Searching for the "Active Ingredients" in Physical Rehabilitation Programs Across Europe, Necessary to Improve Mobility in People With Multiple Sclerosis: A Multicenter Study
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu časopisecké články, multicentrická studie, práce podpořená grantem
PubMed
30880560
DOI
10.1177/1545968319834893
Knihovny.cz E-zdroje
- Klíčová slova
- mobility, multiple sclerosis, physical rehabilitation, treatment elements, walking,
- MeSH
- chůze * MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- posuzování pracovní neschopnosti MeSH
- roztroušená skleróza rehabilitace MeSH
- stupeň závažnosti nemoci MeSH
- výsledek terapie MeSH
- zátěžový test MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Evropa MeSH
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.
3rd Faculty of Medicine Charles University Prague Czech Republic
Aarhus University Aarhus Denmark
Cemcat Neurorehabilitation Unit Vall Hebron University Hospital Barcelona Spain
Centre Neurologique et de Readaptation Fonctionelle Fraiture en Condroz Belgium
Eugenia Epalza Rehabilitation Center Bilbao Spain
Faculty of Health and Human Sciences Plymouth University Devon UK
Faculty of Medicine and Life Sciences Hasselt University Diepenbeek Belgium
Faculty of Rehabilitation Sciences Hasselt University Diepenbeek Belgium
Masku Neurological Rehabilitation Center Masku Finland
Multiple Sclerosis Center Hakadal AS Norway
Multiple Sclerosis Hospital Haslev Denmark
Multiple Sclerosis Hospital Ry Denmark
National Multiple Sclerosis Center Melsbroek Belgium
Norwegian Multiple Sclerosis Competence Centre Haukeland University Hospital Bergen Norway
Open Rehabilitation Center Aksoni Helsinki Finland
Poole Hospital NHS Foundation Trust Dorset UK
Rehabilitation and Multiple Sclerosis Center Overpelt Belgium
Sackler Faculty of Medicine and Sagol School of Neurosciences Tel Aviv University Tel Aviv Israel
Sheba Multiple Sclerosis Center Tel Hashomer Israel
University Medical Center Ljubljana Slovenia
University of Tromsø the Arctic University of Norway Nordland Hospital Trust Bodø Norway
Citace poskytuje Crossref.org
Content and Delivery of Physical Therapy in Multiple Sclerosis across Europe: A Survey
