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Titre : | Comparative Effectiveness of 4 Exercise Interventions Followed by 2 Years of Exercise Maintenance in Multiple Sclerosis: A Randomized Controlled Trial (2022) |
Auteurs : | Tibor Hortobágyi ; Pongrác Ács ; Petra Baumann ; Gábor Borbély ; György Áfra ; Emese Reichardt-Varga ; Gergely Sántha ; József Tollár ; József Tollár |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 10, 2022) |
Article en page(s) : | p. 1908-1916 |
Note générale : | https://doi.org/10.1016/j.apmr.2022.04.012 |
Langues: | Français |
Descripteurs : |
HE Vinci Posture ; Réadaptation |
Résumé : | Objective To determine the effects of exergaming (EXE) on quality of life (QOL), motor, and clinical symptoms in multiple sclerosis (MS). We compared the effects of EXE, balance (BAL), cycling (CYC), proprioceptive neuromuscular facilitation (PNF), and a standard care wait-listed control group on clinical and motor symptoms and quality of life (QOL) in people with MS (PwMS) and determined the effects of subsequent maintenance programs for 2 years in a hospital setting. Design A randomized controlled trial, using before-after test design. Setting University hospital setting. Participants Of 82 outpatients with MS, 70 were randomized (N=70), and 68 completed the study. Interventions The initial high-intensity and high-frequency interventions consisted of 25 one-hour sessions over 5 weeks. After the 5-week-long initial intervention, the 2-year-long maintenance programs followed, consisting of 3 sessions per week, each for 1 hour. Main Outcome Measures The primary outcome: Multiple Sclerosis Impact Scale (MSIS-29). Secondary outcomes: Measures 5 aspects of health-related QOL (EuroQol 5-Dimension questionnaire), Beck Depression Inventory, 6-minute walk test (6MWT), Berg Balance Scale (BBS), Tinetti Assessment Tool (TAT), and static BAL (center of pressure). Results MSIS-29 improved most in EXE (11 points), BAL (6), and CYC (6) (all P<.05 qol improved most in exe points cyc and bal p tat bbs significantly but similarly>.05) in EXE, BAL, and CYC. 6MWT improved most in EXE (57m), BAL (32m), and CYC (19m) (all P<.001 standing sway did not change. maintenance programs further increased the initial exercise-induced gains robustly in exe. conclusions a total of sessions exe bal cyc and pnf this order improved clinical motor symptoms qol subsequent thrice weekly slowed symptom worsening qol. was most least effective to improve function pwms.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322004026 |