Learmonth Yvonne C, Motl Robert W
a Department of Kinesiology and Community Health , University of Illinois at Urbana-Champaign , Urbana , IL , USA.
Disabil Rehabil. 2016;38(13):1227-42. doi: 10.3109/09638288.2015.1077397. Epub 2015 Aug 28.
This systematic review was conducted to provide rich and deep evidence of the perceived determinants and consequences of physical activity and exercise based on qualitative research in multiple sclerosis (MS).
Electronic databases and article reference lists were searched to identify qualitative studies of physical activity and exercise in MS. Studies were included if they were written in English and examined consequences/determinants of physical activity in persons with MS. Content analysis of perceived determinants and consequences of physical activity and exercise was undertaken using an inductive analysis guided by the Physical Activity for people with Disabilities framework and Social Cognitive Theory, respectively.
Nineteen articles were reviewed. The most commonly identified perceived barriers of physical activity and exercise were related to the environmental (i.e. minimal or no disabled facilities, and minimal or conflicting advice from healthcare professionals) and related to personal barriers (i.e. fatigue, and fear and apprehension). The most commonly identified perceived facilitators of physical activity were related to the environment (i.e. the type of exercise modality and peer support) and related to personal facilitators (i.e. appropriate exercise and feelings of accomplishment). The most commonly identified perceived beneficial consequences of physical activity and exercise were maintaining physical functions, increased social participation and feelings of self-management and control. The most commonly identified perceived adverse consequences were increased fatigue and feelings of frustration and lost control.
Results will inform future research on the perceived determinants and consequences of physical activity and exercise in those with MS and can be adopted for developing professional education and interventions for physical activity and exercise in MS.
Physical activity and exercise behaviour in people with multiple sclerosis (MS) is subject to a number of modifiable determinants. Healthcare professionals working to promote physical activity and exercise in those with MS should choose to endorse the positive benefits of participation. Future physical activity interventions for those with MS may be improved by incorporating behavioural management strategies.
本系统评价旨在基于对多发性硬化症（MS）的定性研究，提供关于身体活动和锻炼的感知决定因素及后果的丰富而深入的证据。
检索电子数据库和文章参考文献列表，以识别关于MS中身体活动和锻炼的定性研究。纳入的研究需为英文撰写，并考察了MS患者身体活动的后果/决定因素。分别使用由残疾人身体活动框架和社会认知理论指导的归纳分析，对身体活动和锻炼的感知决定因素及后果进行内容分析。
共审查了19篇文章。最常被提及的身体活动和锻炼的感知障碍与环境因素（即残疾人设施极少或没有，以及医疗保健专业人员的建议极少或相互矛盾）和个人障碍（即疲劳、恐惧和忧虑）有关。最常被提及的身体活动的感知促进因素与环境因素（即锻炼方式的类型和同伴支持）和个人促进因素（即适当的锻炼和成就感）有关。最常被提及的身体活动和锻炼的感知有益后果是维持身体功能、增加社会参与以及自我管理和控制感。最常被提及的感知不良后果是疲劳加剧、沮丧感以及失去控制感。
研究结果将为未来关于MS患者身体活动和锻炼的感知决定因素及后果的研究提供参考，并可用于制定针对MS患者身体活动和锻炼的专业教育及干预措施。
多发性硬化症（MS）患者的身体活动和锻炼行为受到多种可改变的决定因素影响。致力于促进MS患者身体活动和锻炼的医疗保健专业人员应选择认可参与的积极益处。未来针对MS患者的身体活动干预措施可通过纳入行为管理策略而得到改进。
