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Improvement in strength following resistance training in MS patients despite varied disability levels

FILIPI ML; KUCERA DL; FILIPI EO; RIDPATH AC; LEUSCHEN MP
NEUROREHABILITATION , 2011, vol. 28, n° 4, p. 373-382
Doc n°: 153847
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.3233/NRE-2011-0666
Descripteurs : AE3 - SEP

Strength and endurance data from 67 participants with multiple sclerosis (MS)
were compared before, during and after a 6-month program of standardized
resistance training. The hypothesis was that a standardized, structured
resistance training exercise program improves strength in MS patients with
different levels of disability. The range of EDSS scores was 1-8: (40% - EDSS of
1-4.5), (35% - EDSS of 5-7) (25% - EDSS of 7.5 or higher). This unique study
evaluated patients with differing levels of disability for a change in strength
and endurance following a 6-month training program. Data were analyzed by repeat
measures and analysis of variables using Proc GLM in SAS to account for
variability between subjects, and within subjects, due to repeated measures at 3
time points. Each treatment was blocked by disability class. Every
within-treatment analysis was significant. Each exercise showed significant
improvement in strength for participants, despite disability levels. Increases in
strength followed parallel improvement pathways, at all disability levels. All
but one treatment displayed highly significant improvement (p-value < 0.0001).
The results demonstrated that all individuals with MS, despite disability levels,
show parallel improvement in strength and endurance. This study supports the use
of exercise, including resistance programs, for all MS patients.

Langue : ANGLAIS

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