Kersten Stephanie, Mahli Mohammed, Drosselmeyer Julia, Lutz Christina, Liebherr Magnus, Schubert Patric, Haas Christian T
Faculty of Health & Social Sciences, Institute for Complex Health Research, Hochschule Fresenius, University of Applied Sciences, Limburger Street 2, 65510 Idstein, Germany.
BAG, Federal Institute for Human Posture and Movement Development, 65207 Wiesbaden, Germany.
Mult Scler Int. 2014;2014:306878. doi: 10.1155/2014/306878. Epub 2014 Dec 21.
There is increasing evidence that physical exercise leads to numerous positive effects in PwMS. However, long-term effects of exercise may only be achievable if training is implemented in daily routine. Enabling patients to exercise regularly, we developed a patient education program focused on evidence-based information of training. PwMS were educated in neurophysiological effects of physical exercise, exercise-induced benefits for PwMS, and risk factors (e.g., weather). Fifteen PwMS were analyzed before (T 0) and after (T 1) a 12-week patient education. Afterwards, participants performed their exercises autonomously for 32 weeks and were tested in sustainability tests (T 2). Guided interviews were carried out, additionally. Significant improvements from T 0 to T 1 were found in 6MWT, gait velocity, TUG, fatigue, and quality of life. Significant results of TUG and gait velocity from T 1 to T 2 demonstrated that participants kept few effects after the 32-week training phase. Qualitative analyses showed improved self-confidence and identified training strategies and barriers. This pilot study provides evidence that PwMS are able to acquire good knowledge about physical exercise and apply this knowledge successfully in training management. One might conclude that this exercise-based patient education seems to be a feasible option to maintain or improve patients' integral constitution concerning physical and mental health.
越来越多的证据表明，体育锻炼对多发性硬化症患者（PwMS）有诸多积极影响。然而，只有将训练纳入日常活动中，锻炼的长期效果才可能实现。为了使患者能够定期锻炼，我们制定了一个患者教育计划，重点是基于证据的训练信息。我们向PwMS介绍了体育锻炼的神经生理效应、锻炼对PwMS的益处以及风险因素（如天气）。15名PwMS在为期12周的患者教育前后（分别为T0和T1）接受了分析。之后，参与者自主进行了32周的锻炼，并在可持续性测试（T2）中接受测试。此外，还进行了引导式访谈。从T0到T1，6分钟步行试验（6MWT）、步速、定时起立步行试验（TUG）、疲劳和生活质量有显著改善。从T1到T2，TUG和步速的显著结果表明，参与者在32周的训练阶段后效果维持不佳。定性分析显示自信心有所提高，并确定了训练策略和障碍。这项初步研究提供了证据，证明PwMS能够获得有关体育锻炼的良好知识，并将这些知识成功应用于训练管理。人们可能会得出结论，这种基于锻炼的患者教育似乎是维持或改善患者身心健康整体状况的可行选择。
