Aerobic exercise in people with multiple sclerosis

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dc.contributor.authorSwank, Chad
dc.contributor.authorThompson, Mary
dc.contributor.authorMedley, Ann
dc.date.accessioned2023-05-25T14:57:54Z
dc.date.available2023-05-25T14:57:54Z
dc.date.issued2013
dc.descriptionArticle originally published in International Journal of MS Care, 15(3), 138–145. English. Published Online 2013. https://doi.org/10.7224/1537-2073.2012-037. Permission to deposit this file was given through direct contact with the publisher. For more information please see the faculty member's entry in Project INDEX -- EDH 7/7/23
dc.description.abstractThe aims of this study were to explore the feasibility of structured aerobic exercise followed by a period of unstructured physical activity and determine the impact of such exercise on cognition, mood, and quality of life in people with multiple sclerosis (MS). A convenience sample of 9 individuals with relapsing-remitting MS performed 30 minutes of aerobic exercise (upper- and lower-extremity ergometry and treadmill ambulation) twice weekly for 8 weeks, followed by 3 months of unstructured physical activity. Eight participants completed the intervention and posttest; 6 returned for the 3-month follow-up. Cardiovascular fitness, cognition, mood (measured with the Beck Depression Inventory–II; BDI-II), and quality of life (measured with the Multiple Sclerosis Quality of Life–54; MSQOL-54) were assessed. Participants completed 27.9 minutes of exercise per session, with an 85.1% attendance rate. Evaluation using the Wilcoxon signed rank test revealed no deleterious effects and improved results on the BDI-II and MSQOL-54 mental subscale. Analysis of change scores using the one-sample t test revealed that the BDI-II and MSQOL-54 were changed from zero after structured exercise, but only the BDI-II maintained improvement after unstructured physical activity. Further analysis of BDI-II subscales revealed that improvement occurred only in the Somato-Affective subscale. In this study, program feasibility was demonstrated in several ways. There were no declines in cognitive function over the 5-month period. Despite unchanged cognitive function, participants may value the improved mood enough to continue both the structured and unstructured physical activity. The role of unstructured physical activity in concert with periodic structured exercise programs merits further investigation.en_US
dc.description.sponsorshipThis study was funded in part by the Texas Physical Therapy Foundation. From Baylor Institute for Rehabilitation, Dallas, TX, USA (CS); and School of Physical Therapy, Texas Woman's University, Dallas, TX, USA (MT, AM).
dc.identifier.citationThis is a published version of an article that is available at: https://doi.org/10.7224/1537-2073.2012-037. Recommended citation: Swank, C., Thompson, M., & Medley, A. (2013). Aerobic exercise in people with multiple sclerosis. International Journal of MS Care, 15(3), 138–145. This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.en_US
dc.identifier.urihttps://hdl.handle.net/11274/15067
dc.identifier.urihttps://doi.org/10.7224/1537-2073.2012-037
dc.language.isoen_USen_US
dc.publisherConsortium of Multiple Sclerosis Centersen_US
dc.subjectStructured aerobic exerciseen_US
dc.subjectUnstructured physical activityen_US
dc.subjectChronic immune-mediated diseaseen_US
dc.titleAerobic exercise in people with multiple sclerosisen_US
dc.typeArticleen_US

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