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Physical Activity during Weekdays and Weekends in Persons with Multiple Sclerosis.

Yoshimasa Sagawa1,2, Eric Watelain3, Thierry Moulin2,4

  • 1Laboratory of Clinical Functional Exploration of Movement, Department of Physical Medicine and Rehabilitation, University Hospital of Besançon, F-25000 Besançon, France.

Sensors (Basel, Switzerland)
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Summary

Persons with multiple sclerosis (PwMS) exhibit a stable, reduced activity level throughout the week compared to healthy individuals. Targeted programs may enhance physical activity, especially on weekends.

Keywords:
accelerometerexercisegaitmultiple sclerosisphysical activitysensors

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Physical Therapy

Background:

  • Assessing functional performance in persons with multiple sclerosis (PwMS) is crucial for optimizing healthcare.
  • Limited research exists on the daily physical activity patterns of PwMS.
  • Understanding activity levels across weekdays and weekends can inform targeted interventions.

Purpose of the Study:

  • To determine the physical activity levels of PwMS during weekdays and weekends.
  • To compare activity patterns between PwMS and a healthy reference group.
  • To investigate associations between physical activity and clinical parameters in PwMS.

Main Methods:

  • Accelerometer-based assessment of real-life physical activity in 41 PwMS and 16 healthy controls.
  • Clinical evaluations included quality of life, fatigue, gait, and balance assessments.
  • Statistical analysis compared activity levels and explored correlations with clinical data.

Main Results:

  • PwMS demonstrated significantly lower activity levels on weekdays and weekends compared to controls (p < 0.00001).
  • PwMS maintained a consistent activity level throughout the week, unlike controls who increased activity on Saturdays (p = 0.04).
  • Activity levels in PwMS correlated negatively with multiple sclerosis disability, BMI, gait velocity, 6-minute walk test, and timed up and go test results.

Conclusions:

  • Persons with multiple sclerosis exhibit a stable, reduced physical activity pattern throughout the week.
  • Interventions aimed at increasing physical activity and participation are needed, particularly during weekends.
  • The findings highlight the importance of continuous monitoring and tailored support for PwMS' functional status.