Physical activity in people with multiple sclerosis and the impact of the COVID-19 pandemic

Česká verzia

Authors: K. Novotná ^1,2; B. Grosserová ¹; M. Kövári ³; L. Geierová ⁴; E. Strusková ⁵; E. Kubala; Havrdová ¹; R. Větrovská ^6,7
Published in the journal: Cesk Slov Neurol N 2024; 87(4): 248-254
Category: Original Paper
doi: https://doi.org/10.48095/cccsnn2024248

Summary

Introduction: Multiple sclerosis (MS) is a chronic autoimmune neurodegenerative disease. In which, in addition to pharmacotherapy, regimen measures play an integral role in complex therapy, including physical activity. Many clinical studies have demonstrated the positive effect of regular physical activity on on the symptoms of the disease, yet people with the disease seem to be insufficiently physically active. Therefore, the aim of our study was to evaluate the level of and type of physical activity that people with MS in the Czech Republic engage in, and how their exercise regimen was affected by the impact of the coronavirus pandemic. Methodology: The study was realized in the form of an international questionnaire survey. Only results from Czech patients are presented in this paper. Results: A total of 265 people with MS (55 men) participated in the study, from newly diagnosed to chronic stage patients (with disease duration of more than 20 years). The majority of respondents (more than 80%) engaged in some form of exercise, with walking, health exercises or cycling being the most common activities. However, only 64% were meeting the recommended amount of exercise according to the guidelines. The use of modern technology in exercise activities also increased significantly during the pandemic. Conclusion: Information on patients’ usual exercise regimens can help neurologists and rehabilitation professionals to better plan exercise and physical activities for this group of patients.

Keywords:

telerehabilitation – Physical activity – Multiple sclerosis – exercise – COVID-19

Zdroje

1. Giovannoni G, Butzkueven H, Dhib-Jalbut S et al. Brain health: time matters in multiple sclerosis. Mult Scler Relat Disord 2016; 9 (Suppl 1): S5–S48. doi: 10.1016/j.msard.2016.07.003.

2. Motl RW, Sandroff BM, Kwakkel G et al. Exercise in patients with multiple sclerosis. Lancet Neurol 2017; 16 (10): 848–856. doi: 10.1016/S1474-4422 (17) 30281-8.

3. Tallner A, Waschbisch A, Wenny I et al. Multiple sclerosis relapses are not associated with exercise. Mult Scler 2012; 18 (2): 232–235. doi: 10.1177/1352458511415143.

4. Wens I, Dalgas U, Vandenabeele F et al. High intensity exercise in multiple sclerosis: effects on muscle contractile characteristics and exercise capacity, a randomised controlled trial. PLoS One 2015; 10 (9): e0133697. doi: 10.1371/journal.pone.0133697.

5. Kalb R, Brown TR, Coote S et al. Exercise and lifestyle physical activity recommendations for people with multiple sclerosis throughout the disease course. Mult Scler 2020; 26 (12): 1459–1469. doi: 10.1177/1352458520915629.

6. Latimer-Cheung AE, Martin Ginis KA, Hicks AL et al. Development of evidence-informed physical activity guidelines for adults with multiple sclerosis. Arch Phys Med Rehabil 2013; 94 (9): 1829–1836. doi: 10.1016/j.apmr.2013.05.015.

7. Dalgas U, Langeskov-Christensen M, Stenager E et al. Exercise as medicine in multiple sclerosis-time for a paradigm shift: preventive, symptomatic, and disease-modifying aspects and perspectives. Curr Neurol Neurosci Rep 2019; 19 (11): 88. doi: 10.1007/s11910-019-1002-3.

8. Casey B, Coote S, Galvin R et al. Objective physical activity levels in people with multiple sclerosis: meta-analysis. Scand J Med Sci Sports 2018; 28 (9): 1960–1969. doi: 10.1111/sms.13214.

9. Kobelt G, Berg J, Atherly D et al. Costs and quality of life in multiple sclerosis: a cross-sectional study in the United States. Neurology 2006; 66 (11): 1696–1702. doi: 10.1212/01.wnl.0000218309.01322.5c.

10. Klaren RE, Motl RW, Dlugonski D et al. Objectively quantified physical activity in persons with multiple sclerosis. Arch Phys Med Rehabil 2013; 94 (12): 2342–2348. doi: 10.1016/j.apmr.2013.07.011.

11. Motl RW, McAuley E, Snook EM et al. Physical activity and quality of life in multiple sclerosis: intermediary roles of disability, fatigue, mood, pain, self-efficacy and social support. Psychol Health Med 2009; 14 (1): 111–124. doi: 10.1080/13548500802241902.

12. Streber R, Peters S, Pfeifer K. Systematic review of correlates and determinants of physical activity in persons with multiple sclerosis. Arch Phys Med Rehabil 2016; 97 (4): 633–645. doi: 10.1016/j.apmr.2015.11.020.

13. Asano M, Duquette P, Andersen R et al. Exercise barriers and preferences among women and men with multiple sclerosis. Disabil Rehabil 2013; 35 (5): 353–361. doi: 10.3109/09638288.2012.742574.

14. Pedullà L, Santoyo-Medina C, Novotna K et al. Physical activity in multiple sclerosis: meeting the guidelines at the time of the COVID-19 pandemic. J Neurol Phys Ther 2023; 47 (2): 112–121. doi: 10.1097/NPT.00000000000 00430.

15. Dlugonski D, Pilutti LA, Sandroff BM et al. Steps per day among persons with multiple sclerosis: variation by demographic, clinical, and device characteristics. Arch Phys Med Rehabil 2013; 94 (8): 1534–1539. doi: 10.1016/j.apmr.2012.12.014.

16. Block VJ, Lizée A, Crabtree-Hartman E et al. Con-tinuous daily assessment of multiple sclerosis disability using remote step count monitoring. J Neurol 2017; 264 (2): 316–326. doi: 10.1007/s00415-016-83 34-6.

17. Neven A, Vanderstraeten A, Janssens D et al. Understanding walking activity in multiple sclerosis: step count, walking intensity and uninterrupted walking activity duration related to degree of disability. Neurol Sci 2016; 37 (9): 1483–1490. doi: 10.1007/s10072-016- 2609-7.

18. Currie AS, Knox KB, Glazebook K et al. Physical activity levels in people with multiple sclerosis in Saskatchewan. Int J MS Care 2009; 11 (3): 114–120. doi: 10.7224/1537-2073-11.3.114.

19. EMSP-European Multiple Sclerosis Platform, project MS Barometer, online výsledky šetření porovnání dostupnosti péče v jednotlivých evropských zemích. [online]. Dostupné z: http: //msbaro meter.eu.

20. Moumdjian L, Smedal T, Arntzen EC et al. Impact of the COVID-19 pandemic on physical activity and associated technology use in persons with multiple sclerosis: an international RIMS-SIG mobility survey study. Arch Phys Med Rehabil 2022; 103 (10): 2009–2015. doi: 10.1016/j.apmr.2022.06.001.

21. Gaemelke T, Frandsen JJ, Hvid LG et al. Participant characteristics of existing exercise studies in persons with multiple sclerosis – a systematic review identifying literature gaps. Mult Scler Relat Disord 2022; 68: 104198. doi: 10.1016/j.msard.2022.104198.

22. Dlugonski D, Joyce RJ, Motl RW. Meanings, motivations, and strategies for engaging in physical activity among women with multiple sclerosis. Disabil Rehabil 2012; 34 (25): 2148–2157. doi: 10.3109/09638288.2012.677935.

23. Casey B, Coote S, Shirazipour C et al. Modifiable psychosocial constructs associated with physical activity participation in people with multiple sclerosis: a systematic review and meta-analysis. Arch Phys Med Rehabil 2017; 98 (7): 1453–1475. doi: 10.1016/j.apmr.2017.01.027.

24. Riemann-Lorenz K, Wienert J, Streber R et al. Long-term physical activity in people with multiple sclerosis: exploring expert views on facilitators and barriers. Disabil Rehabil 2020; 42 (21): 3059–3071. doi: 10.1080/09638288.2019.1584253.

25. Gopal A, Bonanno V, Block VJ et al. Accessibility to telerehabilitation services for people with multiple sclerosis: analysis of barriers and limitations. Int J MS Care 2022; 24 (6): 260–265. doi: 10.7224/1537-2073.2022-002.