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- Title
A task-oriented circuit training in multiple sclerosis: a feasibility study.
- Authors
Straudi, Sofia; Martinuzzi, Carlotta; Pavarelli, Claudia; Sabbagh Charabati, Amira; Benedetti, Maria Grazia; Foti, Calogero; Bonato, Michela; Zancato, Eleonora; Basaglia, Nino
- Abstract
<bold>Background: </bold>The aim of this study was to evaluate the safety, feasibility and preliminary effects of a high-intensity rehabilitative task-oriented circuit training (TOCT) in a sample of multiple sclerosis (MS) subjects on walking competency, mobility, fatigue and health-related quality of life (HRQoL).<bold>Methods: </bold>24 MS subjects (EDSS 4.89 ± 0.54, 17 female and 7 male, 52.58 ± 11.21 years, MS duration 15.21 ± 8.68 years) have been enrolled and randomly assigned to 2 treatment groups: (i) experimental group received 10 TOCT sessions over 2 weeks (2 hours/each session) followed by a 3 months home exercise program, whereas control group did not receive any specific rehabilitation intervention. A feasibility patient-reported questionnaire was administered after TOCT. Functional outcome measures were: walking endurance (Six Minute Walk Test), gait speed (10 Meter Walk Test), mobility (Timed Up and Go test) and balance (Dynamic Gait Index). Furthermore, self-reported questionnaire of motor fatigue (Fatigue Severity Scale), walking ability (Multiple Sclerosis Walking Scale - 12) and health-related quality of life (Multiple Sclerosis Impact Scale - 29) were included. Subjects' assessments were delivered at baseline (T0), after TOCT (T1) and 3 months of home-based exercise program (T2).<bold>Results: </bold>After TOCT subjects reported a positive global rating on the received treatment. At 3 months, we found a 58.33% of adherence to the home-exercise program. After TOCT, walking ability and health-related quality of life were improved (p < 0.05) with minor retention after 3 months. The control group showed no significant changes in any variables.<bold>Conclusions: </bold>This two weeks high-intensity task-oriented circuit class training followed by a three months home-based exercise program seems feasible and safe in MS people with moderate mobility impairments; moreover it might improve walking abilities.<bold>Trial Registration: </bold>NCT01464749.
- Subjects
EXERCISE therapy; GAIT disorders; MULTIPLE sclerosis; NEUROLOGICAL disorders; NEUROLOGIC examination; PATIENT compliance; QUALITY of life; PILOT projects
- Publication
BMC Neurology, 2014, Vol 14, Issue 1, p124
- ISSN
1471-2377
- Publication type
journal article
- DOI
10.1186/1471-2377-14-124