Comparison of Two Methods of Training Effects on Improving the Functional Ability of Patients with Multiple Sclerosis

Document Type : Original article

Authors

1 PhD, Department of Physical Education and Sport Sciences, Tehran University, Iran

2 PhD, Associated Professor, Department of Physical Education and Sport Sciences, Tehran University, Iran

3 PhD, Professor, Pasteur Institute, Tehran, Iran

Abstract

Background and Aims: During the recent years, attention has been paid to the importance of aerobic exercises in MS (Multiple sclerosis) patients. Therefore, the present research studies the effect of two methods of training on the functional ability (lower limb, hand and head coordination ability, and cognitive ability) of patients with MS.
Materials and Method: In the current research, 45 women with MS, aged 20-40 years old, were randomly assigned to three groups. The two groups continued to practice supportive treadmill and fixed bike for 12 weeks, 3 days a week, and the control group received no training. Functional ability test (25 time steps, 9 nails in the hole, consecutive acoustic scans) were taken from the participants in the pre-test and post-test. ANCOVA, and MANCOVA were run to test the hypotheses.
Results: There was no significant difference between the moderated mean performance of the training group with the supportive treadmill and fixed bike (p> 0.05). In order to investigate the effect of MANCOVA analysis of covariance training on post-test scores, the functional abilities components were tested. The average of moderated components of lower limb function, hand and head coordination ability, and cognitive ability of exercise groups with fixed bike and exercise with supportive treadmill were significantly higher than those of the control group (p <0.05). However, there was no significant difference between the moderated means of the components of the fixed bike and the supportive treadmill (P> 0.05).
Conclusion: According to the results, both supportive treadmill training and fixed bike are effective in improving lower limb function, hand and head coordination ability, and cognitive ability of people with multiple sclerosis.

Keywords

Main Subjects

References

  1. Kasper LH, Shoemaker J. Multiple sclerosis immunology The healthy immune system vs the MS immune system. Neurology. 2010;74(1 Supplement 1):S2-S8.##
  2. Honarmand K, Tierney MC, O'Connor P, Feinstein A. Effects of cannabis on cognitive function in patients with multiple sclerosis. Neurology. 2011;76(13):1153-60. ##
  3. Romberg A, Virtanen A, Ruutiainen J, Aunola S, Karppi S-L, Vaara M, et al. Effects of a 6-month exercise program on patients with multiple sclerosis A randomized study. Neurology. 2004;63(11):2034-8. ##
  4. Surakka J, Romberg A, Ruutiainen J, Virtanen A, Aunola S, Mäentaka K. Assessment of muscle strength and motor fatigue with a knee dynamometer in subjects with multiple sclerosis: a new fatigue index. Clinical rehabilitation. 2004;18(6):652-9. ##
  5. Hermann BP, Vickrey B, Hays RD, Cramer J, Devinsky O, Meador K, et al. A comparison of health-related quality of life in patients with epilepsy, diabetes and multiple sclerosis. Epilepsy research. 1996;25(2):113-8. ##
  6. Freal J, Kraft G, Coryell J. Symptomatic fatigue in multiple sclerosis. Archives of physical medicine and rehabilitation. 1984;65(3):135-8. ##
  7. Kent‐Braun JA, Sharma KR, Weiner MW, Miller RG. Effects of exercise on muscle activation and metabolism in multiple sclerosis. Muscle & nerve. 1994;17(10):1162-9. ##
  8. Motl RW, McAuley E, Snook EM. Physical activity and quality of life in multiple sclerosis: Possible roles of social support, self-efficacy, and functional limitations. Rehabilitation Psychology. 2007 May;52(2):143. ##
  9. Motl RW, McAuley E, Snook EM, Gliottoni RC. Physical activity and quality of life in multiple sclerosis: intermediary roles of disability, fatigue, mood, pain, self-efficacy and social support. Psychology, health & medicine. 2009 Jan 1;14(1):111-24. ##
  10. Tallner A, Waschbisch A, Wenny I, Schwab S, Hentschke C, Pfeifer K, et al. Multiple sclerosis relapses are not associated with exercise. Multiple Sclerosis Journal. 2012;18(2):232-5. ##
  11. Dalgas U, Stenager E, Ingemann-Hansen T. Multiple sclerosis and physical exercise: recommendations for the application of resistance-, endurance-and combined training. Multiple sclerosis. 2007. ##
  12. Motl RW, Sandroff BM, DeLuca J. Exercise Training and Cognitive Rehabilitation A Symbiotic Approach for Rehabilitating Walking and Cognitive Functions in Multiple Sclerosis? Neurorehabilitation and neural repair. 2016;30(6):499-511. ##
  13. Kerling A, Keweloh K, Tegtbur U, Kück M, Grams L, Horstmann H, et al. Effects of a Short Physical Exercise Intervention on Patients with Multiple Sclerosis (MS). International journal of molecular sciences. 2015;16(7):15761-75. ##
  14. Matsuda PN. Shumway-Cook A. Ciol MA. Bombardier CH. Kartin DA. Understanding falls in multiple sclerosis. Association of mobility status Concerns about falling, and accumalted impairment .Phys Ther. 2012, 92 :407-15##
  15. Fisniku LK, Chard DT, Jackson JS, Anderson VM, Altmann DR, Miszkiel KA, et al. Gray matter atrophy is related to long‐term disability in multiple sclerosis. Annals of neurology. 2008;64(3):247-54. ##
  16. Van Zanten JJV, Pilutti LA, Duda JL, Motl RW. Sedentary behaviour in people with multiple sclerosis: Is it time to stand up against MS? Multiple Sclerosis Journal. 2016:1352458516644340. ##
  17. Hemmer B, Nessler S, Zhou D, Kieseier B, Hartung H-P. Immunopathogenesis and immunotherapy of multiple sclerosis. Nature Clinical Practice Neurology. 2006;2(4):201-11. ##
  18. Dalgas U, Stenager E, Jakobsen J, Petersen T, Hansen HJ, Knudsen C, et al. Resistance training improves muscle strength and functional capacity in multiple sclerosis. Neurology. 2009;73(18):1478-84. ##
  19. Petajan JH, Gappmaier E, White AT, Spencer MK, Mino L, Hicks RW. Impact of aerobic training on fitness and quality of life in multiple sclerosis. Annals of neurology. 1996;39(4):432-41. ##
  20. Thoumie P, Lamotte D, Cantalloube S, Faucher M, Amarenco G. Motor determinants of gait in 100 ambulatory patients with multiple sclerosis. Multiple Sclerosis. 2005;11(4):485-91. ##
  21. Mattioli F, Stampatori C, Scarpazza C, Parrinello G, Capra R. Persistence of the effects of attention and executive functions intensive rehabilitation in relapsing remitting multiple sclerosis. Multiple sclerosis and related disorders. 2012;1(4):168-73. ##
  22. 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 randomized crossover controlled study. Physical therapy. 2007;87(5):545-55. ##
  23. Eftekhari E, Nikbakht H, Rabiei K, EtemadieFar M. Effect of endurance training on aerobic power and quality of life in female patients with multiple sclerosis. 2008. [In persian] ##
  24. Newman M, Dawes H, Van den Berg M, Wade D, Burridge J, Izadi H. Can aerobic treadmill training reduce the effort of walking and fatigue in people with multiple sclerosis: a pilot study. Multiple Sclerosis. 2007;13(1):113-9. ##
  25. Dalgas U. Rehabilitation and multiple sclerosis: hot topics in the preservation of physical functioning. Journal of the neurological sciences. 2011;311:S43-S7. ##
  26. White L, McCoy S, Castellano V, Gutierrez G, Stevens J, Walter G, et al. Resistance training improves strength and functional capacity in persons with multiple sclerosis. Multiple sclerosis. 2004;10(6):668-74. ##
  27. Pilutti LA, Lelli DA, Paulseth JE, Crome M, Jiang S, Rathbone MP, et al. Effects of 12 weeks of supported treadmill training on functional ability and quality of life in progressive multiple sclerosis: a pilot study. Archives of physical medicine and rehabilitation. 2011;92(1):31-6. ##
  28. Petajan JH, Gappmaier E, White AT, Spencer MK, Mino L, Hicks RW. Impact of aerobic training on fitness and quality of life in multiple sclerosis. Annals of neurology. 1996;39(4):432-41. ##
The Scientific Journal of Rehabilitation Medicine
Volume 9, Issue 2
July 2020
Pages 199-209

Files

History

  • Receive Date: 26 March 2019
  • Revise Date: 02 July 2019
  • Accept Date: 04 September 2019
  • First Publish Date: 21 June 2020

Share

How to cite

Statistics