Announcement

Collapse
No announcement yet.

Review of 21 MS wellness articles: what is best for progressive MS?

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • Review of 21 MS wellness articles: what is best for progressive MS?

    Current Treatment Options in Neurology

    May 2018

    Exploring Wellness Interventions in Progressive Multiple Sclerosis: an Evidence-Based Review

    Authors: Myriam Venasse, Thomas Edwards, Lara A. Pilutti


    First Online: 10 April 2018

    Abstract

    Purpose of review
    There has been recent interest in the role of lifestyle and wellness-based approaches in the treatment and management of multiple sclerosis (MS). These approaches may be particularly relevant for patients with progressive MS, considering limited therapeutic options currently available. The purpose of this review is to examine the role of wellness-based interventions including exercise training, emotional well-being therapies, and dietary modification in patients with progressive MS.

    Recent findings
    We conducted a literature search on the efficacy of wellness-based interventions in patients with progressive MS published between 1985 and July 2017. The level of evidence for each trial was evaluated using the American Academy of Neurology criteria. Overall, 21 articles reporting on 16 wellness-based interventions were identified: ten trials involved exercise training, three involved emotional wellness therapies, two involved dietary modification, and one was a combined wellness intervention.

    Summary
    There is level C evidence (possibly effective; one class II study) for the efficacy of aerobic exercise training on cardiorespiratory fitness in patients with progressive MS. There is level B evidence (probably effective; one class I study) for the efficacy of mindfulness training on psychological distress, depression, anxiety, pain, and quality of life in patients with progressive MS. There is inadequate evidence (level U) for efficacy of dietary modification (one class III study and one class IV study) and combined wellness interventions involving exercise training, meditation, and dietary modification (one class IV study). High-quality research is needed to provide evidence-based recommendations for wellness behaviors and lifestyle change in patients with progressive MS.

    Dave Bexfield
    ActiveMSers

  • #2
    What's the alternative? Duh

    This is interesting from an academic perspective, but from a practical standpoint, how can you not do everything to maximize your best outcome?

    1. Plant based diet ala Drs McDougall and Greger.
    2. Rigorous exercise targeting cardio, strength, balance and flexibility.
    3. Deep and broad social network to love people and yourself.
    4. Make interesting goals and work towards them.
    5. Don't smoke, take drugs or blow your money.
    6. Know that one day science will have a cure and a fix and you'll be ready when that day comes.

    Comment

    Working...
    X