scholarly journals Der Einfluss eines selbstregulierten sportlichen Trainings auf Personen mit Multipler Sklerose

2021 ◽  
Vol 27 (01) ◽  
pp. 66-75
Author(s):  
P. Reuter-Mielisch ◽  
S. Woschek ◽  
C. Lutz ◽  
P. Schubert ◽  
C. T. Haas
Keyword(s):  
Multiple Sclerosis ◽  
Exercise Training ◽  
Education Program ◽  
Self Efficacy ◽  
Walking Ability ◽  
Walk Test ◽  
Severity Scale ◽  
Fatigue Severity ◽  
Functional Gait ◽  
Minute Walk

Zusammenfassung Einleitung: Eine Vielzahl an Studien weist darauf hin, dass Sport einen positiven Effekt auf verschiedene Symptome der Multiplen Sklerose (MS) hat. Das Ziel dieser Studie war es herauszufinden, welchen Einfluss ein selbstreguliertes sportliches Training auf den Gang, die Gehfähigkeit, die Selbstwirksamkeit, die sportbezogene Selbstwirksamkeit und die Fatigue von MS-Erkrankten hat. Patienten und Methoden: Zunächst erfolgte eine sportorientierte Kompaktschulung (SpoKs) im Wochenend-Workshop-Design für die teilnehmenden MS-Erkrankten, um sie auf eine selbstgesteuerte Trainingsphase vorzubereiten. Daraufhin trainierten die Probanden eigenständig für 12 Wochen. Für die Messungen wurden das Functional Gait Assessment (FGA), der 10-Meter-Gehtest (10MWT), der 6-Minuten-Gehtest (6MWT), die Multiple Sclerosis Self-efficacy Scale (MSSES), die Skala für die Selbstwirksamkeit zur sportlichen Aktivität (SSA) und die Fatigue Severity Scale (FSS) vor (T0) und 12 Wochen nach Beginn der Schulung (T1) durchgeführt. Ergebnisse: Die Ergebnisse zeigten bei allen motorischen Tests signifikante Unterschiede zwischen T0 und T1 (FGA [p < 0,001], 6MWT [p < 0,05], 10MWTs [p < 0,001], 10MWTf [p < 0,05]). Zusätzlich ist eine signifikante Verbesserung der FSS (p < 0,05) nach dem Interventionszeitraum zu erkennen. Hinsichtlich der MSSES- und SSA-Skala zeigten sich keine signifikanten Veränderungen. Diskussion: Ein selbstreguliertes sportliches Training stellt eine Option dar, den Gang und die Gehfähigkeit bei MS-Patienten zu verbessern. Zudem hat es mildernde Effekte auf die Fatigue- Symptomatik dieser Patientengruppe. Künftige Studien sollten den Ansatz des selbstregulierten Trainings aufgreifen, um weitere positive Effekte aufzudecken. Schlüsselwörter: Multiple Sklerose, Sport, Patientenschulung, selbstreguliertes Training Abstract Introduction: Numerous studies indicate a positive effect of exercise training on various symptoms in multiple sclerosis (MS). The aim of this study was to find out the impact of a self-regulated exercise training on gait, walking ability, self-efficacy, self-efficacy towards physical exercise, and fatigue in people with MS. Materials and methods: Initially, the participants completed an education program to be prepared for a period of self-regulated exercise. After the education program, the patients were encouraged to perform selfregulated exercises for twelve weeks. Measurements, using functional gait assessment (FGA), the 10-minute walk test (10MWT), 6-minute walk test (6MWT), Multiple Sclerosis Self-Efficacy Scale (MSSES), self-efficacy towards physical exercise scale (SSA) and Fatigue Severity Scale (FSS), were performed before (T0) and 12 weeks after the education program (T1). Results: All results of the physical tests showed a significant change between T0 and T1 (FGA (p < 0.001), 6MWT (p < 0.05), 10MWTs (p < 0.001), 10MWTf (p < 0.05)). In addition, there was a significant improvement in FSS (p < 0.05) after the intervention period. There were no significant changes on the MSSES and SSA scales. Discussion: Self-regulated exercise training is an option for improving gait and walking ability in patients with MS. Additionally, there were mitigating effects on fatigue in this patient sample. Future studies should continue to investigate the approach of self-regulated training to reveal further positive effects. Keywords: multiple sclerosis, exercise training, patient education, selfregulated exercise training

scholarly journals Web-based physiotherapy for people affected by multiple sclerosis: a single blind, randomized controlled feasibility study

2018 ◽  
Vol 33 (3) ◽  
pp. 473-484 ◽  
Author(s):  
Lorna Paul ◽  
Linda Renfrew ◽  
Jennifer Freeman ◽  
Heather Murray ◽  
Belinda Weller ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Outcome Measures ◽  
Exercise Programme ◽  
Home Exercise ◽  
Walk Test ◽  
Web Based ◽  
Randomized Controlled ◽  
Home Exercise Programme ◽  
Minute Walk ◽  
Over Time

Objective: To examine the feasibility of a trial to evaluate web-based physiotherapy compared to a standard home exercise programme in people with multiple sclerosis. Design: Multi-centre, randomized controlled, feasibility study. Setting: Three multiple sclerosis out-patient centres. Participants: A total of 90 people with multiple sclerosis (Expanded Disability Status Scale 4–6.5). Interventions: Participants were randomized to a six-month individualized, home exercise programme delivered via web-based physiotherapy ( n = 45; intervention) or a sheet of exercises ( n = 45; active comparator). Outcome measures: Outcome measures (0, three, six and nine months) included adherence, two-minute walk test, 25 foot walk, Berg Balance Scale, physical activity and healthcare resource use. Interviews were undertaken with 24 participants and 3 physiotherapists. Results: Almost 25% of people approached agreed to take part. No intervention-related adverse events were recorded. Adherence was 40%–63% and 53%–71% in the intervention and comparator groups. There was no difference in the two-minute walk test between groups at baseline (Intervention-80.4(33.91)m, Comparator-70.6(31.20)m) and no change over time (at six-month Intervention-81.6(32.75)m, Comparator-74.8(36.16)m. There were no significant changes over time in other outcome measures except the EuroQol-5 Dimension at six months which decreased in the active comparator group. For a difference of 8(17.4)m in two-minute walk test between groups, 76 participants/group would be required (80% power, P > 0.05) for a future randomized controlled trial. Conclusion: No changes were found in the majority of outcome measures over time. This study was acceptable and feasible by participants and physiotherapists. An adequately powered study needs 160 participants.

Fatigue-induced alterations of gait in Multiple Sclerosis through an instrumented 6-Minute Walk Test: A pilot study

2018 ◽  
Vol 66 ◽  
pp. S8-S9
Author(s):  
I. Carpinella ◽  
E. Gervasoni ◽  
D. Anastasi ◽  
M. Ferrarin ◽  
D. Cattaneo
Keyword(s):  
Multiple Sclerosis ◽  
Pilot Study ◽  
Walk Test ◽  
6 Minute Walk Test ◽  
Minute Walk

Decreased Ankle Brachial Index Score against Distance Covered During Six Minute Walk Test in Diabetes Mellitus Type 2 Patients

2020 ◽  
Vol 6 (1) ◽  
pp. 46-48
Author(s):  
Ni Made Elva Mayasari
Keyword(s):  
Diabetes Mellitus ◽  
Ankle Brachial Index ◽  
Primary Data ◽  
Diabetic Patients ◽  
Walking Ability ◽  
Walk Test ◽  
Cross Sectional ◽  
Six Minute Walk Test ◽  
Minute Walk

Diabetes mellitus (DM) is a metabolic disease with characteristics of hyperglycemia due to abnormalities of insulin secretion, insulin action or both. DM is a risk factor for Peripheral Artery Disease (PAD). PAD is a progressive narrowing process of peripheral arteries, especially in the inferior limb arteries. As a result, there is a reduction in blood flow to the affected limb. Most patients do not show symptoms, but many also experience intermittent claudication. PAD can be diagnosed and its severity assessed using the Ankle Brachial Index (ABI) Score. PAD can cause disturbances in muscle mass and strength so that it can cause limitations in walking ability including gait, walking speed, and balance which ultimately impair Six Minute Walk Test (SMWT). The purpose of this study was to see whether there is an effect of decreasing ABI Score on distance covered during SMWT in diabetic patients. This study was analytic observational with a cross sectional study design using primary data and secondary data from DM patients who have never been diagnosed with PAD in Polyclinic of Muhammadiyah Hospital in Palembang. The sample size in this study was 40 patients with type 2 DM who were selected using nonprobability sampling with consecutive sampling method. The subject have their ABI and SMWT measured. The collected data was analyzed by chi-square test. In this study, the significance value was p = 0.016 (p <0.05) which can be concluded that there was an effect of decreasing ABI score on distance during SMWT in DM patients

scholarly journals Gait asymmetry, and bilateral coordination of gait during a six-minute walk test in persons with multiple sclerosis

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Meir Plotnik ◽  
Joanne M. Wagner ◽  
Gautam Adusumilli ◽  
Amihai Gottlieb ◽  
Robert T. Naismith
Keyword(s):  
Multiple Sclerosis ◽  
Walk Test ◽  
Bilateral Coordination ◽  
Six Minute Walk Test ◽  
Gait Asymmetry ◽  
Minute Walk

Comparing the effects of multi-session anodal trans-cranial direct current stimulation of primary motor and dorsolateral prefrontal cortices on fatigue and quality of life in patients with multiple sclerosis: a double-blind, randomized, sham-controlled trial

2020 ◽  
Vol 34 (8) ◽  
pp. 1103-1111
Author(s):  
Marzieh Mortezanejad ◽  
Fatemeh Ehsani ◽  
Nooshin Masoudian ◽  
Maryam Zoghi ◽  
Shapour Jaberzadeh
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Prefrontal Cortex ◽  
Direct Current ◽  
Dorsolateral Prefrontal Cortex ◽  
Fatigue Severity Scale ◽  
Severity Scale ◽  
Dorsolateral Prefrontal ◽  
Fatigue Severity

Objective: To compare the effects of anodal trans-cranial direct current stimulation (a-tDCS) over primary motor and dorsolateral prefrontal cortices on Fatigue Severity Scale and its lasting effect on fatigue reduction and improvement in quality of life in patients with multiple sclerosis. Design: A randomized, double-blinded, sham-controlled parallel clinical trial study. Setting: Neurological physiotherapy clinics. Subjects: Thirty-nine participants were randomly assigned to three groups: dorsolateral prefrontal cortex a-tDCS, primary motor a-tDCS (experimental groups) and sham a-tDCS. Finally, 36 participants completed the whole study ( n = 12 in each group). Interventions: Participants in the experimental groups received six-session a-tDCS (1.5 mA, 20 minutes) during two weeks (three sessions per week). The sham group received six sessions of 20-minute sham stimulation. Main measures: The Fatigue Severity Scale and quality of life were assessed before, immediately and four weeks after the intervention. Results: Findings indicated a significant reduction in the Fatigue Severity Scale and a significant increase in the quality of life in both experimental groups, immediately after the intervention ( P < 0.001), while Fatigue Severity Scale and quality of life changes were not significant in the sham a-tDCS group ( P > 0.05). In addition, improvement of the variables remained four weeks after the intervention in dorsolateral prefrontal cortex a-tDCS (mean differences (95% confidence interval): 0.03 (−0.63 to 0.68) as compared to primary motor (−0.62 (−0.11 to −1.14) and sham a-tDCS groups (−0.47 (−1.37 to 0.43)). Conclusion: Both primary motor and dorsolateral prefrontal cortex a-tDCS as compared to sham intervention can immediately improve fatigue and quality of life. However, the effects last up to four weeks only by the dorsolateral prefrontal cortex a-tDCS.

The 6-Minute Walk test indoors is strongly related to walking ability outdoors in persons with late effects of polio

2013 ◽  
Vol 15 (4) ◽  
pp. 181-184 ◽  
Author(s):  
Christina Brogårdh ◽  
Ulla-Britt Flansbjer ◽  
Christina Espelund ◽  
Jan Lexell
Keyword(s):  
Late Effects ◽  
Walking Ability ◽  
Walk Test ◽  
6 Minute Walk Test ◽  
Minute Walk
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