Pragmatic exercise intervention in people with mild to moderate multiple sclerosis: a randomised controlled feasibility study

Carter, Anouska, Daley, Amanda, Kesterton, Sue, Woodroofe, Nicola, Saxton, John and Sharrack, Basil (2013) Pragmatic exercise intervention in people with mild to moderate multiple sclerosis: a randomised controlled feasibility study. Contemporary Clinical Trials, 35 (2). pp. 40-47. ISSN 1559-2030

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Abstract

BACKGROUND
People with Multiple Sclerosis (PwMS) are less physically active than the general population and pragmatic approaches designed to equip them with the skills and confidence to participate in long-term physical activity are required.

OBJECTIVE
The objective of this study was to determine the feasibility of a pragmatic exercise intervention in PwMS.

METHODS
A voluntary sample of 30 PwMS (male n = 4, female n = 26; mean age = 40 years; range = 24-49 years), with mild to moderate disability (EDSS ≤ 5.5), were recruited from eligible participants attending outpatient clinics. A total of 28 participants were randomised to a 10 week pragmatic exercise intervention (2× supervised and 1× home-based session per week) or usual care. Clinical, functional and quality of life (MSQoL-54) outcomes were assessed at baseline, immediately and 3 months after the intervention.

RESULTS
Attrition was low (2 participants lost to immediate follow-up and 4 participants lost to 3 month follow-up), with high compliance rates (>75% of all sessions). The intervention group achieved progression of exercise volume (24.3 ± 7.0 to 30.9 ± 5.5 min per session), intensity (60.4 ± 8.8 to 67.7 ± 6.9% HR max) and training impulse (min × average HR=training impulse/load [arbitrary units; AU]) (2600 ± 1105 to 3210 ± 1269AU) during the intervention, whilst significantly increasing(P = 0.050) their physical composite score (MSQOL-54) at 10 weeks and readiness to exercise (P = 0.003) at 3 months compared with usual care.

CONCLUSION
This pragmatic intervention was feasible for PwMS, but further research is needed to assess its long-term impact on physical activity behaviour.

Item Type:	Article
Additional Information:	PMID: 23612222
Department:	Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User:	Prof John Saxton
Date Deposited:	01 Mar 2016 13:19
Last Modified:	12 Oct 2019 16:25
URI:	http://nrl.northumbria.ac.uk/id/eprint/26204

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