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Movement Activities in Patients with Multiple Sclerosis


Authors: L. Keclíková;  M. Hoskovcová;  O. Gál;  E. Havrdová;  K. Novotná
Authors‘ workplace: Neurologická klinika 1. LF UK a VFN v Praze
Published in: Cesk Slov Neurol N 2014; 77/110(1): 23-28
Category: Review Article

Overview

The effect of controlled movement activity in the treatment of multiple sclerosis (MS) has repeatedly been demonstrated by numerous studies that have also shown that exercise does not affect severity or frequency of relapses. This paper summarizes current state of know­ledge on movement activities mechanisms and their application in the treatment of major MS-related neurological symptoms (fatigue, spastic paresis, ataxia, postural instability). Both research and clinical practice consistently show that the complexity of the clinical picture of MS requires a comprehensive therapeutic intervention. The paper reviews the mechanisms of action and the latest recommendations on the major forms of physical activities used in patients with MS, i.e. aerobic, resistance and combined training.The authors add their clinical experience, including their own design of a group circuit aerobic-resistance training.The paper does not discuss any other elements of the comprehensive therapeutic approach as this is out of the scope of the paper.

Key words:
multiple sclerosis – motor activities – training

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manu­script met the ICMJE “uniform requirements” for biomedical papers.


Sources

1. Kesserling J, Beer S. Symptomatic therapy and neuro­rehabilitation in multiple sclerosis. Lancet Neurol 2005; 4(10): 643–652.

2. Dalgas U, Stenager E, Ingemann-Hansen T. Multiple sclerosis and physical exercise: recommendations for the application of resistance-, endurance and combined training. Mult Scler 2008; 14(1): 35–53.

3. Asano M, Dawes DJ, Arafah A, Moriello C, Mayo NE. What does a structured review of the effectiveness of exercise interventions for persons with multiple sclerosis tell us about challenges of designing trials? Mult Scler 2009; 15(4): 412–421.

4. Kesserling J. Disease Progression in Multiple Sclerosis II. Methods for the Determination of Walking Impairment and Its Impact on Activities and Social Participation. European Neurological Review 2010; 5(1): 61–68.

5. Durstine JL, Moore G, Painter P, Roberts S. ACSM’s Exercise Management for Persons with Chronic Diseases and Disabilities. 3rd ed. Illinois: Human Kinetics 2009.

6. White LJ, McCoy SC, Castellano V, Gutierrez G, Stevens JE, Walter GA et al. Resistance training improves strength and functional capacity in persons with multiple sclerosis. Mult Scler 2004; 10(6): 668–674.

7. White LJ, Dressendorfer RH. Exercise and multiple sclerosis. Sports Med 2004; 34(15): 1077–1100.

8. Döring A, Pfueller CF, Paul F, Dörr J. Exercise in multiple sclerosis – an integral component of disease management. EPMA J 2011; 3(1): 2.

9. Romberg A, Ruutianinen J, Puukka P, Poikkeus L. Fatigue in multiple sclerosis patients during inpatient rehabilitation. Disabil Rehabil 2008; 30(19): 1480–1485.

10. Andreasen AK, Stenager E, Dalgas U. The effect of exercise therapy on fatigue in multiple sclerosis. Mult Scler 2011; 17(9): 1041–1054.

11. Surraka J, Romberg A, Ruutianinen J, Aunola S, Virtanen A, Karppi SL et al. Effects of aerobic and strength exercise on motor fatigue in men and women with multiple sclerosis: a radnomized controlled trial. Clin Rehabil 2004; 18(7): 737–746.

12. Induruwa I, Constantinescu CS, Gran B. Fatigue in multiple sclerosis – a brief review. J Neurol Sci 2012; 323(1–2): 9–15.

13. Andreasen AK, Jakobsen J, Peterson T, Andersen H. Fatigue patients with multiple sclerosis have impaired central muscle activation. Mult Scler 2009; 15(7): 818–827.

14. Dalgas U, Stenager E, Jakobsen J, Petersen T, Hansen HJ, Knudsen C et al. Fatigue, mood and quality of life improve in MS patients after progressive resistence training. Mult Scler 2010; 16(4): 480–490.

15. Béthoux, F. Fatigue and multiple sclerosis. Ann Readapt Med Phys 2006; 49(6): 355–360.

16. Babyak, M, Blumenthal JA, Herman S, Khatri P, Doraiswamy M, Moore K et al. Exercise treatment for major depression: maintenance of therapeutic benefit at 10 months. Psychosom Med 2000; 62(5): 633–638.

17. Kroencke DC, Lynch SG, Denney DR. Fatigue in multiple sclerosis: relationship to depression, disability, and disease pattern. Mult Scler 2000; 6(2): 131–136.

18. Mohr DC, Boudewyn AC, Goodkin DE, Bostrom A, Epstein L. Comparative outcomes for individual cognitive-behavior therapy, supportive-expressive group therapy, and sertraline for the treatment of depression in multiple sclerosis. J Consult Clin Psychol 2001; 69(6): 942–949.

19. Oken BS, Kishiyama S, Zajdel S, Bourdette D, Carlsen J, Haas M et al. Randomized controlled trial of yoga and exercise in multiple sclerosis. Neurology 2004; 62(11): 2058–2064.

20. Kjølhede T, Vissing K, Dalgas U. Multiple sclerosis and progressive resistance training: a systematic review. Mult Scler 2012; 18(9): 1215–1228.

21. Broach E, Dattilo J. The effects of an aquatic therapy intervention on physical behaviors and fatigue of adults with multiple sclerosis. TRJ 2001; 35: 141–154.

22. Krupp LB, Serafin DJ, Christodoulou C. Multiple sclerosis-associated fatigue. Expert Rev Neurother 2010; 10(9): 1437–1447.

23. Štětkářová I, Ehler E, Jech R. Spasticita a její léčba. Praha: Maxdorf 2012.

24. Gracies JM. Pathophysiology of spastic paresis. I: Paresis and soft tissue changes. Muscle Nerve 2005; 31(5): 535–551.

25. Gracies JM. Pathophysiology of spastic paresis. II: Emergence of muscle overactivity. Muscle Nerve 2005; 31(5): 552–571.

26. Ambler Z, Bednařík J, Růžička E et al. Klinická neuro­logie – část obecná. Praha: Triton 2012.

27. Beppu H, Suda M, Tanaka R. Analysis of cerebellar motor disorders by visually guided elbow tracking movement. Brain 1984; 107(3): 787–809.

28. Missaoui B, Thoumie P. How far do patients with sensory ataxia benefit from so- called “proprioceptive rehabilitation”? Neurophysiol Clin 2009; 39(4–5): 229–233.

29. Branch Coslett H, Buxbaum LJ, Schwoebel J. Accurate reaching after active but not passive movements of the hand: evidence for forward modeling. Behav Neurol 2008; 19(3): 117–125.

30. Motl RW, Douglas SC, Elliott J, Weikert M, Dlugonski D, Sosnoff JJ. Combined training improves walking mobility in persons with significant disability from MS: a pilot study. J Neurol Phys Ther 2012; 36(1): 32–37.

31. Cassidy E, Kilbride C, Holland A. Management of the Ataxias. Physiotherapy Supplement. London: Lincoln House 2011.

32. Carpinella I, Cattaneo D, Bertoni R, Ferrarin M. Robot training of upper limb in multiple sclerosis: comparing protocols with or without manipulative task components. Trans Neural Syst Rehabil Eng 2012; 20(3): 351–360.

33. Bjarnadottir OH, Konradsdottir AD, Reynisdottir K, Olafsson E. Multiple sclerosis and brief moderate exercise. A randomised study. Mult Scler 2007; 13(6): 776–782.

34. Freeman J, Allison R. Group exercise classes in people with multiple sclerosis: a pilot study. Physiother Res Int 2004; 9(2): 104–107.

35. Romberg A, Virtanen A, Ruutianen J. Long-term exercise improves functional impairment but not quality of life in multiple sclerosis. J Neurol 2005; 252(7): 839–845.

36. Bess HM, LeighAnn HF. Psychologie aktivního způsobu života. Praha: Portál 2010.

37. Beer S, Khan F, Kesselring J. Rehabilitation interventions in multiple sclerosis: an overview. J Neurol 2012; 259(9): 1994–2008.

38. Petajan JH, White AT. Recommendations for physical activity in patients with multiple sclerosis. Sports Med 1999; 27(3): 179–191.

39. Beenakker E, Oparina TI, Hartgring A, Teelken A, Arutjunyan AV, De Keyser J. Cooling garment treatment in MS: clinical improvement and decrease in leukocyte NO production. Neurology 2001; 57(5): 892–894.

40. Schwid SR, Petrie MD, Murray R, Leitch J, Bowen J, Alquist A et al. A randomized controlled study of the acute and chronic effects of cooling therapy for MS. Neurology 2003; 60(12): 1955–1960.

41. Meyer-Heim A, Rothmaier M, Weder M, Kool J, Schenk P, Kesselring J. Advanced lightweight cooling-garment technology: functional improvements in thermosensitive patients with multiple sclerosis. Mult Scler 2007; 13(2): 232–237.

42. White AT, Wilson TE, Davis SL, Petajan JH. Effect of precooling on physical performance in multiple sclerosis. Mult Scler 2000; 6(3): 176–180.

43. Fowler CJ, Panicker JN, Drake M, Harris C, Harrison SC, Kirby M et al. A UK consensus on the management of the bladder in multiple sclerosis. J Neurol Neurosurg Psychiatry 2009; 80(5): 470–477.

44. Rampello A, Franceschini M, Piepoli M, Antenucci R, Lenti G, Olivieri D et al. Effect of aerobic training on walking capacity and maximal exercise tolerance in patients with multiple sclerosis: a randomizes crossover controlled study. Phys Ther 2007; 87(5): 545–555.

45. Romberg A, Virtanen A, Aunola S, Karppi SL, Karanko H, Ruutianinen J. Exercise capacity, disability and leisure physical activity of subjects with multiple sclerosis. Mult Scler 2004; 10(2): 212–218.

46. Flachenecker P, Rufer A, Bihler I, Hippel C, Reiners K, Toyka KV et al. Fatigue is related to sympathetic vasomotor dysfunction. Neurology 2003; 61(6): 851–853.

47. Meyer T, Broocks A. Therapeutic impact of exercise on psychiatric disease: guidelines for exercise testing and prescription. Sports Med 2000; 30(4): 269–279.

48. Collet J, Dawes H, Meaney A, Sackley C, Barker K, Wade D et al. Exercise for multiple sclerosis: a single blind randomized controlled trial comparing three exercise intensities. Mult Scler 2010; 17(5): 594–603.

49. Taylor NF, Dodd KJ, Prasad D, Denisenko S. Progressive resistance exercise for people with multiple sclerosis. Disabil Rehabil 2006; 28(18): 1119–1126.

50. DeBolt LS, Mc Cubbin JA. The effects of home-based resistance exercise on balance, power and mobility in adults with multiple sclerosis. Arch Phys Med Rehabil 2004; 85(2): 290–297.

51. Freeman JA, Gear M, Pauli A, Cowan P, Finnigan C, Hunter H et al. The effect of core stability training on balance and mobility in ambulant individuals with multiple sclerosis: a multi-centre series of single case studies. Mult Scler 2010; 16(11): 1377–1384.

52. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exercs 2009; 41(3): 687–708.

53. Kisner C, Colby JA. Stretching for impaired mobility. In: Therapeutic Exercise Foundations and Techniques. 5th ed. Philadelphia: F.A. Davis Company 2007.

54. Sethy D, Bajpai P, Kujur ES. Effect of task related circuit training on walking ability in a Multiple Sclerosis subject. A single case study. NeuroRehabilitation. 2010; 26(4): 331–337.

55. Havrdová E. Význam časné léčby roztroušené sklerózy mozkomíšní. Neurol Prax 2004; 5: 291–294.

Labels
Paediatric neurology Neurosurgery Neurology

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Czech and Slovak Neurology and Neurosurgery

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2014 Issue 1

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