Exercise and lifestyle physical activity recommendations for people with multiple sclerosis throughout the disease course
To provide clinicians who treat multiple sclerosis (MS) patients with evidence-based or expert opinion-based recommendations for promoting exercise and lifestyle physical activity across disability levels. The National MS Society ("Society") convened clinical and research experts in the fi...
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| Vydané v: | Multiple sclerosis Ročník 26; číslo 12; s. 1459 |
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| Hlavní autori: | , , , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
England
01.10.2020
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| ISSN: | 1477-0970, 1477-0970 |
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| Abstract | To provide clinicians who treat multiple sclerosis (MS) patients with evidence-based or expert opinion-based recommendations for promoting exercise and lifestyle physical activity across disability levels.
The National MS Society ("Society") convened clinical and research experts in the fields of MS, exercise, rehabilitation, and physical activity to (1) reach consensus on optimal exercise and lifestyle physical activity recommendations for individuals with MS at disability levels 0-9.0 on the Expanded Disability Status Scale (EDSS) and (2) identify and address barriers/facilitators for participation.
Based on current evidence and expert opinion, the Society makes the following recommendations, endorsed by the Consortium of Multiple Sclerosis Centers:Healthcare providers should endorse and promote the benefits/safety of exercise and lifestyle physical activity for every person with MS.Early evaluation by a physical or occupational therapist or exercise or sport scientist, experienced in MS (hereafter referred to as "specialists"), is recommended to establish an individualized exercise and/or lifestyle physical activity plan.Taking into account comorbidities and symptom fluctuations, healthcare providers should encourage ⩾150 min/week of exercise and/or ⩾150 min/week of lifestyle physical activity.Progress toward these targets should be gradual, based on the person's abilities, preferences, and safety.If disability increases and exercise/physical activity becomes more challenging, referrals to specialists are essential to ensure safe and appropriate prescriptions.When physical mobility is very limited, exercise should be facilitated by a trained assistant. |
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| AbstractList | To provide clinicians who treat multiple sclerosis (MS) patients with evidence-based or expert opinion-based recommendations for promoting exercise and lifestyle physical activity across disability levels.
The National MS Society ("Society") convened clinical and research experts in the fields of MS, exercise, rehabilitation, and physical activity to (1) reach consensus on optimal exercise and lifestyle physical activity recommendations for individuals with MS at disability levels 0-9.0 on the Expanded Disability Status Scale (EDSS) and (2) identify and address barriers/facilitators for participation.
Based on current evidence and expert opinion, the Society makes the following recommendations, endorsed by the Consortium of Multiple Sclerosis Centers:Healthcare providers should endorse and promote the benefits/safety of exercise and lifestyle physical activity for every person with MS.Early evaluation by a physical or occupational therapist or exercise or sport scientist, experienced in MS (hereafter referred to as "specialists"), is recommended to establish an individualized exercise and/or lifestyle physical activity plan.Taking into account comorbidities and symptom fluctuations, healthcare providers should encourage ⩾150 min/week of exercise and/or ⩾150 min/week of lifestyle physical activity.Progress toward these targets should be gradual, based on the person's abilities, preferences, and safety.If disability increases and exercise/physical activity becomes more challenging, referrals to specialists are essential to ensure safe and appropriate prescriptions.When physical mobility is very limited, exercise should be facilitated by a trained assistant. To provide clinicians who treat multiple sclerosis (MS) patients with evidence-based or expert opinion-based recommendations for promoting exercise and lifestyle physical activity across disability levels.OBJECTIVESTo provide clinicians who treat multiple sclerosis (MS) patients with evidence-based or expert opinion-based recommendations for promoting exercise and lifestyle physical activity across disability levels.The National MS Society ("Society") convened clinical and research experts in the fields of MS, exercise, rehabilitation, and physical activity to (1) reach consensus on optimal exercise and lifestyle physical activity recommendations for individuals with MS at disability levels 0-9.0 on the Expanded Disability Status Scale (EDSS) and (2) identify and address barriers/facilitators for participation.METHODSThe National MS Society ("Society") convened clinical and research experts in the fields of MS, exercise, rehabilitation, and physical activity to (1) reach consensus on optimal exercise and lifestyle physical activity recommendations for individuals with MS at disability levels 0-9.0 on the Expanded Disability Status Scale (EDSS) and (2) identify and address barriers/facilitators for participation.Based on current evidence and expert opinion, the Society makes the following recommendations, endorsed by the Consortium of Multiple Sclerosis Centers:Healthcare providers should endorse and promote the benefits/safety of exercise and lifestyle physical activity for every person with MS.Early evaluation by a physical or occupational therapist or exercise or sport scientist, experienced in MS (hereafter referred to as "specialists"), is recommended to establish an individualized exercise and/or lifestyle physical activity plan.Taking into account comorbidities and symptom fluctuations, healthcare providers should encourage ⩾150 min/week of exercise and/or ⩾150 min/week of lifestyle physical activity.Progress toward these targets should be gradual, based on the person's abilities, preferences, and safety.If disability increases and exercise/physical activity becomes more challenging, referrals to specialists are essential to ensure safe and appropriate prescriptions.When physical mobility is very limited, exercise should be facilitated by a trained assistant.RECOMMENDATIONSBased on current evidence and expert opinion, the Society makes the following recommendations, endorsed by the Consortium of Multiple Sclerosis Centers:Healthcare providers should endorse and promote the benefits/safety of exercise and lifestyle physical activity for every person with MS.Early evaluation by a physical or occupational therapist or exercise or sport scientist, experienced in MS (hereafter referred to as "specialists"), is recommended to establish an individualized exercise and/or lifestyle physical activity plan.Taking into account comorbidities and symptom fluctuations, healthcare providers should encourage ⩾150 min/week of exercise and/or ⩾150 min/week of lifestyle physical activity.Progress toward these targets should be gradual, based on the person's abilities, preferences, and safety.If disability increases and exercise/physical activity becomes more challenging, referrals to specialists are essential to ensure safe and appropriate prescriptions.When physical mobility is very limited, exercise should be facilitated by a trained assistant. |
| Author | Keller, Jennifer Van Asch, Paul Zackowski, Kathleen Garmon, Eric Halper, June Ng, Alexander V Karpatkin, Herb Motl, Robert W Pilutti, Lara A Brown, Theodore R Rohrig, Amanda Dalgas, Ulrik Giesser, Barbara Kalb, Rosalind Coote, Susan Costello, Kathleen |
| Author_xml | – sequence: 1 givenname: Rosalind surname: Kalb fullname: Kalb, Rosalind organization: National Multiple Sclerosis Society, New York, NY, USA – sequence: 2 givenname: Theodore R surname: Brown fullname: Brown, Theodore R organization: EvergreenHealth, Kirkland, WA, USA – sequence: 3 givenname: Susan surname: Coote fullname: Coote, Susan organization: School of Allied Health and Health Research Institute, University of Limerick, Limerick, Ireland – sequence: 4 givenname: Kathleen surname: Costello fullname: Costello, Kathleen organization: National Multiple Sclerosis Society, New York, NY, USA – sequence: 5 givenname: Ulrik orcidid: 0000-0003-4132-2789 surname: Dalgas fullname: Dalgas, Ulrik organization: Section of Sport Science, Department of Public Health, Aarhus University, Aarhus, Denmark – sequence: 6 givenname: Eric surname: Garmon fullname: Garmon, Eric organization: National Multiple Sclerosis Society, New York, NY, USA – sequence: 7 givenname: Barbara surname: Giesser fullname: Giesser, Barbara organization: Pacific Neuroscience Institute, Santa Monica, CA, USA – sequence: 8 givenname: June surname: Halper fullname: Halper, June organization: Consortium of Multiple Sclerosis Centers and International Organization of MS Nurses, Hackensack, NJ, USA – sequence: 9 givenname: Herb surname: Karpatkin fullname: Karpatkin, Herb organization: Program in Physical Therapy, Hunter College, New York, NY, USA – sequence: 10 givenname: Jennifer surname: Keller fullname: Keller, Jennifer organization: Motion Analysis Lab, Kennedy Krieger Institute, Baltimore, MD, USA – sequence: 11 givenname: Alexander V surname: Ng fullname: Ng, Alexander V organization: Exercise Science Program, Department of Physical Therapy, Marquette University, Milwaukee, WI, USA – sequence: 12 givenname: Lara A surname: Pilutti fullname: Pilutti, Lara A organization: Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, ON, Canada – sequence: 13 givenname: Amanda surname: Rohrig fullname: Rohrig, Amanda organization: Horizon Rehabilitation Centers, Omaha, NE, USA – sequence: 14 givenname: Paul surname: Van Asch fullname: Van Asch, Paul organization: Fit Up Neurological and Sport Physiotherapy, Antwerp, Belgium – sequence: 15 givenname: Kathleen surname: Zackowski fullname: Zackowski, Kathleen organization: National Multiple Sclerosis Society, New York, NY, USA – sequence: 16 givenname: Robert W orcidid: 0000-0002-5894-2290 surname: Motl fullname: Motl, Robert W organization: UAB/Lakeshore Research Collaborative, The University of Alabama at Birmingham, Birmingham, AL, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32323606$$D View this record in MEDLINE/PubMed |
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| PublicationTitle | Multiple sclerosis |
| PublicationTitleAlternate | Mult Scler |
| PublicationYear | 2020 |
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| Snippet | To provide clinicians who treat multiple sclerosis (MS) patients with evidence-based or expert opinion-based recommendations for promoting exercise and... |
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| Title | Exercise and lifestyle physical activity recommendations for people with multiple sclerosis throughout the disease course |
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