Complementary and alternative medicine for multiple sclerosis

Schwarz, Štefan; Knorr, Carolin; Geiger, Harald; Flachenecker, Peter

doi:10.1177/1352458508092808

Cited by 84 publications

(61 citation statements)

References 25 publications

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“…Physical activity is associated with numerous benefits, but people with MS are still largely inactive and sedentary. The results of this study may ultimately facilitate the promotion of increased physical activity among people with MS. o people with MS was consistent with the previous and current rates of yoga practice (7% and 5%, respectively) found in a large descriptive study of complementary and alternative medicines in MS. 16 The infrequency of swimming is consistent with the rate of about 8% reported in a sample of older adults with a degenerative neurologic disease.…”

Section: Discussionsupporting

confidence: 83%

“…Swimming, for example, is a nonweightbearing activity that can increase aerobic capacity while avoiding possible complications of overheating in thermosensitive people with MS. Yoga, as another example, is a mind-body approach that emphasizes meditation, breathing, and postures and has been reported to be very beneficial for people with MS. 16 Future research might examine reasons why swimming and yoga are significantly less common than other physical activities in people with MS. Such reasons may include the inconvenience of accessing a pool and/or the cost of attending yoga classes.…”

Section: Discussionmentioning

confidence: 99%

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Most Common Types of Physical Activity Self-Selected by People with Multiple Sclerosis

Weikert¹,

Dlugonski²,

Balantrapu³

et al. 2011

International Journal of MS Care

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The promotion of physical activity for people with multiple sclerosis (MS) would benefit from information about the common types of physical activity self-selected by this population. This study examined the most frequent types of physical activity self-reported by a large sample of people with MS. The data were collected as part of the baseline assessment of a longitudinal investigation of physical activity in relapsing-remitting MS (RRMS). The participants (N = 272) were sent a battery of questionnaires through the US Postal Service that included the Modifiable Activity Questionnaire for assessing types of physical activity performed during the previous year. Walking was ranked number 1 for both the first and second most common types of physical activity self-selected by people with MS, and it was ranked number 4 as the third most common type of self-selected physical activity. Collectively, 79% of the sample reported walking as a frequent form of self-selected physical activity in the previous year. Other notable types of physical activities self-selected by people with MS were gardening (44%), weight training (34%), bicycling (30%), and calisthenics (20%). This information may assist clinicians and practitioners in the development of physical activity programs and recommendations for people with MS. Int J MS Care. 2011;13:16-20.T he study of physical activity behavior and its consequences among people with multiple sclerosis (MS) is of increasing interest. Existing research has indicated that individuals with MS are generally physically inactive and sedentary, 1 but that physical activity is associated with many desirable outcomes in this population, including improvements in symptoms, function, disability, and quality of life.2,3 This paradox may be related to the recommendation by clinicians of a sedentary lifestyle among people with MS as a means of avoiding fatigue. This belief has been refuted by more recent evidence-based research, and there is emerging interest among clinicians and practitioners in the promotion of physical activity as an integral part of treatment and health maintenance in those with MS.In order to promote physical activity in this population, a comprehensive understanding of the actual types of physical activity self-selected by people with MS would be beneficial. To date, limited information is available on the different modes of physical activity performed by individuals with MS, 1 but such information is important for four primary reasons. First, clinicians and practitioners who recommend physical activity to their patients with MS would benefit from knowing the most frequent types of physical activity self-selected in this population. Second, such information would set the research agenda for evaluating the consequences of the most frequent types of physical activity self-selected in people with MS. Third, this information would better inform the development and validation of outcome measures for quantifying frequent types of physical activity in people with MS. Finally, such in...

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Most Common Types of Physical Activity Self-Selected by People with Multiple Sclerosis

Weikert¹,

Dlugonski²,

Balantrapu³

et al. 2011

International Journal of MS Care

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“…PwMS are interested in dietary intervention as is evident by a German study that showed 41% of PwMS use some dietary intervention for MS [11]. A Cochrane review in 2012, however, concluded that more research is needed to assess the effectiveness of dietary interventions in MS and recommended that PwMS should not focus on a specific diet or supplementation but rather focus on overall healthy eating habits [12].…”

Section: Introductionmentioning

confidence: 99%

Dietary Interventions and Multiple Sclerosis

Altowaijri

Fryman²,

Yadav

2017

Curr Neurol Neurosci Rep

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Multiple Sclerosis (MS) is a chronic, disabling neurologic disease that has its onset in young adulthood. While the knowledge about underlying pathogenesis of MS has improved significantly over the last few decades, the exact cause still eludes us. Despite the availability of several United States Food and Drug Administration-approved disease-modifying therapies (DMT) for MS in the last two decades, the disease remains disabling for many. DMT use is limited by its partial effectiveness, significant side effects in many cases, and high cost that leads people with MS (PwMS) to look for alternative management options. Dietary intervention as a possible mode to help MS seems very appealing to PwMS; however, scientific data supporting this notion remains sparse. New information on the role of various non-MS health factors, especially vascular disease risk factors such as hypertension, hyperlipidemia, salt intake, and obesity, that may play a role in MS pathogenesis appears very intriguing as it may partly explain the heterogeneity seen in MS activity and disability. This review will highlight the emerging information on various dietary approaches that may affect MS and their possible underlying mechanism.

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“…Thus there may be recruitment bias. Of note, several patients with multiple sclerosis receive IG, which is in line with a dedicated survey in Germany in which 7% of 1,573 patients stated that they had been treated with IG at some time point (Schwarz et al 2008). However, despite some small early trials that have shown some efficacy of IVIG in relapsing-remitting MS, this could not be reproduced in a recent placebo-controlled trial (Cohen 2008;Fazekas et al 2008).…”

Section: Interim Analysismentioning

confidence: 84%

Immunoglobulins for primary or secondary immunodeficiency or for immunomodulation in neurological autoimmune diseases: insights from the prospective SIGNS registry

et al. 2012

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Aim Outside the context of clinical trials, there is a lack of data on the management and long-term outcomes of patients with primary or secondary antibody deficiency (PID and SID), or those with neurological autoimmune diseases (AID) treated with immunoglobulins (IG). Methods SIGNS is a large-scale prospective observational cohort study with up to 550 patients in currently 50 sites throughout Germany. It investigates treatment patterns, effectiveness, quality of life and long-term outcomes of IG administered for PID, SID or AID. The study identifier at ClinTrials.Gov is NCT01287689. Results Of 306 patients currently included (1 Nov 2011),

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Complementary and alternative medicine for multiple sclerosis

Cited by 84 publications

References 25 publications

Most Common Types of Physical Activity Self-Selected by People with Multiple Sclerosis

Most Common Types of Physical Activity Self-Selected by People with Multiple Sclerosis

Dietary Interventions and Multiple Sclerosis

Immunoglobulins for primary or secondary immunodeficiency or for immunomodulation in neurological autoimmune diseases: insights from the prospective SIGNS registry

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