A pilot study of an exercise-based patient education program in people with multiple sclerosis

Area of Science:

• Neurology
• Rehabilitation Medicine
• Exercise Science

Background:

• Physical exercise offers significant benefits for individuals with Multiple Sclerosis (PwMS).
• Sustained exercise adherence is crucial for achieving long-term positive effects in PwMS.
• Integrating exercise into daily routines is key for long-term management of MS symptoms.

Purpose of the Study:

• To assess the effectiveness of a patient education program on exercise adherence and health outcomes in PwMS.
• To evaluate the long-term impact of a self-managed exercise program following patient education.
• To explore PwMS' self-perceived confidence, strategies, and barriers related to exercise management.

Main Methods:

• A 12-week patient education program was delivered to 15 PwMS, focusing on exercise science and risk factors.
• Participants were assessed at baseline (T0), post-education (T1), and after 32 weeks of autonomous training (T2).
• Outcome measures included the 6-minute walk test (6MWT), gait velocity, Timed Up and Go (TUG) test, fatigue, quality of life, and qualitative interviews.

Main Results:

• Significant improvements were observed from T0 to T1 in 6MWT, gait velocity, TUG, fatigue, and quality of life.
• Sustained improvements in TUG and gait velocity were noted from T1 to T2, indicating maintained effects after 32 weeks.
• Qualitative data revealed enhanced self-confidence and identified key training strategies and barriers among participants.

Conclusions:

• Patient education empowers PwMS to acquire knowledge and effectively manage their exercise routines.
• This exercise-based education program appears to be a feasible method for maintaining and improving the physical and mental health of PwMS.
• The findings support the integration of structured patient education to promote long-term exercise adherence and well-being in individuals with MS.