Physical activity in mild multiple sclerosis: contribution of perceived fatigue, energy cost, and speed of walking

Kalron, Alon; Menascu, Shay; Frid, Lior; Aloni, Roy; Achiron, Anat

doi:10.1080/09638288.2018.1519603

Cited by 26 publications

(22 citation statements)

References 44 publications

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“…40 This relationship was not found at higher speeds, which could indicate walking faster is not only energetically more beneficial but also in terms of level of fatigue. 40,47 A recent systematic review by Stella et al 75 assessed the Cw at comfortable walking speed in pwMS of 19 included studies. They found that pwMS walk at a comfortable walking speed of 1.12 m/s with a gross Cw of 0.19 mL O 2 /kg/m in overground conditions.…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Walking Speed and the Energetic Cost of Walking in Persons With Multiple Sclerosis and Healthy Controls: A Systematic Review

Theunissen

Plasqui

Boonen

et al. 2021

Neurorehabil Neural Repair

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Background Persons with multiple sclerosis (pwMS) experience walking impairments, characterized by decreased walking speeds. In healthy subjects, the self-selected walking speed is the energetically most optimal. In pwMS, the energetically most optimal walking speed remains underexposed. Therefore, this review aimed to determine the relationship between walking speed and energetic cost of walking (Cw) in pwMS, compared with healthy subjects, thereby assessing the walking speed with the lowest energetic cost. As it is unclear whether the Cw in pwMS differs between overground and treadmill walking, as reported in healthy subjects, a second review aim was to compare both conditions. Method PubMed and Web of Science were systematically searched. Studies assessing pwMS, reporting walking speed (converted to meters per second), and reporting oxygen consumption were included. Study quality was assessed with a modified National Heart, Lung and Blood Institute checklist. The relationship between Cw and walking speed was calculated with a second-order polynomial function and compared between groups and conditions. Results Twenty-nine studies were included (n = 1535 pwMS) of which 8 included healthy subjects (n = 179 healthy subjects). PwMS showed a similar energetically most optimal walking speed of 1.44 m/s with a Cw of 0.16, compared with 0.14 mL O2/kg/m in healthy subjects. The most optimal walking speed in treadmill was 1.48 m/s, compared with 1.28 m/s in overground walking with a similar Cw. Conclusion Overall, the Cw is elevated in pwMS but with a similar energetically most optimal walking speed, compared with healthy subjects. Treadmill walking showed a similar most optimal Cw but a higher speed, compared with overground walking.

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Section: Discussionmentioning

confidence: 99%

The Relationship Between Walking Speed and the Energetic Cost of Walking in Persons With Multiple Sclerosis and Healthy Controls: A Systematic Review

Theunissen

Plasqui

Boonen

et al. 2021

Neurorehabil Neural Repair

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“…9 A contributing limitation to engage in exercise and physical activity, other than motor and cognitive symptoms. 10,11 -even in mild disabled PwMS-is perceived fatigue 12 ; a symptom highly prevalent in PwMS. 13 In order to overcome the shortcomings of engaging in exercise and physical activity in the presence of impairments described above, we investigated if walking as a form of physical activity can be supplemented by coupling it to auditory stimuli.…”

Section: Introductionmentioning

confidence: 99%

“…9 A contributing limitation to engage in exercise and physical activity, other than motor and cognitive symptoms. 10,11 —even in mild disabled PwMS—is perceived fatigue 12 ; a symptom highly prevalent in PwMS. 13…”

Section: Introductionmentioning

confidence: 99%

Walking to Music and Metronome at Various Tempi in Persons With Multiple Sclerosis: A Basis for Rehabilitation

Moumdjian

Moens²,

Maes³

et al. 2019

Neurorehabil Neural Repair

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Background. Mobility dysfunctions are prevalent in persons with multiple sclerosis (PwMS), thus novel rehabilitation mechanisms are needed toward functional training. The effect of auditory cueing is well-known in Parkinson's disease, yet the application of different types of auditory stimuli at different tempi has not been investigated yet. Objectives. Investigating if PwMS, compared with healthy controls (HC), can synchronize their gait to music and metronomes at different tempi during walking and the effects of the stimuli on perceived fatigue and gait. Additionally, exploring if cognitive impairment would be a factor on the results. Methods. The experimental session consisted of 2 blocks, music and metronomes. Per block, participants walked 3 minutes per tempi, with instructions to synchronize their steps to the beat. The tempi were 0%, +2%, +4% +6%, +8%, +10% of preferred walking cadence (PWC). Results. A total of 28 PwMS and 29 HC participated. On average, participants were able to synchronize at all tempi to music and metronome. Higher synchronization was obtained for metronomes compared with music. The highest synchronization for music was found between +2% and +8% of PWC yet pwMS perceived less physical and cognitive fatigue walking to music compared with metronomes. Cognitive impaired PwMS (n = 9) were not able to synchronize at tempi higher than +6%. Conclusion. Auditory-motor coupling and synchronization was feasible in HC and PwMS with motor and cognitive impairments. PwMS walked at higher tempi than their preferred walking cadence, and lower fatigue perception with music. Coupling walking to music could be a promising functional walking training strategy.

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“…In accordance with different studies (e.g., [23,41]) we chose not to consider this answer in the data analysis because of autonomic nervous system disturbances that result in sweating problems in people with MS. The GLTEQ is a simple, reliable, and valid measure of physical activity that has been widely used with young people in epidemiologic, clinical, and behavioral change studies [23,25,[42][43][44][45], concerning person with MS. Since only the first question of the GLTEQ was used, the Cronbach's alpha was not calculated.…”

Section: Methodsmentioning

confidence: 99%

The Relationships between Physical Activity, Self-Efficacy, and Quality of Life in People with Multiple Sclerosis

Guicciardi

Carta

Cocco

2019

Behavioral Sciences

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Regular physical activity (PA) can enhance the physical and mental health of people with Multiple Sclerosis (MS) because of its impact on muscular strength, mobility, balance, walking, fatigue, pain and health-related quality of life (HRQoL). Previous studies have hypothesized that the relationship between PA and HRQoL is mediated by self-efficacy. The aim of this research is to evaluate whether self-efficacy in goal setting and self-efficacy in the management of symptoms, mediate the relationship between PA and HRQoL, in a similar way to exercise self-efficacy. A sample of 28 participants with MS (18 females) and different levels of physical activity have been recruited and completed the following measures: (a) physical activity (GLTEQ); (b) health-related quality of life (SF-12); (c) self-efficacy in the management of Multiple Sclerosis (SEMS) and, (d) exercise self-efficacy (EXSE). The statistical analysis highlighted that self-efficacy in goal setting mediated the relationship between PA and mental health better than exercise self-efficacy. Our findings suggest that self-efficacy in goal setting can contribute to the adoption and maintenance of regular physical activity for long-lasting times, supporting and increasing the mental quality of life of people suffering from MS.Self-efficacy has been proven to be a key determinant related to adoption and maintenance of physical activity in people with chronic diseases, such as cancer, stroke, spinal cord injury, diabetes, and heart diseases [14][15][16][17][18][19][20].Exercise self-efficacy refers to the confidence people have in their ability to be physically active, such as, for example, their beliefs about achieving 30-150 min of moderate to vigorous physical activity per week [21,22].This aspect was repeatedly investigated in people with MS by Motl et al. [23][24][25][26][27][28][29], who found (a) a positive relationship between exercise self-efficacy and physical activity; (b) a moderate inverse relationship between MS symptoms and exercise self-efficacy.The management of MS-related symptoms (e.g., muscle spasms, balance disorders, thermoregulatory difficulties and muscle weakness) has been also invoked to predict both directly, and indirectly through self-efficacy, the adoption and maintenance of PA in individuals with MS [30].The relevance of symptom's management in people with MS was also stressed by Bonino et al. [31], who developed a new scale to measure self-efficacy in dealing with physical and psychological problems caused by MS. The management of symptoms (e.g., fatigue or negative emotions) allows the patients to experiment a satisfactory quality of life, which is often reduced in people with MS, even when compared with people suffering from other debilitating conditions [32][33][34].The goal setting, coupled with self-efficacy, has assumed a pivotal role in intervention studies aiming to enhance physical activity and to improve HRQoL in persons with MS [35]. In order to receive beneficial effects on physical and mental health, physical activity m...

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Physical activity in mild multiple sclerosis: contribution of perceived fatigue, energy cost, and speed of walking

Cited by 26 publications

References 44 publications

The Relationship Between Walking Speed and the Energetic Cost of Walking in Persons With Multiple Sclerosis and Healthy Controls: A Systematic Review

The Relationship Between Walking Speed and the Energetic Cost of Walking in Persons With Multiple Sclerosis and Healthy Controls: A Systematic Review

Walking to Music and Metronome at Various Tempi in Persons With Multiple Sclerosis: A Basis for Rehabilitation

The Relationships between Physical Activity, Self-Efficacy, and Quality of Life in People with Multiple Sclerosis

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