Abstract
Purpose
Exercise training and social support have been reported to counteract the disabling symptoms of multiple sclerosis (MS). The purpose of this study was to pilot test a combined aerobic and resistance exercise program, performed in pairs, on functional abilities, fatigue, and health-related quality-of-life (HRQOL) in people with MS.
Methods
Eight patients with MS aged between 35 and 59 years were involved in a pre–post-pilot study. The intervention consisted of 20 combined aerobic and strength training sessions carried out by two participants simultaneously over a 7-week period. The Functional Independence Measure was used to assess activity limitation, and the Short Form-36 to evaluate the HRQOL. Fatigue perceptions were assessed by the Fatigue Severity Scale (FSS) and Fatigue Descriptive Scale (FDS). Overall, peak oxygen consumption test, 6-Minute Waking Test, T25-Foot Walk, and 9-Hole Peg Test were administered to evaluate functional abilities.
Results
Role-physical and Vitality HRQOL subscales significantly increased by 120 % (p = 0.026) and by 33.85 % (p = 0.012), respectively, over the training. Fatigue perception significantly decreased in both the scales: FDS changed by −12.20 % (p = 0.049) and FSS by −12.85 % (p = 0.034). No changes were reported for functional measures over the training period.
Conclusions
The full adherence of participants and the absence of detrimental effects sustain the feasibility of the training program. Findings suggest possible beneficial effects of a combined exercise program with social support on HRQOL and fatigue.
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Abbreviations
- MS:
-
Multiple sclerosis
- HRQOL:
-
Health-related quality-of-life
- EDSS:
-
Expanded Disability Status Scale
- FIM:
-
Functional Independence Measure
- FSS:
-
Fatigue Severity Scale
- FDS:
-
Fatigue Descriptive Scale
References
World Health Organization (2008) Atlas multiple sclerosis resources in the world. WHO Press, Geneva
Compston A, Coles A (2008) Multiple sclerosis. Lancet 372:1502–1517
Janardhan V, Bakshi R (2000) Quality of life and its relationship to brain lesions and atrophy on magnetic resonance images in 60 patients with multiple sclerosis. Arch Neurol 57:1485–1491
Stuv O, Oksenberg J (2006) Multiple sclerosis overview. GENE reviews, pp 1–10
Motl RW (2010) Physical activity and irreversible disability in multiple sclerosis. Exerc Sport Sci Rev 38:186–191
Motl RW, Arnett PA, Smith MM, Barwick FH, Ahlstrom B, Stover EJ (2008) Worsening of symptoms is associated with lower physical activity levels in individuals with multiple sclerosis. Mult Scler 14:140–142
Motl RW, Weikert M, Suh Y, Dlugonski D (2010) Symptom cluster and physical activity in relapsing-remitting multiple sclerosis. Res Nurs Health 33:398–412
Mayo NE, Bayley M, Duquette P, Lapierre Y, Anderson R, Bartlett S (2013) The role of exercise in modifying outcomes for people with multiple sclerosis: a randomized trial. BMC Neurol 13(1):1
Latimer-Cheung AE, Pilutti LA, Hicks AL, Ginis KAM, Fenuta AM, MacKibbon KA, Motl RW (2013) 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. Arch Phys Med Rehabil 94(9):1800–1828
Heine M, van de Port I, Rietberg MB, van Wegen EEH, Kwakkel G (2015) Exercise therapy for fatigue in multiple sclerosis. Cochrane Database Syst Rev 9:CD009956. doi:10.1002/14651858.CD009956.pub2
American College of Sports Medicine (2010) ACSM’s resources for clinical exercise physiology: musculoskeltal, neuromuscular, neoplastic, immunologic, and hematologic conditions, 2nd edn. Lippincott Williams & Wilkins, Baltimore
Canadian Society for Exercise Physiology (2013) Canadian physical activity guidelines for adults with multiple sclerosis. http://www.csep.ca/CMFiles/Guidelines/specialpops/CSEP_MS_PAGuidelines_adults_en.pdf
Dalgas U, Ingemann-Hansen T, Stenager E (2009) Physical exercise and MS recommendations. Int MS J 16:5–11
Beckerman H, de Groot V, Scholten MA, Kempen JCE, Lankhorst GJ (2010) Physical activity behavior of people with multiple sclerosis: understanding how they can become more physically active. Phys Ther 90:1001–1013
Motl RW, McAuley E, Snook EM (2005) Physical activity and multiple sclerosis: a meta-analysis. Mult Scler 11:459–463
Learmonth YC, Motl RW (2016) Physical activity and exercise training in multiple sclerosis: a review and content analysis of qualitative research identifying perceived determinants and consequences. Disabil Rehabil 38:1227–1242
Christensen ME, Brincks J, Schnieber A, Soerensen D (2015) The intention to exercise and the execution of exercise among persons with multiple sclerosis—a qualitative metasynthesis. Disabil Rehabil 38:1023–1033
Kasser S (2009) Exercising with multiple sclerosis: insight into meaning and motivation. Adapt Phys Activ Q 26:274–289
Motl RW, McAuley E, Snook EM (2007) Physical activity and quality of life in multiple sclerosis: possible roles of social support, self efficacy, and functional limitations. Rehabil Psychol 52:143–151
Poser CM, Paty DW, Scheinberg L, McDonald WI, Davis FA, Ebers GC et al (1983) New diagnostic criteria for multiple sclerosis: guidelines for research protocols. Ann Neurol 13(3):227–231
Kurtzke JF (1983) Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology 33:1444–1452
Granger CV, Cotter AC, Hamilton BB, Fiedler RC, Hens MM (1990) Functional assessment scales: a study of persons with multiple sclerosis. Arch Phys Med Rehabil 71(11):870–875
Ware JE Jr, Sherbourne CD (1992) The MOS 36-item Short-Form Health Survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6):473–483
Nortvedt MW, Riise T, Myhr KM, Nyland HL (1999) Quality of life in multiple sclerosis. Measuring the disease effects more broadly. Neurology 53:1098–1103
Krupp LB, La Rocca NG, Muir-Nash J, Steinberg AD (1989) The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematodes. Arch Neurol 46(10):1121–1123
Iriarte J, de Castro P (1994) Proposal of a new scale for assessing fatigue in patients with multiple sclerosis. Neurologia 9:96–100
Enright PL, McBurnie MA, Bittner V, Tracy RP, McNamara R, Arnold A et al (2003) The 6-min walk test: a quick measure of functional status in elderly adults. Chest 123(2):387–398
Fisher JS, Rudick RA, Cutter GR, Reingold SC, for the National MS Society Clinical Outcomes Assessment Task Force (1999) The multiple sclerosis functional composite measure (MSFC): an integrated approach to MS clinical outcomes assessment. Mult Scler 5:244–250
McArdle WD, Katch FI, Katch VL (2001) Exercise physiology: energy, nutrition and human performance, 5th edn. Lippincott Williams & Wilkins, Philadelphia
Rosenthal R (1991) Meta-analytic procedures for social research. SAGE Publications, Incorporated, Newbury Park
Visschedijk MAJ, Collette EH, Pfennings LEMA, van der Ploeg HM (2004) Development of a cognitive behavioral group intervention programme for patients with multiple sclerosis: an exploratory study. Psychol Rep 95:735–746
Pérez CLA, Fernández JADP, Sánchez VM, de Souza Teixeira F (2011) Individuals with multiple sclerosis who participate in a 6-week group exercise programme “show an improvement in their quality of life and fatigue”. Sport Sci Health 6(2–3):85–88
Mostert S, Kasselring J (2002) Effects of a short-term exercise training program on aerobic fitness, fatigue, health perception and activity level of subjects with multiple sclerosis. Mult Scler 8:161–168
Petajan JH, Gappmaier E, White AT, Spencer MK, Mino L, Hicks RW (1996) Impact of aerobic training on fitness and quality of life in multiple sclerosis. Ann Neurol 39:432–441
White LJ, McCoy SC, Castellano V, Gutierrez G, Stevens JE, Walter GA et al (2004) Resistance training improves strength and functional capacity in persons with multiple sclerosis. Mult Scler 10:668–674
Romberg A, Virtanen A, Ruutiainen J, Aunola S, Karppi S-L, Vaara M et al (2004) Effects of a 6-month exercise program on patients with multiple sclerosis: a randomized study. Neurology 63(11):2034–2038
Romberg A, Virtanen A, Ruutiainen J (2005) Long-term exercise improves functional impairment but not quality of life in multiple sclerosis. J Neurol 252:839–845
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the University of Padua research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Written informed consent was obtained from all individual participants included in the study.
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Gobbi, E., Carraro, A. Effects of a combined aerobic and resistance exercise program in people with multiple sclerosis: a pilot study. Sport Sci Health 12, 437–442 (2016). https://doi.org/10.1007/s11332-016-0310-0
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DOI: https://doi.org/10.1007/s11332-016-0310-0