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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool
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Exploring Wellness Interventions in Progressive Multiple Sclerosis: an Evidence-Based Review.

Myriam Venasse1, Thomas Edwards2, Lara A Pilutti3

  • 1Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Canada.

Current Treatment Options in Neurology
|April 12, 2018
PubMed
Summary

Wellness interventions like exercise and mindfulness may benefit progressive multiple sclerosis (MS) patients. More research is needed to confirm the effectiveness of dietary changes and combined approaches for MS management.

Keywords:
DietExerciseMindfulnessMultiple sclerosisProgressiveWellness

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Integrative Medicine

Background:

  • Growing interest in lifestyle and wellness interventions for multiple sclerosis (MS).
  • Limited therapeutic options for progressive MS underscore the need for complementary approaches.

Purpose of the Study:

  • To review the role of wellness-based interventions in progressive MS.
  • Examined exercise training, emotional well-being therapies, and dietary modification.

Main Methods:

  • Literature search of wellness interventions for progressive MS (1985-July 2017).
  • Evaluated evidence levels using American Academy of Neurology criteria.
  • Identified 16 interventions across 21 articles.

Main Results:

  • Aerobic exercise shows level C evidence for improving cardiorespiratory fitness.
  • Mindfulness training has level B evidence for reducing psychological distress and improving quality of life.
  • Inadequate evidence exists for dietary modification and combined wellness interventions.

Conclusions:

  • Aerobic exercise and mindfulness training show promise for progressive MS.
  • Further high-quality research is essential for evidence-based lifestyle recommendations.
  • Current evidence is insufficient to support dietary modification or combined approaches for progressive MS.