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RostamiAnhar S, Roshani S, Dangharalou MM, Hesar NGZ. The effect of hip abductor strengthening exercises on lower limb strength asymmetry and balance in women with multiple sclerosis: A randomized controlled clinical trial. Mult Scler Relat Disord 2024; 84:105505. [PMID: 38368747 DOI: 10.1016/j.msard.2024.105505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 02/04/2024] [Accepted: 02/14/2024] [Indexed: 02/20/2024]
Abstract
INTRODUCTION Patients with multiple sclerosis tend to use and move their body segments in an unbalanced way, which causes asymmetry of muscle strength, especially in the lower limbs. Among these muscles, the hip abductor muscles play a more important role in stabilizing the pelvis and maintaining balance. The purpose of this research was to investigate the effect of hip abductors exercises on lower limb strength asymmetry and balance in people with multiple sclerosis. MATERIALS & METHODS In this clinical trial with a pre-test-post-test design, 40 women with multiple sclerosis were purposefully selected and randomly divided into experimental and control groups. The experimental group performed hip abductor muscle strengthening exercises for 8 weeks and each session lasted 30 min. The control group did not receive any intervention and continued their daily activities. The strength of knee flexors and extensors, plantar-flexors and ankle dorsi-flexors was measured using a dynamometer. Static and dynamic balance was also evaluated using the stork test and timed get up and go test, respectively. ANCOVA test was used at a significance level of 0.05 to investigate the intergroup effects. RESULTS The results showed a significant decrease in the strength asymmetry of the knee extensor (P = 0.001) and knee flexor (P = 0.001) muscles in the experimental group. However, no significant difference was observed in the asymmetry of the strength of the ankle dorsi-flexor (P = 0.160) and plantar-flexor muscles (P = 0.698). The results also showed a significant improvement in static (P = 0.001) and dynamic balance (P = 0.001) in the experimental group. DISCUSSIONS & CONCLUSIONS Strengthening the hip abductors improves the symmetry of the strength of the knee extensor and flexor muscles. It also improves the balance of people with multiple sclerosis.
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Affiliation(s)
- Sana RostamiAnhar
- Master of Corrective Exercise and Sports Injuries, Department of Exercise Physiology and Corrective Exercise, Faculty of Sports Sciences, Urmia University, Urmia, Iran
| | - Sajad Roshani
- Assistant Professor of Corrective Exercise and Sports Injuries, Department of Exercise Physiology and Corrective Exercise, Faculty of Sports Sciences, Urmia University, Urmia, Iran.
| | - Mehri Mohammadi Dangharalou
- Assistant Professor of Corrective Exercise and Sports Injuries, Department of Exercise Physiology and Corrective Exercise, Faculty of Sports Sciences, Urmia University, Urmia, Iran
| | - Narmin Ghani Zadeh Hesar
- Assistant Professor of Corrective Exercise and Sports Injuries, Department of Exercise Physiology and Corrective Exercise, Faculty of Sports Sciences, Urmia University, Urmia, Iran
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Ghasemi P, Mazaheri R, Tabesh MR, Ali AR, Sahraian MA, Fard HS, Abolhasani M. Effect of Endurance Training on Cardiopulmonary Fitness in people with Multiple Sclerosis. Mult Scler Relat Disord 2022; 64:103911. [DOI: 10.1016/j.msard.2022.103911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 04/30/2022] [Accepted: 05/22/2022] [Indexed: 11/28/2022]
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Buttolph L, Corn J, Hanes D, Bradley R, Senders A. Community qigong for People with Multiple Sclerosis: A Pragmatic Feasibility Study. J Altern Complement Med 2021; 27:506-514. [PMID: 33769837 PMCID: PMC9030260 DOI: 10.1089/acm.2020.0481] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Objectives: qigong, a traditional Chinese mind-body exercise, has been shown to improve balance and gait in several neurological conditions; however, community-delivered qigong has never been assessed for people with multiple sclerosis (MS). The authors assessed the feasibility of community qigong classes for people with MS and explored outcomes of balance, gait, and quality of life (QOL). Design: Twenty adults with MS were randomly assigned to 10 weeks of community qigong classes or wait-list control. Settings/Location: Portland, Oregon. Subjects: People with MS. Intervention: Community qigong classes. Outcome measures: Feasibility criteria included recruitment, retention, adherence, and ability to participate in qigong movements. Secondary outcome measures included physical tests of mobility, gait, and balance and participant-reported mobility, depression, anxiety, fatigue, and QOL. Results: Recruitment of eligible and interested people with MS was feasible. Retention in the trial was 60%. Completers attended a mean of 7 of 10 classes. All completers participated with no or minor modifications to qigong movements. Exploratory within-group analyses showed trends toward improved mental health, QOL, and reduced fatigue and depression. Several participants spontaneously reported improved energy, flexibility, sleep, and mobility. Conclusions: Community qigong may be a feasible form of exercise for people with MS. To improve retention and capture potential effects of qigong on physical function and quality of life, future studies might consider pragmatic trials with tiered level classes, simpler forms of qigong, and/or refined inclusion criteria (CTR#: NCT04585659).
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Affiliation(s)
- Lita Buttolph
- Helfgott Research Institute, National University of Natural Medicine, Portland, OR, USA
| | - Joshua Corn
- Helfgott Research Institute, National University of Natural Medicine, Portland, OR, USA
- Oregon College of Oriental Medicine, Portland, OR, USA
- AOMA School of Integrative Medicine, Austin, TX, USA
- Whole Systems Research Institute, Portland, OR, USA
| | - Douglas Hanes
- Helfgott Research Institute, National University of Natural Medicine, Portland, OR, USA
| | - Ryan Bradley
- Helfgott Research Institute, National University of Natural Medicine, Portland, OR, USA
| | - Angela Senders
- Helfgott Research Institute, National University of Natural Medicine, Portland, OR, USA
- Department of Neurology, Oregon Health and Science University, Portland, OR, USA
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Lamberti N, Straudi S, Donadi M, Tanaka H, Basaglia N, Manfredini F. Effectiveness of blood flow‐restricted slow walking on mobility in severe multiple sclerosis: A pilot randomized trial. Scand J Med Sci Sports 2020; 30:1999-2009. [DOI: 10.1111/sms.13764] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 06/08/2020] [Accepted: 07/02/2020] [Indexed: 12/15/2022]
Affiliation(s)
- Nicola Lamberti
- Department of Biomedical and Surgical Specialties Sciences Section of Sport Sciences University of Ferrara Ferrara Italy
| | - Sofia Straudi
- Neuroscience and Rehabilitation Department Ferrara University Hospital Ferrara Italy
| | - Maria Donadi
- Neuroscience and Rehabilitation Department Ferrara University Hospital Ferrara Italy
| | - Hirofumi Tanaka
- Cardiovascular Aging Research Laboratory Department of Kinesiology and Health Education The University of Texas at Austin Austin TX USA
| | - Nino Basaglia
- Neuroscience and Rehabilitation Department Ferrara University Hospital Ferrara Italy
| | - Fabio Manfredini
- Department of Biomedical and Surgical Specialties Sciences Section of Sport Sciences University of Ferrara Ferrara Italy
- Neuroscience and Rehabilitation Department Ferrara University Hospital Ferrara Italy
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Stoeckel K, Kasser SL. Spousal support underlying self-determined physical activity in adults with multiple sclerosis. Disabil Rehabil 2020; 44:1091-1097. [DOI: 10.1080/09638288.2020.1792564] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- Kurtis Stoeckel
- Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, USA
| | - Susan L. Kasser
- Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, USA
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Mate KKV, Mayo NE. Clinically Assessed Walking Capacity Versus Real-World Walking Performance in People with Multiple Sclerosis. Int J MS Care 2020; 22:143-150. [PMID: 32607077 DOI: 10.7224/1537-2073.2019-047] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background Ecological validity is an important psychometric property when assessing function. How a person with multiple sclerosis (MS) performs in clinical settings and in natural environments can be quite different. Walking is the most frequently assessed and recommended way to maintain health in a progressive disease such as MS. The objective was to estimate the extent to which clinical tests of walking capacity differ from real-world walking performance in people with MS. Methods Ninety-eight women and 27 men with MS were assessed using the 6-Minute Walk Test (6MWT) and wore an accelerometer for 7 consecutive days. Mean number of steps, mean number of steps at a brisk cadence or faster, and cumulative time per week spent walking at a brisk cadence or faster were regressed on 6MWT categories using quantile (median) regression. Contiguous steps were grouped into bouts of less than 5 minutes and 5 minutes or longer, and number of bouts 5 minutes or longer was regressed on 6MWT categories using a zero-inflated Poisson model. Results A total of 869 patient-days of accelerometer data were available. Mean total number of steps per day was greater for people with higher walking capacity (6MWT distance, ≥600 m). However, this group spent a small proportion of time walking at higher cadence bands. Compared with people with 6MWT distance of at least 600 m, people walking less than 500 m had approximately half the rate of walking bouts of 5 minutes or longer. Positive mood and fewer exercise barriers predicted more walking bouts of at least 5 minutes. Conclusions Study participants with MS spent a small proportion of time walking at a health-promoting intensity.
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Mayo NE, Mate KK, Reid R, Duquette P, Lapierre Y, Barclay R, Bayley M, Bartlett S, Andersen R. Participation in and outcomes from a 12-month tailored exercise programme for people with multiple sclerosis (MSTEP©): a randomized trial. Clin Rehabil 2020; 34:927-937. [PMID: 32438828 DOI: 10.1177/0269215520923089] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
OBJECTIVE To estimate, among people with multiple sclerosis, the extent to which a personally tailored exercise programme (MSTEP©) resulted in greater improvements in exercise capacity and related outcomes over 12 months in comparison with general exercise guidelines. DESIGN Two-group randomized trial. SUBJECTS Ambulatory and sedentary. INTERVENTIONS MSTEP©, a personally adapted exercise regimen done on most days including two days of high intensity exercise; guidelines recommending 30 minutes of moderate intensity aerobic and strength training two times per week. MAIN MEASURES Primary outcome was peak oxygen consumption (VO2peak) at 12 months; secondary outcomes were composite measures of physical function, fatigue, and health-related quality of life. RESULTS In total, 137 people were randomized, 66 were lost over 12 months leaving 71 with outcome data, 34 in MSTEP© group, and 37 in the Guideline group. Exercise enjoyment and confidence and exercise-induced fatigue predicted retention. There were no differences between groups on the proportion making a 10% increase in VO2peak (27.1% MSTEP© vs 29.6% Guidelines; OR: 0.83; 95% CI: 0.23-3.08) by the 12 month assessment. The effect on fatigue was larger in the MSTEP© group than the Guideline groups (OR: 1.59; 95% CI: 0.93-2.74), the effect on physical function was more modest (OR: 1.35; 95% CI: 0.80-2.25), and null for health-related quality of life outcomes. CONCLUSIONS The disappointing exercise retention suggests that people with multiple sclerosis may not consider exercise important to their brain health. Either type of exercise resulted in stable exercise capacity over 1 year in those sticking with the programme.
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Affiliation(s)
- Nancy E Mayo
- Center for Outcomes Research and Evaluation, Research Institute of McGill University Health Centre, Montreal, QC, Canada.,School of Physical and Occupational Therapy, Division of Clinical Epidemiology, Department of Medicine, McGill University, Montreal, QC, Canada
| | - Kedar Kv Mate
- Center for Outcomes Research and Evaluation, Research Institute of McGill University Health Centre, Montreal, QC, Canada
| | - Ryan Reid
- Human Kinetics Department, St Francis Xavier University, Antigonish, NS, Canada
| | - Pierre Duquette
- Départment de Neurologie, Faculté de Médecine, Université de Montréal, Montreal, QC, Canada
| | - Yves Lapierre
- Montreal Neurological Hospital, Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada
| | - Ruth Barclay
- College of Rehabilitation Sciences, Rady Faculty of Health Sciences, Department of Physical Therapy, University of Manitoba, Winnipeg, MA, Canada
| | - Mark Bayley
- Toronto Rehabilitation Center, University Health Network, Toronto, ON, Canada
| | - Susan Bartlett
- Division of Clinical Epidemiology, Department of Medicine, Center for Outcomes Research and Evaluation, Research Institute of McGill University Health Centre, McGill University, Montreal, QC, Canada
| | - Ross Andersen
- Department of Kinesiology and Physical Education, McGill University, Montreal, QC, Canada
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Mate KKV, Abou-Sharkh A, Morais JA, Mayo NE. Putting the best foot forward: Relationships between indicators of step quality and cadence in three gait vulnerable populations. NeuroRehabilitation 2019; 44:295-301. [PMID: 30856128 DOI: 10.3233/nre-182595] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Aging and neurological conditions like Multiple Sclerosis (MS) and Parkinson's disease (PD) make people vulnerable for gait impairments, limit function, and restrict sustained walking needed for health promotion. Walking to meet physical activity guidelines requires adequate cadence which is difficult to achieve for gait vulnerable populations. OBJECTIVE The objective of this study is to estimate, for seniors and people with MS or PD, the extent to which cadence is associated with heel-to-toe stepping pattern (good steps), angular velocity of ankle at heel-strike and its variability. METHODS A cross-sectional regression analysis was performed on data collected during walking tests using the Heel2Toe sensor. RESULTS Health condition (MS = 57, PD = 27, seniors = 56) had an association with cadence, independent of age and sex. Only angular velocity showed a significant relationship with cadence such that every - 50° difference in angular velocity (more negative is better) was associated with a difference of ≈3.5 steps per minute. CONCLUSION Adequate angular velocity occurs with an optimal heel-to-toe movement. This heel-to-toe gait can easily be targeted during therapy but technology would be an asset to sustain the relearned movement during everyday activities, Technology that provides real-time feedback for steps with adequate angular velocity at heel strike could be a valuable therapeutic adjunct.
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Affiliation(s)
- K K V Mate
- School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada.,Center for Outcomes Research and Evaluation, McGill University Health Centre - Research Institute, Montreal, QC, CanadaCanada
| | - A Abou-Sharkh
- School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada.,Center for Outcomes Research and Evaluation, McGill University Health Centre - Research Institute, Montreal, QC, CanadaCanada
| | - J A Morais
- Division of Geriatrics, McGill University Health Centre, Montreal General Hospital, Montreal, QC, Canada
| | - N E Mayo
- School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada.,Center for Outcomes Research and Evaluation, McGill University Health Centre - Research Institute, Montreal, QC, CanadaCanada
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Guillamó E, Cobo-Calvo Á, Oviedo GR, Travier N, Álamo J, Niño-Mendez OA, Martínez-Yelamos A, Martínez-Yelamos S, Javierre C. Feasibility and Effects of Structured Physical Exercise Interventions in Adults with Relapsing-Remitting Multiple Sclerosis: A Pilot Study. J Sports Sci Med 2018; 17:426-436. [PMID: 30116116 PMCID: PMC6090399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2018] [Accepted: 06/20/2018] [Indexed: 06/08/2023]
Abstract
Multiple sclerosis (MS) is a chronic neurological disease which affects young adults at a time of maximum personal, professional and social growth. Recent guidelines on physical activity have established that exercise is an essential component of the clinical management of people with MS with mild or moderate degree of disability. The main purpose of this study was to test the feasibility and the effects of two different 40-week structured physical exercise interventions (a supervised high intensity interval training plus home exercise program and a self-applied home-based exercise program) on clinical evolution, psychological wellbeing, quality of life, fatigue, cardiorespiratory fitness, strength and balance of people with MS. Twenty-nine participants with relapsing-remitting MS (RRMS) participated in this study. All of them were fully ambulatory and with minimal disability (Expanded Disability Status Scale <3), for at least the last six months. Participants selected to be part of a combined face-to-face plus home exercise group (CFTFG; n = 8); a self-applied home-based exercise group (HG; n = 11) or a control group (CG; n = 10). A total of 23 participants completed the protocol (79.3%), of which 8 participants (100%) from the CFTFG, 7 (63.6%) from the HG and 8 (80%) from the CG. During the first 20-weeks of training, adherence from the CFTFG reached 77.5% and from the HG reached 50 %. During the second 20-weeks of training, adherence from the CFTFG reached 62.5% and from the HG reached 45.4%. After 20-weeks of training, a significant improvement in the absolute VO2 peak and in the 30-second sit to stand test was observed in the CFTFG (all p < .05). This study confirms that offering a 40-week structured exercise programme to a group of fully ambulatory and minimally disabled persons with RRMS is feasible and safe. Any adverse event related to the trial was reported by the participants.
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Affiliation(s)
- Elisabet Guillamó
- Department of Physiological Sciences, School of Medicine, University of Barcelona, Barcelona, Spain
| | - Álvaro Cobo-Calvo
- Department of Neurology, Bellvitge University Hospital, Barcelona, Spain
- Service de Neurologie, Hôpital Neurologique Pierre Wertheimer Hospices Civils de Lyon, Lyon, France
| | - Guillermo R Oviedo
- Faculty of Psychology, Education and Sport Science Blanquerna, University Ramon Llull, Barcelona, Spain
- Blanquerna School of Health Science, University Ramon Llull, Barcelona, Spain
| | - Noémie Travier
- Breast Cancer Screening Unit. Cancer Prevention and Control Program, Catalan Institute of Oncology, Spain
| | - Juan Álamo
- Department of Physiological Sciences, School of Medicine, University of Barcelona, Barcelona, Spain
| | - Oscar A Niño-Mendez
- Faculty of Sport Science and Physical Education, University of Cundinamarca, Colombia
| | | | | | - Casimiro Javierre
- Department of Physiological Sciences, School of Medicine, University of Barcelona, Barcelona, Spain
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Abstract
Background: Preference-based measures of health-related quality of life (HRQL) are used as primary or secondary endpoints in multiple sclerosis (MS) research. Objective: The purpose of this paper was to evaluate the structural, convergent, and known-groups validity of the preference-based multiple sclerosis index (PBMSI) of HRQL in people with MS. Methods: Participants were recruited from three MS clinics in Montreal. Structural validity was assessed using polychoric correlation coefficients and factor analysis. To assess convergent validity, hypotheses were formulated about the strength of correlations between the PBMSI and other HRQL measures. Known-groups validity was assessed against different measures of disability. Results: The average age of the sample was 46 and 77% were women. Factor analysis supported the structural validity of the PBMSI; the items collectively were measuring one underlying construct. The PBMSI showed convergent validity against generic measures of HRQL, and known-groups validity between persons with different levels of disability. Conclusion: The results of this study support the construct validity of the PBMSI as an outcome measure of HRQL in MS. The PBMSI overcomes limitations observed with currently used HRQL measures in MS and may be used to contrast different interventions for people with MS.
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Affiliation(s)
- Ayse Kuspinar
- School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada
| | - Nancy E Mayo
- School of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montreal, QC, Canada
- Division of Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada
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Motl RW, Barstow EA, Blaylock S, Richardson E, Learmonth YC, Fifolt M. Promotion of Exercise in Multiple Sclerosis Through Health Care Providers. Exerc Sport Sci Rev 2018; 46:105-111. [DOI: 10.1249/jes.0000000000000140] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Khodaveisi M, Ashtarani F, Beikmoradi A, Mohammadi N, Mahjub H, Mazdeh M, Ashtarani E. The Effect of Continuous Care on the Lifestyle of Patients with Multiple Sclerosis: A Randomized Clinical Trial. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2017; 22:225-231. [PMID: 28706548 PMCID: PMC5494953 DOI: 10.4103/1735-9066.208170] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
BACKGROUND Multiple sclerosis is a common debilitating chronic disease of the central nervous system with a progressive and prolonged nature. Patients need an adjusted lifestyle and continuous care in order to prevent its recurrence and progressive disabilities. This study aimed to assess the effect of continuous care on lifestyle in patients suffering from multiple sclerosis. MATERIALS AND METHODS A randomized clinical trial was conducted among 72 patients with multiple sclerosis who referred to the Farshchian Educational Hospital in Hamadan, Iran in 2013. The patients were allocated to intervention and control groups using balanced block randomization with blocks of four. The steps of continuous care (orientation, sensitization, control, and evaluation) were implemented in the case group for 2 months. The patients' lifestyle was assessed before and 1 and 2 months after continuous care using the researcher-developed Lifestyle Questionnaire. The data were analyzed using the Chi-square test, t-test, and repeated-measures analysis of variance. RESULTS The mean score of lifestyle and its dimensions were significantly higher in the intervention group 1 and 2 months after the intervention compared to the baseline (P = 0.001). In contrast, the mean score of lifestyle and its dimensions had no significant difference in the control group 1 and 2 months after routine care compared to the baseline. CONCLUSIONS Continuous care improved the patients' lifestyle. It could be designed as an appropriate care system into the hospitals or other health care centers. This care system could be used widely in order to improve adherence to suitable lifestyle in patients with chronic diseases.
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Affiliation(s)
- Masoud Khodaveisi
- Chronic Diseases (Home Care) Research Center, and Community Health Nursing Department, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Fatemah Ashtarani
- Clinical Research Development Unit of Farshchian Hospital, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Ali Beikmoradi
- Medical-Surgical Nursing Department, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Nahid Mohammadi
- Chronic Diseases (Home Care) Research Center, and Community Health Nursing Department, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Hossein Mahjub
- Biostatistics and Epidemiology Department, Faculty of Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mehrdokht Mazdeh
- Neurology Department, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Elham Ashtarani
- School of Psychology and Education, Kharazmi University, Tehran, Iran
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Ploughman M. Breaking down the barriers to physical activity among people with multiple sclerosis – a narrative review. PHYSICAL THERAPY REVIEWS 2017. [DOI: 10.1080/10833196.2017.1315212] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Michelle Ploughman
- Recovery & Performance Laboratory, Faculty of Medicine, Memorial University, L.A. Miller Centre , St. John's NL, Canada
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The interaction of fatigue, physical activity, and health-related quality of life in adults with multiple sclerosis (MS) and cardiovascular disease (CVD). Appl Nurs Res 2017; 33:49-53. [DOI: 10.1016/j.apnr.2016.09.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2016] [Revised: 09/09/2016] [Accepted: 09/09/2016] [Indexed: 01/06/2023]
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Kuspinar A, Pickard S, Mayo NE. Developing a Valuation Function for the Preference-Based Multiple Sclerosis Index: Comparison of Standard Gamble and Rating Scale. PLoS One 2016; 11:e0151905. [PMID: 27123850 PMCID: PMC4849717 DOI: 10.1371/journal.pone.0151905] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2016] [Accepted: 02/13/2016] [Indexed: 01/02/2023] Open
Abstract
Objective The standard gamble (SG) and rating scale (RS) are two approaches that can be employed to elicit health state preferences from patients in order to inform decision making. The objectives of this study were: (i) to contribute evidence towards the similarities and differences in the SG and the RS to reflect patient preferences, and (ii) to develop a multi-attribute utility function (MAUF) (i.e., scoring algorithm) for the PBMSI. Study Design Two samples were recruited for the study. The first sample provided cross-sectional data to generate the preference weights which were then used to develop (D) the MAUFD. The distribution of SG and RS were compared across levels of perceived difficulty. The second sample provided additional data to validate (V) the MAUF, termed MAUFV. Results The mean RS values ranged from 0.39 to 0.65, whereas the mean SG values were much higher ranging from 0.80 to 0.91. Correlations between the two methods were very low ranging from -0.29 to 0.15. Bland-Altman plots revealed the extent of differences in values produced by the two methods. Conclusion In contemplating trade-offs in the selection of a preference-based elicitation approach for a MAUF that could guide clinical decision making, results suggest the RS is preferable in terms of feasibility and validity for MS patients. The PBMSI with patient preferences shows promise as a measure of health-related quality of life for MS.
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Affiliation(s)
- Ayse Kuspinar
- School of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montreal, QC, Canada
- * E-mail:
| | - Simon Pickard
- Center for Pharmacoepidemiology and Pharmacoeconomic Research and Department of Pharmacy Systems, Outcomes and Policy, University of Illinois at Chicago, Chicago, Illinois, United States of America
| | - Nancy E. Mayo
- School of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montreal, QC, Canada
- Division of Clinical Epidemiology, McGill University Health Center, Montreal, QC, Canada
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Collett J, Meaney A, Howells K, Dawes H. Acute recovery from exercise in people with multiple sclerosis: an exploratory study on the effect of exercise intensities. Disabil Rehabil 2016; 39:551-558. [DOI: 10.3109/09638288.2016.1152604] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- Johnny Collett
- Movement Science Group, Oxford Brookes University, Oxford, UK
| | - Andy Meaney
- Movement Science Group, Oxford Brookes University, Oxford, UK
| | - Ken Howells
- Movement Science Group, Oxford Brookes University, Oxford, UK
| | - Helen Dawes
- Movement Science Group, Oxford Brookes University, Oxford, UK
- Department of Clinical Neurology, University of Oxford, Oxford, UK
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Rae-Grant A, Bennett A, Sanders AE, Phipps M, Cheng E, Bever C. Quality improvement in neurology: Multiple sclerosis quality measures: Executive summary. Neurology 2015; 85:1904-8. [PMID: 26333795 DOI: 10.1212/wnl.0000000000001965] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2015] [Accepted: 07/22/2015] [Indexed: 01/09/2023] Open
Affiliation(s)
- Alexander Rae-Grant
- From the Department of Neurology (A.R.-G.), Cleveland Clinic, OH; the American Academy of Neurology (A.B.), Minneapolis, MN; the Department of Neurology (A.E.S.), SUNY Upstate Medical University, Syracuse, NY; the Department of Neurology (M.P., C.B.), University of Maryland School of Medicine, Baltimore; University of California Los Angeles (E.C.); and the MS Center of Excellence and the Research and Neurology Services (C.B.), VA Maryland Health Care System, Baltimore
| | - Amy Bennett
- From the Department of Neurology (A.R.-G.), Cleveland Clinic, OH; the American Academy of Neurology (A.B.), Minneapolis, MN; the Department of Neurology (A.E.S.), SUNY Upstate Medical University, Syracuse, NY; the Department of Neurology (M.P., C.B.), University of Maryland School of Medicine, Baltimore; University of California Los Angeles (E.C.); and the MS Center of Excellence and the Research and Neurology Services (C.B.), VA Maryland Health Care System, Baltimore
| | - Amy E Sanders
- From the Department of Neurology (A.R.-G.), Cleveland Clinic, OH; the American Academy of Neurology (A.B.), Minneapolis, MN; the Department of Neurology (A.E.S.), SUNY Upstate Medical University, Syracuse, NY; the Department of Neurology (M.P., C.B.), University of Maryland School of Medicine, Baltimore; University of California Los Angeles (E.C.); and the MS Center of Excellence and the Research and Neurology Services (C.B.), VA Maryland Health Care System, Baltimore
| | - Michael Phipps
- From the Department of Neurology (A.R.-G.), Cleveland Clinic, OH; the American Academy of Neurology (A.B.), Minneapolis, MN; the Department of Neurology (A.E.S.), SUNY Upstate Medical University, Syracuse, NY; the Department of Neurology (M.P., C.B.), University of Maryland School of Medicine, Baltimore; University of California Los Angeles (E.C.); and the MS Center of Excellence and the Research and Neurology Services (C.B.), VA Maryland Health Care System, Baltimore
| | - Eric Cheng
- From the Department of Neurology (A.R.-G.), Cleveland Clinic, OH; the American Academy of Neurology (A.B.), Minneapolis, MN; the Department of Neurology (A.E.S.), SUNY Upstate Medical University, Syracuse, NY; the Department of Neurology (M.P., C.B.), University of Maryland School of Medicine, Baltimore; University of California Los Angeles (E.C.); and the MS Center of Excellence and the Research and Neurology Services (C.B.), VA Maryland Health Care System, Baltimore
| | - Christopher Bever
- From the Department of Neurology (A.R.-G.), Cleveland Clinic, OH; the American Academy of Neurology (A.B.), Minneapolis, MN; the Department of Neurology (A.E.S.), SUNY Upstate Medical University, Syracuse, NY; the Department of Neurology (M.P., C.B.), University of Maryland School of Medicine, Baltimore; University of California Los Angeles (E.C.); and the MS Center of Excellence and the Research and Neurology Services (C.B.), VA Maryland Health Care System, Baltimore
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Determinants of physical activity in minimally impaired people with multiple sclerosis. Clin Neurol Neurosurg 2015; 138:20-4. [PMID: 26264722 DOI: 10.1016/j.clineuro.2015.07.018] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2014] [Revised: 07/09/2015] [Accepted: 07/24/2015] [Indexed: 12/22/2022]
Abstract
OBJECTIVE Despite the commonly known benefits of physical activity, evidence shows that people with multiple sclerosis (pwMS) are relatively inactive. There are several studies about factors affecting physical activity in pwMS. However, these factors have not investigated in minimally impaired pwMS who do not have remarkable symptoms and walking disturbance. The objective was to determine factors affecting physical activity in minimally impaired pwMS. PATIENTS AND METHODS We recruited 52 minimally impaired pwMS and measured physical activity with Godin Leisure-Time Exercise Questionnaire (GLTEQ) and an accelerometer used for the 7-day period. Demographic data were recorded. Walking (speed, endurance, dexterity, and quality), fatigue, depression, and quality of life were measured. METHODS We recruited 52 minimally impaired pwMS and measured physical activity with Godin Leisure-Time Exercise Questionnaire (GLTEQ) and an accelerometer used for the 7-day period. Demographic data were recorded. Walking (speed, endurance, dexterity, and quality), fatigue, depression, and quality of life were measured. RESULTS The walking speed assessed by the Timed 25-Foot Walk and gender were found the determinants of physical activity level assessed by the GLTEQ and accelerometer, respectively. Walking (speed, endurance, and dexterity), gender, employment status, and quality of life were associated with physical activity. Either female or unemployed participants had significantly less physical activity. There were no significant difference between physical activity levels and the other subgroups. CONCLUSION Either to be a female or to have slower walking speed was associated with less physical activity. Strategies to improve walking should be focused on female pwMS with minimal impairment.
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Apostolopoulos V, Borkoles E, Polman R, Stojanovska L. Physical and immunological aspects of exercise in chronic diseases. Immunotherapy 2014; 6:1145-57. [DOI: 10.2217/imt.14.76] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Physical inactivity and sedentary lifestyles are believed to be independent risk factors for the occurrence of numerous diseases, including, obesity, Type 2 diabetes, metabolic syndrome, cardiovascular disease, cancer and mental health, all leading to substantial morbidity and/or premature death. It has been found that regular exercise, is associated with better quality of life and health outcomes, and reduces the risk of cardiovascular disease and cancer. Here, we review the effects regular exercise has on mental health and well-being, on the immune system and in cancer, cardiovascular disease, autoimmunity and metabolic syndrome. Is exercise the new immunotherapy to treat diseases?
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Affiliation(s)
- Vasso Apostolopoulos
- Centre for Chronic Disease Prevention & Management, College of Health & Biomedicine, Victoria University, PO Box 14428, Melbourne, Victoria 8001, Australia
- VA Consulting Services, PO Box 6437, Melbourne, Victoria 3030, Australia
| | - Erika Borkoles
- College of Sport & Exercise Science, Victoria University, PO Box 14428, Melbourne, Victoria 8001, Australia
| | - Remco Polman
- College of Sport & Exercise Science, Victoria University, PO Box 14428, Melbourne, Victoria 8001, Australia
| | - Lily Stojanovska
- Centre for Chronic Disease Prevention & Management, College of Health & Biomedicine, Victoria University, PO Box 14428, Melbourne, Victoria 8001, Australia
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Mindfulness-based interventions in multiple sclerosis: beneficial effects of Tai Chi on balance, coordination, fatigue and depression. BMC Neurol 2014; 14:165. [PMID: 25145392 PMCID: PMC4236646 DOI: 10.1186/s12883-014-0165-4] [Citation(s) in RCA: 68] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2014] [Accepted: 08/13/2014] [Indexed: 11/25/2022] Open
Abstract
Background Patients suffering from Multiple Sclerosis (MS) experience a wide array of symptoms, including balance problems, mobility impairment, fatigue and depression. Physical exercise has recently been acknowledged as a treatment option complementary to medication. However, information regarding putative effects of structured exercise programs on neurological symptoms is sparse. Tai Chi, a Chinese martial art incorporating physical exercise and mindfulness training, has been shown to yield health benefits in various neurological groups. It seems particularly suitable for patients with motoric deficits as it challenges coordination and balance. The purpose of the current study was to explore the therapeutic value of structured Tai Chi training for coordination, balance, fatigue and depression in mildly disabled MS patients. Methods A sample of 32 MS patients (Expanded Disability Status Scale, EDSS < 5) was examined. A structured Tai Chi course was devised and a Tai Chi group participated in two weekly sessions of 90 minutes duration for six months, while a comparison group received treatment as usual (TAU). Both groups were examined prior to and following the six-months interval with regards to balance and coordination performance as well as measures of fatigue, depression and life satisfaction. Results Following the intervention, the Tai Chi group showed significant, consistent improvements in balance, coordination, and depression, relative to the TAU group (range of effect-sizes: partial η2 = 0.16 – 0.20). Additionally, life satisfaction improved (partial η2 = 0.31). Fatigue deteriorated in the comparison group, whereas it remained relatively stable in the Tai Chi group (partial η2 = 0.24). Conclusions The consistent pattern of results confirms that Tai Chi holds therapeutic potential for MS patients. Further research is needed to determine underlying working mechanisms, and to verify the results in a larger sample and different MS subgroups.
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