Impact of a 10-Week Individualized Exercise Program on Physical Function and Fatigue of People with Multiple Sclerosis

Aerobic Exercise in People with Multiple Sclerosis

“…While our study focused on minimizing dosage to maximize feasibility, peer socialization may also improve adherence to exercise (15% attrition). 24 Although physical function was improved over the 8-week exercise intervention, no follow-up testing was performed to determine long-term adherence to exercise in the community setting.…”

A scoping review of rehabilitation interventions that reduce fatigue among adults with multiple sclerosis

“…Therefore, the appropriateness and impact of these exercise interventions among different groups of people (e.g. those who are elderly, diagnosed with [53] Maximal effort exercise 0.82 SPFS Huisinga et al [54] Elliptical exercise 0.54 MFIS Vore et al [55] Individualized exercise 0.50 MFIS Smith et al [56] Single exercise session 0.23 VAS (0-100) Klefbec et al [19] Inspiratory muscle training 0. older progressive MS and present severe disability) are still unknown; this is another area of research that requires further investigation [41,43]. Many behavior change interventions in this review offer more flexibility than the exercise interventions, meaning that participants in behavior change interventions are able to review their issues related to fatigue and develop skills to adjust their daily routine, activities or environment to manage MS fatigue at their own pace.…”

The effects of prolonged wear of textured shoe insoles on gait, foot sensation and proprioception in people with multiple sclerosis: study protocol for a randomised controlled trial

“…The associated personal and societal burdens can have devastating implications for the individual, their families and national health services. Physical rehabilitation strategies reported to improve gait in pwMS commonly involve short-term multi-component exercise programs [ 9 – 13 ]. Maintenance of walking stability is attributed to optimal sensorimotor function; however, therapeutic management of gait impairments in pwMS largely focuses on addressing motor problems and poor aerobic capacity, and to a lesser extent sensory training, which is commonly addressed purely by way of balance tasks under a variety of sensory conditions.…”

“…Current rehabilitation strategies to improve gait and balance in pwMS predominantly involve exercise participation to address deficient motor function, with some consideration given to sensory training [ 9 – 13 ]. These multimodal approaches have been shown to significantly improve several clinical and functional measures in pwMS, including dynamic balance, rate of falls, physical activity levels, perceived balance confidence, walking ability and quality of life [ 9 – 13 ].…”

“…Current rehabilitation strategies to improve gait and balance in pwMS predominantly involve exercise participation to address deficient motor function, with some consideration given to sensory training [ 9 – 13 ]. These multimodal approaches have been shown to significantly improve several clinical and functional measures in pwMS, including dynamic balance, rate of falls, physical activity levels, perceived balance confidence, walking ability and quality of life [ 9 – 13 ]. However, there is an urgent need to develop additional methods to complement exercise and which target MS sensory impairments [ 14 – 19 ] to a greater extent, in particular tactile sensation and proprioception, in order to preserve and enhance mobility for as long as possible.…”