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Home-Based Exercise Training in Multiple Sclerosis: A Systematic Review with Implications for Future Research.

Majid Mardaniyan Ghahfarrokhi1, Ebrahim Banitalebi1, Raoof Negaresh2

  • 1Department of Sport Sciences, Shahrekord University, Shahrekord, Iran.

Multiple Sclerosis and Related Disorders
|August 3, 2021
PubMed
Summary

Home-based exercise training (HBET) is a safe and effective way for people with multiple sclerosis (MS) to improve fitness and quality of life. This systematic review highlights its benefits and feasibility for individuals facing mobility challenges.

Keywords:
Exercise PrescriptionHome-Based Exercise TrainingMultiple SclerosisSystematic Review

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Exercise Science

Background:

  • Supervised exercise training (ET) benefits individuals with multiple sclerosis (MS), but transportation barriers limit participation.
  • Home-based exercise training (HBET) offers a potential solution to increase physical activity engagement in people with MS.
  • A systematic review was needed to consolidate existing knowledge on HBET for MS.

Purpose of the Study:

  • To systematically review the existing literature on home-based exercise training (HBET) for individuals with multiple sclerosis (MS).
  • To enhance understanding of the efficacy, feasibility, and safety of HBET in the MS population.

Main Methods:

  • A systematic literature search was conducted using keywords related to multiple sclerosis and various forms of home-based exercise.
  • Studies examining the effects of HBET in people with MS, written in English, and available in full-text were included.
  • Eligibility criteria were applied to identify relevant research for the review.

Main Results:

  • Twenty-four studies met the inclusion criteria for the systematic review.
  • Intervention types varied, including combined ET, balance and aerobic ET, resistance ET, and exergaming.
  • Outcome measures focused on physical fitness, fatigue, and quality of life, with 13 studies assessing fitness and nine including fitness, fatigue, and quality of life.

Conclusions:

  • Home-based exercise training (HBET), performed 2-7 times weekly, is beneficial, feasible, and safe for people with multiple sclerosis (MS).
  • Future research should address adherence challenges associated with HBET interventions.
  • Disability-related outcomes require further consideration in future home-based exercise training studies for MS.