Randomized Controlled Trial to Examine the Impact of Aquatic Exercise Training on Functional Capacity, Balance, and Perceptions of Fatigue in Female Patients With Multiple Sclerosis

Kargarfard, Mehdi; Shariat, Ardalan; Ingle, Lee; Cleland, Joshua A.; Kargarfard, Mina

doi:10.1016/j.apmr.2017.06.015

Cited by 63 publications

(78 citation statements)

References 45 publications

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“…There are several preliminary studies regarding the effects of exercise on fatigue reduction in MS patients. In a recent study conducted in Iran [15], the mean fatigue score before exercise was 1.43 and after exercise 8.32. In a similar study in Ireland [16], these scores were respectively 3, and 20.…”

Section: Introductionmentioning

confidence: 92%

The impact of physical exercise on the fatigue symptoms in patients with multiple sclerosis: a systematic review and meta-analysis

et al. 2020

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Background: Despite many benefits of the physical activity on physical and mental health of patients with Multiple Sclerosis (MS), the activity level in these patients is still very limited, and they continue to suffer from impairment in functioning ability. The main aim of this study is thus to closely examine exercise's effect on fatigue of patients with MS worldwide, with particular interest on Iran based on a comprehensive systematic review and meta-analysis. Methods: The studies used in this systematic review were selected from the articles published from 1996 to 2019, in national and international databases including SID, Magiran, Iranmedex, Irandoc, Google Scholar, Cochrane, Embase, ScienceDirect, Scopus, PubMed and Web of Science (ISI). These databases were thoroughly searched, and the relevant ones were selected based on some plausible keywords to the aim of this study. Heterogeneity index between studies was determined using Cochran's test and I 2. Due to heterogeneity in studies, the random effects model was used to estimate standardized mean difference. Results: From the systematic review, a meta-analysis was performed on 31 articles which were fulfilled the inclusion criteria. The sample including of 714 subjects was selected from the intervention group, and almost the same sample size of 720 individuals were selected in the control group. Based on the results derived from this meta-analysis, the standardized mean difference between the intervention group before and after the intervention was respectively estimated to be 23.8 ± 6.2 and 16.9 ± 3.2, which indicates that the physical exercise reduces fatigue in patients with MS. Conclusion: The results of this study extracted from a detailed meta-analysis reveal and confirm that physical exercise significantly reduces fatigue in patients with MS. As a results, a regular exercise program is strongly recommended to be part of a rehabilitation program for these patients.

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Section: Introductionmentioning

confidence: 92%

The impact of physical exercise on the fatigue symptoms in patients with multiple sclerosis: a systematic review and meta-analysis

et al. 2020

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“…22 To encourage a comparable mental set, patients should undergo an initiation sessions in an attempt to familiarize to sensations and to what is considered a visibly good muscle. 23 The most important differences between this suggested hypothesis with previous studies is related to progressive pattern of cycling, as most of the previous studies, used a fixed duration of cycling and as such, made the therapeutic process longer. Based on this hypothesis, concurrent cycling training and FES would result in superior improvements in cycling performance, aerobic capacity, and functional performance in post-stroke patients as a result of an increased activation of cortical regions.…”

Section: Discussionmentioning

confidence: 86%

Cycling Training and Functional Electrical Stimulation for Post-Stroke Patients

Shariat

Ansari

Shaw

et al. 2018

Rev Bras Med Esporte

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Introducion: Stroke is one of the leading causes of morbidity and mortality in adults worldwide. The prevalence of stroke in developing countries such as South Africa and Iran is growing, especially in an increasingly younger population. In Iran, the annual stroke incidence ranges from 23 to 103 per 100,000 inhabitants, with the rate being higher in those aged 15-45 years. Problematically, almost 50% of stroke patients face difficulties in performing activities of daily living, hence the importance of functional rehabilitation. These factors necessitate cost-effective solutions in developing countries, where there is insufficient research focused on practical solutions for treatment/rehabilitation. Objective: We hypothesize that while progressive cycling training would activate cortical regions and that cycling speed feedback could lead to additional cortical activations and resultant improvements in cycling performance, combined cycling training and functional electrical stimulation would result in superior improvements in cycling performance, aerobic capacity, and functional performance in post-stroke patients. Conclusions: Ultimately, we expect this hypothesis to provide a useful framework for facilitating combined cycling and functional electrical stimulation rehabilitation research in post-stroke patient populations. Level of Evidence V; Expert opinion.

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“…Most of the studies that have used aquatic exercises to improve balance in different communities have only considered static and dynamic balance indices, and recovery strategy as the most important factor in maintaining and recovering balance. The most important cause of falling in individuals has received less attention [30,[33][34][35]. Beyranvand et al reported no effect of aquatic exercises on improving the balance strategy in elderly men; only the static and dynamic balance of elderly men improved after an 8 weeks of aquatic exercises, in their research [21].…”

Section: Discussionmentioning

confidence: 99%

“…All the training exercises were first taught to the subjects by the examiner, then they were asked to perform practical trials [28]. The body weight is reduced to 40%-51% after Anterior Superior Iliac Spine (ASIS) level of immersion in the pool [30]. In the first week, the WV group performed the exercises without any additional weight and only by wearing vests.…”

Section: Methodsmentioning

confidence: 99%

“…The exercises were performed for 6 weeks, 3 sessions per week, and each session lasted 40-45 minutes. First, there was a 10-min warm up, then a 30-min balance exercises in water, and eventually, a 5-min cool down [30,[33][34][35]. The exercises performed in the WV group started using a WV equal to 10% of their body weight and gradually completed by the end of the 6th week with a WV equal to 20% of the body weight [14].…”

Section: Methodsmentioning

confidence: 99%

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The Effect of Aquatic Balance Exercise With Weighted Vest on the Balance Recovery Strategy of Middle-Aged Women

Rahmani

Barati

Hovanloo

2018

PTJ

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Purpose: Disturbances in balance and also regaining the balance strategy is very important in the middle-aged women who are near their menopause and subject to severe hormonal and physiological changes, reduced muscle strength, and decreased bone density. The purpose of this study was to investigate the effect of balance training in the water with and without the weighted vest on the balance recovery strategy of middle-aged women affected with a balance disorder. Methods: Present study was a quasi-experimental study conducted on 26 middle-aged women. They were selected by convenience sampling method and randomly divided into two groups: balance training group in water with weighted vest (13 women), and balance training group in water without weighted vest (13 people). In order to assess the balance strategy recovery, the electromyography activity of the gluteus maximus, gluteus medius, and rectus femoris muscles around the hip joint and lateral gastrocnemius, peroneus longus, and anterior tibialis muscles around the ankle joint was recorded during the drop-landing task. The water balance training was performed for 6 weeks, three sessions per week, each session for 45 minutes. After 6 weeks of training, all pretest stages were repeated in the post-test. Shapiro-Wilk and ANCOVA tests were used for analyzing the obtained data. The significance level was set at 0.05 for all tests. Results: The Independent t test results showed no significant difference between demographic information of the two groups (P<0.05). The results of ANCOVA showed that the recovery balance strategy of middle-aged women in the group of water balance training with weighed shirt had significantly improved (P<0.05). Also, the eta coefficient was 0.76 which indicates relatively large amount of impact exercises. Conclusion: Doing balance exercises in water with weighted vest can well affect balance factors and improve the recovery balance strategy of middle-aged people. Therefore, in order to prevent disturbance in the balance and falling with increasing age, it is recommended to take advantage of water balance exercises with weighted vest in the middle-aged period.

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Randomized Controlled Trial to Examine the Impact of Aquatic Exercise Training on Functional Capacity, Balance, and Perceptions of Fatigue in Female Patients With Multiple Sclerosis

Abstract: Aquatic exercise training improved functional capacity, balance, and perceptions of fatigue in women with MS.

Cited by 63 publications

References 45 publications

The impact of physical exercise on the fatigue symptoms in patients with multiple sclerosis: a systematic review and meta-analysis

The impact of physical exercise on the fatigue symptoms in patients with multiple sclerosis: a systematic review and meta-analysis

Cycling Training and Functional Electrical Stimulation for Post-Stroke Patients

The Effect of Aquatic Balance Exercise With Weighted Vest on the Balance Recovery Strategy of Middle-Aged Women

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