Moghadasi Afshin, Ghasemi Gholamali, Sadeghi-Demneh Ebrahim, Etemadifar Masoud
J Sport Rehabil. 2020 Feb 1;29(2):192-199. doi: 10.1123/jsr.2018-0303.
Muscle weakness and sensory deficits cause impaired balance and walking abilities that are prerequisites for independent activity of daily living in people with multiple sclerosis (MS). Recent physical exercises tailored to improve the activity of daily living people with MS have focused on the functional training.
To investigate the effect of total body resistance exercise suspension training on mobility, proprioception, and muscle strength of the knee in people with MS.
Single-blind pretest and posttest control group design.
Referral Center of Multiple Sclerosis Society.
Thirty-four women with relapsing-remitting MS were participated in this study. The mean (SD) of their age was 36.44 (4.88) years, and the Expanded Disability Status Scale was 2.35 (0.94). The participants were divided into 2 groups: control group (n = 15) and training group (n = 19).
The training group performed the total body resistance exercise program for 8 weeks, 3 sessions per week. The control group received their usual care and daily activities. Outcomes were measured presessions and postsessions.
Mobility was assessed with Timed Up and Go test, 10-m walk maximum test, 2 minute walk test, and 5-time sit-to-stand test. Knee proprioception absolute error and isometric strength of knee flexor and extensor muscles were measured by using a biodex isokinetic dynamometer.
In the training group, mobility (P = .001), maximal voluntary isometric contraction of knee flexor and extensor muscles in both legs (P > .05), and the knee proprioception absolute error in nondominant leg at 60° knee flexion (P = .02) improved significantly compared with the control group.
Total body resistance exercise is a functional and safe intervention that can improve the mobility and muscles strength of the knee in a short period in people with MS.
肌肉无力和感觉障碍会导致平衡和行走能力受损，而这是多发性硬化症（MS）患者独立进行日常生活活动的前提条件。最近，为改善MS患者日常生活活动能力而量身定制的体育锻炼主要集中在功能训练上。
研究全身抗阻运动悬吊训练对MS患者膝关节活动度、本体感觉和肌肉力量的影响。
单盲前测和后测对照组设计。
多发性硬化症协会转诊中心。
34名复发缓解型MS女性参与了本研究。她们的平均（标准差）年龄为36.44（4.88）岁，扩展残疾状态量表评分为2.35（0.94）。参与者被分为两组：对照组（n = 15）和训练组（n = 19）。
训练组进行为期8周的全身抗阻运动计划，每周3次训练课。对照组接受常规护理和日常活动。在训练前和训练后测量结果。
采用计时起立行走测试、10米最大步行测试、2分钟步行测试和5次坐立测试评估活动度。使用生物力学等速测力计测量膝关节本体感觉绝对误差以及膝关节屈伸肌的等长力量。
与对照组相比，训练组的活动度（P = .001）、双腿膝关节屈伸肌的最大自主等长收缩（P > .05）以及非优势腿在膝关节屈曲60°时的本体感觉绝对误差（P = .02）均有显著改善。
全身抗阻运动是一种功能性且安全的干预措施，可以在短时间内改善MS患者的膝关节活动度和肌肉力量。
