A review of current rehabilitation practices and their benefits in patients with multiple sclerosis

Iodice, Rosa; Aceto, Gabriella; Ruggiero, Lucia; Cassano, E.; Manganelli, Fiore; Dubbioso, Raffaele

doi:10.1016/j.msard.2022.104460

Cited by 16 publications

(9 citation statements)

References 78 publications

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“…The significance of symptomatic care in enhancing patients' quality of life in MS is properly emphasized. Multiple sclerosis (MS) symptoms can be treated in a number of ways, including with corticosteroids, physical and occupational therapy, and medication (105,106).…”

Section: Discussionmentioning

confidence: 99%

“…Corticosteroids are widely used to treat acute symptoms and reduce inflammation during relapses (105). Essential elements of MS care include physical and occupational therapy, which aids patients in regaining their mobility, managing their muscle weakness, and preserving their functional independence (106). Certain MS-related symptoms, such as muscular spasms, discomfort, and bladder dysfunction, are managed using medications intended for symptom treatment, such as muscle relaxants, antispasmodics, and pain relievers (107).…”

Section: Current Treatment Approachesmentioning

confidence: 99%

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Article Review: Multiple Sclerosis

Al-ma'mouri

2024

J. Res. Appl. Sci. Biotechnol.

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Neurology still puzzles about multiple sclerosis (MS). This comprehensive overview explores MS's history, epidemiology, etiology, clinical manifestations, diagnostic tools, and treatment options. From historical awareness to cutting-edge research, we traverse MS's complex world with a focus on the past and future. Genetics, environment, and migration interact to create geographic riddles in MS prevalence. MS's sensory and cognitive symptoms show its significant influence. Advanced imaging technology and diagnostic criteria enable accurate and quick identification. While transformational, disease-modifying treatments require a tailored approach. Advances have left crucial gaps, prompting researchers, physicians, and policymakers to continue. This in-depth investigation of MS combines historical and future perspectives to emphasize the urgency and possibility of solving this complicated neurological puzzle.

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Section: Discussionmentioning

confidence: 99%

Section: Current Treatment Approachesmentioning

confidence: 99%

Article Review: Multiple Sclerosis

Al-ma'mouri

2024

J. Res. Appl. Sci. Biotechnol.

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“…It implements some decisive elements that could enhance usability and user experience such as accessibility, challenge, reward and feedback, skill development, and difficulty adjustment [45,46]. Potential core game ideas were generated by integrating the team knowledge and results from a literature review about Pilates in MS and balance interventions in MS with exergames [29,30,[35][36][37][38][40][41][42][43][45][46][47][48][49][50][51][52][53][54][55][56]. The Pilates exercises were identified for feasible implementation and safe execution in a digital tool [46].…”

Section: Phase 1: Analysis Of Existing Findings and Tool Designmentioning

confidence: 99%

“…In the next years, new exergames will become available to the therapists, and it is hoped that these will allow for the integration in MS outpatient and at-home settings to optimize patient clinical outcomes and to ensure the continuity of care [38]. On the basis of the usability challenges faced by people with MS, programmers should develop user-friendly interfaces customized for people with MS, which is the main assumption for high acceptance, adherence, and effectiveness.…”

Section: Introductionmentioning

confidence: 99%

An Internet- and Kinect-Based Multiple Sclerosis Fitness Intervention Training With Pilates Exercises: Development and Usability Study

Tacchino¹,

Ponzio²,

Leocani³

et al. 2023

JMIR Serious Games

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Background Balance impairments are common in people with multiple sclerosis (MS), with reduced ability to maintain position and delayed responses to postural adjustments. Pilates is a popular alternative method for balance training that may reduce the rapid worsening of symptoms and the increased risk of secondary conditions (eg, depression) that are frequently associated with physical inactivity. Objective In this paper, we aimed to describe the design, development, and usability testing of MS Fitness Intervention Training (MS-FIT), a Kinect-based tool implementing Pilates exercises customized for MS. Methods MS-FIT has been developed using a user-centered design approach (design, prototype, user feedback, and analysis) to gain the target user’s perspective. A team composed of 1 physical therapist, 2 game programmers, and 1 game designer developed the first version of MS-FIT that integrated the knowledge and experience of the team with MS literature findings related to Pilates exercises and balance interventions based on exergames. MS-FIT, developed by using the Unity 3D (Unity Technologies) game engine software with Kinect Sensor V2 for Windows, implements exercises for breathing, posture, and balance. Feedback from an Italian panel of experts in MS rehabilitation (neurologists, physiatrists, physical therapists, 1 statistician, and 1 bioengineer) and people with MS was collected to customize the tool for use in MS. The context of MS-FIT is traveling around the world to visit some of the most important cities to learn the aspects of their culture through pictures and stories. At each stay of the travel, the avatar of a Pilates teacher shows the user the exercises to be performed. Overall, 9 people with MS (n=4, 44% women; mean age 42.89, SD 11.97 years; mean disease duration 10.19, SD 9.18 years; Expanded Disability Status Scale score 3.17, SD 0.75) were involved in 3 outpatient user test sessions of 30 minutes; MS-FIT’s usability was assessed through an ad hoc questionnaire (maximum value=5; higher the score, higher the usability) evaluating easiness to use, playability, enjoyment, satisfaction, and acceptance. Results A user-centered design approach was used to develop an accessible and challenging tool for balance training. All people with MS (9/9, 100%) completed the user test sessions and answered the ad hoc questionnaire. The average score on each item ranged from 3.78 (SD 0.67) to 4.33 (SD 1.00), which indicated a high usability level. The feedback and suggestions provided by 64% (9/14) of people with MS and 36% (5/14) of therapists involved in the user test were implemented to refine the first prototype to release MS-FIT 2.0. Conclusions The participants reported that MS-FIT was a usable tool. It is a promising system for enhancing the motivation and engagement of people with MS in performing exercise with the aim of improving their physical status.

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“…This chronic autoimmune condition typically manifests early [ 3 ], frequently resulting in long-term disabilities and diminished social participation [ 4 , 5 ], as well as cognitive impairments and concentration problems [ 6 , 7 ]. The symptoms of MS can be managed through medications and non-drug therapies, such as physiotherapy, occupational therapy, speech therapy, psychotherapy, neuropsychological therapy, and psychosocial care [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Perceptions of Therapeutic Climbing for Patients with Multiple Sclerosis in Neurorehabilitation: A Qualitative Study

Schiffler,

Reiter,

Kapan

et al. 2024

Healthcare

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Background: Therapeutic climbing (TC) has emerged as a prospective rehabilitation approach for individuals with multiple sclerosis (MS). The existing literature primarily focuses on the physical and psychological benefits of TC across diverse populations but is limited concerning its application and efficacy for patients with MS. Objectives: This study aimed to delineate the experiences, subjective effects, and perceptions of both individuals with MS and therapists regarding TC, highlighting the potential benefits and challenges of this therapeutic approach. Methods: Using a qualitative design, semi-structured interviews were conducted with patients living with MS (N = 5) and therapists (N = 7) involved in TC sessions at a rehabilitation facility. The interviews were recorded, transcribed verbatim, and subjected to thematic qualitative text analysis. Results: Our analysis resulted in the identification of five main categories: (1) motivational factors, (2) training conditions, (3) training content, (4) observed effects, and (5) safety protocol. Our findings primarily centred around the motivational aspects of TC. Participants consistently reported experiencing feelings of accomplishment, success, enjoyment, and increased self-confidence. Furthermore, TC was often perceived as a comprehensive intervention, addressing endurance, strength, flexibility, neuromotor functions, cognition, and mental health while having a low-risk profile. However, due to the demanding nature of TC, careful fatigue management is crucial. This entails personalised intensity adjustments during sessions and coordinating TC with other physically demanding therapies when implementing TC within a rehabilitation environment. Conclusions: TC shows promise within MS rehabilitation and can be considered safe under certain framework conditions. This research sheds light on its potential benefits, facilitators, and barriers and provides insights for practical integration into rehabilitation programs.

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A review of current rehabilitation practices and their benefits in patients with multiple sclerosis

Cited by 16 publications

References 78 publications

Article Review: Multiple Sclerosis

Article Review: Multiple Sclerosis

An Internet- and Kinect-Based Multiple Sclerosis Fitness Intervention Training With Pilates Exercises: Development and Usability Study

Perceptions of Therapeutic Climbing for Patients with Multiple Sclerosis in Neurorehabilitation: A Qualitative Study

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