Effect of Training Exercises Incorporating Mechanical Devices on Fatigue and Gait Pattern in Persons with Relapsing-Remitting Multiple Sclerosis

被引:18
|
作者
Escudero-Uribe, Shahid [1 ]
Hochsprung, Anja [1 ,2 ]
Heredia-Camacho, Beatriz [1 ]
Izquierdo-Ayuso, Guillermo [1 ,2 ]
机构
[1] Virgen Macarena Hosp, Neurophysiotherapy Room, Seville, Spain
[2] Virgen Macarena Hosp, Dept Neurol, Multiple Sclerosis Unit, Seville, Spain
关键词
exercise therapy; fatigue; gait; multiple sclerosis; whole body vibration; WHOLE-BODY-VIBRATION; SEVERITY SCALE; IMPACT SCALE; PARAMETERS; MOBILITY; BALANCE; WALKING; PEOPLE; HEALTH; INTERVENTION;
D O I
10.3138/ptc.2016-19
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Purpose: The aim of this study was to evaluate the effects of regular exercise incorporating mechanical devices on fatigue, gait pattern, mood, and quality of life in persons with relapsing-remitting multiple sclerosis (RRMS). Method: A total of 55 individuals with RRMS with an Expanded Disability Status Scale (EDSS) score of 0-4.5 and a Fatigue Severity Scale (FSS) score of 4.0 or more were randomly assigned to one of two exercise groups or a control group (n=18). Exercise programmes used aerobic, body weight, coordination, and balance exercises with either whole-body vibration (WBV; n=19; drop-outs, n=3) or the Balance Trainer system (n=18; drop-outs, n=4). Outcome measures included the FSS, Modified Fatigue Impact Scale (MFIS), Beck Depression Inventory (BDI-II), and Multiple Sclerosis International Quality of Life (MusiQoL). Spatiotemporal gait parameters were assessed using the GAITRite electronic walkway. Pre- and post-intervention assessments were performed by a blinded assessor. Intra- and inter-group analysis was performed, using the paired-samples t-test, by calculating the effect size with Cohen's d analysis and one-way analysis of variance, respectively. Results: Significant improvements in fatigue and mood were identified for both intervention groups (p<0.05). Gait parameters also improved significantly in the WBV group: velocity and step length increased (12.8% and 6.5%, respectively; p<0.005), and step time, stance time, double support time, and step length asymmetry decreased (-5.3%, -1.4%, -5.9%, and -43.7%, respectively; p<0.005). Conclusions: The results of this study support the hypothesis that combined training programmes help to reduce fatigue and improve mood in persons with mild to moderate RRMS. WBV combined with a standard exercise programme significantly improves spatiotemporal gait parameters.
引用
收藏
页码:292 / 302
页数:11
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