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new research: short bursts of exercise improve MS fatigue

Posted: Fri Mar 28, 2014 8:23 am
by Cece
http://msj.sagepub.com/content/early/20 ... 4.abstract
Pragmatic intervention for increasing self-directed exercise behaviour and improving important health outcomes in people with multiple sclerosis: a randomised controlled trial

Abstract


Background: Exercise programmes that can demonstrate evidence of long-lasting clinical effectiveness are needed for people with multiple sclerosis (PwMS).


Objective: The objective of this study was to assess the effects of a practically implemented exercise programme on self-directed exercise behaviour and important health outcomes in PwMS to nine months of follow-up.


Methods: We conducted a parallel-arm, randomised controlled trial: 120 PwMS (Expanded Disability Status Scale (EDSS) 1.0–6.5) randomised to a three-month exercise intervention plus usual care, or usual care only. Two supervised plus one home-exercise session (weeks 1–6) were followed by one supervised and two home-exercise sessions (weeks 7–12). Cognitive-behavioural techniques promoted long-term exercise behaviour change. Outcomes were blindly assessed at baseline and at three and nine months after randomisation. The primary outcome was self-reported exercise behaviour (Godin Leisure Time Exercise Questionnaire (GLTEQ)). Secondary outcomes included fatigue and health-related quality of life (HRQoL).


Results: The intervention increased self-reported exercise (9.6 points; 95% CI: 2.0 to 17.3 points; p = 0.01) and improved fatigue (p < 0.0001) and many HRQoL domains (p ≤ 0.03) at three months. The improvements in emotional well-being (p = 0.01), social function (p = 0.004) and overall quality of life (p = 0.001) were sustained for nine months.


Conclusion: This pragmatic approach to implementing exercise increases self-reported exercise behaviour, improves fatigue and leads to a sustained enhancement of HRQoL domains in PwMS.
The Guardian report on this study said that it was short bursts of exercise that were recommended, such as a four-minute burst and then a four-minute rest.

It improves fatigue, it's a manageable amount of exercise, and from a CCSVI standpoint, it increases blood flow to the brain. What's not to love :)

There was also a recent report that just being immersed in water increased blood flow by 14%. I thought that was interesting especially if you don't have to do any exercise, just be immersed!

Re: new research: short bursts of exercise improve MS fatigu

Posted: Fri Mar 28, 2014 8:52 am
by ThisIsMA
Great find! Do you still have the link to the Guardian article? It would be really interesting to learn more details about this. Fatigue is one of my symptoms.

Re: new research: short bursts of exercise improve MS fatigu

Posted: Fri Mar 28, 2014 11:14 am
by Cece
Yeah the Guardian article was what I found first & it took some digging to then find the research article!
http://www.theguardian.com/society/2014 ... -sclerosis
For 12 weeks, 60 of the 120 participants undertook five bursts of three minutes of exercises, either in a gym or at home, with two-minutes rests in between. As the trial progressed, they were encouraged to increase the bursts to four minutes or take shorter rest breaks.
3 minutes exercise
2 minutes rest
3 minutes exercise
2 minutes rest
3 minutes exercise
2 minutes rest
3 minutes exercise
2 minutes rest
3 minutes exercise

Ok that adds up to 15 minutes of exercise.
Blood flow would still be higher than normal during the 2 minutes of rest, so perhaps it's a way to get 25 minutes of increased blood flow out of 15 minutes of exercise? And the resting might make the whole thing more do-able.