Effectiveness of group versus individual yoga exercises on fatigue of patients with multiple sclerosis

Background: Fatigue is a common, debilitating symptom of multiple sclerosis (MS) without a current standardised treatment. Objective: The aim of this systematic review with network meta-analyses was to estimate the relative effectiveness of both fatigue-targeted and non-targeted exercise, behavioural and combined (behavioural and exercise) interventions. Methods: Nine electronic databases up to August 2018 were searched, and 113 trials ( n = 6909) were included: 34 were fatigue-targeted and 79 non-fatigue-targeted trials. Intervention characteristics were extracted using the Template for Intervention Description and Replication guidelines. Certainty of evidence was assessed using GRADE. Results: Pairwise meta-analyses showed that exercise interventions demonstrated moderate to large effects across subtypes regardless of treatment target, with the largest effect for balance exercise (SMD = 0.84). Cognitive behavioural therapies (CBTs) showed moderate to large effects (SMD = 0.60), with fatigue-targeted treatments showing larger effects than those targeting distress. Network meta-analysis showed that balance exercise performed significantly better compared to other exercise and behavioural intervention subtypes, except CBT. CBT was estimated to be superior to energy conservation and other behavioural interventions. Combined exercise also had a moderate to large effect. Conclusion: Treatment recommendations for balance and combined exercise are tentative as the certainty of the evidence was moderate. The certainty of the evidence for CBT was high.

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“…Note: Studies that were included in the review but not mentioned in the main text are the following . 76 …”

Section: Discussionmentioning

confidence: 99%

Which exercise and behavioural interventions show most promise for treating fatigue in multiple sclerosis? A network meta-analysis

et al. 2021

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“…With exercise, some studies suggest that synergistic effects can be observed if exercises are performed in group settings [ 28 ]. On the other hand, there appears to be no evidence of difference in the self-reported benefits that can be derived from performing yoga alone versus in a group setting [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

A rapid review of home-based activities that can promote mental wellness during the COVID-19 pandemic

et al. 2020

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Background During the COVID-19 pandemic, public health measures such as isolation, quarantine, and social distancing are needed. Some of these measures can adversely affect mental health. Activities that can be performed at home may mitigate these consequences and improve overall mental well-being. In this study, home-based activities that have potential beneficial effects on mental health were examined. Methods A rapid review was conducted based on a search of the following databases: MEDLINE, EMBASE, CINAHL, PyscINFO, Global Health, epistemonikos.org, covid19reviews.org, and eppi.ioe.ac.uk/covid19_map_v13.html. Eligible studies include randomized controlled trials and non-randomized studies published between 1/1/2000 and 28/05/2020 and that examined the impact of various activities on mental health outcomes in low-resource settings and contexts that lead to social isolation. Studies of activities that require mental health professionals or that could not be done at home were excluded. Two review authors performed title/abstract screening. At the full-text review stage, 25% of the potentially eligible studies were reviewed in full by two review authors; the rest were reviewed by one review author. Risk of bias assessment and data extraction were performed by one review author and checked by a second review author. The main outcome assessed was change or differences in mental health as expressed in Cohen’s d; analysis was conducted following the synthesis without meta-analysis guidelines (SWiM). PROSPERO registration: CRD42020186082. Results Of 1,236 unique records identified, 160 were reviewed in full, resulting in 16 included studies. The included studies reported on the beneficial effects of exercise, yoga, progressive muscle relaxation, and listening to relaxing music. One study reported on the association between solitary religious activities and post traumatic stress disorder symptoms. While most of the included studies examined activities in group settings, particularly among individuals in prisons, the activities were described as something that can be performed at home and alone. All included studies were assessed to be at risk of bias in one or more of the bias domains examined. Conclusions There is some evidence that certain home-based activities can promote mental wellness during the COVID-19 pandemic. Guidelines are needed to help optimize benefits while minimizing potential risks when performing these activities.

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“…Generally, cancer centers can offer MBME classes at a relatively low cost (Karbandi, Gorji, Mazloum, Norian, & Aghaei, 2015). Classes usually require relatively little space and an instructor who can guide about 20 participants (Herman, 2013).…”

Section: Mind-body Movement Exercise Classesmentioning

confidence: 99%

Feasibility of Mind–Body Movement Programs for Cancer Survivors

Browning

Kue

Lyons

et al. 2017

ONF

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Effectiveness of group versus individual yoga exercises on fatigue of patients with multiple sclerosis

Cited by 13 publications

References 18 publications

Which exercise and behavioural interventions show most promise for treating fatigue in multiple sclerosis? A network meta-analysis

Which exercise and behavioural interventions show most promise for treating fatigue in multiple sclerosis? A network meta-analysis

A rapid review of home-based activities that can promote mental wellness during the COVID-19 pandemic

Feasibility of Mind–Body Movement Programs for Cancer Survivors

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