Exercise therapy can improve muscle strength, mobility and other signs of fitness in people with multiple sclerosis, according to a recent review of studies.
Nine high quality studies provide strong evidence that exercise therapy can make a difference in the daily living and quality of life of those with the disease, say Dr. Bernard Uitdehaag and colleagues of the Vrije Universitei Medical Centre in the Netherlands.
The exercise therapy intervention was carried out at one of two clinics (Norwegian Sports Medicine Clinic and Gnist Trening og Helse AS), using the same protocol and started as soon as possible after randomisation—or later if preferred by the participant. The exercise therapy programme, outlined in supplementary figure S1 and previously described in detail, consisted of progressive neuromuscular and strength exercises over 12 weeks, performed during a minimum of two and a maximum of three sessions each week (24-36 sessions).
Participants contributed baseline data before they were randomly allocated to one of two parallel intervention groups, treated with either arthroscopic partial meniscectomy or exercise therapy. A statistician at Oslo University Hospital determined the computer generated randomisation sequence, stratified by sex in blocks of eight, and these were concealed from the surgeons who enrolled and assessed the participants. The allocations were kept in sequentially numbered opaque envelopes that were opened by the participants after enrolment.
$20 an hour
Busy Holistic Wellness Center needs an exercise rehab therapist to join our team. You'll be working with a group of specialists including Chiropractors, Sports...
29 days ago - save job - more...
View all Atlas Holistic Wellness jobs in Austin, TX - Austin jobs
Salary Search: Exercise Rehab Therapist Busy Wellness Center Central salaries in Austin, TX
Learn more about working at Atlas Holistic Wellness
Related forums: Austin, Texas - Atlas Holistic Wellness
Although psychological outcomes associated with participation in exercise are important, consideration also needs to be given to patients' wider needs. Exercise therapy is much more than simply a way of providing facilities for patients to take part in exercise; like other therapies, it is an active psychological process. When promoting exercise with patients it is also crucial to consider the long-term consequences of this type of therapy. Many clinical patients will previously have been mostly sedentary or they will not possess the psychological skills or knowledge to adhere to a regular exercise programme and therefore they will need more than exercise alone. Ideally, exercise should be offered in conjunction with exercise counselling that is aimed at equipping individuals with skills, knowledge and confidence so they feel able to participate in physical exercise on a regular basis throughout the rest of their lives. Therefore, it is important that exercise therapy incorporates practical strategies that give patients the physical and psychological tools to sustain their exercise behaviour and experience positive psychological gains from exercise once the therapy comes to an end. In accordance with the principles of the transtheoretical model () exercise therapy sessions should use a variety of cognitive–behavioural techniques (such as cognitive reappraisal and consciousness raising, goal setting, self-monitoring and finding social support) for promoting positive exercise attitudes, experiences and behaviour.
Catch Your Stride With An Exercise Therapist Career
Supervised exercise therapy should be considered as a treatment option for patients with pain and degenerative meniscal tears verified by magnetic resonance imaging, and without radiographic signs of osteoarthritis
Exercise and Exercise Therapy Health Center - Spine-Health
All analyses were adjusted for baseline values. This is important because the participants in the meniscectomy group had somewhat better KOOS scores at baseline. In addition, the participants were slightly younger, had a lower body mass index, and reported knee pain for a shorter time than the participants randomised to exercise therapy. Their better baseline status may have provided participants in the meniscectomy group with an advantage, and, if anything, better results at follow-ups would be expected. This, however, was not the case.