Type

Journal Article

Authors

S Coote
P Jakeman
J Saunders
M Kehoe

Subjects

Psychiatry

Topics
multiple sclerosis trial physical exercise randomised controlled trial female outcome measures community based people

Predictors of the physical impact of Multiple Sclerosis following community-based, exercise trial. (2014)

Abstract Studies evaluating exercise interventions in people with multiple sclerosis (PwMS) demonstrate small to medium positive effects and large variability on a number of outcome measures. No study to date has tried to explain this variability. This paper presents a novel exploration of data examining the predictors of outcome for PwMS with minimal gait impairment following a randomised, controlled trial evaluating community-based exercise interventions (N = 242). The primary variable was the physical component of the Multiple Sclerosis Impact Scale-29, version 2 (MSIS-29, v2) after a 10-week, controlled intervention period. Predictors were identified a priori and were measured at baseline. Multiple linear regression was conducted. Four models are presented lower MSIS-29, v2 scores after the intervention period were best predicted by a lower baseline MSIS-29,v2, a lower baseline Modified Fatigue Impact Score (physical subscale), randomisation to an exercise intervention, a longer baseline walking distance measured by the Six Minute Walk Test and female gender. This model explained 57.4% of the variance (F (5, 211) = 59.24, p < 0.01). These results suggest that fatigue and walking distance at baseline contribute significantly to predicting MSIS-29, v29 (physical component) after intervention, and thus should be the focus of intervention and assessment. Exercise is an important contributor to minimising the physical impact of MS, and gender-specific interventions may be warranted.
Collections Ireland -> University of Limerick -> PubMed

Full list of authors on original publication

S Coote, P Jakeman, J Saunders, M Kehoe

Experts in our system

1
Susan Coote
University of Limerick
Total Publications: 56
 
2
Philip M Jakeman
University of Limerick
Total Publications: 63
 
3
Jean Saunders
University of Limerick
Total Publications: 63