Proposal of resistance exercise for people with multiple sclerosis: a case study
DOI:
https://doi.org/10.11606/issn.2317-0190.v14i2a102800Keywords:
Multiple Sclerosis, Exercise, RehabilitationAbstract
In this study we sought to standardize, propose and apply an adapted resistance exercise program for a group of people with multiple sclerosis (MS). An invitation was made to 80 people attending an institution for people with MS in the city of Campinas, state of Sao Paulo, Brazil. Neurological disability and impairment were determined by the Expanded Disability Status Scale (EDSS). To evaluate the functional capacity we used the Functional Independence Measure (FIM), walking time (10 feet), the Timed “Up and Go” test, the Box and Block test and the Functional Reach test. The resistance exercise program lasted 10 weeks with two weekly sessions. The nine participants were divided in Group 1 (4 sedentary people) and Group 2 (5 people that regularly participated in other physical exercise programs). One individual from Group 1 completed the program with high compliance, showing no alterations at the EDSS and FIM scores. There was a reduction in the 10 feet walking time (- 21%) and at the Timed “Up and Go” test time (- 12.8%). The Box and Block test showed improvement: dominant limb (2.1%) and non-dominant limb (6.7%), but the Functional reach test deteriorated (- 7.5%). The results of this study are in agreement with the international literature, indicating the adequacy and safety of a resistance exercise program in the improvement of functional aspects for people with MS.
Downloads
References
Gehlsen GM, Grigsby SA, Winant DM. Effects of an aquatic fitness program on the muscular strength and endurance of patients with multiple sclerosis. Phys Ther.1984;64(5):653-7.
Petajan JH, Gappmaier E, White AT, Spencer MK, Mino L, Hicks RW. Impact of aerobic training on fitness and quality of life in Multiple Sclerosis. Ann Neurol.1996;39:432-41.
Mostert S, Kesselring J. Effects of a short-term exercise training program on aerobic fitness, fatigue, health perception and activity level of subjects with multiple sclerosis. Mult Scler.2002;8(2):161-8.
Debolt LS, Mccubbin JA. The effect of home-based resistance exercise on balance, power, and mobility in adults with multiple sclerosis. Arch Phys Med Rehabil. 2004;85(2):290-7.
Romberg A, Virtanen A, Ruutiainen J, Aunola S, Karppi SL, Vaara M, et al. Effects of a 6-month exercise program on patients with multiple sclerosis: a randomized study. Neurology. 2004;63(11):2034-8.
White LJ, McCoy SC, Castellano V, Gutierrez G, Stevens JE, Walter GA, et al. Resistance training improves strength and functional capacity in persons with multiple sclerosis. Mult Scler. 2004;10(6):668-74.
Orlando, MS. O interesse de pessoas com esclerose múltipla por atividades físicas e recreativas. Rev Sobama. 2005;10(1):S77.
Thomas JR, Nelson JK. Métodos de pesquisa em atividade física. Porto Alegre: Artmed;2002.
Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS).Neurology.1983;33(11):1444-52.
Cutter GR, Baier ML, Rudick RA, Cookfair DL, Fischer JS, Petkau J, et al. Development of a multiple sclerosis functional composite as a clinical trial outcome measure. Brain. 1999;122(Pt5):871-82.
Sharrack B, Hughes RA, Soudain S, Dunn G. The psychometric properties of clinical rating scales used in multiple sclerosis. Brain. 1999;122(Pt 1):141-59.
Hobart J, Freeman J, Thompson A. Kurtzke scales revisited: the application of psychometric methods to clinical intuition. Brain. 2000;123(Pt 5):1027-40.
Riberto M, Miyazaki MH, Jucá SSH, Sakamoto H, Pinto PPN, Battistella LR. Validação da versão brasileira da Medida de Independência Funcional. Acta Fisiatr. 2004:11(2):72-6. Doi: https://doi.org/10.5935/0104-7795.20040003
Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8.
Mathiowetz V, Volland G, Kashman N, Weber K. Adult norms for the Box and Block Test of manual dexterity. Am J Occup Ther. 1985;39(6):386-91.
Goodkin DE, Hertsgaard D, Seminary J. Upper extremity function in multiple sclerosis: improving assessment sensitivity with box-and-block and nine-hole peg tests. Arch Phys Med Rehabil.1988;69(10):850-4.
Mendes MF, Tilbery CP, Balsimelli S, Moreira MA, Cruz AM. Box and block test of manual dexterity in normal subjects and in patients with multiple sclerosis. Arq Neuropsiquiatr.2001;59(4):889-94.
Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45(6):M192-7.
Delavier F. Guia dos movimentos de musculaçao: abordagem anatômica. Sao Paulo: Manole; 2002.
American College of Sports Medicine Position Stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc. 1998;30(6):975-91.
Krupp LB, Rizvi SA. Symptomatic therapy for underrecognized manifestations of multiple sclerosis. Neurology. 2002;58(8 Suppl 4):S32-9.
Kasser SE, McCubbin J. Effects of progressive resistance exercise on muscular strength in adults with multiple sclerosis. Med Sci Sports Exerc. 1996;28(5):143.
Sutherland G, Andersen MB. Exercise and multiple sclerosis: physiological, psychological, and quality of life issues. 1: J Sports Med Phys Fitness. 2001;41(4):421-32.
Frzovic D, Morris ME, Vowels L. Clinical tests of standing balance: performance of persons with multiple sclerosis. Arch Phys Med Rehabil. 2000;81(2):215-21.
Downloads
Published
Issue
Section
License
Copyright (c) 2007 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
