Accessible exercise equipment and individuals with multiple sclerosis: Aerobic demands and preferences

Authors: Snyder, Kaitlyn J.a; b | Patsakos, Elenia; b | White, Johna; b | Ditor, David S.a; b; *

Affiliations: [a] Department of Kinesiology, Brock University, St. Catharines, Ontario, Canada | [b] Brock-Niagara Centre for Health and Well-being, Brock University, St. Catharines, Ontario, Canada


BACKGROUND:Although exercise training has benefits for individuals with multiple sclerosis (MS), research regarding the type of exercise equipment that requires the greatest aerobic demand, and consumer-based preferences, is lacking.

OBJECTIVE:To determine the aerobic demands of various pieces of accessible exercise equipment and consumer-based preferences on several domains.

METHODS:Ten individuals with moderate-severity MS had their VO2 measured during 10 minutes of moderate-intensity arm ergometry (AE), body-weight support treadmill training (BWSTT), recumbent arm-leg exercise (NuStep), FES-arm exercise (RT300), FES-leg exercise (RT300) and FES arm-leg exercise (RT200). VO2peak test was also measured on the NuStep and the RT200. Equipment preferences were determined by questionnaire after moderate exercise sessions. RESULTS:AE required a lower VO2 compared to the NuStep (p = 0.02), and FES-arm exercise required a lower VO2 compared to the NuStep (p = 0.01) and FES arm-leg exercise (p = 0.04). There was no difference in VO2peak when using the NuStep or FES arm-leg exercise. AE was perceived as safer than BWSTT, but otherwise there were no preferences for any equipment.
CONCLUSIONS:For individuals with moderate-severity MS, arm-only exercise requires less aerobic demands than combined arm-leg exercise at a moderate intensity. Perceived risks may be greater when exercise requires a transfer, upright positioning, or assistance.

Keywords: Exercise equipment, aerobic demand, consumer-based preferences, multiple sclerosis

DOI: 10.3233/NRE-192861

Journal: NeuroRehabilitation, vol. Pre-press, no. Pre-press, pp. 1-9, 2019

Published: 28 November 2019