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Searching for the "Active Ingredients" in Physical Rehabilitation Programs Across Europe, Necessary to Improve Mobility in People With Multiple Sclerosis: A Multicenter Study

A. Kalron, P. Feys, U. Dalgas, T. Smedal, J. Freeman, A. Romberg, H. Conyers, I. Elorriaga, B. Gebara, J. Merilainen, A. Heric-Mansrud, E. Jensen, K. Jones, K. Knuts, B. Maertens de Noordhout, A. Martic, B. Normann, B. O Eijnde, K. Rasova, C....

. 2019 ; 33 (4) : 260-270. [pub] 20190317

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, multicentrická studie, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc19044938

BACKGROUND: Physical rehabilitation programs can lead to improvements in mobility in people with multiple sclerosis (PwMS). OBJECTIVE: To identify which rehabilitation program elements are employed in real life and how they might affect mobility improvement in PwMS. METHODS: Participants were divided into improved and nonimproved mobility groups based on changes observed in the Multiple Sclerosis Walking Scale-12 following multimodal physical rehabilitation programs. Analyses were performed at group and subgroup (mild and moderate-severe disability) levels. Rehabilitation program elements included setting, number of weeks, number of sessions, total duration, therapy format (individual, group, autonomous), therapy goals, and therapeutic approaches. RESULTS: The study comprised 279 PwMS from 17 European centers. PwMS in the improved group received more sessions of individual therapy in both subgroups. In the mildly disabled group, 60.9% of the improved received resistance training, whereas, 68.5% of the nonimproved received self-stretching. In the moderately-severely disabled group, 31.4% of the improved, received aerobic training, while 50.4% of the nonimproved received passive mobilization/stretching. CONCLUSIONS: We believe that our findings are an important step in opening the black-box of physical rehabilitation, imparting guidance, and assisting future research in defining characteristics of effective physical rehabilitation.

Citace poskytuje Crossref.org

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$a Kalron, Alon $u 1 Sackler Faculty of Medicine and Sagol School of Neurosciences, Tel-Aviv University, Tel-Aviv, Israel. 2 Sheba Multiple Sclerosis Center, Tel-Hashomer, Israel.
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$a BACKGROUND: Physical rehabilitation programs can lead to improvements in mobility in people with multiple sclerosis (PwMS). OBJECTIVE: To identify which rehabilitation program elements are employed in real life and how they might affect mobility improvement in PwMS. METHODS: Participants were divided into improved and nonimproved mobility groups based on changes observed in the Multiple Sclerosis Walking Scale-12 following multimodal physical rehabilitation programs. Analyses were performed at group and subgroup (mild and moderate-severe disability) levels. Rehabilitation program elements included setting, number of weeks, number of sessions, total duration, therapy format (individual, group, autonomous), therapy goals, and therapeutic approaches. RESULTS: The study comprised 279 PwMS from 17 European centers. PwMS in the improved group received more sessions of individual therapy in both subgroups. In the mildly disabled group, 60.9% of the improved received resistance training, whereas, 68.5% of the nonimproved received self-stretching. In the moderately-severely disabled group, 31.4% of the improved, received aerobic training, while 50.4% of the nonimproved received passive mobilization/stretching. CONCLUSIONS: We believe that our findings are an important step in opening the black-box of physical rehabilitation, imparting guidance, and assisting future research in defining characteristics of effective physical rehabilitation.
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$a Feys, Peter $u 3 Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium.
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$a Dalgas, Ulrik $u 4 Aarhus University, Aarhus, Denmark.
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$a Smedal, Tori $u 5 Norwegian Multiple Sclerosis Competence Centre, Haukeland University Hospital, Bergen, Norway.
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$a Freeman, Jennifer $u 6 Faculty of Health and Human Sciences, Plymouth University, Devon, UK.
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$a Romberg, Anders $u 7 Masku Neurological Rehabilitation Center, Masku, Finland.
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$a Conyers, Helen $u 8 Poole Hospital, NHS Foundation Trust, Dorset, UK.
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$a Jensen, Ellen $u 13 Multiple Sclerosis Hospital, Haslev, Denmark. 14 Multiple Sclerosis Hospital, Ry, Denmark.
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$a Jones, Kari $u 5 Norwegian Multiple Sclerosis Competence Centre, Haukeland University Hospital, Bergen, Norway.
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$a Martic, Andrej $u 17 University Medical Center, Ljubljana, Slovenia.
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$a Santoyo Medina, Carme $u 21 Cemcat, Neurorehabilitation Unit, Vall Hebron University Hospital, Barcelona, Spain.
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