Peer-Reviewed Journal Details
Mandatory Fields
Kehoe, M,Saunders, J,Jakeman, P,Coote, S
2015
April
Multiple Sclerosis Journal
Predictors of the physical impact of Multiple Sclerosis following community-based, exercise trial
Published
()
Optional Fields
Multiple sclerosis exercise predict or rehabiliation quality of life fatigue RANDOMIZED CONTROLLED-TRIAL MINIMAL GAIT IMPAIRMENT OUTCOME MEASURE SCALE MSIS-29 PEOPLE INTERVENTIONS METAANALYSIS PERFORMANCE ENDURANCE MOBILITY
21
590
598
Background: Studies evaluating exercise interventions in people with multiple sclerosis (PwMS) demonstrate small to medium positive effects and large variability on a number of outcome measures. No study to date has tried to explain this variability.Objective: This paper presents a novel exploration of data examining the predictors of outcome for PwMS with minimal gait impairment following a randomised, controlled trial evaluating community-based exercise interventions (N = 242).Methods: The primary variable was the physical component of the Multiple Sclerosis Impact Scale-29, version 2 (MSIS-29, v2) after a 10-week, controlled intervention period. Predictors were identified a priori and were measured at baseline. Multiple linear regression was conducted.Results: Four models are presented lower MSIS-29, v2 scores after the intervention period were best predicted by a lower baseline MSIS-29,v2, a lower baseline Modified Fatigue Impact Score (physical subscale), randomisation to an exercise intervention, a longer baseline walking distance measured by the Six Minute Walk Test and female gender. This model explained 57.4% of the variance (F (5, 211) = 59.24, p < 0.01).Conclusion: These results suggest that fatigue and walking distance at baseline contribute significantly to predicting MSIS-29, v29 (physical component) after intervention, and thus should be the focus of intervention and assessment. Exercise is an important contributor to minimising the physical impact of MS, and gender-specific interventions may be warranted.
10.1177/1352458514549395
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