Research: Exercise and Physiotherapy for MS

Using exercise and physical therapy for recovery from the effects of MS, and for maintaining physical function.
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Petr75
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Re: Research: Exercise and Physiotherapy for MS

Post by Petr75 » Sun Feb 10, 2019 4:58 am

2019 Jan 24
Department of Sport Injury & Corrective Exersices, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran
The Effect of Total Body Resistance Exercise on Mobility, Proprioception and Muscle Strength of the Knee in People with Multiple Sclerosis
https://www.ncbi.nlm.nih.gov/pubmed/30676232

Abstract
CONTEXT::
Muscle weakness and sensory deficits cause impaired balance and walking abilities which are prerequisites for independent activity of daily living in people with multiple sclerosis. Recent physical exercises tailored to improve the activity of daily living people with multiple sclerosis have focused on the functional training.
OBJECTIVE::
The aim of this study was to investigate the effect of total body resistance exercise suspension training on mobility, proprioception and muscle strength of the knee in people with multiple sclerosis.
DESIGN::
Pre-test and post-test control group design, single-blind.
SETTING::
Referral Center of Multiple Sclerosis Society.
PARTICIPANTS::
Thirty-four women with relapsing-remitting multiple sclerosis were participated in this study. The Mean±SD of their age was (36.44±4.88) years; and the Expanded Disability Status Scale was (2.35±.94). The participants were divided into two groups: control group (n=15) and training group (n=19).
INTERVENTION::
The training group performed the total body resistance exercise program for 8 weeks, 3 sessions per week. The control group received their usual care and daily activities. Outcomes were measured pre- and post- sessions.
MAIN OUTCOME MEASURE::
Mobility was assessed with Timed Up and Go test, 10-Meter Walk Maximum test, 2-Minute Walk test, and 5-Time Sit to Stand test. Knee proprioception absolute error and isometric strength of knee flexor and extensor muscles were measured by using a biodex isokinetic dynamometer.
RESULTS::
In the training group, Mobility (P=0.001), maximal voluntary isometric contractions of knee flexor and extensor muscles in both legs (P>0.05), and the knee proprioception absolute error in non-dominant leg at 60° knee flexion (P=0.015) improved significantly compared with the control group.
CONCLUSION::
Total body resistance exercise is a functional and safe intervention that can improve the mobility and muscles strength of the knee in a short period in people with multiple sclerosis.

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2001 case study: MS exercise in 94 F (34.4 C) water

Post by jimmylegs » Fri Feb 22, 2019 9:42 am

headed to the pool in the not too distant future (maybe starting next week??). it's on the warm side but not THIS warm:

Exercise in 94 degrees F water for a patient with multiple sclerosis (2001)
https://www.ncbi.nlm.nih.gov/pubmed/11276186

"Abstract
BACKGROUND AND PURPOSE:
The purpose of this case report is to describe the examination, intervention, and outcome of a patient with multiple sclerosis (MS) who participated in a comprehensive rehabilitation program that included aquatic therapy with a pool temperature of 94 degrees F. There are few descriptions of aquatic exercise programs on muscle force, exercise tolerance, and functional outcomes in individuals with MS, and most authors recommend a water temperature of less than 85 degrees F to prevent an exacerbation of symptoms.

DESCRIPTION:
The patient was a 33-year-old woman. Before, during, and after the aquatic program, she was monitored for body temperature, heart rate, blood pressure, and perceived exertion. She was also assessed for muscle force and functional abilities.

OUTCOMES:
The patient did not experience heat sensitivity or fatigue throughout the program, and her manual muscle test grades and mobility improved.

DISCUSSION:
This patient's participation in aquatic therapy, in conjunction with land-based interventions, may have been associated with the improvement in functional abilities."
take control of your own health
pursue optimal self care at least as actively as a diagnosis
ask for referrals to preventive health care specialists eg dietitians
don't let suboptimal self care muddy any underlying diagnostic picture!

Zyklon
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Re: Research: Exercise and Physiotherapy for MS

Post by Zyklon » Fri Feb 22, 2019 11:19 am

My experience is the same. Even my core temperature rises during exercise, I don't feel anything bad. In the gym and pool.
Pain! You made me a, you made me a believer, believer
Pain! You break me down, you build me up, believer, believer
Pain! Oh let the bullets fly, oh let them rain
My life, my love, my drive, it came from... Pain!

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Re: Research: Exercise and Physiotherapy for MS

Post by jimmylegs » Sun Mar 24, 2019 6:23 am

lucky you! since last yr's infection fiasco i'm a literal hot mess. aquafit has been deferred a couple times but i think next week will be go time! :D
take control of your own health
pursue optimal self care at least as actively as a diagnosis
ask for referrals to preventive health care specialists eg dietitians
don't let suboptimal self care muddy any underlying diagnostic picture!

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jimmylegs
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2019 meta-analysis: Exercise and Physiotherapy for MS

Post by jimmylegs » Sun Mar 24, 2019 6:26 am

The effect of exercise, yoga and physiotherapy on the quality of life of people with multiple sclerosis: Systematic review and meta-analysis (2019)
link to abstract: https://www.sciencedirect.com/science/a ... 9918310021

Highlights
•Systematic review and meta-analysis were carried out from 1990 to 2017.
•Aerobic exercise and physiotherapy were found to be beneficial for MS patients.
•Complementary therapies need to be included as normal practice.
take control of your own health
pursue optimal self care at least as actively as a diagnosis
ask for referrals to preventive health care specialists eg dietitians
don't let suboptimal self care muddy any underlying diagnostic picture!

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Petr75
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Re: Research: Exercise and Physiotherapy for MS

Post by Petr75 » Sat Apr 13, 2019 1:40 am

2019 Mar 8
Department of Molecular and Cellular Sport Medicine, Institute of Cardiovascular Research and Sports Medicine, German Sport University Cologne, Germany
Influence of different rehabilitative aerobic exercise programs on (anti-) inflammatory immune signalling, cognitive and functional capacity in persons with MS - study protocol of a randomized controlled trial.
PMC https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407211/

Abstract
BACKGROUND:
Studies have shown positive effects of therapeutic exercise on motor- and cognitive function as well as on psychosocial outcomes in persons with multiple sclerosis (MS). A reduction of inflammatory stress through physical exercise has been suspected as one key mechanism, mediating the positive effects of exercise in the context of MS. The primary objective of this trial is to investigate the acute and chronic effects of different exercise modalities on (anti-)inflammatory immune signalling as well as on cognitive and functional capacity in persons with MS.
METHODS:
A two armed single-blind randomized controlled design will investigate 72 persons with relapsing remitting or secondary progressive MS (EDSS 3.0-6.0), during 3 weeks of inpatient rehabilitation. Participants will be randomized into either a high-intensity interval training (HIIT) or a moderate continuous training group; the latter represents the local standard therapy (ST). Both groups will exercise 3x per week. The HIIT group will perform 5 × 1.5-min high-intensive exercise bouts at 95-100% of their maximum heart rate (HRmax) followed by active breaks of unloaded pedalling (60% HRmax) for 2 min. In contrast, the ST group will exercise for 24 min continuously at 65% of HRmax. The proportion of circulating regulatory T-cells will be measured as primary outcome. Secondary outcomes comprise numbers and proportions of further immune cells including Th17-cells, soluble factors ((anti-) inflammatory cytokines, tryptophan metabolites), endurance capacity, cognitive performance, processing skills for activities of daily living, fatigue, depression and healthcare-related quality of life. Outcomes will be assessed before (T0) and after (T3) the 3-week exercise intervention program. Blood samples of T0 will be taken immediately before the first exercise session. Additionally, blood samples for the soluble factors will be collected immediately after (T1) and three hours (T2) after the first exercise session of each group.
DISCUSSION:
This study will be the first to investigate both acute and chronic effects of aerobic exercise on immune function and disease associated biomarkers in persons with MS. Combining biological analyses with cognitive and functional capacity assessments may contribute to a better understanding of responses to rehabilitative training, needed to improve exercise recommendations for persons with MS.
TRIAL REGISTRATION:
This trial was prospectively registered at ClinicalTrials.gov ( NCT03652519 ; 29 August 2018).

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jimmylegs
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Re: Research: Exercise and Physiotherapy for MS

Post by jimmylegs » Sat Apr 13, 2019 6:55 am

nice find, i'll be interested in results from this one
take control of your own health
pursue optimal self care at least as actively as a diagnosis
ask for referrals to preventive health care specialists eg dietitians
don't let suboptimal self care muddy any underlying diagnostic picture!

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