The aim of this study was to analyse the effect of an 8-week rehabilitation programme consisting of the aerobic and resistant training forms on the parameters of functional fitness, muscle strength, cardiovascular autonomic functions, fatigue, and functional independence in a group of patients with Multiple Sclerosis (MS). At the beginning and at the end of the study we examined 15 MS patients with a clinically active form of MS (age 50.7 ± 13.1 years, 12 women, 3 men, mean duration of MS 15.4 ± 14.4 years, EDSS 2.8 ± 0.7), who participated in the rehabilitation programme. The diagnosis was made at the 1st Dept. of Neurology. The patients underwent a clinical examination, MS activity rating (EDSS), symptom-limited bicycle spiroergometry (MedGraphics), spectral analysis of heart rate variability by a Task Force Monitor (frequency band LF, HF, TP, and sympathovagal balance LF/HF), and an extremity muscle strength evaluation (1-RM). The patients were also tested for fatigue (MFIS questionnaire) and functional independence (FIM). The outpatient RHB programme controlled was designed for 8 weeks with a frequency of twice a week. The training unit lasted for 60 to 90 minutes and consisted of a warm-up phase (10 min), an aerobic phase (1st to 2nd week 20–40 min; 3rd to 8th week 25 min), and a relaxation phase (10 min). Resistant training was added to the training unit in the 3rd week of the RHB programme (3rd to 8th week 15–20 min). ECG, blood pressure, and RPE were monitored during the aerobic phase for safety reasons. Three exercises were performed: bench press, pulldown, and leg extension. The intensity of resistant training was determined by the 1-RM method. The patients started resistance exercises at 30–60 % 1-RM with a weekly increase of 10 %. All three exercises were repeated 10 times in 3 to 5 sets. A comparison of the entrance and final values showed a significant improvement of functional capacity, namely in the values of spiroergometry parameters (P<0.05, Wilcoxon paired test) WSL (94.4 ± 25.0 vs. 102.7 ± 27.9 W, p = 0.042),WSL. kg–1 (1.4 ± 0.3 vs.1.5 ± 0.4 W.kg–1, p = 0.026), VO2SL (1463.1 ±.
- MeSH
- cvičení MeSH
- dospělí MeSH
- financování organizované MeSH
- hodnocení programu MeSH
- lidé středního věku MeSH
- lidé MeSH
- pacienti ambulantní MeSH
- prospektivní studie MeSH
- rehabilitace metody MeSH
- roztroušená skleróza patofyziologie rehabilitace MeSH
- senioři MeSH
- stupeň závažnosti nemoci MeSH
- svalová síla MeSH
- terapie cvičením MeSH
- únava MeSH
- výsledek terapie MeSH
- zátěžový test MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- MeSH
- ambulantní monitorování krevního tlaku metody přístrojové vybavení statistika a číselné údaje MeSH
- časové faktory MeSH
- chronobiologické jevy fyziologie MeSH
- cirkadiánní rytmus fyziologie MeSH
- financování organizované MeSH
- ischemická choroba srdeční patofyziologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- monitorování fyziologických funkcí MeSH
- senioři MeSH
- studie případů a kontrol MeSH
- věkové faktory MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- senioři MeSH