The influence of physical activity on quality of life in patients with multiple sclerosis
Authors:
T. Adamec; A. Šilarová; D. Pastucha
Authors‘ workplace:
Vedoucí: doc. MUDr. Rastislav Maďar, PhD, MBA, FRCPS
; Ústav epidemiologie a ochrany veřejného zdraví
; Přednosta: doc. MUDr. Dalibor Pastucha PhD, MBA
; Ostravská univerzita, Lékařská fakulta
; Fakultní nemocnice Ostrava, Klinika rehabilitace a tělovýchovného lékařství
Published in:
Prakt. Lék. 2023; 103(3): 123-127
Category:
Of different specialties
Overview
This review article summarizes the most recent findings on the relationship between physical activity, quality of life and psychological difficulties in patients with multiple sclerosis. The aim is to highlight the negative influences that affect the quality of life with multiple sclerosis, their interdependence and the possibilities to influence them. It also describes the possibilities of physical activities by aerobic, anaerobic training and physiotherapy, their benefits, balance and limitations. The relationship between fatigue and depression caused by the very nature of the disease as well as the side effects of pharmacological treatment.
Keywords:
Physical activity – Quality of life – Multiple sclerosis – Fatigue – depression
Sources
1. Alosaimi FD, AlMulhem A, Moscovici M, et al. The relationship between psychosocial factors and cognition in multiple sclerosis. Behav. Neurol. 2017; 2017: 6847070.
2. Ciccarelli O, Barkhof F, Bodini B, et al. Pathogenesis of multiple sclerosis: insights from molecular and metabolic imaging. Lancet Neurol. 2014; 13(8): 807–822.
3. Crouch TA, Reas HE, Quach CM, Erickson TM. Does depression in multiple sclerosis mediate effects of cognitive functioning on quality of life? Qual Life Res. 2022; 31(2): 497–506.
4. d’Arma A, Saresella M, Rossi V, et al. Increased levels of beta- endorphin and noradrenaline after a brief high-impact multidimensional rehabilitation program in multiple sclerosis. Life (Basel) 2022; 12(5): 755.
5. Donzé C, Massot C. Rehabilitation in multiple sclerosis in 2021. Presse Med. 2021; 50(2): 104066.
6. Donzé C. Update on rehabilitation in multiple sclerosis. Presse Med. 2015; 44(4 Pt 2): e169–176.
7. Dymecka J, Bidzan M. Biomedical variables and adaptation to disease and health-related quality of life in Polish patients with MS. Int. J. Environ. Res. Public. Health 2018; 15(12): 2678.
8. Englund S, Piehl F, Kierkegaard M. High-intensity resistance training in people with multiple sclerosis experiencing fatigue: A randomised controlled trial. Mult. Scler. Relat. Disord. 2022; 68: 104106.
9. Erickson KI, Voss MW, Prakash RS, et al. Exercise training increases size of hippocampus and improves memory. Proc. Natl. Acad. Sci. USA 2011; 108(7): 3017–3022.
10. Havrdová E. Roztroušená skleróza v praxi. Praha: Galén 2015.
11. Hegedüs K, Kárpáti J, Szombathelyi É, Simó M. Association between depression and cognitive decline in sclerosis multiplex patients. Neuropsychopharmacol. Hung. 2015; 17(1): 31–36.
12. Hoskovcová M, Honsová K, Keclíková L. Rehabilitace u roztroušené sklerózy. Neurol. pro praxi 2008; 9(4): 232–235.
13. Jones CD, Motl R, Sandroff BM. Depression in multiple sclerosis: Is one approach for its management enough? Mult. Scler. Relat. Disord. 2021; 51: 102904.
14. Jonsdottir J, Gervasoni E, Bowman T, et al. Intensive multimodal training to improve gait resistance, mobility, balance and cognitive function in persons with multiple sclerosis: a pilot randomized controlled trial. Front. Neurol. 2018; 9: 800.
15. Kjølhede T, Vissing K, Dalgas U. Multiple sclerosis and progressive resistance training: a systematic review. Mult. Scler. 2012; 18(9): 1215–1228.
16. Kratz AL, Atalla M, Whibley D, et al. Calling out MS fatigue: feasibility and preliminary effects of a pilot randomized telephone- delivered exercise intervention for multiple sclerosis fatigue. J. Neurol. Phys. Ther. 2020; 44(1): 23–31.
17. Mayo CD, Lacey C, Gawryluk JR; Multiple Sclerosis Outcome Assessments Consortium (MSOAC). Differences in symptoms of depression between females and males with relapsing-remitting multiple sclerosis. Mult. Scler. Relat. Disord. 2021; 51: 102884.
18. Mikuláková W, Klímová E. Analýza vplyvu pravidelnej fyzioterapie na úroveň únavy pacientov so sclerosis multiplex s rôznym stupňom invalidity. Rehabil. fyz. Lék. 2012; 19(4): 159–166.
19. Motl RW, Snook EM, Wynn DR, Vollmer T. Physical activity correlates with neurological impairment and disability in multiple sclerosis. J. Nerv. Ment. Dis. 2008; 196(6): 492–495.
20. Patel VP, Walker LA, Feinstein A. Revisiting cognitive reserve and cognition in multiple sclerosis: A closer look at depression. Mult. Scler. 2018; 24(2): 186–195.
21. Prosperini L, Piattella MC, Giannì C, Pantano P. Functional and structural brain plasticity enhanced by motor and cognitive rehabilitation in multiple sclerosis. Neural. Plast. 2015; 2015: 481574.
22. Razi O, Parnow A, Rashidi I, et al. Aerobic training improves blood-brain barrier and neuronal apoptosis in experimental autoimmune encephalomyelitis. Iran J. Basic. Med. Sci. 2022; 25(2): 245–253.
23. Samartzis L, Gavala E, Zoukos Y, et al. Perceived cognitive decline in multiple sclerosis impacts quality of life independently of depression. Rehabil. Res. Pract. 2014; 2014: 128751.
24. Sietsema KE, Sue DY, Stringer WW, Ward S. Wasserman & Whipp's Principles of exercise testing and interpretation: including pathophysiology and clinical applications. 6th Ed. Philadelphia: Wolters Kluwer 2020.
25. Slavkovic S, Golubovic S, Vojnovic M, Nadj C. Influence of cognitive and motor abilities on the level of current functioning in people with multiple sclerosis. Zdr. Varst. 2019; 58(2): 54–61.
26. Štětkářová I, Horáček J. Deprese u vybraných neurologických onemocnění. Cesk Slov Neurol N. 2016; 79/112(6): 626, 638.
27. Vališ M, Pavelek Z. Roztroušená skleróza pro praxi. 2. vydání. Praha: Maxdorf Jessenius 2020.
28. van den Akker LE, Beckerman H, Collette EH, et al. Cognitive behavioral therapy positively affects fatigue in patients with multiple sclerosis: Results of a randomized controlled trial. Mult. Scler. 2017; 23(11): 1542–1553.
29. Várnay F, Homolka P, Mífková L, Dobšák P. Spiroergometrie v kardiologii a sportovní medicíně. Praha: Grada Publishing 2020.
30. Webborn ADJ. ACSM's exercise management for persons with chronic diseases and disabilities. Br. J. Sports Med. 1997; 31(4): 354.
31. Wens I, Dalgas U, Vandenabeele F, et al. High intensity exercise in multiple sclerosis: effects on muscle contractile characteristics and exercise capacity, a randomised controlled trial. PLoS One 2015; 10(9): e0133697.
32. Wiśniowska J, Puławska K. Efficacy of cognitive-behavioural psychotherapy in the treatment of chronic fatigue in patients with multiple sclerosis – a literature review. Aktualn. Neurol. 2021; 21(1): 36–40.
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
![Issue 3](https://www.prolekare.cz/media/cache/resolve/journal_issue/media/image_pdf/7c7d40ec9bae1c417eade94890301db5.jpg)
2023 Issue 3
Most read in this issue
- Ethical aspects of palliative treatment
- Possibilities of measuring the health literacy of seniors
- Opinions of citizens of the Czech Republic on selected aspects of health care and healthy living
- The influence of physical activity on quality of life in patients with multiple sclerosis