Effects of Sensory Interventions on Fatigue in People With Multiple Sclerosis: A Systematic Review

Mohebbirad, Mohammad; Motaharinezhad, Fatemeh; Shahsavary, Mohammad; Joveini, Ghodsiyeh

doi:10.7224/1537-2073.2020-123

Cited by 3 publications

(5 citation statements)

References 42 publications

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“…This suggests that fatigue should be considered in assessing and managing PC in individuals with MS, and alternative measures or adjustments to the scoring criteria may be needed for individuals with MS who experience fatigue. In this regard, Mohebbirad et al (20) conducted a study on the effects of exercise therapy techniques for sensory integration interventions on the lifespan of MS patients.…”

Section: Discussionmentioning

confidence: 99%

“…With this alternation, the best possible score is 28. The quality of induced studies consists of the following score ranges: excellent (26-28), good (20)(21)(22)(23)(24)(25), fair (15)(16)(17)(18)(19), and poor (≤ 14). This modi cation was done in previous reviews related to MS (20,26).…”

Section: Quality Assessmentmentioning

confidence: 99%

“…The quality of induced studies consists of the following score ranges: excellent (26-28), good (20)(21)(22)(23)(24)(25), fair (15)(16)(17)(18)(19), and poor (≤ 14). This modi cation was done in previous reviews related to MS (20,26). An opinion of a third author (P.S) was taken if a disagreement arose.…”

Section: Quality Assessmentmentioning

confidence: 99%

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The effect of fatigue on postural control in individuals with multiple sclerosis: A systematic review

Sedaghati

Alghosi

Hosseini

2023

Preprint

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Background: Fatigue is the most disabling ‎symptom for individuals with multiple ‎sclerosis which can significantly affect postural control by impairing the ability of the central nervous system to modulate sensory inputs and coordinate motor responses. This systematic review aimed to accumulate the existing evidence. This systematic review aimed to investigate the effect of ‎fatigue on postural control in individuals with multiple ‎sclerosis.‎ Methods: This systematic review was performed in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement and registered in PROSPERO with ID CRD42022376262‎. Web of Science, PubMed, Scopus, and Google Scholar was systematically searched until January 2023, and a manual search was performed using the reference lists of included studies. Two authors independently selected the studies, extracted data, and evaluated their ‎methodological quality using the Downs and Black checklist. The process was later discussed ‎with a third author.‎ Results: Five studies were included in this review, of which consistent evidence investigating a direct ‎relationship between fatigue and ‎postural control in individuals with multiple ‎sclerosis. All the studies reported negative effects on postural control. Four ‎studies executed walking tests as fatigue protocols, and one study used a strength testing protocol for both legs, which served as a fatigue-inducing activity‎. Conclusions: The available evidence suggests that individuals with multiple ‎sclerosis may experience postural control deficits due to fatigue. However, the present body of literature exhibits limitations in terms of its quality and methodology. Gender differences, balance, fatigue task, and muscle function are important factors that need to be taken into account when investigating the relationship between fatigue and postural control deficits in MS. Further high-quality research is necessary to comprehend the complex interplay between MS-related fatigue and postural control deficits after physical activity.

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Section: Discussionmentioning

confidence: 99%

Section: Quality Assessmentmentioning

confidence: 99%

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The effect of fatigue on postural control in individuals with multiple sclerosis: A systematic review

Sedaghati

Alghosi

Hosseini

2023

Preprint

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“…In this sense, there are various definitions of fatigue; the American MS Association in 1998 stated that fatigue was a: "subjective lack of physical and/or mental energy, perceived by the person or caregiver, which interferes with usual and desired activities" [11,12]. It also affects all types of activities in daily life, such as household chores or leisure activities [13]. Despite its impact and prevalence, its pathophysiology is poorly understood.…”

Section: Introductionmentioning

confidence: 99%

“…Individuals with MS are capable of discerning between physical fatigue and other physical manifestations of the condition, such as muscle weakness in specific groups, impaired neurologic function resulting in inadequate muscle strength, and general physical exhaustion. Furthermore, they can distinguish mental fatigue from the emotional and cognitive symptoms associated with depression, such as reduced motivation, diminished mood, difficulty in task completion, and impaired concentration [13]. Among the most widely used scales are the Fatigue Severity Scale (FSS), developed by Kupp et al in 1988 [17], the Fatigue Impact Scale (FIS), developed by Fisk et al in 1994 [18], and the Modified Fatigue Impact Scale (MFIS), derived from the FIS, developed by the National Multiple Sclerosis Society (NMSS) of the United States [19].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Respiratory Exercises on Perceived Symptoms of Fatigue among Multiple Sclerosis Patients: A Systematic Review

Torres-Álamo,

López-Liria,

Valverde-Martínez

et al. 2023

Sustainability

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Multiple sclerosis (MS) is an autoimmune disease in which fatigue is one of the most frequent and disabling symptoms, and it is believed to be associated with respiratory involvement. Individuals who are physically inactive for long lengths of time display greater symptomatic fatigue. The objective of this systematic review was to analyze the effectiveness of breathing exercises within rehabilitation programs in improving fatigue in patients with MS. A systematic search of electronic databases, including PubMed, Web of Science, Scopus, and PEDro, was conducted up until November 2022. Nine articles, with a total of 290 participants, were selected. The studies combined breathing exercises with other treatment techniques, such as Ai-Chi, Pilates, and upper and lower limb exercises. Four studies used the Modified Fatigue Severity scale, observing a reduction in the perception of fatigue, in favor of the experimental group. Incorporating respiratory exercises into physical exercise programs, such as Ai-Chi and Pilates, may help to reduce the perception of fatigue. However, the heterogeneity in the protocols and outcome measures makes the generalization of the results difficult. Nonetheless, further studies that include specific respiratory variables are needed to analyze whether this perceived improvement is associated with enhanced pulmonary capacity.

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The effect of fatigue on postural control in individuals with multiple sclerosis: a systematic review

Sedaghati,

Alghosi,

Hosseini

2023

BMC Neurol

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Background Fatigue is the most disabling symptom for individuals with multiple sclerosis (MS), which can significantly affect postural control (PC) by impairing the ability of the central nervous system to modulate sensory inputs and coordinate motor responses. This systematic review aimed to investigate the effect of fatigue on PC in individuals with MS.. Methods This systematic review is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline and registered in PROSPERO with ID CRD42022376262. A systematic search was performed in the Web of Science, PubMed, Scopus, and Google Scholar until January 2023, and a manual search was performed using the reference lists of included studies. Two authors independently selected the studies, extracted data, and evaluated their methodological quality using the Downs and Black checklist. The process was later discussed with a third author.. Results Five studies were included in this review, of which consistent evidence investigating a direct relationship between fatigue and PC in individuals with MS. All the studies reported negative effects on PC. Four studies employed walking tests as their primary protocol for inducing fatigue, while one study implemented a strength testing protocol for both legs, serving as a fatigue-inducing activity. Conclusions The evidence suggests that individuals with MS may experience PC deficits due to fatigue. However, the present body of literature exhibits limitations regarding its quality and methodology. Gender differences, balance, fatigue task, and muscle function are essential factors that need to be considered when investigating the relationship between fatigue and PC deficits in MS. Further high-quality research is necessary to comprehend the complex interplay between MS-related fatigue and PC deficits after physical activity.

show abstract

Effects of Sensory Interventions on Fatigue in People With Multiple Sclerosis: A Systematic Review

Cited by 3 publications

References 42 publications

The effect of fatigue on postural control in individuals with multiple sclerosis: A systematic review

The effect of fatigue on postural control in individuals with multiple sclerosis: A systematic review

Effectiveness of Respiratory Exercises on Perceived Symptoms of Fatigue among Multiple Sclerosis Patients: A Systematic Review

The effect of fatigue on postural control in individuals with multiple sclerosis: a systematic review

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