Effects of Classic Progressive Resistance Training Versus Eccentric-Enhanced Resistance Training in People With Multiple Sclerosis

Oliveira, Cláudia Eliza Patrocínio de; Moreira, Osvaldo Costa; Carrión-Yagual, Zoila Marilú; Medina-Pérez, Carlos; Paz, José Antonio de

doi:10.1016/j.apmr.2017.10.021

Cited by 20 publications

(23 citation statements)

References 44 publications

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“…A positive contribution of resistance training on mobility has been well-documented in the MS population. [24][25][26] The mechanisms involved may include increases in the neural drive, 27 a larger muscle fiber size 28 and enhanced neuromuscular adaptations. 29 For patients with a moderate-severe disability, aerobic training, rather than resistance training, was associated with clinical meaningful mobility improvements.…”

Section: Discussionmentioning

confidence: 99%

Searching for the “Active Ingredients” in Physical Rehabilitation Programs Across Europe, Necessary to Improve Mobility in People With Multiple Sclerosis: A Multicenter Study

Kalron

Feys

Dalgas

et al. 2019

Neurorehabil Neural Repair

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Background. Physical rehabilitation programs can lead to improvements in mobility in people with multiple sclerosis (PwMS). Objective: Identify which rehabilitation program elements are employed in real life and how they might impact mobility improvement in PwMS. Methods. Participants were divided into improved and non-improved mobility groups based on changes observed in the Multiple Sclerosis Walking Scale-12 following multimodal physical rehabilitation programs. Analyses were performed at group and subgroup (mild and moderate-severe disability) levels. Rehabilitation program elements included: setting; number of weeks; number of sessions; total duration, therapy format (individual, group, autonomous), therapy goals and therapeutic approaches. Results. The study comprised 279 PwMS from 17 European centers. PwMS in the improved group received more sessions of individual therapy in both subgroups. In the mildly disabled group, 60.9% of the improved received resistance training, whereas, 68.5% of the non-improved, received self-stretching. In the moderatelyseverely disabled group, 31.4% of the improved, received aerobic training, while 50.4% of the non-improved, received passive mobilization/stretching. Conclusions. We believe that our findings are an important step in opening the black-box of physical rehabilitation, imparting guidance and assisting future research in defining characteristics of effective physical rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Searching for the “Active Ingredients” in Physical Rehabilitation Programs Across Europe, Necessary to Improve Mobility in People With Multiple Sclerosis: A Multicenter Study

Kalron

Feys

Dalgas

et al. 2019

Neurorehabil Neural Repair

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“…The MVIC test was performed with a similar device described in previous reports [20][21][22], and was measured by a load cell (Globus; Codogné, Italy; sample rate 1000 Hz) for 5 s. Data were collected and analyzed with associated software (Globus Ergo Tester v1.5, Codognè, Italy). Participants were seated in an upright position, with a hip joint angle of 110 • and a knee joint angle of 90 • of flexion.…”

Section: Mvicmentioning

confidence: 99%

“…For maximum dynamic strength evaluation, we follow the protocol of Oliveira et al (2017) [22]. First, four warm-up repetitions were performed at 50% of the MVIC under the supervision of the trained evaluator and after indicating the patient's subjective perception of the effort through the OMNI-Resistance Exercise Scale [23].…”

Section: Rmmentioning

confidence: 99%

Reference Values for Isometric, Dynamic, and Asymmetry Leg Extension Strength in Patients with Multiple Sclerosis

Portilla-Cueto

Medina-Pérez

Romero-Pérez

et al. 2020

IJERPH

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Having recognized the value of resistance training in patients with multiple sclerosis (PwMS), there are a lack of lower limb normative reference values for one repetition maximum (1RM) and maximal voluntary isometric contraction (MVIC) in this population. Hence, the purposes of this study were to provide reference values for 1RM and MVIC of knee extensors in PwMS across the disability spectrum and to examine knee extension strength asymmetry. Three hundred and ninety PwMS participated in the study, performing MVIC and 1RM tests of bilateral (both legs together at once) and unilateral (each leg singly) knee extensors. There was no difference in 1RM according to the disease course of MS, but there was according to the degree of neurological disability, being more preserved in those with a lower degree of disability. MVIC tends to be higher in patients with relapsing–remitting MS respect those with progressive MS, and in patients with lower levels of neurological disability. Asymmetry above the values considered normal in 1RM was present in 20–60% of patients and 56–79% in the MVIC test, depending on the type of MS and tended to be lower in those with less disability. Reference values are given by quartiles for 1RM, MVIC, and asymmetry.

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“…Mobility, measured by the sit-to-stand and TUG, improved after 10 weeks of FVCRT in the EG compared to CG, which showed no change. Regarding the TUG test, studies have shown benefits after the implementation of resistance training programs 25 26 27 28 . The changes reported by the authors vary from 9% 27 28 to 26% 25 .…”

Section: Discussionmentioning

confidence: 99%

“…Regarding the TUG test, studies have shown benefits after the implementation of resistance training programs [25][26][27][28]. The changes reported by the authors vary from 9 % [27,28] to 26 % [25]. Those studies in which the improvements were greater, as in the study by Aidar et al [25] effect may have been due to lower baseline values (12.9 s) with which the sample had started with prior to the intervention compared to other studies, such as those by de Oliveira et al [27] and Sabapathy et al [28] (9.3 s and 7.5 s, respectively).…”

Section: Mobilitymentioning

confidence: 99%

Fast-velocity Resistance Training Improves Force Development and Mobility in Multiple Sclerosis

Andreu‐Caravaca

Ramos-Campo

Chung³

et al. 2021

Int J Sports Med

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This study aimed to analyze the benefits of a lower-limb fast-velocity concentric resistance training on rate of force development, mobility, and quality of life in people with Multiple Sclerosis. A randomized controlled trial was conducted in 30 people with Multiple Sclerosis, who were randomly assigned to either an experimental (n=18) or a control (n=12) group. The experimental group carried out 10-weeks of fast-velocity concentric resistance training, while the control group did not perform any intervention. Early and late rate of force development during knee extension in both legs, sit-to-stand and Timed Up and Go tests and quality life questionnaire were evaluated before and after intervention. The training program evoked an increase in early rate of force development in experimental group (0-30; Rightleg: 63.9%, p<0.001;ES=-1.4; Leftleg: 52.7%, p<0.001;ES=-1.0) compared to control group (showed modest increases). Furthermore, experimental group improved mobility after training (Sit-to-stand: 22.2%, p<0.001;ES=1.0; Timed Up and Go Test: 10.1%, p<0.001;ES=1.1) and increased the perception of quality of life after training, while control showed no changes. The fast-velocity concentric resistance training has the potential to improve early rate of force development and mobility after 10-weeks of training. In addition, the increase in self-perceived quality of life following this training modality demonstrates promising results in the Multiple Sclerosis population.

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Effects of Classic Progressive Resistance Training Versus Eccentric-Enhanced Resistance Training in People With Multiple Sclerosis

Cited by 20 publications

References 44 publications

Searching for the “Active Ingredients” in Physical Rehabilitation Programs Across Europe, Necessary to Improve Mobility in People With Multiple Sclerosis: A Multicenter Study

Searching for the “Active Ingredients” in Physical Rehabilitation Programs Across Europe, Necessary to Improve Mobility in People With Multiple Sclerosis: A Multicenter Study

Reference Values for Isometric, Dynamic, and Asymmetry Leg Extension Strength in Patients with Multiple Sclerosis

Fast-velocity Resistance Training Improves Force Development and Mobility in Multiple Sclerosis

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