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Effect of Group Counseling Plus Tailored Exercise on Mobility Function in Multiple Sclerosis
International Journal of MS Care
|April 21, 2021
Summary
This study shows that combining mobility exercise with cognitive behavioral counseling significantly improved mobility function and self-regulation in people with multiple sclerosis (MS). Further research is warranted to confirm these benefits.
Area of Science:
- Neurology
- Rehabilitation Science
- Behavioral Science
Background:
- Multiple sclerosis (MS) significantly impairs mobility and daily function.
- Standard exercise offers limited benefits; tailored interventions are needed.
- Mobility exercise combined with cognitive behavioral counseling was explored.
Purpose of the Study:
- To develop and test a novel intervention for improving mobility in MS.
- To enhance self-regulatory efficacy for exercise and symptom management.
- To assess intervention feasibility and fidelity using the ORBIT model.
Main Methods:
- A phase 2a, pre-post intervention development study was conducted.
- Participants (N=29, mean age 52.24 years) underwent 8 weeks of combined intervention.
- Assessments included mobility function, social cognitions, and fidelity post-intervention and after 1-month self-management.
Main Results:
- Significant improvements were observed in mobility function (e.g., 400-m walk test).
- Enhanced self-regulatory efficacy for mobility exercise and symptom control.
- Small to medium effect sizes were noted for key outcome measures.
Conclusions:
- The combined intervention shows promise for improving MS-related mobility deficits.
- Findings support further investigation via a randomized pilot study.
- The Obesity-Related Behavioral Intervention Trials (ORBIT) model guided the study design.
