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Old 04-17-2020, 12:18 PM
AMFADVENTURES AMFADVENTURES is offline
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Join Date: Sep 2009
Location: Colorado
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Default Effects of specific types of exercise on pwMS

An interesting study concerning the effect of different types of exercise on pwMS. If you follow the link at the end, there are links to several more MS specific studies some of which have not appeared in the forums yet.

Exercise Effects on Multiple Sclerosis Quality of Life and Clinical–Motor Symptoms

TOLLÁR, JÓZSEF1,2; NAGY, FERENC1; TÓTH, BÉLA E.3; TÖRÖK, KATALIN1; SZITA, KINGA1; CSUTORÁS, BENCE1; MOIZS, MARIANN1; HORTOBÁGYI, TIBOR4Author Information
Medicine & Science in Sports & Exercise: May 2020 - Volume 52 - Issue 5 - p 1007-1014
doi: 10.1249/MSS.0000000000002228

Abstract
Introduction

Different therapies can improve clinical and motor symptoms of multiple sclerosis (MS) similarly, but studies comparing the effects of different exercise therapies on clinical and motor outcomes are scant. We compared the effects of exergaming (EXE), balance (BAL), cycling (CYC), proprioceptive neuromuscular facilitation (PNF), and a standard care wait-listed control group (CON) on clinical and motor symptoms and quality of life (QoL) in people with MS (PwMS).
Methods

PwMS (n = 68, 90% female; age, 47.0 yr; Expanded Disability Status Scale score 5–6) were randomized into five groups. Before and after the interventions (five times a week for 5 wk), PwMS were tested for MS-related clinical and motor symptoms (Multiple Sclerosis Impact Scale-29 (MSIS-29), primary outcome), QoL (EuroQol Five Dimensions Questionnaire), symptoms of depression, gait and balance ability (Tinetti Assessment Tool), static and dynamic balance and fall risk (Berg Balance Scale), walking capacity (6-min walk test), and standing posturography on a force platform.
Results

EXE, BAL, and CYC improved the MSIS-29 scores similarly. EXE and CYC improved QoL and walking capacity similarly but more than BAL. Only EXE improved gait and balance scores (Tinetti Assessment Tool). EXE and BAL improved fall risk and standing balance similarly but more than CYC. PNF and CON revealed no changes. The EuroQol Five Dimensions Questionnaire moderated the exercise effects on the MSIS-29 scores only in EXE. Changes in QoL and changes in the MSIS-29 scores correlated (R2 = 0.73) only in EXE.
Conclusion

In conclusion, BAL and CYC but EXE in particular, but not PNF, can improve clinical and motor symptoms and QoL in PwMS (Expanded Disability Status Scale score 5 to 6), expanding the evidence-based exercise options to reduce mobility limitations in PwMS.


https://journals.lww.com/acsm-msse/A...lity_of.1.aspx
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