Multipl Skleroz Hastalarında Ev Egzersiz Programının Sonrasında Yaşam Kalitesi, Yorgunluk ve Dengedeki İyileşmeler

Ertekin, Özge; Özakbaş, Serkan; İdıman, Egemen; Algün, Zehra Candan

doi:10.4274/npa.y6091

Cited by 4 publications

References 39 publications

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Fitness, physical activity, and exercise in multiple sclerosis: a systematic review on current evidence for interactions with disease activity and progression

et al. 2022

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Background A moderate to high level of physical activity, including regular exercise, represents an established behavioral and rehabilitative approach for persons with multiple sclerosis (pwMS). Although being increasingly proposed to limit disease activity and progression, high-quality evidence is lacking. Objective The objective of the study is to provide valuable information for MS clinicians and researchers by systematically evaluating the current state of evidence (i) whether exercise interventions affect established clinical measures of disease activity and progression in pwMS (i.e., EDSS, relapse rate, lesion load, brain volume, MSFC) and (ii) how the physical activity and fitness level interact with these measures. Methods Literature search was conducted in MEDLINE, EMBASE, CINAHL, and SPORTDiscus. Evaluation of evidence quality was done based on standards published by The American Academy of Neurology. Results It is likely that exercise improves the MSFC score, whereas the EDSS score, lesion load, and brain volume are likely to remain unchanged over the intervention period. It is possible that exercise decreases the relapse rate. Results from cross-sectional studies indicate beneficial effects of a high physical activity or fitness level on clinical measures which, however, is not corroborated by high evidence quality. Conclusions A (supportive) disease-modifying effect of exercise in pwMS cannot be concluded. The rather low evidence quality of existing RCTs underlines the need to conduct more well-designed studies assessing different measures of disease activity or progression as primary end points. A major limitation is the short intervention duration of existing studies which limits meaningful exercise-induced effects on most disability measures. Findings from cross-sectional studies are difficult to contextualize regarding clinical importance due to their solely associative character and low evidence quality. PROSPERO registration number CRD42020188774.

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Fitness, physical activity, and exercise in multiple sclerosis: a systematic review on current evidence for interactions with disease activity and progression

et al. 2022

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Meaning in life and physical quality of life: Cross-lagged associations during inpatient rehabilitation.

Czekierda¹,

Horodyska²,

Banik³

et al. 2019

Rehabilitation Psychology

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Objectives: This study investigated reciprocal associations between meaning in life and physical quality of life (QOL) in the rehabilitation context. It was hypothesized that a higher level of meaning in life at Time 1 (T1) would predict better physical QOL at Time 2 (T2), and that better physical QOL (T1) would predict a higher level of meaning in life (T2). Research Method: This longitudinal study enrolled 339 participants (aged 19–84 years, 57.9% women) who provided self-report data (T1) at the beginning of the inpatient rehabilitation for central nervous system diseases (CNSD; e.g., stroke; n = 89) or musculoskeletal system diseases (MSD; e.g., dorsopathies; n = 250), and at the end of the inpatient rehabilitation (T2, 1-month follow-up). Data were collected in 6 inpatient rehabilitation centers. Manifest cross-lagged panel analyses were conducted for the total sample. Results: Path analyses indicated a significant cross-lagged-effect (.126, p < .002 [95% BCI: 0.020, 0.132]) from meaning in life (T1) to physical QOL at the follow-up (T2). Physical QOL (T1) did not precede meaning in life (T2). Conclusions: Among patients participating in rehabilitation due to CNSD or MSD, a higher level of meaning in life may precede better physical QOL. Interventions aimed at physical QOL improvement among patients who participated in an inpatient rehabilitation may benefit from a focus on raising patients’ meaning in life.

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Goal Attainment and Outcomes of Physiotherapy Participants Funded by an Individualised Government Package’

Bravo

McCredie²,

Scrivener

2020

Preprint

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Purpose: To determine goal attainment and change in physical outcomes of individuals participating in a community Physiotherapy program funded by a new government funding package, the National Disability Insurance Scheme (NDIS). Additionally, to describe the alignment of NDIS goals with Physiotherapy goals and the impact of the NDIS on access to Physiotherapy.Methods: A consecutive case series was conducted involving 12 participants attending NDIS-funded Physiotherapy at a private clinic in Sydney, Australia. Outcome measures were recorded upon entry to the study and again after 6 months or at discharge, whichever occurred first. The primary outcome was goal attainment measured by the Goal Attainment Scale. Secondary outcomes included the 5-metre walk test, Motor Assessment Scale, World Health Organisation Quality of Life questionnaire and Exercise Self Efficacy Scale.Results: Forty-one percent of goals were fully attained and for 53% performance was equal to baseline, however, this was not reflected in concurrently measured outcomes where small changes occurred. Physiotherapy goals focused on mobility whilst NDIS goals varied. Changes in outcome measures differed between individuals. NDIS funding provided all participants access to more frequent or otherwise inaccessible Physiotherapy.Conclusion: Physiotherapy participants funded by an individualised government package had improved access to Physiotherapy where participants attained individualised goals.

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Multipl Skleroz Hastalarında Ev Egzersiz Programının Sonrasında Yaşam Kalitesi, Yorgunluk ve Dengedeki İyileşmeler

Cited by 4 publications

References 39 publications

Fitness, physical activity, and exercise in multiple sclerosis: a systematic review on current evidence for interactions with disease activity and progression

Fitness, physical activity, and exercise in multiple sclerosis: a systematic review on current evidence for interactions with disease activity and progression

Meaning in life and physical quality of life: Cross-lagged associations during inpatient rehabilitation.

Goal Attainment and Outcomes of Physiotherapy Participants Funded by an Individualised Government Package’

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