EHR525 Week 13 Lecture 2- Exercise for Multiple Sclerosis (1 Slide) PDF

WARNING This material has been reproduced and communicated to you by or on behalf of Charles Sturt University in accordance with section 113P of the Copyright Act 1968 (Act). The material in this com...

WARNING This material has been reproduced and communicated to you by or on behalf of Charles Sturt University in accordance with section 113P of the Copyright Act 1968 (Act). The material in this communication may be subject to copyright under the Act. Any further reproduction or communication of this material by you may be the subject of copyright protection under the Act. Do not remove this notice School of Allied Health, Exercise Science and Sports Sciences 1 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 1  EHR525 EXERCISE FOR NEUROLOGICAL AND NEUROMUSCULAR CONDITIONS Lecture: Exercise for Multiple Sclerosis Presenter: Jack Cannon School of Allied Health, Exercise Science and Sports Sciences 2 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 2 What We Will Cover: Benefits of exercise for persons with MS. Exercise response in persons with MS. Exercise pre-screening and assessment. Guidelines for exercise prescription in MS. Special consideration and red flags for exercise. School of Allied Health, Exercise Science and Sports Sciences 3 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 3 BENEFITS OF EXERCISE IN MS Exercise has no effect on disease progression. Exercise helps to improve: □ Cardiorespiratory capacity. □ Muscular strength. □ Flexibility. □ Physical function. □ Balance. □ Mobility □ Mood. □ Self-report fatigue. Erhman et al. 2018 School of Allied Health, Exercise Science and Sports Sciences 4 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 4 School of Allied Health, Exercise Science and Sports Sciences Erhman et al. 2023 5 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 5 Effect of Aerobic Training On Gait And Maximal Exercise Tolerance In Multiple Sclerosis N= 11(8F/ 3M); 20-55 years. EDSS range 1-4. Crossover design: 8 wks AT or 8wks of NR 3 days/week with 8-wk washout. AT: 30min of 60-80% max work load on cycle ergometer plus lower limb and trunk stretching. NR: 60-mins of respiratory, postural, motor synergies, and stretching exercises. Outcomes: AT improved walking distance and speed, max work rate, and aerobic efficiency. □ More disability resulted in greater gains. Rampello, et al. (2007). Physical Therapy, 87(5); 545-555. School of Allied Health, Exercise Science and Sports Sciences 6 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 6 RESPONSE TO EXERCISE Individuals with MS generally have lower VO2, strength, balance, mobility compared to a healthy persons. Autonomic dysfunction: □ Thermoregulation: Impaired sweat response. □ Cardiovascular: HR and BP response to exercise may be blunted. RPE can be used in addition to HR to evaluate exercise intensity. Fatigue: Common in individuals with MS with mild-to-moderate disability. □ Adjust exercise time and intensity as appropriate “Uhthoff phenomenon”: □ Transient (0.5°C (Uhthoff phenomenon). □ Terminate exercise when MS signs/symptoms exacerbate during exercise. □ Avoid only relying on HR and BP to assess exercise intensity/response to exercise (possible autonomic dysfunction). Must also use RPE. □ Avoid any exercises that present a falls risk. School of Allied Health, Exercise Science and Sports Sciences 21 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 21 Summary Exercise had significant health and functional benefits for people with MS. Goals for exercise are to enhance or maintain daily activity levels and/or improve functional capacity, mobility, quality of life, and mental health. Exercise guidelines for those with MS are similar to those of healthy persons. Adjust exercise prescription based on symptoms and functional ability to ensure patient safety as the disease progresses over time. School of Allied Health, Exercise Science and Sports Sciences 22 SCHOOL OF EXERCISE SCIENCE, SPORT & HEALTH 22