Randomized Controlled Trial to Examine the Impact of Aquatic Exercise Training on Functional Capacity, Balance, and Perceptions of Fatigue in Female Patients With Multiple Sclerosis.

Abstract:

OBJECTIVE:To assess the effects of an 8-week aquatic exercise training program on functional capacity, balance, and perceptions of fatigue in women with multiple sclerosis (MS). DESIGN:Randomized controlled design. SETTING:Referral center of an MS society. PARTICIPANTS:Women (N=32; mean age ± SD, 36.4±8.2y) with diagnosed relapsing-remitting MS. After undergoing baseline testing by a neurologist, participants were allocated to either an intervention (aquatic training program, n=17) or a control group (n=15). INTERVENTIONS:The intervention consisted of an 8-week aquatic training program (3 supervised training sessions per week; session duration, 45-60min; 50%-75% estimated maximum heart rate). MAIN OUTCOME MEASURES:Six-minute walk test (6-MWT), balance (Berg Balance Scale [BBS]), and perceptions of fatigue (Modified Fatigue Impact Scale; [MFIS]) at baseline and after the 8-week intervention. Differences over time between the experimental and control groups were assessed by a 2×2 (group by time) repeated-measures analysis of variance. RESULTS:Thirty-two women completed the 8-week aquatic training intervention (experimental group, n=17; control group, n=15). All outcome measures improved in the experimental group: 6-MWT performance (pretest mean ± SD, 451±58m; posttest mean ± SD, 503±57m; P<.001); BBS (pretest mean ± SD, 53.59±1.70; posttest mean ± SD, 55.18±1.18; P<.001), and MFIS (pretest mean ± SD, 43.1±14.6; posttest mean ± SD, 32.8±5.9; P<.01). A significant group-by-time interaction was evident between the experimental and control groups for 6-MWT (P<.001, partial eta2 [ηp2]=.551), BBS (P<.001, ηp2=.423), and MFIS (P<.001, ηp2=.679). CONCLUSIONS:Aquatic exercise training improved functional capacity, balance, and perceptions of fatigue in women with MS.

journal_name

Arch Phys Med Rehabil

authors

Kargarfard M,Shariat A,Ingle L,Cleland JA,Kargarfard M

doi

10.1016/j.apmr.2017.06.015

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

234-241

issue

2

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(17)30471-9

journal_volume

99

pub_type

杂志文章,随机对照试验
  • Sensory loss in the hand after sensory stroke: therapeutic rationale.

    abstract::Rehabilitation programs require techniques for reeducation of sensory appreciation. Current treatments focus on the return of motor function despite the fact that the full potential of motor function is not used in limbs with sensory deficits. A rationale based upon current neurophysiologic concepts is presented with ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Dannenbaum RM,Dykes RW

    更新日期:1988-10-01 00:00:00

  • Overnight use of continuous low-level heatwrap therapy for relief of low back pain.

    abstract:OBJECTIVE:To evaluate of the efficacy and safety of 8 hours of continuous, low-level heatwrap therapy administered during sleep. DESIGN:Prospective, randomized, parallel, single-blind (investigator), placebo-controlled, multicenter clinical trial. SETTING:Two community-based research facilities. PARTICIPANTS:Seventy...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1053/apmr.2003.50103

    authors: Nadler SF,Steiner DJ,Petty SR,Erasala GN,Hengehold DA,Weingand KW

    更新日期:2003-03-01 00:00:00

  • Posttraumatic osseous tunnel formation causing sciatic nerve entrapment.

    abstract::Sciatic nerve entrapment in an osseous tunnel has only been reported twice previously. We describe a 19-year-old man evaluated for left lower limb pain and weakness that began one and one half years after sustaining stab wounds to the left buttock and midline back near the T11 vertebrae. The patient had sciatica and d...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/0003-9993(93)90124-s

    authors: Kaplan JL,Challenor Y

    更新日期:1993-05-01 00:00:00

  • Reducing Barriers to Patient-Reported Outcome Measures for People With Cognitive Impairments.

    abstract::The field of rehabilitation has increasingly called for the use of patient-reported outcome measures (PROMs) in research and practice. Given that many rehabilitation patients present with conditions associated with cognitive impairments, it is imperative to reduce barriers to PROM use for this population. The purpose ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2017.03.011

    authors: Kramer JM,Schwartz A

    更新日期:2017-08-01 00:00:00

  • Incomplete bladder emptying in patients with stroke: is detrusor external sphincter dyssynergia a potential cause?

    abstract:OBJECTIVES:To delineate the frequency, clinical risk factors, and urodynamic mechanisms of incomplete bladder emptying (IBE) among patients with recent stroke. DESIGN:Retrospective study. SETTING:Inpatient setting in the rehabilitation ward of a university hospital. PARTICIPANTS:All patients with acute stroke admitt...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2010.03.017

    authors: Meng NH,Lo SF,Chou LW,Yang PY,Chang CH,Chou EC

    更新日期:2010-07-01 00:00:00

  • The Archivesof Physical Medicine and Rehabilitation at 100: A Century of Authorship.

    abstract:OBJECTIVE:To describe the authors who have contributed articles to the Archives of Physical Medicine and Rehabilitation (APM&R) over the 100 years of its existence. DESIGN:Extraction of relevant information from a sample of APM&R articles. SETTING:Not applicable. PARTICIPANTS:A total of 4933 authors contributing to ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2019.08.484

    authors: Dijkers MP

    更新日期:2020-02-01 00:00:00

  • Medical school effect on student selection of physical medicine and rehabilitation as a specialty.

    abstract::Of the several roads that lead to practice in the specialty of physical medicine and rehabilitation (PM&R), the most common is from a US medical school to a PM&R residency to specialty practice. To reduce the predicted shortage of PM&R physicians, more medical students must be attracted to the specialty. Past studies ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Bender LF,Dijkers MP

    更新日期:1986-11-01 00:00:00

  • Nonprescription chlorpheniramine maleate and submaximal exercise responses.

    abstract:OBJECTIVE:To determine if a single, over-the-counter dose of the H1 antagonist chlorpheniramine maleate (CM) alters total peripheral resistance (TPR) and oxygen uptake (VO2) during submaximal exercise. DESIGN:The study was a prospective, longitudinal, double-blind, random crossover analysis of the cardiovascular and r...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0003-9993(98)90365-3

    authors: Peterlin MF,Keyser RE,Andres FF,Sherman G

    更新日期:1998-07-01 00:00:00

  • Self-Efficacy Predicts Personal and Family Adjustment Among Persons With Spinal Cord Injury or Acquired Brain Injury and Their Significant Others: A Dyadic Approach.

    abstract:OBJECTIVES:To investigate whether the combination of self-efficacy levels of individuals with spinal cord injury (SCI) or acquired brain injury (ABI) and their significant others, measured shortly after the start of inpatient rehabilitation, predict their personal and family adjustment 6 months after inpatient discharg...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.apmr.2020.06.003

    authors: Scholten EWM,Ketelaar M,Visser-Meily JMA,Stolwijk-Swüste J,van Nes IJW,Gobets D,POWER Group.,Post MWM

    更新日期:2020-11-01 00:00:00

  • Recovery of walking function in stroke patients: the Copenhagen Stroke Study.

    abstract::Time course and degree of the recovery of walking function after stroke and the influence of initial lower extremity (LE) paresis were studied prospectively in a community-based population of 804 consecutive acute stroke patients. Walking function and degree of LE paresis were assessed weekly using the Barthel index a...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(95)80038-7

    authors: Jørgensen HS,Nakayama H,Raaschou HO,Olsen TS

    更新日期:1995-01-01 00:00:00

  • Determinants of Recurrent Falls Poststroke: A 1-Year Follow-up of the Fall Study of Gothenburg.

    abstract:OBJECTIVE:To identify the occurrence of recurrent falls and the determinants in the acute phase poststroke that are associated with recurrent falls within the first year poststroke. DESIGN:Prospective follow-up study. SETTING:Stroke unit and community. PARTICIPANTS:Patients (N=504) with acute stroke. INTERVENTIONS:...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2020.05.010

    authors: Samuelsson CM,Hansson PO,Persson CU

    更新日期:2020-09-01 00:00:00

  • Comparison of virtual wheelchair driving performance of people with traumatic brain injury using an isometric and a conventional joystick.

    abstract:UNLABELLED:Cooper RA. Comparison of virtual wheelchair driving performance of people with traumatic brain injury using an isometric and a conventional joystick. OBJECTIVE:To compare wheelchair driving performance in a driving simulator using a conventional joystick and an isometric joystick. DESIGN:Randomized, cohort...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.apmr.2011.03.011

    authors: Mahajan H,Spaeth DM,Dicianno BE,Collins DM,Boninger ML,Cooper RA

    更新日期:2011-08-01 00:00:00

  • Reliability and Construct Validity of Limits of Stability Test in Adolescents Using a Portable Forceplate System.

    abstract:OBJECTIVE:To examine the reliability, convergent, and discriminant validity of the limits of stability (LOS) test to assess dynamic postural stability in adolescents using a portable forceplate system. DESIGN:Cross-sectional reliability observational study. SETTING:School setting. PARTICIPANTS:Adolescents (N=36) com...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2015.08.418

    authors: Alsalaheen B,Haines J,Yorke A,Broglio SP

    更新日期:2015-12-01 00:00:00

  • Reliability of the assessment of lumbar range of motion and maximal isometric strength.

    abstract:OBJECTIVE:To examine the interobserver reliability and intrasubject variability of the assessment of lumbar range of motion (ROM) and maximal isometric strength in asymptomatic subjects by using commercially available equipment. DESIGN:A cross-sectional repeated-measures design. SETTING:Ambulatory care in a universit...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2006.01.007

    authors: Roussel N,Nijs J,Truijen S,Breugelmans S,Claes I,Stassijns G

    更新日期:2006-04-01 00:00:00

  • Rotator cuff tendonitis in lymphedema: a retrospective case series.

    abstract:OBJECTIVES:To report rotator cuff tendonitis as a complication of lymphedema and to discuss the possible etiology and treatment options. DESIGN:Retrospective review of 8 cases. SETTING:University hospital outpatient clinic. PARTICIPANTS:A total of 8 breast cancer patients with a history of lymphedema and ipsilateral...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2004.06.065

    authors: Herrera JE,Stubblefield MD

    更新日期:2004-12-01 00:00:00

  • Aspiration in patients with acute stroke.

    abstract:OBJECTIVES:To determine the frequency and clinical predictors of aspiration within 5 days of acute stroke. DESIGN:Case series. SETTING:Tertiary care center. PATIENTS:Consecutive stroke patients (n = 55) with new neurologic deficit evaluated within 5 days of acute stroke. MAIN OUTCOME MEASURES:Comparison of features...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(98)90200-3

    authors: Daniels SK,Brailey K,Priestly DH,Herrington LR,Weisberg LA,Foundas AL

    更新日期:1998-01-01 00:00:00

  • Impact of Injection-Guiding Techniques on the Effectiveness of Botulinum Toxin for the Treatment of Focal Spasticity and Dystonia: A Systematic Review.

    abstract:OBJECTIVE:To conduct a systematic review of the impact of different injection-guiding techniques on the effectiveness of botulinum toxin type A (BoNT-A) for the treatment of focal spasticity and dystonia. DATA SOURCES:MEDLINE via PubMed, Academic Search Premier, PASCAL, The Cochrane Library, Scopus, SpringerLink, Web ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1016/j.apmr.2015.05.002

    authors: Grigoriu AI,Dinomais M,Rémy-Néris O,Brochard S

    更新日期:2015-11-01 00:00:00

  • Pressure distribution and skin temperature effect of the ROHO wheelchair balloon cushion.

    abstract::This study evaluated the effectiveness of the ROHO Balloon Wheelchair Cushion in distributing pressure on the skin over the ischial tuberosities in healthy subjects. Surface skin temperatures over the ischial tuberosities and thighs of the subjects were also measured. Pressure recordings were obtained by placing a pre...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Fisher SV,Kosiak M

    更新日期:1979-02-01 00:00:00

  • Altered vastii recruitment when people with patellofemoral pain syndrome complete a postural task.

    abstract:OBJECTIVE:To investigate the recruitment of the vastus medialis obliquus (VMO) and vastus lateralis during voluntary tasks that challenge the stability of the knee and to evaluate whether there is a change in the coordination of the postural response by the central nervous system in subjects with patellofemoral pain sy...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1053/apmr.2002.33234

    authors: Cowan SM,Hodges PW,Bennell KL,Crossley KM

    更新日期:2002-07-01 00:00:00

  • Inpatient cancer rehabilitation: a retrospective comparison of transfer back to acute care between patients with neoplasm and other rehabilitation patients.

    abstract:OBJECTIVE:To determine whether patients with diagnoses of neoplasm undergoing acute rehabilitation differ from other patients in frequency of acute care transfer and type of medical complications. DESIGN:Retrospective cohort analysis. SETTING:Acute rehabilitation hospital located within an academic medical center. P...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2008.01.014

    authors: Alam E,Wilson RD,Vargo MM

    更新日期:2008-07-01 00:00:00

  • Intravenous pamidronate attenuates bone density loss after acute spinal cord injury.

    abstract:OBJECTIVE:To compare the effects of a 6-month treatment with intravenous pamidronate (30-mg infusion once per month) to conventional rehabilitation without pamidronate on bone density of the spine and leg bones and on the excretion rate of N-telopeptide, a urinary marker of bone catabolism, in acutely spinal cord injur...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0003-9993(99)90133-8

    authors: Nance PW,Schryvers O,Leslie W,Ludwig S,Krahn J,Uebelhart D

    更新日期:1999-03-01 00:00:00

  • Ethical, Palliative, and Policy Considerations in Disorders of Consciousness.

    abstract::This essay complements the scientific and practice scope of the American Academy of Neurology Guideline on Disorders of Consciousness by providing a discussion of the ethical, palliative, and policy aspects of the management of this group of patients. We endorse the renaming of "permanent" vegetative state to "chronic...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2018.07.003

    authors: Fins JJ,Bernat JL

    更新日期:2018-09-01 00:00:00

  • A comparison of shoulder joint forces during ambulation with crutches versus a walker in persons with incomplete spinal cord injury.

    abstract:OBJECTIVE:To compare 3-dimensional (3D) shoulder joint reaction forces and stride characteristics during bilateral forearm crutches and front-wheeled walker ambulation in persons with incomplete spinal cord injury (SCI). DESIGN:Cross-sectional cohort study. SETTING:Biomechanics laboratory. PARTICIPANTS:Fourteen adul...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2005.07.311

    authors: Haubert LL,Gutierrez DD,Newsam CJ,Gronley JK,Mulroy SJ,Perry J

    更新日期:2006-01-01 00:00:00

  • Towards the development of clinical measures for spinal cord injury based on the International Classification of Functioning, Disability and Health with Rasch analyses.

    abstract:OBJECTIVES:To determine whether the International Classification of Functioning, Disability and Health (ICF) categories relevant to spinal cord injury (SCI) can be integrated in clinical measures and to obtain insights to guide their future operationalization. Specific aims are to find out whether the ICF categories re...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.apmr.2014.05.006

    authors: Ballert CS,Stucki G,Biering-Sørensen F,Cieza A

    更新日期:2014-09-01 00:00:00

  • The Albany Medical College Ventilator Walker.

    abstract::This report describes the design and use of a wheeled walker that can accommodate a ventilator and oxygen tanks. It is constructed of aluminum tubing. The front of the walker has receptacles to support a Mark 7 Bird Ventilator and oxygen tanks. The back end of the walker has a bench seat that is lifted to allow entry ...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/s0003-9993(96)90201-4

    authors: Smith T,Forrest G,Evans G,Johnson RK,Chandler N

    更新日期:1996-12-01 00:00:00

  • Lumbosacral radiculopathy, reflex sympathetic dystrophy and tarsal tunnel syndrome: an unusual presentation.

    abstract::This case documents a patient with lumbosacral radiculopathy, reflex sympathetic dystrophy, and tarsal tunnel syndrome affecting one extremity. After lumbar laminectomy for L5-S1 radiculopathy, the patient developed foot pain diagnosed as secondary to reflex sympathetic dystrophy. Because of increasing foot pain despi...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Chodoroff B,Ball RD

    更新日期:1985-03-01 00:00:00

  • Neuromuscular stimulation in spinal cord injury: I: Restoration of functional movement of the extremities.

    abstract::The spinal cord injured patient has been the focus of clinical and research efforts to restore functional movement and obtain therapeutic benefits by electric stimulation of upper-motor-neuron paralyzed muscles. Our review articles treat developments in this field from 1983 to 1990. Efforts have been directed to resto...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,评审

    doi:

    authors: Yarkony GM,Roth EJ,Cybulski G,Jaeger RJ

    更新日期:1992-01-01 00:00:00

  • Inflammatory C-reactive protein and cytokine levels in asymptomatic people with chronic spinal cord injury.

    abstract:OBJECTIVE:To determine the relation between serologic markers of information and clinical characteristics of people with chronic spinal cord injury (SCI). DESIGN:Cross-sectional study. SETTING:Academic medical center SCI outpatient clinic. PARTICIPANTS:Convenience sample of 37 men with chronic SCI and 10 healthy con...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章

    doi:10.1016/j.apmr.2004.02.009

    authors: Frost F,Roach MJ,Kushner I,Schreiber P

    更新日期:2005-02-01 00:00:00

  • Criterion validity of the StepWatch Activity Monitor as a measure of walking activity in patients after stroke.

    abstract:OBJECTIVES:To test the validity of the StepWatch Activity Monitor (SAM) in subjects with stroke against 2 criterion standards, 3-dimensional gait analysis (3-DGA) and footswitches in a variety of indoor and outdoor walking conditions, including different speeds and different terrains, and to test the accuracy of the SA...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.apmr.2007.07.039

    authors: Mudge S,Stott NS,Walt SE

    更新日期:2007-12-01 00:00:00

  • Effect of aquatic exercise training on fatigue and health-related quality of life in patients with multiple sclerosis.

    abstract:OBJECTIVE:To examine the effectiveness of aquatic exercise training on fatigue and health-related quality of life (HRQOL) in women with multiple sclerosis (MS). DESIGN:Randomized controlled trial, 4-week and 8-week follow-up. SETTING:Referral center of a multiple sclerosis society. PARTICIPANTS:Women (N=32) diagnose...

    journal_title:Archives of physical medicine and rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.apmr.2012.05.006

    authors: Kargarfard M,Etemadifar M,Baker P,Mehrabi M,Hayatbakhsh R

    更新日期:2012-10-01 00:00:00