A task-oriented circuit training in multiple sclerosis: A feasibility study

Sofia Straudi, Carlotta Martinuzzi, Claudia Pavarelli, Amira Sabbagh Charabati, Maria G. Benedetti, Calogero Foti, Michela Bonato, Eleonora Zancato, Nino Basaglia

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Abstract

Background: The aim of this study was to evaluate the safety, feasibility and preliminary effects of a high-intensity rehabilitative task-oriented circuit training (TOCT) in a sample of multiple sclerosis (MS) subjects on walking competency, mobility, fatigue and health-related quality of life (HRQoL).Methods: 24 MS subjects (EDSS 4.89 ± 0.54, 17 female and 7 male, 52.58 ± 11.21 years, MS duration 15.21 ± 8.68 years) have been enrolled and randomly assigned to 2 treatment groups: (i) experimental group received 10 TOCT sessions over 2 weeks (2 hours/each session) followed by a 3 months home exercise program, whereas control group did not receive any specific rehabilitation intervention. A feasibility patient-reported questionnaire was administered after TOCT. Functional outcome measures were: walking endurance (Six Minute Walk Test), gait speed (10 Meter Walk Test), mobility (Timed Up and Go test) and balance (Dynamic Gait Index). Furthermore, self-reported questionnaire of motor fatigue (Fatigue Severity Scale), walking ability (Multiple Sclerosis Walking Scale - 12) and health-related quality of life (Multiple Sclerosis Impact Scale - 29) were included. Subjects' assessments were delivered at baseline (T0), after TOCT (T1) and 3 months of home-based exercise program (T2).Results: After TOCT subjects reported a positive global rating on the received treatment. At 3 months, we found a 58.33% of adherence to the home-exercise program. After TOCT, walking ability and health-related quality of life were improved (p <0.05) with minor retention after 3 months. The control group showed no significant changes in any variables.Conclusions: This two weeks high-intensity task-oriented circuit class training followed by a three months home-based exercise program seems feasible and safe in MS people with moderate mobility impairments; moreover it might improve walking abilities.

Original languageEnglish
Article number124
JournalBMC Neurology
Volume14
Issue number1
DOIs
Publication statusPublished - Jun 7 2014

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Keywords

  • Mobility
  • Multiple sclerosis
  • Rehabilitation
  • Task oriented

ASJC Scopus subject areas

  • Clinical Neurology
  • Medicine(all)

Cite this

Straudi, S., Martinuzzi, C., Pavarelli, C., Sabbagh Charabati, A., Benedetti, M. G., Foti, C., Bonato, M., Zancato, E., & Basaglia, N. (2014). A task-oriented circuit training in multiple sclerosis: A feasibility study. BMC Neurology, 14(1), [124]. https://doi.org/10.1186/1471-2377-14-124