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Exercise Programmes in MS - Coggle Diagram
Exercise Programmes in MS
Combined Aerobic and Restance Training
(Wens et al., 2015)
Comparison of HIIT and continuous cardiovascular exercise, both combined with resistance training..
12-week intervention.
HIIT
5 sessions per 2 weeks.
Week 1-6
- 5x1 min with 1 min rest increasing to 5x2 @ 80-90% HRmax.
Week 7-12
- 5x2 min @ 90-100% HRmax
Resistance training:
1x0 reps to 2x20 reps @ max attainable load.
High intensity continuous exercise
1 x 6 mins to 2 x 10 mins @ 80-90% HRmax.
Same resistance programme.
Control
Current level of PA.
Fatigue Meta-Analysis
(Pilutti et al., 2013)
17 RCTs
Overall, small effect size for a reduction in fatigue in MS.
Fatigue Treatment
(Asano & Finlayson, 2014)
Pharmacological and behavioural treatments/rehab treatment.
Meta-analysis comparing deferent treatment modalities.
Exercise more effective in reducing fatigue compared to commonly used pharmacological treatments.
Depression
Meta-regression of effects of exercise on depression in MS.
n = 14 RCTs in MS.
Overall
positive effects of exercise on depression
.
Related to fatigue.
Is it safe to exercise?
(Pilutti et al., 2014)
Systematic review - risk of relapse and risk of adverse events.
26 studies reviewed.
Mild-to-moderate disease activity
Aerobic, resistance, combined, and other.
Relapse
Control
: 6.3%
Exercise
: 4.6%
27% lower
risk of relapse in exercise.
Adverse Events
Control
: 1.2%
Exercise
: 2.0%
67% higher
risk of adverse event in exercise.