Article

A systematic review and meta-analysis was conducted to illustrate
whether people with multiple sclerosis engage in more physical activity following
behaviour change interventions. DATA RESOURCES: MEDLINE, CINAHL, PubMed, Web of
Sciences, Cochrane Library, SCOPUS, EMBASE and PEDro were searched from their
inception till 30 April 2015.
TRIAL SELECTION: Randomized and clinical controlled
trials that used behaviour change interventions to increase physical activity in
people with multiple sclerosis were selected, regardless of type or duration of
multiple sclerosis or disability severity. DATA EXTRACTION: Data extraction was
conducted by two independent reviewers and the Cochrane Collaboration's
recommended method was used to assess the risk of bias of each included study.
RESULTS: A total of 19 out of 573 studies were included. Focusing on trials
without risk of bias, meta-analysis showed that behaviour change interventions
can significantly increase physical activity participation (z = 2.20, p = 0.03,
standardised main difference 0.65, 95% confidence interval 0.07 to 1.22, 3
trials, I(2) = 68%) (eight to 12 weeks' duration). Behaviour change interventions
did not significantly impact on the physical components of quality of life or
fatigue. CONCLUSION: Behaviour change interventions provided for relatively short
duration (eight to 12 weeks) may increase the amount of physical activity people
with multiple sclerosis engage in, but appear to have no effect on the physical
components of quality of life and fatigue. Further high quality investigations of
the efficacy of behaviour change interventions to increase physical activity
participation that focus on dose, long-term impact and method of delivery are
warranted for people with multiple sclerosis.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS