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Old 10-27-2012, 05:45 PM
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Default STUDY: Rehabilitation training on bicycle ergometer at home on fatigue in MS

Interest of a programme of rehabilitation training on bicycle ergometer at home on fatigue in MS

R. Colamarino, P. Givron, F. Taithe, B. Pereira, A. Vieuxrochas, C. Collange, E. Coudeyre (Vichy, Clermont-Ferrand, Chamaliéres, Beaumont, FR)

Objectives: To measure the impact at 2 months of a program of rehabilitation training on bicycle ergometer at home on a fatigue among a population of patients younger than 50 years, who have a relapsing-remitting MS

Materials and methods: Multicentre non-randomized pilot study evaluating the feasibility of a program of physical training at home on a bicycle ergometer. Were included the patient with RRMS, complaining of fatigue predominantly on the physical dimension of less than 50 years without cardiovascular indications against a reconditioning program in the effort, with an EDSS <4, without cognitive impairment, or thrust in the last three months. Excluded were patients with locomotor pathology, neurological or cardiovascular not allowing the normal stationary cycling, with no motivation for a program of re-entrainment. The intervention was an educational short (one hour) to the repackaging effort on a cycle ergometer (home delivery) at ventilatory threshold, 25 min per session, 3 sessions per week for 8 weeks The primary endpoint was fatigue 2 (EMIF), secondary endpoints membership qualitative and quantitative, walking speed (7.5 m test) and endurance (6 min test), quality of life (SF-36). The number of subjects required was 30.

Results: Achieving a autoprogramme home exercise on bicycle ergometer by 25 patients, allowed a significant improvement of fatigue on the total EMIF, walking speed and endurance, without significant effect on the quality of life .

Discussion: This study demonstrated the feasibility of a good home reentrainment cycle ergometer with limited supervision. The main limitations are lack of control group, a limited number of subjects, a low EDSS. The effect on the continuation of a long-term physical activity is unknown in the absence of monitoring.
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