Multiple sclerosis (MS) is an immune mediated condition that occurs when immune systems attack the central nervous system (CNS) nerves cognition causing weakness, fatigue, poor balance among others. People with MS develop increasing disability with time. Recently, studies have shown that physical therapy helps the patients develop more balance, increase body strength and reduce symptoms, all of which help fight fatigue and increase quality of life (Rottoli et al., 2017).
A study being conducted aimed at reducing fall risks in multiple sclerosis patients through community based training is conducted concurring with a similar one seeking to improve gait and balance using whole body vibration (WBV) training. Assistant personal trainers who are educated on treatment of MS patients will be used to conduct the community based exercises. The study’s end result will be to determine if whole body vibration is more effective than community based training for MS patients for improvement of general quality of life. The study is observational with analysis through a range of physical balance and gait activities and improvement of quality of life.
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Currently, treatments are being tested to evaluate the use Multiple Sclerosis Home Automated Tele management as a supplement to the existing medical care. This is because regardless of the proven benefits of exercise, some patients are unable to present themselves for these physical therapy sessions in the clinic due to already severed mobile ability. This alternative allows patients to participate with remote monitoring from their recovery team. This step has to be taken since it is proven that training without the presence of an instructor improves the strength of MS patients but not their balance (Reynolds et al., 2018). Analysis of effectiveness will be based on functional outcomes, levels of disablement including impairment, activity and participation, socio-behavioral parameters, and satisfaction with medical care, with the patient being the unit of analysis.
Similar studies on the feasibility of yoga intervention for people with MS are being conducted. These studies are run concurrently with MRI scans conducted before and after the therapy in two groups who alternate between a waiting period and training. The scans will be tracing associated fatigue. Analysis would be conducted before, during and after the therapy sessions, and will be conducted through questionnaires.
References
Reynolds, E. R., Ashbaugh, A. D., Hockenberry, B. J., & McGrew, C. A. (2018). Multiple Sclerosis and Exercise: A Literature Review. Current sports medicine reports, 17(1), 31-35.
Rottoli, M., La Gioia, S., Frigeni, B., & Barcella, V. (2017). Pathophysiology, assessment and management of multiple sclerosis fatigue: an update. Expert review of neurotherapeutics, 17(4), 373-379.
