Searching for the 'Active Ingredients' in Physical Rehabilitation Programs Across Europe, Necessary to Improve Mobility in People With Multiple Sclerosis: A Multicenter Study
| Autor: | E. Jensen, Ulrik Dalgas, Alon Kalron, Benoit Gebara, Bert O. Eijnde, Kari Jones, Johanna Merilainen, Helen Conyers, Adnan Heric-Mansrud, Jennifer Freeman, Ilse Baert, Britt Normann, Peter Feys, Anders Romberg, Tori Smedal, Iratxe Elorriaga, Kamila Rasova, Benoit Maertens de Noordhout, Carme Santoyo Medina, Andrej Martic, Kathy Knuts |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Multiple Sclerosis medicine.medical_treatment Walking multiple sclerosis treatment elements Severity of Illness Index Disability Evaluation 03 medical and health sciences walking 0302 clinical medicine Humans Medicine VDP::Medisinske Fag: 700 physical rehabilitation Rehabilitation business.industry Multiple sclerosis General Medicine mobility Middle Aged medicine.disease Europe VDP::Medical disciplines: 700 Treatment Outcome Multicenter study Exercise Test Physical therapy Female 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Kalron, A, Feys, P, Dalgas, U, Smedal, T, Freeman, J, Romberg, A, Conyers, H, Elorriaga, I, Gebara, B, Merilainen, J, Heric-Mansrud, A, Jensen, E, Jones, K, Knuts, K, Maertens de Noordhout, B, Martic, A, Normann, B, O. Eijnde, B, Rasova, K, Santoyo Medina, C & Baert, I 2019, ' Searching for the “Active Ingredients” in Physical Rehabilitation Programs Across Europe, Necessary to Improve Mobility in People With Multiple Sclerosis : A Multicenter Study ', Neurorehabilitation and Neural Repair, vol. 33, no. 4, pp. 260-270 . https://doi.org/10.1177/1545968319834893 |
| DOI: | 10.1177/1545968319834893 |
| Popis: | 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. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was partially funded via an unrestricted educational grant from Novartis Pharma AG to RIMS. |
| Databáze: | OpenAIRE |
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