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Exercise and multiple sclerosis.
Lesley J White1, Rudolph H Dressendorfer
1Department of Applied Physiology and Kinesiology, Center for Exercise Science, Applied Human Physiology Laboratory, University of Florida, 27 FLG, PO Box 118206, Gainesville, FL 32611, USA. lwhite@hhp.ufl.edu
Sports Medicine (Auckland, N.Z.)
|December 4, 2004
Summary
Exercise offers significant fitness and psychological benefits for individuals with multiple sclerosis (MS), improving functional capacity and quality of life. Tailored exercise programs are crucial for managing MS and reducing secondary health issues.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Exercise Science
Background:
- Multiple sclerosis (MS) pathophysiology involves symptoms like fatigue, motor weakness, and depression, potentially leading to inactivity and secondary diseases.
- Physical inactivity in MS patients challenges their ability to maintain health-related fitness and an active lifestyle.
- Exercise prescription is under-utilized in MS management despite its potential therapeutic benefits for chronic diseases.
Purpose of the Study:
- To review the role of exercise prescription in the multidisciplinary management of multiple sclerosis (MS).
- To highlight the benefits of exercise for improving and maintaining functional capacity in individuals with MS.
- To present guidelines for exercise testing and training in the MS population.
Main Methods:
- Systematic review of studies comparing exercise responses in mild-to-moderate MS patients versus healthy controls.
- Analysis of acute and chronic exercise interventions in selected MS populations.
- Evaluation of reported outcomes and potential adverse effects of exercise in MS.
Main Results:
- Exercise interventions in mild-to-moderate MS populations yield similar fitness and psychological benefits as observed in healthy individuals.
- All reviewed training studies reported positive outcomes that exceeded potential adverse effects.
- Exercise programs focusing on cardiorespiratory fitness, strength, and mobility enhance lifestyle activity and quality of life in MS patients.
Conclusions:
- Exercise prescription is a valuable component of a multidisciplinary approach to MS management.
- Regular exercise can improve functional capacity, enhance quality of life, and reduce the risk of secondary disorders in individuals with MS.
- Individualized exercise programs, considering medical management and supervision, are recommended for optimal outcomes in MS.