Impact of the COVID-19 Pandemic on Physical Activity and Associated Technology Use in Persons With Multiple Sclerosis: An International RIMS-SIG Mobility Survey Study

Moumdjian, Lousin; Smedal, Tori; Arntzen, Ellen Christin; Linden, Marietta van der; Learmonth, Yvonne C.; Pedullà, Ludovico; Tacchino, Andrea; Novotná, Klára; Kalron, Alon; Yazgan, Yonca Zenginler; Nedeljković, Una; Kos, Daphne; Jonsdottir, Johanna; Santoyo-Medina, Carme; Coote, Susan

doi:10.1016/j.apmr.2022.06.001

Cited by 18 publications

(15 citation statements)

References 35 publications

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“…Notably, additional factors such as restrictions aimed at reducing the spread of COVID-19 may have influenced PA behavior. However, the analysis of the association between stopping and reducing PA participation and restrictions is beyond the scope of the present study and will be explored and reported elsewhere 27…”

Section: Discussionmentioning

confidence: 99%

“…However, the analysis of the association between stopping and reducing PA participation and restrictions is beyond the scope of the present study and will be explored and reported elsewhere. 27…”

Section: Discussionmentioning

confidence: 99%

“…Intensity was initially derived for each disability category for all 16 activities together (light, moderate, and strenuous), and this parameter was also analyzed in greater detail for the 4 most frequently reported activities in each disability category. The following explanation was provided to define intensity in the survey: light—you can do this activity and sing a song; moderate—you can do this activity and have a conversation but not sing; and strenuous—you can only utter a few words while doing this activity 27…”

Section: Methodsmentioning

confidence: 99%

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Physical Activity in Multiple Sclerosis: Meeting the Guidelines at the Time of the COVID-19 Pandemic

Pedullà

Santoyo-Medina

Novotná

et al. 2023

Journal of Neurologic Physical Therapy

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Background and Purpose: Regular physical activity (PA) helps to reduce the severity of physical and mental symptoms and improves quality of life in people with multiple sclerosis (PwMS). Based on current evidence and expert opinion, the recent multiple sclerosis guidelines recommend at least 150 minutes/week of PA. This study presents the results of a survey analyzing whether and how PwMS met the guidelines before and during the pandemic. Methods: We developed and disseminated an international online survey between December 2020 and July 2021, investigating changes in self-reported PA type, duration, frequency, and intensity due to the COVID-19 outbreak in PwMS with differing disability levels. Results: Among respondents (n = 3810), 3725 were eligible. The proportion of those who conducted at least one activity decreased with increasing disability level at both time points (pre and during). Overall 60% of respondents met the guidelines before the pandemic (mild: 64.43%; moderate: 51.53%; severe: 39.34%; χ2(2) = 109.13, P < 0.01); a reduction of approximately 10% occurred during the pandemic in all disability groups (mild: 54.76%; moderate: 42.47%; severe: 29.48%; χ2(2) = 109.67, P < 0.01). Respondents with higher disability participated more in physical therapy and less in walking, cycling, and running at both time points. Most respondents reported practicing PA at a moderate intensity at both time points; frequency and duration of sessions decreased as disability level increased. Discussion and Conclusions: The percentage of those meeting the guidelines reduced with increasing disability level and during the pandemic. PA type and intensity varied widely across the disability categories. Interventions accounting for disability level are required to enable more PwMS to reap the benefits of PA. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A415).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Physical Activity in Multiple Sclerosis: Meeting the Guidelines at the Time of the COVID-19 Pandemic

Pedullà

Santoyo-Medina

Novotná

et al. 2023

Journal of Neurologic Physical Therapy

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“…Yamada et al 2020;Eek et al 2021;McCarthy et al 2021), those with chronic disease (but not enrolled in a supervised exercise program) (e.g. Cunha et al 2021;Fallon et al 2021;L ópez-Sánchez et al 2021;Moumdjian et al 2022) and those enrolled in a supervised exercise program but without chronic disease (Markotegi et al 2021). A recent systematic review concluded that the 'COVID-19 pandemic and subsequent quarantines reduced physical activity among all age groups and both sexes and had detrimental effects on people's physical and mental health' (Mehraeen et al 2023).…”

Section: Discussionmentioning

confidence: 99%

An Australian exploratory study of individual physical functioning and wellbeing of rural clients with chronic diseases whose structured exercise groups were cancelled due to social distancing requirements of the COVID-19 pandemic

Romein¹,

Bishop²

2023

Aust. J. Prim. Health

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For full list of author affiliations and declarations see end of paper Background. The primary aim of this study was to describe if there was a change in physical functioning of rural clients with chronic diseases who were unable to attend their structured *Correspondence to:exercise groups during the COVID-19 pandemic. The secondary aim was to describe their physical Jaclyn Bishop East Grampians Health Service, activity during lockdown and their wellbeing upon return to their structured exercise groups.

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“…Indeed, 1 study estimated that almost half of the people with MS decreased their PAs during the COVID-19 pandemic [15]. Studies assessing the impact of COVID-19 restrictions on PA and exercise among people with MS use a cross-sectional research design and survey methodology, which do not delve into the unique perceptions and experiences of people with MS [15][16][17][18]. A deeper understanding of these issues can inform the development of programs that will more effectively address the unique needs of people with MS. To address this gap, this study used a qualitative research design and explored the impact of COVID-19 lockdown restrictions on exercise behavior among a small convenience sample of adults with MS enrolled in STEP for MS.…”

Section: Objectivementioning

confidence: 99%

The Impact of COVID-19 Lockdown Restrictions on Exercise Behavior Among People With Multiple Sclerosis Enrolled in an Exercise Trial: Qualitative Interview Study

Palmer¹,

Neal²,

Motl³

et al. 2022

JMIR Rehabil Assist Technol

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Background During spring and summer 2020, US states implemented COVID-19 pandemic restrictions, resulting in the closure of rehabilitation facilities and, with them, some of the clinical trials that were taking place. One such trial was the Supervised Versus Telerehabilitation Exercise Program for Multiple Sclerosis (“STEP for MS”) comparative effectiveness multiple sclerosis (MS) exercise trial. Although 1 study arm was implemented via telerehabilitation, the comparative arm took place in rehabilitation facilities nationwide and was subsequently closed during this time frame. The experience of the STEP for MS participants provides insights into the impact of lockdown restrictions on exercise behavior by mode of exercise delivery (telerehabilitation vs conventional facility based). Objective This study sought to understand the impact of COVID-19 lockdown restrictions on exercise behavior among people with MS enrolled in an exercise trial at the time of the restrictions. Methods Semistructured phone and video interviews were conducted with a convenience sample of 8 participants representing both arms of the exercise trial. We applied reflexive thematic analysis to identify, analyze, and interpret common themes in the data. Results We identified 7 main themes and 2 different narratives describing the exercise experiences during lockdown restrictions. Although the telerehabilitation participants continued exercising without interruption, facility-based participants experienced a range of barriers that impeded their ability to exercise. In particular, the loss of perceived social support gained from exercising in a facility with exercise coaches and other people with MS eroded both the accountability and motivation to exercise. Aerobic exercises via walking were the most impacted, with participants pointing to the need for at-home treadmills. Conclusions The unprecedented disruption of COVID-19 lockdown restrictions in spring and summer 2020 impacted the ability of facility-based STEP for MS exercise trial participants to exercise in adherence to the intervention protocol. By contrast, the participants in the telerehabilitation-delivered exercise arm continued exercising without interruption and reported positive impacts of the intervention during this time. Telerehabilitation exercise programs may hold promise for overcoming barriers to exercise for people with MS during COVID-19 lockdown restrictions, and potentially other lockdown scenarios, if the participation in telerehabilitation has already been established.

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Impact of the COVID-19 Pandemic on Physical Activity and Associated Technology Use in Persons With Multiple Sclerosis: An International RIMS-SIG Mobility Survey Study

Cited by 18 publications

References 35 publications

Physical Activity in Multiple Sclerosis: Meeting the Guidelines at the Time of the COVID-19 Pandemic

Physical Activity in Multiple Sclerosis: Meeting the Guidelines at the Time of the COVID-19 Pandemic

An Australian exploratory study of individual physical functioning and wellbeing of rural clients with chronic diseases whose structured exercise groups were cancelled due to social distancing requirements of the COVID-19 pandemic

The Impact of COVID-19 Lockdown Restrictions on Exercise Behavior Among People With Multiple Sclerosis Enrolled in an Exercise Trial: Qualitative Interview Study

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