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Adapted Resistance Training Improves Strength in Eight Weeks in Individuals with Multiple Sclerosis
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Multiple sclerosis and progressive resistance training: a systematic review.

T Kjølhede1, K Vissing, U Dalgas

  • 1Section of Sport Science, Department of Public Health, Aarhus University, Dalgas Avenue 4, 8000 Aarhus C, Denmark.

Multiple Sclerosis (Houndmills, Basingstoke, England)
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PubMed
Summary

Progressive resistance training (PRT) significantly improves muscle strength in individuals with multiple sclerosis (MS). While effects on function and well-being are less conclusive, PRT shows promise for MS rehabilitation.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Exercise Science

Background:

  • Multiple sclerosis (MS) is a chronic neurological disease impacting mobility and quality of life.
  • Progressive resistance training (PRT) is increasingly recognized for its rehabilitative potential in MS.
  • Evidence on PRT's comprehensive effects in MS requires systematic evaluation.

Purpose of the Study:

  • To systematically review existing literature on the effects of PRT in individuals with MS.
  • To assess the quality of evidence for PRT's impact on strength, function, and other outcomes in MS.
  • To identify gaps in research regarding PRT mechanisms and protocols for MS.

Main Methods:

  • Comprehensive literature search across multiple databases (PubMed, Embase, Cochrane, etc.).
  • Inclusion of 16 studies, with quality assessment using the PEDro scale.
  • Analysis of PRT effects on muscle strength, functional capacity, balance, fatigue, quality of life, mood, and underlying biological mechanisms.

Main Results:

  • Strong evidence supports PRT's positive effect on muscle strength in persons with MS.
  • Evidence for improvements in functional capacity, balance, and self-reported measures is less robust but generally positive.
  • Limited and inconclusive findings exist regarding PRT's impact on muscle morphology, neural adaptations, and cytokines.

Conclusions:

  • PRT is an effective intervention for enhancing muscle strength in individuals with MS.
  • Variability in training protocols and MS characteristics contributes to heterogeneous outcomes in functional capacity and self-reported measures.
  • Further research is needed to explore the underlying mechanisms and optimize PRT protocols for MS rehabilitation.