Document Type : Original Article
Imam Khomeini International University
Department of Physical Education and Sport Sciences, University of Amirkabir,
Assistant professor, Department of Sports Injury and Corrective Exercises, Faculty of Sport Sciences, Hakim Sabzevari University, Sabzevar ,Iran
In multiple sclerosis, common problems such as early fatigue, poor performance, balance and postural control reduce the chance of success in daily activities. Therefore, the present study intends to compare and evaluate the effects of two methods of resistance and cognitive-motor training on motor function and fatigue in women with multiple sclerosis. Thirty-three women with multiple sclerosis with disability index 0 to 4 were divided into three groups of resistance training, cognitive-motor, and control (11 people in per group). The exercises consisted of 16-sessions that lasted 45 to 60 minutes each session. Fatigue severity scale was used to measure fatigue, and 25-foot (8 m) walking test kinematically was used to measure motor function. One-way analysis of variance, paired t-test and multivariate analysis of covariance were applied to analyze the data. The results showed that in the resistance training group, the research intervention caused significant changes in the improvement of fatigue (Sig. = 0.005, Effect size = 0.79), but no significant improvement was observed in walking performance. In addition, in the cognitive motor training group, significant changes were observed in both variables of walking performance and fatigue index. Therefore, it seems that cognitive-motor training has a greater effect on walking performance and fatigue in women with multiple sclerosis.
- Balavi A, Ghanbarzade M. Effect of Resistance Training with Different Intensities on Airway Resistance Indices and Fatigue and Muscular Endurance in Women with Multiple Sclerosis. Multidisciplinary Digital Publishing Institute. 2020; 9 (1): 56-68.
- Barbarulo AM, Lus G, Signoriello E, Trojano L, Grossi D, Esposito M, et al. Integrated cognitive and neuromotor rehabilitation in multiple sclerosis: a pragmatic study. Frontiers in behavioral neuroscience. 2018;12: 182-196.
- Callesen J, Cattaneo D, Brincks J, Kjeldgaard Jørgensen M-L, Dalgas U. How do resistance training and balance and motor control training affect walking performance and fatigue impact in people with multiple sclerosis? A randomized controlled multi-center study. Multiple Sclerosis Journal. 2020; 26(11): 32-42.
- Cohen M, Bresch S, Rocchi OT, Morain E, Benoit J, Levraut M, et al. Should we still only rely on EDSS to evaluate disability in multiple sclerosis patients? A study of inter and intra rater reliability. Multiple Sclerosis and Related Disorders. 2021;54: 31-44.
- Dalgas U, Langeskov-Christensen M, Stenager E, Riemenschneider M, Hvid LG. Exercise as medicine in multiple sclerosis—Time for a paradigm shift: Preventive, symptomatic, and disease-modifying aspects and perspectives. Current neurology and neuroscience reports. 2019; 19 (11): 1-12.
- Echlin HV, Gorbet DJ, Sergio LE. Assessment of a Cognitive-Motor Training Program in Adults at Risk for Developing Dementia. Canadian Geriatrics Journal. 2020;23(2): 19-33.
- Henning DA, Edwards EM, Ansara M, Fritz NE. Validating the walking while talking test to measure motor, cognitive, and dual-task performance in ambulatory individuals with multiple sclerosis. Multiple sclerosis and related disorders. 2021;51: 103- 123.
- Kalron A, Menascu S, Dolev M, Givon U. The walking speed reserve in low disabled people with multiple sclerosis: Does it provide greater insight in detecting mobility deficits and risk of falling than preferred and fast walking speeds? Multiple sclerosis and related disorders. 2017;20(2): 6-17.
- Maggio MG, Russo M, Cuzzola MF, Destro M, La Rosa G, Molonia F, et al. Virtual reality in multiple sclerosis rehabilitation: A review on cognitive and motor outcomes. Journal of Clinical Neuroscience. 2019;10 (6): 51-65.
- Matveeva O, Bogie JF, Hendriks JJ, Linker RA, Haghikia A, Kleinewietfeld M. Western lifestyle and immunopathology of multiple sclerosis. Annals of the New York Academy of Sciences. 2018;14 (1): 62-71.
- Mehta T, Young H-J, Lai B, Wang F, Kim Y, Thirumalai M, et al., editors. Comparing the convergent and concurrent validity of the dynamic gait index with the berg balance scale in people with multiple sclerosis. Multidisciplinary Digital Publishing Institute.2019; 14 (4): 58-71.
- Motl RW, Smith DC, Elliott J, Weikert M, Dlugonski D, Sosnoff JJ. Combined training improves walking mobility in persons with significant disability from multiple sclerosis: a pilot study. Journal of Neurologic Physical Therapy. 2012;36(1): 17-32.
- Pagliari C, Di Tella S, Jonsdottir J, Mendozzi L, Rovaris M, De Icco R, et al. Effects of home-based virtual reality telerehabilitation system in people with multiple sclerosis: A randomized controlled trial. Journal of Telemedicine and Telecare.2021; 13: 33-39.
- Qitasi M, Mahmoudi M, Arabi M. Posture control strategies in hearing and deaf elite wrestlers, Journal of Paramedical Sciences and Rehabilitation, 2018; 8 (4): 44-45
- Rooney S, Wood L, Moffat F, Paul L. Prevalence of fatigue and its association with clinical features in progressive and non-progressive forms of Multiple Sclerosis. Multiple sclerosis and related disorders.. 2019; 2: 76-82.
- Sadeghzadeh N, Moflahi D, Ebrahimimand H. Comparison of six weeks of walking training in different wet and dry environments on improving fatigue, balance and walking speed in women with MS in Kerman, Journal of Paramedical Sciences and Rehabilitation, 2019; 9 (3): 1.
- Seyman E, Jones A, Guenette M, Vosoughi R, Selchen D, Amezcua L, et al. Clinical and MRI characteristics of multiple sclerosis in patients of Middle Eastern and North African ancestry residing in Ontario, Canada. Multiple Sclerosis Journal. 2020;13 (4): 52-58.
- Storm FA, Nair K, Clarke AJ, Van der Meulen JM, Mazzà C. Free-living and laboratory gait characteristics in patients with multiple sclerosis. PloS one. 2018; 13 (5): 246-263.
- Tarakci E, Yeldan I, Huseyinsinoglu BE, Zenginler Y, Eraksoy M. Group exercise training for balance, functional status, spasticity, fatigue and quality of life in multiple sclerosis: a randomized controlled trial. Clinical rehabilitation. Journal of Clinical Neuroscience. 2013; 27 (9): 22-37.
- Tintore M, Vidal-Jordana A, Sastre-Garriga J. Treatment of multiple sclerosis—success from bench to bedside. Nature Reviews Neurology. 2019; 15(1): 38-53.
- van den Akker LE, Beckerman H, Collette EH, Twisk JW, Bleijenberg G, Dekker J, et al. Cognitive behavioral therapy positively affects fatigue in patients with multiple sclerosis: Results of a randomized controlled trial. Multiple Sclerosis Journal. 2017; 23(11): 53-66.
- Wollesen B, Wildbredt A, van Schooten KS, Lim ML, Delbaere K. The effects of cognitive-motor training interventions on executive functions in older people: a systematic review and meta-analysis. European Review of Aging and Physical Activity. 2020;17(1): 1-22.