scholarly journals Physical activity and exercise priorities in community dwelling people with multiple sclerosis: a Delphi study

2017 ◽  
Vol 40 (14) ◽  
pp. 1686-1693 ◽  
Author(s):  
Andrea Stennett ◽  
Lorraine De Souza ◽  
Meriel Norris
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Delphi Study ◽  
Community Dwelling ◽  
Physical Activity And Exercise

Cognitive dysfunction and multiple sclerosis: developing a rationale for considering the efficacy of exercise training

2011 ◽  
Vol 17 (9) ◽  
pp. 1034-1040 ◽  
Author(s):  
Robert W Motl ◽  
Brian M Sandroff ◽  
Ralph HB Benedict
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Exercise Training ◽  
Aerobic Fitness ◽  
Controlled Trial ◽  
Preliminary Evidence ◽  
Cross Sectional ◽  
Physical Activity And Exercise

Cognitive impairment is a prevalent, disabling, and poorly managed consequence of multiple sclerosis (MS). This underscores the importance of considering alternative approaches, such as exercise training, for managing cognitive impairment in persons with MS. The consideration of exercise training is warranted based on evidence summarized in literature reviews and meta-analyses that (1) aerobic fitness, physical activity, and exercise training are associated with better cognitive function in older adults; and (2) exercise training has comparable effects on mobility and quality of life outcomes in older adults and persons with MS. To date, research examining aerobic fitness, physical activity, and exercise training effects on cognition in MS is nascent and mostly includes cross-sectional designs that provide preliminary evidence for a well-designed randomized controlled trial (RCT). We believe that a future RCT should adopt research methodologies and practices from gerontology when examining exercise training and cognition in MS. This will maximize the potential for successfully generating a body of knowledge on exercise training and cognition with the potential for impacting the lives of persons with MS.

scholarly journals Perspectives on Physical Activity Among People with Multiple Sclerosis Who Are Wheelchair Users

2015 ◽  
Vol 17 (3) ◽  
pp. 109-119 ◽  
Author(s):  
Yvonne C. Learmonth ◽  
Ian M. Rice ◽  
Teresa Ostler ◽  
Laura A. Rice ◽  
Robert W. Motl
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Health Care Professionals ◽  
Physically Active ◽  
Wheelchair Users ◽  
Exercise Interventions ◽  
Exercise Participation ◽  
Mobility Devices ◽  
Environmental Adaptations ◽  
Physical Activity And Exercise

Background: People with advanced multiple sclerosis (MS) are less physically active than those with milder forms of the disease, and wheelchair use has a negative association with physical activity participation. Thus, wheelchair users with MS are doubly disadvantaged for accruing the benefits of physical activity and exercise. Appropriate physical activity and exercise interventions are needed for this population. Methods: We undertook a qualitative study to explore the meanings, motivations, and outcomes of physical activity in wheelchair users with MS. We sought to understand daily opportunities to accumulate physical activity and exercise, and to identify perceived barriers, facilitators, and benefits that might inform the design of future interventions. Results: We interviewed 15 wheelchair users (mean age, 52 ± 8.8 years; n = 12 women). Data were transcribed and analyzed to identify and explore common themes. Our first theme was the reduced opportunity to participate in physical activity due to participants' dependence on mobility devices, environmental adaptations, and tangible support. Our second theme was the importance of incorporating physical activity and exercise into the everyday environment, highlighting the need for adaptive exercise and accessible environments. This indicated the need to incorporate behavior change modulators into physical activity and exercise interventions for those with advanced MS. Health-care professionals played an important role in promoting increased physical activity and exercise participation in those with advanced MS. Conclusions: Our findings may inform future interventions to increase initiation and maintenance of physical activity and exercise among people with advanced MS.

scholarly journals The Influential factors of Adherence to Physical Activity and Exercise among Community-Dwelling Stroke Survivors: A Path Analysis

2020 ◽  
Author(s):  
Beilei Lin ◽  
Zhenxiang Zhang ◽  
Yongxia Mei ◽  
Wenna Wang ◽  
Lamei Liu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Path Analysis ◽  
Influential Factors ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Physical Activity And Exercise

Abstract The authors have withdrawn this preprint due to erroneous posting.

scholarly journals Flipping the ICF: Exploring the Interplay of Theory and the Lived Experience to Reconsider Physical Activity in Community-Dwelling People With Multiple Sclerosis

2021 ◽  
Vol 2 ◽  
Author(s):  
Andrea Marjorie Stennett ◽  
Lorraine H. De Souza ◽  
Meriel Norris
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Health Professionals ◽  
Phase 1 ◽  
Community Dwelling ◽  
International Classification Of Functioning ◽  
Health Concern ◽  
Activity Levels ◽  
Increased Risk ◽  
Physical Activity Levels

People with multiple sclerosis (MS) report lower physical activity levels and are at a risk of becoming sedentary. As such, they are at an increased risk of developing secondary health conditions associated with inactivity. This is of major public health concern. Attempts to improve the physical activity levels in people with MS remain a challenge for health professionals. One key reason might be the lack of understanding about the meanings people with MS ascribe to exercise and physical activity. This paper draws on the key findings of a three-phased interconnected mixed methods sequential explanatory study to examine the meanings of exercise and physical activity from the perspectives of people with MS and health professionals. Phase 1 used a four-round Delphi questionnaire to scope and determine the consensus of priorities for exercise and physical activity and the reasons why people with MS (N = 101) engaged in these activities. Phase 2 used face-to-face semistructured interviews of people with MS (N = 16) to explore the meanings ascribed to exercise and physical activity. Phase 3 explored the perceptions of physiotherapists (N = 14) about exercise and physical activity using three focus groups. Using the International Classification of Functioning, Disability, and Health as a theoretical framework to underpin this study, the authors discuss the key factors, for example, emphasis on the contextual factors, that drive decision making around exercise and physical activity participation in people with MS and explore the clinical implications to health professionals.

scholarly journals Response Heterogeneity With Exercise Training and Physical Activity Interventions Among Persons With Multiple Sclerosis

2018 ◽  
Vol 33 (1) ◽  
pp. 3-14 ◽  
Author(s):  
Jessica F. Baird ◽  
Robert W. Motl
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Exercise Training ◽  
Large Scale ◽  
Individual Variability ◽  
Future Research ◽  
Mobility Impairment ◽  
Training Interventions ◽  
Beneficial Effects ◽  
Physical Activity And Exercise

Multiple sclerosis (MS) is a heterogeneous disease, both in its pathology and symptomology. This poses a challenge for the medical management and rehabilitation of MS; however, physical activity and exercise training are rehabilitation approaches that have demonstrated beneficial effects on many of the burdensome consequences of MS such as mobility impairment and fatigue. Given the heterogeneous course of MS, it is possible that outcomes of physical activity and exercise training interventions demonstrate heterogeneity both in the magnitude and pattern of change, but there has been little focus on response heterogeneity with these interventions among persons with MS. In this narrative review, a search of the existing literature was performed to identify studies that reported individual participant data, which was used to describe the variability in the response to physical activity and exercise training interventions among persons with MS. Inter-individual variability seemingly occurs across outcomes and modalities, which underscores the consideration of factors that might influence response heterogeneity. Factors related to MS disease characteristics, nervous system damage, and the degree of MS-related disability might influence individual responsiveness. Large-scale studies that permit the examination of heterogeneity and its predictors will inform future research on the area of physical activity and exercise training in MS, and lead to the development of individually tailored rehabilitation approaches that will more effectively elicit change.

scholarly journals Efficacy of an Internet-Based Program to Promote Physical Activity and Exercise after Inpatient Rehabilitation in Persons with Multiple Sclerosis: A Randomized, Single-Blind, Controlled Study

2020 ◽  
Vol 17 (12) ◽  
pp. 4544 ◽  
Author(s):  
Peter Flachenecker ◽  
Anna Karoline Bures ◽  
Angeli Gawlik ◽  
Ann-Christin Weiland ◽  
Sarah Kuld ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Multiple Sclerosis ◽  
Inpatient Rehabilitation ◽  
Physical Activity Promotion ◽  
Controlled Study ◽  
Activity Promotion ◽  
Physical Activity And Exercise ◽  
Exercise Promotion

Background: Multimodal rehabilitation improves fatigue and mobility in persons with multiple sclerosis (PwMS). Effects are transient and may be conserved by internet-based physical activity promotion programs. Objective: Evaluate the effects of internet-based physical activity and exercise promotion on fatigue, quality of life, and gait in PwMS after inpatient rehabilitation. Methods: PwMS (Expanded Disability Status Scale (EDSS) ≤ 6.0, fatigue: Würzburg Fatigue Inventory for Multiple Sclerosis (WEIMuS) ≥ 32) were randomized into an intervention group (IG) or a control group (CG). After rehabilitation, IG received 3 months of internet-based physical activity promotion, while CG received no intervention. Primary outcome: self-reported fatigue (WEIMuS). Secondary outcomes: quality of life (Multiple Sclerosis Impact Scale 29, MSIS-29), gait (2min/10m walking test, Tinetti score). Measurements: beginning (T0) and end (T1) of inpatient rehabilitation, 3 (T2) and 6 (T3) months afterwards. Results: 64 of 84 PwMS were analyzed (IG: 34, CG: 30). After rehabilitation, fatigue decreased in both groups. At T2 and T3, fatigue increased again in CG but was improved in IG (p < 0.001). MSIS-29 improved in both groups at T1 but remained improved at T2 and T3 only in IG. Gait improvements were more pronounced in IG at T2. Conclusions: The study provides Class II evidence that the effects of rehabilitation on fatigue, quality of life, and gait can be maintained for 3–6 months with an internet-based physical activity and exercise promotion program.

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