@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2016;22(1):43-50
ISSN: 2252-0805 The Horizon of Medical Sciences 2016;22(1):43-50
Effect of 8-Week Combined Training (Resistance and Proprioceptive Neuromuscular Facilitation) on Fatigue and Quality of Life in Multiple Sclerosis Patients
ARTICLE INFO
Article Type
Original ResearchAuthors
Attar Sayyah A.E. (*)Hoseini Kakhk S.A.R. (1)
Hamedinia M.R. (1)
Mehrjoo M. (2)
(*) Department of Exercise Physiology, Faculty of Physical Education & Sports Science, Hakim Sabzevary University, Sabzevar, Iran
(1) Department of Exercise Physiology, Faculty of Physical Education & Sports Science, Hakim Sabzevary University, Sabzevar, Iran
(2) General Department, Faculty of Physical Education & Sports Science, Hakim Sabzevary University, Sabzevar, Iran
Correspondence
Address: Faculty of Physical Education & Sports Science, Hakim Sabzevary University, Tohid Shahr, Sabzevar, Iran. Postal Code: 9617976487Phone: +985144012620
Fax: +985144012613
ebi_attar2000@yahoo.com
Article History
Received: January 14, 2015Accepted: March 17, 2015
ePublished: December 15, 2015
ABSTRACT
Aims
Multiple sclerosis (MS) is a chronic disease of central nervous system that affects motor pathways and increase fatigue and decrease quality of life. The purpose of this research was to analyze the effect of combined (resistance and proprioceptive neuromuscular facilitation) training for 8 weeks on fatigue and quality of life in multiple sclerosis patients.
Materials & Methods This semi-experimental study was done in 2013. Samples were 37 women and men patients with multiple sclerosis which were divided to experimental (n=19) and control (n=18) groups. The experimental group participated in combined training program for 8 weeks. Fatigue and quality of life were evaluated before and after training protocol. Data were analyzed using independent and dependent T tests and MANOVA test with LSD post hoc.
Findings 8 weeks of combined training decreased the fatigue and increased the quality of life and its subscales (physical health composite, mental health composite) significantly (p=0.001).
Conclusion Combined training causes decreasing of fatigue and increasing of quality of life in multiple sclerosis patients.
Materials & Methods This semi-experimental study was done in 2013. Samples were 37 women and men patients with multiple sclerosis which were divided to experimental (n=19) and control (n=18) groups. The experimental group participated in combined training program for 8 weeks. Fatigue and quality of life were evaluated before and after training protocol. Data were analyzed using independent and dependent T tests and MANOVA test with LSD post hoc.
Findings 8 weeks of combined training decreased the fatigue and increased the quality of life and its subscales (physical health composite, mental health composite) significantly (p=0.001).
Conclusion Combined training causes decreasing of fatigue and increasing of quality of life in multiple sclerosis patients.
CITATION LINKS
[1]Holland NJ, Madonna M. Nursing grand rounds: Multiple sclerosis. J Neurosci Nurs. 2005;37(1):15-9.
[2]Braunwald E, Fauci AS, Kasper DL, Hauser SL, Longo DL, Jameson JL. Harrison's principle of internal medicine. 15th edition. New York: McGraw-Hill Professional Publishing; 2001. pp. 2452-61.
[3]Rasova K, Havrdova E, Brandejsky P, Zálisová M, Foubikova B, Martinkova P. Comparison of the influence of different rehabilitation programmes on clinical, spirometric and spiroergometric parameters in patients with multiple sclerosis. Mult Scler. 2006;12(2):227-34.
[4]Huntley A, Ernst E. Complementary and alternative therapies for treating multiple sclerosis symptoms: A systematic review. Complement Ther Med. 2000;8(3):97-105.
[5]Karpatkin HI. Multiple Sclerosis and exercise. Int J MS Care. 2005;7(2):36-41.
[6]Yozbatiran N, Baskurt F, Baskurt Z, Ozakbas S, Idiman E. Motor assessment of upper extremity function and its relation with fatigue, cognitive function and quality of life in multiple sclerosis patients. J Neurol Sci. 2006;246(1-2):117-22.
[7]Janssens AC1, van Doorn PA, de Boer JB, Kalkers NF, van der Meche FG, Passchier J, et al. Anxiety and depression influence the relation between disability status and quality of life in multiple sclerosis. Mult Scler. 2003;9(4):397-403.
[8]Raeesi H. The effect of education on self care and the incidence of complications in patients with multiple sclerosis attending neurology clinics in the shiraz city in 2002 [Dissertation]. Faculty of Nursing & Midwifery, University of Medical Sciences and Health Services of Iran; 2002.
[9]Morgante L. Hope in multiple sclerosis: A nursing perspective. Int J MS Care. 2000;2(2):9-15.
[10]Kishiyama S, Carlsen J, Lawrence J, Small E, Zajdel D, Oken BS. Yoga as an experimental intervention for cognition in MS. Int J Yoga Ther. 2002;(12):57-62.
[11]Bonomi AE, Patrick DL, Bushnell DM, Martin M. Validation of the United States version of the World Health Organization Quality of Life (WHOQOL) instrument. J Clin Epidemiol. 2000;53(1):1-12.
[12]Zifko UA. Therapy of day time fatigue in patients with multiple sclerosis. Wien Med Wochenschr. 2003;153(3-4):65-72. [German]
[13]Henze T, Rieckmann P, Toyka KV. Symptomatic treatment of multiple sclerosis. Multiple sclerosis therapy consensus group (MSTCG) of the German multiple sclerosis society. Eur Neurol. 2006;56(2):78-105.
[14]Miller A, Dishon S. Health-related quality of life in multiple sclerosis: The impact of disability, gender and employment status. Qual Life Res. 2006;15(2):259-71.
[15]Daglas U, Stenager E, Ingemann-Hansen T. Multiple sclerosis physical exercise: Recommendations for the application of resistance-, endurance- and combined training. Mult Scler. 2008;14(1):35-53.
[16]Korkmaz NC, Kirdi N, Temucin CM, Armutlu K, Yakut Y, Karabudak R. Improvement of muscle strength and fatigue with high voltage pulsed galvanic stimulation in multiple sclerosis patients- a non-randomized controlled trial. J Pak Med Assoc. 2011;61(8):736-43.
[17]Romberg A, Virtanen A, Ruutiainen J. Long-term exercise improves functional impairment but not quality of life in multiple sclerosis. J Neurol. 2005;252(7):839-45.
[18]Khodadadeh S, Kordi MR, Khosravi N, Sangolji B. Effect of 8-week selected training on distance walking, strength and fatigue in multiple sclerosis patients. 7th International Congress on Physical Education and Sport Sciences; 2009.
[19]Sliwa JA. Neuromuscular rehabilitation and electrodiagnosis. 1. Central neurologic disorders. Arch Phys Med Rehabil 2000;81(3 Suppl 1):S3-12.
[20]Capodaglio P, Facioli M, Burroni E, Giordano A, Ferri A, Scaglioni G. Effectiveness of a home-based strengthening program for elderly males in Italy. A preliminary study. Aging Clin Exp Res. 2002;14(1):28-34.
[21]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.
[22]Ghaem H, Borhani Haghighi A, Jafari P, Nikseresht AR. Validity and reliability of the Persian version of the multiple sclerosis quality of life questionnaire. Neurol India. 2007;55(4):369-75.
[23]Basampoor ShS, Nikbakht Nasrabadi AR, Faghihzadeh S, Monjazebi F. Assess the using and efficacy of fatigue reducing strategies in patients referred to multiple sclerosis association of Iran. J Hayat. 2005;11(4-3):29-37. [Persian]
[24]Armutlu K, Karabudak R, Nurlu G. Physiotherapy approaches in the treatment of ataxic multiple sclerosis: A pilot study. Neurorehabil Neural Repair. 2001;15(3):203-11.
[25]Adler S, Beckers D, Buck M. PNF in practice. 3rd edition. Berlin, Heidelberg: Springer-Verlag; 2008. pp. 6-7.
[26]Dodd KJ, Taylor NF, Denisenko S, Prasad D. A qualitative analysis of a progressive resistance exercise programme for people with multiple sclerosis. Disabil Rehabil. 2006;28(18):1127-34.
[27]De Groot MH, Phillips SJ, Eskes GA. Fatigue associated with stroke and other neurologic conditions: implications for stroke rehabilitation. Arch Phys Med Rehabil. 2003;84(11):1714-20.
[28]Delecluse C, Roelants M, Verschueren S. Strength increase after whole-body vibration compared with resistance training. Med Sci Sports Exerc. 2003;35(6):1033-41.
[29]Schulz KH, Gold SM, Witte J, Bartsch K, Lang UE, Hellweg R, et al. Impact of aerobic training on immune-endocrine parameters, neurotrophic factors, quality of life and coordinative function in multiple sclerosis. J Neurol Sci. 2004;225(1-2):11-8.
[30]Tepavcevic DK, Kostic J, Basuroski ID, Stojsavljevic N, Pekmezovic T, Drulovic J. The impact of sexual dysfunction on the quality of life measured by MSQoL-54 in patients with multiple sclerosis. Mult Scler. 2008;14(8):1131-6.
[31]Pilutti LA, Lelli DA, Paulseth JE, Crome M, Jiang S, Rathbone MP, et al. Effects of 12 weeks supported treadmill training on functional ability and quality of Life in progressive multiple sclerosis: A pilot study. Arch Phys Med Rehabil. 2011;92(1):31-6.
[32]Hamidizadeh S, Masoodi R, Ahmadi FA, Mohammadi E. Evaluation of the effect of self-care program based on the orem framework on the physical quality of life in multiple sclerosis patients. J Shahid Sadoughi Univ Med Sci. 2009;17(2):153-62. [Persian]
[33]Patti F, Ciancio MR, Reggio E, Lopes R, Palermo F, Cacopardo M, et al. The impact of outpatient rehabilitation on quality of life in multiple sclerosis. J Neurol. 2002;249(8):1027-33.
[34]Rice GP, Oger J, Duquette P, Francis GS, Bélanger M, Laplante S, et al. Treatment with interferon beta-1b improves quality of life in multiple sclerosis. Can J Neurological Sci. 1999;26(4):276-82.
[35]Zalweski K. Exploring barriers to remaining physically active: a case report of a person with multiple sclerosis. J Neurol Phys Ther. 2007;31(1):40-5.
[36]Rampello A, Franceschini M, Piepoli M, Antenucci R, Lenti G, Olivieri D, et al. Effect of aerobic training on walking capacity and maximal exercise tolerance in patients with multiple sclerosis: A randomized crossover controlled study. Phys Ther. 2007;87(5):545-55.
[37]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(4):432-41.
[38]Asadi Zaker M, Majdinasab N, Atapour M, Latifi SM, Babadi M. Effect of exercise on speed of walking, fatigue and quality of life in patients with multiple sclerosis. Sci J Ahwaz Univ Med Sci. 2010:9(2):189-98.
[39]Simone IL, Ceccarelli A, Tortorella C, Bellacosa A, Pellegrini F, Plasmati I, et al. Influence of Interferon beta treatment on quality of life in multiple sclerosis patients. Health Qual Life Outcomes. 2006;4:96.
[40]Eftekhari E, Nikbakht H, Rabiee K, Etemadifar M. The effect of endurance training on aerobic power and quality of life in women with multiple sclerosis. Olympic. 2008;16(1):37-46.
[2]Braunwald E, Fauci AS, Kasper DL, Hauser SL, Longo DL, Jameson JL. Harrison's principle of internal medicine. 15th edition. New York: McGraw-Hill Professional Publishing; 2001. pp. 2452-61.
[3]Rasova K, Havrdova E, Brandejsky P, Zálisová M, Foubikova B, Martinkova P. Comparison of the influence of different rehabilitation programmes on clinical, spirometric and spiroergometric parameters in patients with multiple sclerosis. Mult Scler. 2006;12(2):227-34.
[4]Huntley A, Ernst E. Complementary and alternative therapies for treating multiple sclerosis symptoms: A systematic review. Complement Ther Med. 2000;8(3):97-105.
[5]Karpatkin HI. Multiple Sclerosis and exercise. Int J MS Care. 2005;7(2):36-41.
[6]Yozbatiran N, Baskurt F, Baskurt Z, Ozakbas S, Idiman E. Motor assessment of upper extremity function and its relation with fatigue, cognitive function and quality of life in multiple sclerosis patients. J Neurol Sci. 2006;246(1-2):117-22.
[7]Janssens AC1, van Doorn PA, de Boer JB, Kalkers NF, van der Meche FG, Passchier J, et al. Anxiety and depression influence the relation between disability status and quality of life in multiple sclerosis. Mult Scler. 2003;9(4):397-403.
[8]Raeesi H. The effect of education on self care and the incidence of complications in patients with multiple sclerosis attending neurology clinics in the shiraz city in 2002 [Dissertation]. Faculty of Nursing & Midwifery, University of Medical Sciences and Health Services of Iran; 2002.
[9]Morgante L. Hope in multiple sclerosis: A nursing perspective. Int J MS Care. 2000;2(2):9-15.
[10]Kishiyama S, Carlsen J, Lawrence J, Small E, Zajdel D, Oken BS. Yoga as an experimental intervention for cognition in MS. Int J Yoga Ther. 2002;(12):57-62.
[11]Bonomi AE, Patrick DL, Bushnell DM, Martin M. Validation of the United States version of the World Health Organization Quality of Life (WHOQOL) instrument. J Clin Epidemiol. 2000;53(1):1-12.
[12]Zifko UA. Therapy of day time fatigue in patients with multiple sclerosis. Wien Med Wochenschr. 2003;153(3-4):65-72. [German]
[13]Henze T, Rieckmann P, Toyka KV. Symptomatic treatment of multiple sclerosis. Multiple sclerosis therapy consensus group (MSTCG) of the German multiple sclerosis society. Eur Neurol. 2006;56(2):78-105.
[14]Miller A, Dishon S. Health-related quality of life in multiple sclerosis: The impact of disability, gender and employment status. Qual Life Res. 2006;15(2):259-71.
[15]Daglas U, Stenager E, Ingemann-Hansen T. Multiple sclerosis physical exercise: Recommendations for the application of resistance-, endurance- and combined training. Mult Scler. 2008;14(1):35-53.
[16]Korkmaz NC, Kirdi N, Temucin CM, Armutlu K, Yakut Y, Karabudak R. Improvement of muscle strength and fatigue with high voltage pulsed galvanic stimulation in multiple sclerosis patients- a non-randomized controlled trial. J Pak Med Assoc. 2011;61(8):736-43.
[17]Romberg A, Virtanen A, Ruutiainen J. Long-term exercise improves functional impairment but not quality of life in multiple sclerosis. J Neurol. 2005;252(7):839-45.
[18]Khodadadeh S, Kordi MR, Khosravi N, Sangolji B. Effect of 8-week selected training on distance walking, strength and fatigue in multiple sclerosis patients. 7th International Congress on Physical Education and Sport Sciences; 2009.
[19]Sliwa JA. Neuromuscular rehabilitation and electrodiagnosis. 1. Central neurologic disorders. Arch Phys Med Rehabil 2000;81(3 Suppl 1):S3-12.
[20]Capodaglio P, Facioli M, Burroni E, Giordano A, Ferri A, Scaglioni G. Effectiveness of a home-based strengthening program for elderly males in Italy. A preliminary study. Aging Clin Exp Res. 2002;14(1):28-34.
[21]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.
[22]Ghaem H, Borhani Haghighi A, Jafari P, Nikseresht AR. Validity and reliability of the Persian version of the multiple sclerosis quality of life questionnaire. Neurol India. 2007;55(4):369-75.
[23]Basampoor ShS, Nikbakht Nasrabadi AR, Faghihzadeh S, Monjazebi F. Assess the using and efficacy of fatigue reducing strategies in patients referred to multiple sclerosis association of Iran. J Hayat. 2005;11(4-3):29-37. [Persian]
[24]Armutlu K, Karabudak R, Nurlu G. Physiotherapy approaches in the treatment of ataxic multiple sclerosis: A pilot study. Neurorehabil Neural Repair. 2001;15(3):203-11.
[25]Adler S, Beckers D, Buck M. PNF in practice. 3rd edition. Berlin, Heidelberg: Springer-Verlag; 2008. pp. 6-7.
[26]Dodd KJ, Taylor NF, Denisenko S, Prasad D. A qualitative analysis of a progressive resistance exercise programme for people with multiple sclerosis. Disabil Rehabil. 2006;28(18):1127-34.
[27]De Groot MH, Phillips SJ, Eskes GA. Fatigue associated with stroke and other neurologic conditions: implications for stroke rehabilitation. Arch Phys Med Rehabil. 2003;84(11):1714-20.
[28]Delecluse C, Roelants M, Verschueren S. Strength increase after whole-body vibration compared with resistance training. Med Sci Sports Exerc. 2003;35(6):1033-41.
[29]Schulz KH, Gold SM, Witte J, Bartsch K, Lang UE, Hellweg R, et al. Impact of aerobic training on immune-endocrine parameters, neurotrophic factors, quality of life and coordinative function in multiple sclerosis. J Neurol Sci. 2004;225(1-2):11-8.
[30]Tepavcevic DK, Kostic J, Basuroski ID, Stojsavljevic N, Pekmezovic T, Drulovic J. The impact of sexual dysfunction on the quality of life measured by MSQoL-54 in patients with multiple sclerosis. Mult Scler. 2008;14(8):1131-6.
[31]Pilutti LA, Lelli DA, Paulseth JE, Crome M, Jiang S, Rathbone MP, et al. Effects of 12 weeks supported treadmill training on functional ability and quality of Life in progressive multiple sclerosis: A pilot study. Arch Phys Med Rehabil. 2011;92(1):31-6.
[32]Hamidizadeh S, Masoodi R, Ahmadi FA, Mohammadi E. Evaluation of the effect of self-care program based on the orem framework on the physical quality of life in multiple sclerosis patients. J Shahid Sadoughi Univ Med Sci. 2009;17(2):153-62. [Persian]
[33]Patti F, Ciancio MR, Reggio E, Lopes R, Palermo F, Cacopardo M, et al. The impact of outpatient rehabilitation on quality of life in multiple sclerosis. J Neurol. 2002;249(8):1027-33.
[34]Rice GP, Oger J, Duquette P, Francis GS, Bélanger M, Laplante S, et al. Treatment with interferon beta-1b improves quality of life in multiple sclerosis. Can J Neurological Sci. 1999;26(4):276-82.
[35]Zalweski K. Exploring barriers to remaining physically active: a case report of a person with multiple sclerosis. J Neurol Phys Ther. 2007;31(1):40-5.
[36]Rampello A, Franceschini M, Piepoli M, Antenucci R, Lenti G, Olivieri D, et al. Effect of aerobic training on walking capacity and maximal exercise tolerance in patients with multiple sclerosis: A randomized crossover controlled study. Phys Ther. 2007;87(5):545-55.
[37]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(4):432-41.
[38]Asadi Zaker M, Majdinasab N, Atapour M, Latifi SM, Babadi M. Effect of exercise on speed of walking, fatigue and quality of life in patients with multiple sclerosis. Sci J Ahwaz Univ Med Sci. 2010:9(2):189-98.
[39]Simone IL, Ceccarelli A, Tortorella C, Bellacosa A, Pellegrini F, Plasmati I, et al. Influence of Interferon beta treatment on quality of life in multiple sclerosis patients. Health Qual Life Outcomes. 2006;4:96.
[40]Eftekhari E, Nikbakht H, Rabiee K, Etemadifar M. The effect of endurance training on aerobic power and quality of life in women with multiple sclerosis. Olympic. 2008;16(1):37-46.