Exercise Effects on Multiple Sclerosis Quality of Life and Clinical-Motor Symptoms.
Identifieur interne : 000103 ( Main/Exploration ); précédent : 000102; suivant : 000104Exercise Effects on Multiple Sclerosis Quality of Life and Clinical-Motor Symptoms.
Auteurs : J Zsef Tollár [Hongrie] ; Ferenc Nagy [Hongrie] ; Béla E. T Th [Hongrie] ; Katalin Török [Hongrie] ; Kinga Szita [Hongrie] ; Bence Csutorás [Hongrie] ; Mariann Moizs [Hongrie] ; Tibor Hortobágyi [Pays-Bas]Source :
- Medicine and science in sports and exercise [ 1530-0315 ] ; 2020.
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 (R = 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.
DOI: 10.1249/MSS.0000000000002228
PubMed: 31876670
Affiliations:
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T Th</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pharmacology, Surveillance, and Economics, Faculty of Pharmacy, University of Debrecen, Debrecen, HUNGARY.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Hongrie</country><wicri:regionArea>Department of Pharmacology, Surveillance, and Economics, Faculty of Pharmacy, University of Debrecen, Debrecen</wicri:regionArea><wicri:noRegion>Debrecen</wicri:noRegion></affiliation></author><author><name sortKey="Torok, Katalin" sort="Torok, Katalin" uniqKey="Torok K" first="Katalin" last="Török">Katalin Török</name><affiliation wicri:level="1"><nlm:affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, HUNGARY.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Hongrie</country><wicri:regionArea>Somogy County Kaposi Mór Teaching Hospital, Kaposvár</wicri:regionArea><wicri:noRegion>Kaposvár</wicri:noRegion></affiliation></author><author><name sortKey="Szita, Kinga" sort="Szita, Kinga" 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Kaposvár, HUNGARY.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Hongrie</country><wicri:regionArea>Somogy County Kaposi Mór Teaching Hospital, Kaposvár</wicri:regionArea><wicri:noRegion>Kaposvár</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Diagnostic Imaging, Faculty of Health Sciences, University of Pécs, Pécs, HUNGARY.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Hongrie</country><wicri:regionArea>Department of Diagnostic Imaging, Faculty of Health Sciences, University of Pécs, Pécs</wicri:regionArea><wicri:noRegion>Pécs</wicri:noRegion></affiliation></author><author><name sortKey="Nagy, Ferenc" sort="Nagy, Ferenc" uniqKey="Nagy F" first="Ferenc" last="Nagy">Ferenc Nagy</name><affiliation wicri:level="1"><nlm:affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, HUNGARY.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Hongrie</country><wicri:regionArea>Somogy County Kaposi Mór Teaching Hospital, Kaposvár</wicri:regionArea><wicri:noRegion>Kaposvár</wicri:noRegion></affiliation></author><author><name sortKey="T Th, Bela E" sort="T Th, Bela E" uniqKey="T Th B" first="Béla E" last="T Th">Béla E. T Th</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pharmacology, Surveillance, and Economics, Faculty of Pharmacy, University of Debrecen, Debrecen, HUNGARY.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Hongrie</country><wicri:regionArea>Department of Pharmacology, Surveillance, and Economics, Faculty of Pharmacy, University of Debrecen, Debrecen</wicri:regionArea><wicri:noRegion>Debrecen</wicri:noRegion></affiliation></author><author><name sortKey="Torok, Katalin" sort="Torok, Katalin" uniqKey="Torok K" first="Katalin" last="Török">Katalin Török</name><affiliation wicri:level="1"><nlm:affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, HUNGARY.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Hongrie</country><wicri:regionArea>Somogy County Kaposi Mór Teaching Hospital, Kaposvár</wicri:regionArea><wicri:noRegion>Kaposvár</wicri:noRegion></affiliation></author><author><name sortKey="Szita, Kinga" sort="Szita, Kinga" uniqKey="Szita K" first="Kinga" last="Szita">Kinga Szita</name><affiliation wicri:level="1"><nlm:affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, HUNGARY.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Hongrie</country><wicri:regionArea>Somogy County Kaposi Mór Teaching Hospital, Kaposvár</wicri:regionArea><wicri:noRegion>Kaposvár</wicri:noRegion></affiliation></author><author><name sortKey="Csutoras, Bence" sort="Csutoras, Bence" uniqKey="Csutoras B" first="Bence" last="Csutorás">Bence Csutorás</name><affiliation wicri:level="1"><nlm:affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, HUNGARY.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Hongrie</country><wicri:regionArea>Somogy County Kaposi Mór Teaching Hospital, Kaposvár</wicri:regionArea><wicri:noRegion>Kaposvár</wicri:noRegion></affiliation></author><author><name sortKey="Moizs, Mariann" sort="Moizs, Mariann" uniqKey="Moizs M" first="Mariann" last="Moizs">Mariann Moizs</name><affiliation wicri:level="1"><nlm:affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, HUNGARY.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Hongrie</country><wicri:regionArea>Somogy County Kaposi Mór Teaching Hospital, Kaposvár</wicri:regionArea><wicri:noRegion>Kaposvár</wicri:noRegion></affiliation></author><author><name sortKey="Hortobagyi, Tibor" sort="Hortobagyi, Tibor" uniqKey="Hortobagyi T" first="Tibor" last="Hortobágyi">Tibor Hortobágyi</name><affiliation wicri:level="3"><nlm:affiliation>University Medical Center Groningen, University of Groningen, Groningen, THE NETHERLANDS.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>University Medical Center Groningen, University of Groningen, Groningen</wicri:regionArea><placeName><settlement type="city">Groningue</settlement><region nuts="2" type="province">Groningue (province)</region></placeName></affiliation></author></analytic><series><title level="j">Medicine and science in sports and exercise</title><idno type="eISSN">1530-0315</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>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).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>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 (R = 0.73) only in EXE.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>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.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">31876670</PMID><DateRevised><Year>2020</Year><Month>08</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1530-0315</ISSN><JournalIssue CitedMedium="Internet"><Volume>52</Volume><Issue>5</Issue><PubDate><Year>2020</Year><Month>05</Month></PubDate></JournalIssue><Title>Medicine and science in sports and exercise</Title><ISOAbbreviation>Med Sci Sports Exerc</ISOAbbreviation></Journal><ArticleTitle>Exercise Effects on Multiple Sclerosis Quality of Life and Clinical-Motor Symptoms.</ArticleTitle><Pagination><MedlinePgn>1007-1014</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1249/MSS.0000000000002228</ELocationID><Abstract><AbstractText Label="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).</AbstractText><AbstractText Label="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.</AbstractText><AbstractText Label="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 (R = 0.73) only in EXE.</AbstractText><AbstractText Label="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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tollár</LastName><ForeName>József</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, HUNGARY.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Diagnostic Imaging, Faculty of Health Sciences, University of Pécs, Pécs, HUNGARY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nagy</LastName><ForeName>Ferenc</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, HUNGARY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tóth</LastName><ForeName>Béla E</ForeName><Initials>BE</Initials><AffiliationInfo><Affiliation>Department of Pharmacology, Surveillance, and Economics, Faculty of Pharmacy, University of Debrecen, Debrecen, HUNGARY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Török</LastName><ForeName>Katalin</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, HUNGARY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Szita</LastName><ForeName>Kinga</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, HUNGARY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Csutorás</LastName><ForeName>Bence</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, HUNGARY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Moizs</LastName><ForeName>Mariann</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Somogy County Kaposi Mór Teaching Hospital, Kaposvár, HUNGARY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hortobágyi</LastName><ForeName>Tibor</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>University Medical Center Groningen, University of Groningen, Groningen, THE NETHERLANDS.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Med Sci Sports Exerc</MedlineTA><NlmUniqueID>8005433</NlmUniqueID><ISSNLinking>0195-9131</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>12</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>12</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>12</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31876670</ArticleId><ArticleId IdType="doi">10.1249/MSS.0000000000002228</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Hongrie</li><li>Pays-Bas</li></country><region><li>Groningue (province)</li></region><settlement><li>Groningue</li></settlement></list><tree><country name="Hongrie"><noRegion><name sortKey="Tollar, J Zsef" sort="Tollar, J Zsef" uniqKey="Tollar J" first="J Zsef" last="Tollár">J Zsef Tollár</name></noRegion><name sortKey="Csutoras, Bence" sort="Csutoras, Bence" uniqKey="Csutoras B" first="Bence" last="Csutorás">Bence Csutorás</name><name sortKey="Moizs, Mariann" sort="Moizs, Mariann" uniqKey="Moizs M" first="Mariann" last="Moizs">Mariann Moizs</name><name sortKey="Nagy, Ferenc" sort="Nagy, Ferenc" uniqKey="Nagy F" first="Ferenc" last="Nagy">Ferenc Nagy</name><name sortKey="Szita, Kinga" sort="Szita, Kinga" uniqKey="Szita K" first="Kinga" last="Szita">Kinga Szita</name><name sortKey="T Th, Bela E" sort="T Th, Bela E" uniqKey="T Th B" first="Béla E" last="T Th">Béla E. T Th</name><name sortKey="Tollar, J Zsef" sort="Tollar, J Zsef" uniqKey="Tollar J" first="J Zsef" last="Tollár">J Zsef Tollár</name><name sortKey="Torok, Katalin" sort="Torok, Katalin" uniqKey="Torok K" first="Katalin" last="Török">Katalin Török</name></country><country name="Pays-Bas"><region name="Groningue (province)"><name sortKey="Hortobagyi, Tibor" sort="Hortobagyi, Tibor" uniqKey="Hortobagyi T" first="Tibor" last="Hortobágyi">Tibor Hortobágyi</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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