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Multiple sclerosis and exercise

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https://www.readbyqxmd.com/read/29666705/the-role-of-moderate-aerobic-exercise-as-determined-by-cardiopulmonary-exercise-testing-in-als
#1
Anna Caroline Marques Braga, Anabela Pinto, Susana Pinto, Mamede de Carvalho
Introduction: The efficacy of cardiopulmonary exercise testing (CPET) to determining exercise intensity has not been established in Amyotrophic Lateral Sclerosis (ALS). We studied this intervention. Methods: We included 48 ALS patients randomized in 2 groups: G1 ( n = 24), exercise intensity leveled by CPET; G2 ( n = 24), standard care limited by fatigue, during 6 months. ALS functional scale (ALSFRS-R) and forced vital capacity (FVC) were performed every 3 months; CPET was done at admission ( T 1) and 6 months later ( T 2)...
2018: Neurology Research International
https://www.readbyqxmd.com/read/29618280/progressive-resistance-exercise-training-and-changes-in-resting-state-functional-connectivity-of-the-caudate-in-persons-with-multiple-sclerosis-and-severe-fatigue-a-proof-of-concept-study
#2
Nadine Akbar, Brian M Sandroff, Glenn R Wylie, Lauren B Strober, Angela Smith, Yael Goverover, Robert W Motl, John DeLuca, Helen Genova
Fatigue is one of the most disabling symptoms of multiple sclerosis (MS). While progressive resistance training (PRT) has been shown to reduce fatigue in persons with MS, it is not clear why these reductions occur. One hypothesis is that PRT may induce functional changes to the caudate, a region highly implicated in MS fatigue. The aim of the current study was to study the effects of PRT on overall fatigue impact and resting-state functional connectivity of the caudate in persons with MS reporting severe fatigue...
April 4, 2018: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/29609662/considerations-for-expanding-community-exercise-programs-incorporating-a-healthcare-recreation-partnership-for-people-with-balance-and-mobility-limitations-a-mixed-methods-evaluation
#3
Nancy M Salbach, Jo-Anne Howe, Diem Baldry, Saira Merali, Sarah E P Munce
OBJECTIVE: To increase access to safe and appropriate exercise for people with balance and mobility limitations, community organizations have partnered with healthcare providers to deliver an evidence-based, task-oriented group exercise program in community centers in Canada. We aimed to understand challenges and solutions to implementing this program model to inform plans for expansion. RESULTS: At a 1-day meeting, 53 stakeholders (healthcare/recreation personnel, program participants/caregivers, researchers) identified challenges to program implementation that were captured by seven themes: Resources to deliver the exercise class (e...
April 2, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29596685/activity-matters-a-web-based-resource-to-enable-people-with-multiple-sclerosis-to-become-more-active
#4
Blathin Casey, Susan Coote, Molly Byrne
Increasing physical activity (PA) through exercise is associated with improvements in many of the symptoms associated with multiple sclerosis (MS) such as fatigue, strength, balance, and mobility. Despite this, people with MS remain largely inactive. Interventions that are grounded in theory and that aim to change PA behavior need to be developed. The purpose of this study was to describe the development process of a web-based resource, namely, "Activity Matters," to enable people with MS to become more active...
March 27, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29595826/pediatric-multiple-sclerosis-current-perspectives-on-health-behaviors
#5
REVIEW
Elizabeth Morghen Sikes, Robert W Motl, Jayne M Ness
Purpose: Pediatric-onset multiple sclerosis (POMS) accounts for ~5% of all multiple sclerosis cases, and has a prevalence of ~10,000 children in the USA. POMS is associated with a higher relapse rate, and results in irreversible disability on average 10 years earlier than adult-onset multiple sclerosis. Other manifestations of POMS include mental and physical fatigue, cognitive impairment, and depression. We believe that the health behaviors of physical activity, diet, and sleep may have potential benefits in POMS, and present a scoping review of the existing literature...
2018: Pediatric Health, Medicine and Therapeutics
https://www.readbyqxmd.com/read/29574556/fatigue-as-measured-using-the-modified-fatigue-impact-scale-is-a-predictor-of-processing-speed-improvement-induced-by-exercise-in-patients-with-multiple-sclerosis-data-from-a-randomized-controlled-trial
#6
Giancarlo Coghe, Federica Corona, Elisabetta Marongiu, Giuseppe Fenu, Jessica Frau, Lorena Lorefice, Antonio Crisafulli, Manuela Galli, Alberto Concu, Maria Giovanna Marrosu, Massimiliano Pau, Eleonora Cocco
BACKGROUND: Few studies have evaluated the impact of physical activity (PA) on cognition and fatigue, and none have considered the effects of PA on the relationship between cognition and fatigue. OBJECTIVES: We evaluated the effect of PA in people with multiple sclerosis (pwMS) in a 6-month-long single-blind randomized controlled trial. We focused on the impact of exercise on cognition, fatigue, and the relationship between cognition and fatigue. METHODS: We recruited pwMS, who were then randomly assigned 1:1 to either a PA protocol group or a control group (CG)...
March 24, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29563533/profiling-walking-dysfunction-in-multiple-sclerosis-characterisation-classification-and-progression-over-time
#7
Linard Filli, Tabea Sutter, Christopher S Easthope, Tim Killeen, Christian Meyer, Katja Reuter, Lilla Lörincz, Marc Bolliger, Michael Weller, Armin Curt, Dominik Straumann, Michael Linnebank, Björn Zörner
Gait dysfunction is a common and relevant symptom in multiple sclerosis (MS). This study aimed to profile gait pathology in gait-impaired patients with MS using comprehensive 3D gait analysis and clinical walking tests. Thirty-seven patients with MS walked on the treadmill at their individual, sustainable speed while 20 healthy control subjects walked at all the different patient's paces, allowing for comparisons independent of walking velocity. Kinematic analysis revealed pronounced restrictions in knee and ankle joint excursion, increased gait variability and asymmetry along with impaired dynamic stability in patients...
March 21, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29553785/do-multiple-sclerosis-symptoms-moderate-the-relationship-between-self-efficacy-and-physical-activity-in-people-with-multiple-sclerosis
#8
Blathin Casey, Marcin Uszynski, Sara Hayes, Robert Motl, Stephen Gallagher, Susan Coote
OBJECTIVE: To investigate the bivariate correlations between objective physical activity (PA), self-efficacy, and a range of multiple sclerosis (MS) symptom measures. Also, to determine whether any MS symptom measures moderate the relationship between self-efficacy and PA. METHOD: Baseline analysis from a randomized control trial exercise plus a behavior change intervention was used. Fifty-nine physically inactive people with a definite diagnosis of MS were included...
February 2018: Rehabilitation Psychology
https://www.readbyqxmd.com/read/29540164/methodological-and-clinical-implications-of-a-three-in-one-russian-doll-design-for-tracking-health-trajectories-and-improving-health-and-function-through-innovative-exercise-treatments-in-adults-with-disability
#9
James H Rimmer, Cassandra Herman, Brooks Wingo, Kevin Fontaine, Tapan Mehta
BACKGROUND: Hybrid research designs targeting adults with neurologic disability are critical for improving the efficiency of models that can identify, track and intervene on identified health issues. METHODS: Our Russian doll framework encompasses three study phases. Phase 1 involves prospectively following a cohort of participants with disability to examine the relationships between rates of health and functional deficits (e.g., pain, fatigue, deconditioning), functional measures (e...
March 14, 2018: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/29523293/perceived-fatigue-and-energy-are-independent-unipolar-states-supporting-evidence
#10
Bryan D Loy, Michelle H Cameron, Patrick J O'Connor
Persistent fatigue is a common problem (∼20-45% of U.S. population), with higher prevalence and severity in people with medical conditions such as cancer, depression, fibromyalgia, heart failure, sleep apnea and multiple sclerosis. There are few FDA-approved treatments for fatigue and great disagreement on how to measure fatigue, with over 250 instruments used in research. Many instruments define fatigue as "a lack of energy", thus viewing energy and fatigue states as opposites on a single bipolar continuum...
April 2018: Medical Hypotheses
https://www.readbyqxmd.com/read/29497559/treadmill-walking-exercise-training-and-brain-function-in-multiple-sclerosis-preliminary-evidence-setting-the-stage-for-a-network-based-approach-to-rehabilitation
#11
Brian M Sandroff, Glenn R Wylie, Brad P Sutton, Curtis L Johnson, John DeLuca, Robert W Motl
Exercise training has been identified as a highly promising approach for managing the cognitive consequences of multiple sclerosis (MS). This study represents a secondary analysis of resting-state functional connectivity (RSFC) magnetic resonance imaging data from a pilot treadmill walking exercise training intervention for improving cognitive processing speed (CPS) in MS. There were large intervention effects on RSFC between the thalamus and right superior frontal gyrus ( d  = 1.92) and left medial frontal gyrus ( d  = 1...
January 2018: Multiple Sclerosis Journal—Experimental, Translational and Clinical
https://www.readbyqxmd.com/read/29479457/a-randomized-study-to-evaluate-the-effect-of-exercise-on-fatigue-in-people-with-relapsing-remitting-multiple-sclerosis-treated-with-fingolimod
#12
M Mäurer, K Schuh, S Seibert, M Baier, C Hentschke, R Streber, A Tallner, K Pfeifer
Background: Fatigue is a major symptom of multiple sclerosis (MS) in patients, and it has been shown to improve with physical exercise. Although fingolimod might lessen fatigue, it is unclear how patients treated with fingolimod react to physical activity regarding fatigue. Objective: This study evaluated the effect of an exercise intervention on fatigue in relapsing-remitting MS patients receiving fingolimod. Methods: People with MS (PwMS) were randomized to either a structured internet-based exercise program (e-training) or no e-training intervention...
January 2018: Multiple Sclerosis Journal—Experimental, Translational and Clinical
https://www.readbyqxmd.com/read/29454153/muscle-carnosine-in-experimental-autoimmune-encephalomyelitis-and-multiple-sclerosis
#13
Charly Keytsman, Laura Blancquaert, Inez Wens, Maarten Missine, Pieter Van Noten, Frank Vandenabeele, Wim Derave, Bert O Eijnde
BACKGROUND: Muscle carnosine is related to contractile function (Ca ++ handling) and buffering of exercise-induced acidosis. As these muscular functions are altered in Multiple Sclerosis (MS) it is relevant to understand muscle carnosine levels in MS. METHODS: Tibialis anterior muscle carnosine was measured in an animal MS model (EAE, experimental autoimmune encephalomyelitis, n = 40) and controls (CON, n = 40) before and after exercise training (EAE EX , CON EX , 10d, 1 h/d, 24 m/min treadmill running) or sedentary conditions (EAE SED , CON SED )...
February 11, 2018: Multiple Sclerosis and related Disorders
https://www.readbyqxmd.com/read/29428345/self-regulatory-strategies-as-correlates-of-physical-activity-behavior-in-persons-with-multiple-sclerosis
#14
Katie L Cederberg, Julia M Balto, Robert W Motl
OBJECTIVE: To examine self-regulation strategies as correlates of physical activity in persons with multiple sclerosis (MS). DESIGN: Cross-sectional, or survey, study. SETTING: University-based research laboratory. PARTICIPANTS: Convenience sample of 68 persons with MS. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Exercise Self-Efficacy Scale (EXSE), Physical Activity Self-Regulation Scale (PASR-12), and Godin Leisure-Time Exercise Questionnaire (GLTEQ)...
February 8, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29414293/physical-activity-and-disability-outcomes-in-multiple-sclerosis-a-systematic-review-2011-2016
#15
REVIEW
Shannon Charron, Kyla A McKay, Helen Tremlett
BACKGROUND: Physical activity may be neuroprotective in multiple sclerosis (MS). One review (2011) of exercise and MS disability was inconclusive, but highlighted the need for more studies. OBJECTIVE: To perform an updated systematic literature review examining the relationship between physical activity and physical ability outcomes in persons with MS. METHODS: EMBASE and MEDLINE were searched for original interventional studies (2011-2016) evaluating exercise on quantitative outcomes of physical disability in MS...
February 1, 2018: Multiple Sclerosis and related Disorders
https://www.readbyqxmd.com/read/29406768/using-the-international-classification-of-functioning-disability-and-health-model-to-gain-perspective-of-the-benefits-of-yoga-in-stroke-multiple-sclerosis-and-children-to-inform-practice-for-children-with-cerebral-palsy-a-meta-analysis
#16
Diana Veneri, Mary Gannotti, Matteo Bertucco, Sarah E Fournier Hillman
OBJECTIVE: Research pertaining to yoga and children with cerebral palsy (CP) is negligible. The primary purpose of this study was to determine the domains of the International Classification of Functioning, Disability, and Health (ICF) model and levels of evidence for yoga and adults with stroke and multiple sclerosis (MS), and children. A secondary purpose was to decide whether any inferences could be made for children with CP. DESIGN: This study included a meta-analysis...
February 6, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/29386274/efficacy-of-balance-and-eye-movement-exercises-for-persons-with-multiple-sclerosis-beems
#17
Jeffrey R Hebert, John R Corboy, Timothy Vollmer, Jeri E Forster, Margaret Schenkman
OBJECTIVE: To determine whether a multifaceted vestibular-related rehabilitation program (Balance and Eye-Movement Exercises for Persons with Multiple Sclerosis; BEEMS) improves balance in persons with MS and whether there are differences in outcomes based on brainstem/cerebellar lesion involvement. METHODS: A 2-arm, examiner-blinded, stratified (involvement vs no involvement of brainstem/cerebellar structures), randomized controlled trial was implemented. Eighty-eight participants were allocated to BEEMS or no treatment control...
January 31, 2018: Neurology
https://www.readbyqxmd.com/read/29346161/promotion-of-exercise-in-multiple-sclerosis-through-health-care-providers
#18
Robert W Motl, Elizabeth A Barstow, Sarah Blaylock, Emma Richardson, Yvonne C Learmonth, Matthew Fifolt
Participation in exercise yields meaningful benefits among persons with multiple sclerosis (MS), yet this population engages in low rates of health-promoting physical activity. The disconnect between evidence of benefits and rates of participation requires consideration of new opportunities for changing this health behavior. The current article hypothesizes that the patient-provider interaction offers a fertile opportunity for promoting exercise behavior in MS.
April 2018: Exercise and Sport Sciences Reviews
https://www.readbyqxmd.com/read/29343122/use-of-the-godin-leisure-time-exercise-questionnaire-in-multiple-sclerosis-research-a-comprehensive-narrative-review
#19
Elizabeth Morghen Sikes, Emma V Richardson, Katie J Cederberg, Jeffer E Sasaki, Brian M Sandroff, Robert W Motl
PURPOSE: The Godin Leisure-Time Exercise Questionnaire has been a commonly applied measure of physical activity in research among persons with multiple sclerosis over the past decade. This paper provides a comprehensive description of its application and inclusion in research on physical activity in multiple sclerosis. METHOD: This comprehensive, narrative review included papers that were published between 1985 and 2017, written in English, involved participants with multiple sclerosis as a primary population, measured physical activity, and cited one of the two original Godin papers...
January 17, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29332746/is-pilates-an-effective-rehabilitation-tool-a-systematic-review
#20
REVIEW
Keira Byrnes, Ping-Jung Wu, Stephney Whillier
BACKGROUND: Pilates is a system of exercise focusing upon controlled movement, stretching and breathing. Pilates is popular today not only for physical fitness but also for rehabilitation programs. This paper is a review of the literature on the effectiveness of Pilates as a rehabilitation tool in a wide range of conditions in an adult population. METHODS: A systematic literature review was carried out according to the PRISMA guidelines. Electronic databases were searched for cohort studies or randomised controlled trials (RCTs), and inclusion and exclusion criteria were applied...
January 2018: Journal of Bodywork and Movement Therapies
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