Effect of a Tailored Activity Pacing Intervention on Fatigue and Physical Activity Behaviours in Adults with Multiple Sclerosis

Abonie, Ulric S. and Hettinga, Florentina (2020) Effect of a Tailored Activity Pacing Intervention on Fatigue and Physical Activity Behaviours in Adults with Multiple Sclerosis. International Journal of Environmental Research and Public Health, 18 (1). p. 17. ISSN 1660-4601

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Official URL: https://doi.org/10.3390/ijerph18010017

Abstract

Tailored activity pacing could help manage fatigue and improve physical activity. However, little is known about how to tailor activity pacing for people with multiple sclerosis. This study aims to evaluate the effect of a tailored activity pacing intervention on fatigue and physical activity behaviours in adults with multiple sclerosis. Twenty-one adults with multiple sclerosis, stratified by age and gender, are randomly allocated to either a tailored pacing or control group. Participants wear an accelerometer for seven days that measures physical activity behaviours, and self-report fatigue at the baseline and four-week follow-up. Physical activity behaviours are assessed by examining activity level (seven-day average activity counts per minute) and activity variability (seven-day average highest activity counts each day divided by activity counts on that day). The intervention improves activity levels (Mean difference = 40.91; 95% Confidence Interval [CI] (3.84–77.96); p = 0.03) and lessens activity variability (Mean difference = −0.63; 95% CI (−1.25–0.02); p = 0.04). No significant effect is found for fatigue (Mean difference = −0.36; 95% CI (−1.02–0.30); p = 0.27). This investigation shows that tailoring activity pacing based on physical activity behaviours and fatigue is effective in improving physical activity levels, without exacerbating fatigue symptoms.

Item Type: Article
Uncontrolled Keywords: multiple sclerosis (MS); activity pacing; accelerometer; energy distribution
Subjects: B100 Anatomy, Physiology and Pathology
C600 Sports Science
Department: Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: Elena Carlaw
Date Deposited: 04 Jan 2021 10:18
Last Modified: 04 Jan 2021 10:30
URI: http://nrl.northumbria.ac.uk/id/eprint/45068

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