28 participants with MS (18 females) and different levels of physical activity have been recruited and completed the following measures: (a) physical activity (GLTEQ); (b) health-related quality of life (SF-12); (c) self-efficacy in the management of Multiple Sclerosis (SEMS) and, (d) exercise self-efficacy (EXSE). The statistical analysis highlighted that self-efficacy in goal setting mediated the relationship between PA and mental health better than exercise self-efficacy. Our findings suggest that self-efficacy in goal setting can contribute to the adoption and maintenance of regular physical activity for long-lasting times, supporting and increasing the mental quality of life of people suffering from MS.Self-efficacy has been proven to be a key determinant related to adoption and maintenance of physical activity in people with chronic diseases, such as cancer, stroke, spinal cord injury, diabetes, and heart diseases [14][15][16][17][18][19][20].Exercise self-efficacy refers to the confidence people have in their ability to be physically active, such as, for example, their beliefs about achieving 30-150 min of moderate to vigorous physical activity per week [21,22].This aspect was repeatedly investigated in people with MS by Motl et al. [23][24][25][26][27][28][29], who found (a) a positive relationship between exercise self-efficacy and physical activity; (b) a moderate inverse relationship between MS symptoms and exercise self-efficacy.The management of MS-related symptoms (e.g., muscle spasms, balance disorders, thermoregulatory difficulties and muscle weakness) has been also invoked to predict both directly, and indirectly through self-efficacy, the adoption and maintenance of PA in individuals with MS [30].The relevance of symptom's management in people with MS was also stressed by Bonino et al. [31], who developed a new scale to measure self-efficacy in dealing with physical and psychological problems caused by MS. The management of symptoms (e.g., fatigue or negative emotions) allows the patients to experiment a satisfactory quality of life, which is often reduced in people with MS, even when compared with people suffering from other debilitating conditions [32][33][34].The goal setting, coupled with self-efficacy, has assumed a pivotal role in intervention studies aiming to enhance physical activity and to improve HRQoL in persons with MS [35]. In order to receive beneficial effects on physical and mental health, physical activity m...

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“…Physical exercise training is often used in the management of MS. Studies have shown that properly prescribed exercise programs can improve modifiable impairments in MS. 5 Exercise is generally safe and well-tolerated. 6 Whole-body cryotherapy (WBC) can support and complement primary treatment and facilitate physical activity. 7 In recent years, the use of WBC has gained recognition as a treatment option.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of whole-body cryotherapy and physical exercises on the psychological well-being of patients with multiple sclerosis: A comparative analysis

Pawik¹,

Kowalska²,

Rymaszewska³

2019

Adv Clin Exp Med

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Pawik M, Kowalska J, Rymaszewska J. The effectiveness of whole-body cryotherapy and physical exercises on the psychological well-being of patients with multiple sclerosis: A comparative analysis. AbstractBackground. Due to the chronic character of multiple sclerosis (MS), non-pharmacological treatment can be applied. These therapies can be a good complementation to standard pharmacological treatment.Objectives. The aim of the study was to evaluate the effectiveness of whole-body cryotherapy (WBC) and physical exercise training on the psychological and general well-being of patients with MS.Material and methods. The study was carried out on 60 patients, who were divided into 3 groups: cryotherapy (Cryo), physical exercise training (Gym) and cryotherapy with physical exercise training (CryoGym).

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Exercise prescription for patients with multiple sclerosis; potential benefits and practical recommendations

Cited by 203 publications

References 78 publications

Multiple Sclerosis – A Physiotherapeutic Challenge

Multiple Sclerosis – A Physiotherapeutic Challenge

The Relationships between Physical Activity, Self-Efficacy, and Quality of Life in People with Multiple Sclerosis

The effectiveness of whole-body cryotherapy and physical exercises on the psychological well-being of patients with multiple sclerosis: A comparative analysis

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