ActiveMSers Forums  

Go Back   ActiveMSers Forums > Forums > MS Fitness

Thread Tools Display Modes
Old 10-01-2018, 06:50 PM
ActiveMSers's Avatar
ActiveMSers ActiveMSers is online now
Dave @ ActiveMSers
Join Date: Jun 2008
Location: Albuquerque, NM
Posts: 3,717
Default Effectiveness of walking exercise program in improving fatigue in relapsing MSers

From ECTRIMS 2018

Effectiveness of walking exercise program in improving fatigue in relapsing remitting multiple sclerosis patients

N. Shalaby, H. Hashem, A. Gomaa, A. Elmazny, A. Ragab, H. Shehata Cairo University, Cairo, Egypt

Background: Fatigue is one of the most debilitating symptoms of multiple sclerosis (MS) reported by over 80% of the patients. MS related fatigue is sustained over time and significantly impacts quality of life (QoL). There is a strong evidence that exercises, including aerobic exercise and resistance exercise, such as walking, promote muscle power, functions and mobility-related activities and improve fatigue. Objective. to evaluate the effect of a specially designed walking exercise program on fatigue in patients with relapsing remitting multiple sclerosis (RRMS).

Subjects and methods: A pilot prospective study including 60 RRMS patients with EDSS ≤4 having fatigue according to fatigue severity scale (FSS) (Arabic version). Patients with moderate to severe depression (Beck depression inventory (BDI) of 17) were excluded. Study subjects were equally divided into two groups; one receiving the experimental treatment plan consisting of 6 weeks of walking exercise program (WEP) on a treadmill three days per week. Each session included three phases; easy walk, brisk walk, then cooling down, with weekly increments of speed and time, starting initially by 10-15 minutes to reach 25-32 minutes by the end of last week. The control group received amantadine. FSS was assessed in both groups at the end of 6 and 12 weeks.

Results: The patients mean age was 30. 66.7, with 47 females and 13 males, with a ratio of 3.6/1. The baseline mean total FSS score for the whole study group was 56.738.4. Both groups were age, gender, and FSS matched at baseline. The mean total FSS after 6 and 12 weeks in the WEP group compared with control group were 35.67 10.7 vs 49.638.6; P= 0.0001and 29.119.9 vs 50.878.4; P=0.0001 respectively. Concerning the intragroup differences, the mean total FSS significantly improved after 6 weeks and showed more improvement after 12 weeks (59.676.5 vs 35.6710.7 vs 29.119.9; P=0.0001), whereas no difference was found in the control group at similar intervals (51.787.4 vs 49.638.6 vs 50.878.4; P>0.05).

Conclusion: A specially designed walking exercise program with gradual increments in time and speed for 12 weeks can improve fatigue in RRMS patients. A long term follow-up is recommended to verify the maintained effect on such improvement.

Dave Bexfield
Reply With Quote
Old 10-15-2018, 07:11 PM
MSLazarus MSLazarus is online now
Veteran Misfit
Join Date: Jan 2011
Location: western MA
Posts: 61
Default Interesting

My own experience supports this study. I am a farmer and the season is coming to an end. So I felt justified in slowing down my efforts. However, I find that I have not been as exhausted as I am in many years. Today I forced myself into a greenhouse to work and, surprise, I feel more energetic and alert. There is just no rest for the wicked..or for the MSer!

I have been SPMS for many years.

Last edited by MSLazarus; 11-04-2018 at 10:04 AM.
Reply With Quote
Old 11-04-2018, 07:58 AM
Spacecake Spacecake is offline
Junior Optimistic Misfit
Join Date: Nov 2018
Posts: 8

Great post thank you! Another one helping me not be so scared ��
Reply With Quote
Old 01-31-2019, 07:02 AM
BabyEmily BabyEmily is offline
Junior Optimistic Misfit
Join Date: Jan 2019
Posts: 6

Great post! I helped me because I always thought that walking is a great activity for everybody, not just one particular group and this post has really made my day!
Reply With Quote

exercise study

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Forum Jump

All times are GMT -4. The time now is 12:42 PM.

Powered by vBulletin® Version 3.7.0
Copyright ©2000 - 2019, Jelsoft Enterprises Ltd.