Two Different Types of High-Frequency Physical Therapy Promote Improvements in the Balance and Mobility of Persons With Multiple Sclerosis

Davies, Brenda L.; Arpin, David J.; Liu, Min; Reelfs, Heidi; Volkman, Kathleen G.; Healey, Kathleen; Zabad, Rana; Kurz, Max J.

doi:10.1016/j.apmr.2016.05.024

Cited by 18 publications

(15 citation statements)

References 32 publications

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“…In MS, the strength training was capable to elicit improvements in fatigue, quality of life, functional capacity and muscle activity. Several studies point toward positive effects of exercise in patients with MS regarding different outcome parameters like cognition and walking (Rodgers et al, 1999 ; Oken et al, 2004 ; Sandroff et al, 2014 ; Davies et al, 2016 ; Zimmer et al, 2017 ).…”

Section: Resultsmentioning

confidence: 99%

Effects of Sport Climbing on Multiple Sclerosis

Steimer

Weissert

2017

Front. Physiol.

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Multiple sclerosis (MS) is an autoimmune and neurodegenerative disease of the central nervous system (CNS) with different types of disease courses (relapsing-remitting, secondary-progressive, primary progressive) that leads to physical as well as mental disability. The symptoms comprise paresis or/and paralysis, ataxia, bladder dysfunction, visual problems as well as effects on cognition. There is limited data regarding the possible effects of sport climbing respectively therapeutic climbing on patients with MS. Sport climbing offers many potentially beneficial effects for patients with MS since there are effects on coordination, muscular strength, and cognition to name the most relevant ones. Also, disease models in rodents point toward such positive outcomes of climbing. Therefore, we assessed the currently available research literature on general effects of physical exercise, impact of climbing on body and mind and therapeutic climbing for prevention or therapy for the treatment of MS. The sparse published controlled trials that investigated this sport activity on different groups of patients with neurological or geriatric diseases grossly differ in study design and outcome parameters. Nevertheless, it appears that climbing offers the opportunity to improve some of the symptoms of patients with MS and can contribute to an enhanced quality of life.

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Section: Resultsmentioning

confidence: 99%

Effects of Sport Climbing on Multiple Sclerosis

Steimer

Weissert

2017

Front. Physiol.

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“…Physical therapy (PT) interventions are an integral part of physical rehabilitation. PT has been shown to stabilize or improve many physical symptoms of MS including loss of strength [ 2 ], balance dysfunction [ 3 ], impaired mobility [ 4 ], and fatigue [ 5 ]. These benefits have led many practitioners to consider physical exercise as a non-pharmaceutical disease modifying treatment [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Acceptability and outcomes of an individualized exergaming telePT program for veterans with multiple sclerosis: a pilot study

et al. 2020

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Background Physical rehabilitation services are an important component of treatment for persons with multiple sclerosis (PwMS) to improve and maintain physical mobility. However, PwMS often have significant barriers to outpatient physical therapy (PT) services including mobility deficits and lack of transportation. The integration of exercise gaming (exergaming) and telehealth into clinical PT practices may overcome these barriers. The overarching purpose of this pilot study was to evaluate the acceptability and effects of an individualized telePT intervention using exergaming. Methods Ten individuals with multiple sclerosis (MS) completed a 12-week exergaming (Jintronix®) telerehabilitation intervention. In order to measure the acceptability of the telerehabilitation intervention, adherence was measured through the tablet-based rehabilitation software and each participant completed a satisfaction questionnaire. Clinical outcome measures were assessed at baseline and post-intervention. To evaluate the efficacy of this intervention, the following measures of physical function and fatigue were included; the Short Physical Performance Battery (SPPB), 25-Foot Walk (25FW), Modified Fatigue Impact Scale (MFIS), Multiple Sclerosis Walking Scale-12 (MSWS), and the 2-Minute Walk Test (2MWT). Clinical outcomes were analyzed using the Sign test and Wilcoxon signed rank test. All other data were evaluated using descriptive statistics. Results After the intervention, participants demonstrated significant improvements in ambulation speed during the 25FW (p = 0.04) and ambulation distance during the 2MWT (p = 0.002). Statistically significant increases of SPPB total score (p = .04) and sub-scores were also found. Participants did not demonstrate significant changes in the MFIS (p = 0.31) or MSWS-12 (p = 0.06) after the intervention. Participants had a 58.3% adherence rate during the intervention and performed their exercise program an average of 2.5 times per week. All participants reported that they were either ‘satisfied or ‘very satisfied’ with their telerehabilitation experience, would use telerehabilitation again, and would recommend telerehabilitation to others. Conclusion This individualized telerehabilitation intervention which integrates exergaming and clinical video teleconferencing is acceptable to patients and may offer a viable alternative to traditional PT for PwMS. Trial registration NCT03655431, retrospectively registered on August 31st, 2018.

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“…The PTE program utilized in this study is partly based on 2 previous published exercise programs that were found to be effective in improving balance and mobility in PwMS. [ 7 , 21 ] Following the physical activity guidelines for adults with MS, [ 22 ] we will further add 30 minutes of aerobic exercise to the program. Additionally, we will also follow the guidelines of having a minimum 2 sessions per week of physical activity for PwMS.…”

Section: Methodsmentioning

confidence: 99%

“…Participation in physical therapy exercises (PTE) should start soon after the MS diagnosis, as research has shown that PTE delivers favorable outcomes in a variety of motor and non-motor symptoms in people with MS (PwMS), even in those who are not severely disabled. [ 7 – 10 ] Balance, mobility, spasticity, fatigue, and overall QOL have been all found to improve from participating in PTE in the MS population. [ 7 – 10 ] Unfortunately, the lack of awareness about the role of physical therapy in the management of PwMS might be the reason why PwMS do not receive adequate physical therapy services in Jordan.…”

Section: Introductionmentioning

confidence: 99%

“…[ 7 – 10 ] Balance, mobility, spasticity, fatigue, and overall QOL have been all found to improve from participating in PTE in the MS population. [ 7 – 10 ] Unfortunately, the lack of awareness about the role of physical therapy in the management of PwMS might be the reason why PwMS do not receive adequate physical therapy services in Jordan.…”

Section: Introductionmentioning

confidence: 99%

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