Searching for the "Active Ingredients" in Physical Rehabilitation Programs Across Europe, Necessary to Improve Mobility in People With Multiple Sclerosis: A Multicenter Study.

Abstract:

BACKGROUND:Physical rehabilitation programs can lead to improvements in mobility in people with multiple sclerosis (PwMS). OBJECTIVE:To identify which rehabilitation program elements are employed in real life and how they might affect mobility improvement in PwMS. METHODS:Participants were divided into improved and nonimproved mobility groups based on changes observed in the Multiple Sclerosis Walking Scale-12 following multimodal physical rehabilitation programs. Analyses were performed at group and subgroup (mild and moderate-severe disability) levels. Rehabilitation program elements included setting, number of weeks, number of sessions, total duration, therapy format (individual, group, autonomous), therapy goals, and therapeutic approaches. RESULTS:The study comprised 279 PwMS from 17 European centers. PwMS in the improved group received more sessions of individual therapy in both subgroups. In the mildly disabled group, 60.9% of the improved received resistance training, whereas, 68.5% of the nonimproved received self-stretching. In the moderately-severely disabled group, 31.4% of the improved, received aerobic training, while 50.4% of the nonimproved received passive mobilization/stretching. CONCLUSIONS:We believe that our findings are an important step in opening the black-box of physical rehabilitation, imparting guidance, and assisting future research in defining characteristics of effective physical rehabilitation.

authors

Kalron A,Feys P,Dalgas U,Smedal T,Freeman J,Romberg A,Conyers H,Elorriaga I,Gebara B,Merilainen J,Heric-Mansrud A,Jensen E,Jones K,Knuts K,Maertens de Noordhout B,Martic A,Normann B,O Eijnde B,Rasova K,Santoyo Medin

doi

10.1177/1545968319834893

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

260-270

issue

4

eissn

1545-9683

issn

1552-6844

journal_volume

33

pub_type

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