Effect of a Tailored Activity Pacing Intervention on Fatigue and Physical Activity Behaviours in Adults with Multiple Sclerosis
| Autor: | Ulric S. Abonie, Florentina J. Hettinga |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Activity level 030506 rehabilitation medicine.medical_specialty Multiple Sclerosis Health Toxicology and Mutagenesis Physical activity B100 lcsh:Medicine Article Mean difference 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Accelerometry Humans Medicine Activity pacing Fatigue Aged activity pacing business.industry Multiple sclerosis lcsh:R Public Health Environmental and Occupational Health Middle Aged medicine.disease C600 Confidence interval Exercise Therapy accelerometer multiple sclerosis (MS) energy distribution Quality of Life Physical therapy Female 0305 other medical science business Fatigue symptoms 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 18, Iss 17, p 17 (2021) International Journal of Environmental Research and Public Health Volume 18 Issue 1 |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | Tailored activity pacing could help manage fatigue and improve physical activity. However, little is known about how to tailor activity pacing for people with multiple sclerosis. This study aims to evaluate the effect of a tailored activity pacing intervention on fatigue and physical activity behaviours in adults with multiple sclerosis. Twenty-one adults with multiple sclerosis, stratified by age and gender, are randomly allocated to either a tailored pacing or control group. Participants wear an accelerometer for seven days that measures physical activity behaviours, and self-report fatigue at the baseline and four-week follow-up. Physical activity behaviours are assessed by examining activity level (seven-day average activity counts per minute) and activity variability (seven-day average highest activity counts each day divided by activity counts on that day). The intervention improves activity levels (Mean difference = 40.91 95% Confidence Interval [CI] (3.84&ndash 77.96) p = 0.03) and lessens activity variability (Mean difference = &ndash 0.63 95% CI (&minus 1.25&ndash 0.02) p = 0.04). No significant effect is found for fatigue (Mean difference = &ndash 0.36 1.02&ndash 0.30) p = 0.27). This investigation shows that tailoring activity pacing based on physical activity behaviours and fatigue is effective in improving physical activity levels, without exacerbating fatigue symptoms. |
| Databáze: | OpenAIRE |
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