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Old 08-17-2018, 12:30 PM
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Dave @ ActiveMSers
Join Date: Jun 2008
Location: Albuquerque, NM
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Default STUDY: Promotion of physical activity and exercise in multiple sclerosis

The full article is a good read. How can we increase exercise participation in MSers? -D

There has been an increasing amount of research examining the general benefits of exercise training and physical activity as part of a healthy lifestyle in MS. Physical activity may be protective against developing MS, and meta-analyses and systematic reviews indicate that exercise training can improve aerobic and muscular fitness, fatigue, depression, walking, balance, cognition, and QOL in MS. There may be additional benefits on structures within the CNS (e.g. hippocampus), sleep quality, and cardiovascular/metabolic cormorbidity. Exercise has been associated with reduced rates of MS relapses and slowed disability progression. The evidence base has yielded guidelines for prescribing exercise behavior in patients with MS who have mild or moderate neurological disability that can be implemented within comprehensive MS care.

There is a problem, however, in that the majority of people with MS do not engage in appropriate amounts of health-promoting physical activity or exercise....
Promotion of physical activity and exercise in
multiple sclerosis: Importance of behavioral
science and theory

Robert W Motl* , Dorothy Pekmezi and Brooks C Wingo


There is an obvious disconnect between evidence of benefits and rates of participation in exercise and physical activity among people living with multiple sclerosis (MS). We propose that the problem with exercise behavior in MS (i.e. lack of broad or increasing participation by people with MS despite evidence of meaningful benefits) might be ameliorated through the inclusion of behavior change theory in the design of exercise programs and promotion efforts, as has been undertaken in other
populations such as breast cancer survivors.

This paper reviews Social Cognitive Theory as an example approach for informing interventions for increasing exercise and physical activity behavior outside of MS and provides an overview of current knowledge regarding the application of this theory for physical activity in MS. We then outline future research necessary for informing trials that design, implement, and test theory-based interventions for physical activity promotion in MS.

If theories of behavior change are adopted for informing exercise and physical activity research in MS, we can take a major step forward in addressing the problem of exercise and physical activity participation that has plagued the field for more than 25 years.


Dave Bexfield
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