The influence of COVID-19 pandemic lockdown on the physical activity of people with multiple sclerosis. The role of online training

Matysiak, Mariola; Siger, Małgorzata; Walczak, Agata; Ciach, Agnieszka; Jonakowski, Mateusz; Stasiołek, Mariusz

doi:10.1016/j.msard.2022.103843

Cited by 7 publications

(5 citation statements)

References 37 publications

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“…Previous research from our group showed that, during the Covid-19 pandemic, people with HSP were generally less active, 28 a phenomenon that has also been reported in other neurological populations. 29 -34 In addition, we found that the relative inactivity during the Covid-19 lockdown negatively impacted on spasticity-related symptoms, including gait and balance impairments. Because—in the current study—the first assessments took place shortly after a period of generally reduced levels of physical activity, both groups may have increased their levels of activity and exercise in such a way that the added effects of gait-adaptability training were reduced.…”

Section: Discussionmentioning

confidence: 73%

Gait-Adaptability Training in People With Hereditary Spastic Paraplegia: A Randomized Clinical Trial

Venis

Warrenburg

Weerdesteyn

et al. 2023

Neurorehabil Neural Repair

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Background and objectives In people with hereditary spastic paraplegia (HSP), reduced gait adaptability is common and disabling. Gait impairments result from lower extremity spasticity, muscle weakness, and impaired proprioception. The aim of this study was to assess the efficacy of a 5-week gait-adaptability training in people with pure HSP. Method We conducted a randomized clinical trial with a cross-over design for the control group, and a 15-week follow-up period after training. Thirty-six people with pure HSP were randomized to 5 weeks of (i) gait-adaptability training (10 hours of C-Mill training—a treadmill equipped with augmented reality) or (ii) a waiting-list control period followed by 5 weeks gait-adaptability training. Both groups continued to receive usual care. The primary outcome was the obstacle subtask of the Emory Functional Ambulation Profile. Secondary outcome measures consisted of clinical balance and gait assessments, fall rates, and spatiotemporal gait parameters assessed via 3D motion analysis. Results The gait-adaptability training group (n = 18) did not significantly decrease the time required to perform the obstacle subtask compared to the waiting-list control group (n = 18) after adjusting for baseline differences (mean: −0.33 seconds, 95% CI: −1.3, 0.6). Similar, non-significant results were found for most secondary outcomes. After merging both groups (n = 36), the required time to perform the obstacle subtask significantly decreased by 1.3 seconds (95% CI: −2.1, −0.4) directly following 5 weeks of gait-adaptability training, and this effect was retained at the 15-week follow-up. Conclusions We found insufficient evidence to conclude that 5 weeks of gait-adaptability training leads to greater improvement of gait adaptability in people with pure HSP.

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Section: Discussionmentioning

confidence: 73%

Gait-Adaptability Training in People With Hereditary Spastic Paraplegia: A Randomized Clinical Trial

Venis

Warrenburg

Weerdesteyn

et al. 2023

Neurorehabil Neural Repair

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“…This would be consistent with the effects of decreased physical activity observed in people with MS in other studies during the pandemic. 53 , 54 Additionally, a systematic review of 13 studies evaluating the impact of COVID-19 on physical activity among people with neurological diseases, including MS, reported that COVID-19 had a negative impact on levels of physical activity. 55 Home isolation and quarantining may have led to decreased physical activity and increased sedentary behavior in the current study.…”

Section: Discussionmentioning

confidence: 99%

Effects of a Remote Multimodal Intervention Involving Diet, Walking Program, and Breathing Exercise on Quality of Life Among Newly Diagnosed People with Multiple Sclerosis: A Quasi-Experimental Non-Inferiority Pilot Study

Saxby,

Shemirani,

Crippes

et al. 2024

DNND

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Background Interventions involving diet, physical activity, and breathing exercises are shown to be beneficial in managing both fatigue and quality of life (QoL) related to MS; however, the impact of such interventions among people newly diagnosed with clinically isolated syndrome (CIS) or relapsing-remitting multiple sclerosis (RRMS) who decline disease-modifying therapies (DMTs) is unknown. Methods A 12-month prospective quasi-experimental non-inferiority trial recruited people newly diagnosed with CIS or RRMS who voluntarily declined DMTs (health behavior group; HB, n = 29) or followed standard of care (SOC, n = 15). Participants in the HB group were remotely coached on the study diet, moderate-intensity walking, and breathing exercises. All participants completed questionnaires validated to assess MS symptoms, including perceived mental and physical QoL (MSQOL54); fatigue (Fatigue Severity Scale, FSS; and Modified Fatigue Impact Scale, MFIS); mood (Hospital Anxiety and Depression Scale, HADS); and cognitive function (Perceived Deficits Questionnaire, PDQ). Results During the 12 months, the HB group experienced improvement in scores for mental QoL (MSQOL54 – Mental, 0.24, 95% CI 0.01, 0.47; p = 0.04), fatigue (Total MFIS, −7.26, 95% CI −13.3,-1.18; p = 0.02), and perceived cognitive function (Total PDQ, PDQ–Attention, PDQ–Promemory, and PDQ–Planning, p ≤ 0.03 for all). A between-group difference was observed only for PDQ–Planning (p = 0.048). Non-inferiority analysis revealed that the 12-month changes in means for the HB group were not worse than those for the SOC group with respect to fatigue (FSS, p = 0.02), mood (HDS–Anxiety, p = 0.02; HADS–Depression, p < 0.0001), physical QoL (MSQOL54 – Physical, p = 0.02), or cognitive dysfunction (Total PDQ, p = 0.01). Conclusion The multimodal lifestyle intervention for individuals newly diagnosed with CIS or RRMS, who voluntarily decline DMTs, did not yield patient-reported outcomes worse than those observed in the SOC group regarding perceived mental quality of life, mood, fatigue, and cognitive function. Trial Registration clinicaltrials.gov identifier: NCT04009005.

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“…Evidence shows that during COVID-19 pandemic, patients with MS experienced higher fatigue and weaker mental health indicators. In addition, they left their home less frequently and had less daily activities [ 46 , 47 ]. Probably, for these reasons, the participants of this study used the services provided in the MS Association less than before.…”

Section: Discussionmentioning

confidence: 99%

The effect of distance nurse-led fatigue management on fatigue, sleep quality, and self-efficacy in patients with multiple sclerosis: a quasi-experimental study

et al. 2023

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Background Fatigue is one of the most common problems in patients with multiple sclerosis (MS) and has adverse effects on their sleep status and self-efficacy. This study aimed to determine the effect of distance nurse-led fatigue management on fatigue, sleep quality, and self-efficacy in patients with MS. Methods This quasi-experimental study was performed on 60 patients with MS in Arak, Iran. Subjects were randomly assigned into intervention and control groups. The intervention group received eight sessions of nurse-led fatigue management training through the Skyroom platform. The control group received only the usual programs. Data were collected before and two months after the intervention using the Fatigue Severity Scale, the Pittsburgh Sleep Quality Index, and the Multiple Sclerosis Self-Efficacy Scale. The significance level in this study was determined 0.05. Results After the intervention, the mean score of fatigue severity in the intervention group was significantly lower than the control group (2.52 ± 0.40 vs 5.65 ± 0.52) (P < 0.001). Also, after the intervention, the mean score of self-efficacy in the intervention group was significantly higher than the control group (49.37 ± 3.25 vs 24.43 ± 2.52) (P < 0.001). Furthermore, after the intervention the mean score of sleep quality was lower in intervention group (11.92 ± 2.01) than the control group (15.46 ± 1.40) (P < 0.001). Conclusion Distance nurse-led fatigue management improved fatigue, sleep quality, and self-efficacy in patients with MS. We recommend the use of these courses as an important step toward improving fatigue, sleep quality, and self-efficacy among these patients.

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The influence of COVID-19 pandemic lockdown on the physical activity of people with multiple sclerosis. The role of online training

Cited by 7 publications

References 37 publications

Gait-Adaptability Training in People With Hereditary Spastic Paraplegia: A Randomized Clinical Trial

Gait-Adaptability Training in People With Hereditary Spastic Paraplegia: A Randomized Clinical Trial

Effects of a Remote Multimodal Intervention Involving Diet, Walking Program, and Breathing Exercise on Quality of Life Among Newly Diagnosed People with Multiple Sclerosis: A Quasi-Experimental Non-Inferiority Pilot Study

The effect of distance nurse-led fatigue management on fatigue, sleep quality, and self-efficacy in patients with multiple sclerosis: a quasi-experimental study

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