Phys. Theory:MS: evidence based MS physical rehab
Evidence-based Physical Rehabilitation with multi-dimensional effects
Rehabilitation in MS: a systematic review of systematic reviews (Khan et al 2016)
- Included 39
Cochraine: 15
Other :24 met 2 reports
- Cochraine review van alle oude cochraine reviews
- Hoogste evidentie
Oefentherapie (wandelen & fatigue)
Physical therapy
Fatigue management programma’s
- Matige evidentie
Spasticiteit management
UL training
Energie consevatie
Multi-disciplinaire behandeling
Cognitieve training
Neuropsychologische reva
Vocational reva
What’s matters in rehabilitation is ‘functioning’
- Thompson et al. (2022)
- Accumulating & multisymptomatology in more disabled PMS
Exercise is an effective symptomatic treatment
- Exercise and lifestyle physical activity recommendation for people with MS troughout the disease course
(kalb et al)
- Lifestyle, exercise and acivity pachage for people living with progressive MS (LEAP-MS): protocol for a single
arm feasibility study (latchem-Hastings et al)
- Dalgas et al. 2019 (graf)
Aerobiic capacity
Stregth
Information progression
speed
o MET
o PASSAT
EXERCISE THERAPY
- Input (stimulus) → blackbox → output (response)
- What are we doing? How often do we need to do it?
Nala Melis Pagina 1
, Phys. Theory:MS: evidence based MS physical rehab
- Exercise is quantifiable PT isn’t, we need to clarify what we do
GUIDELINES AVAILABLE FOR EXERCISE IN MS
- Multiple sclerosis and physical exercise: recommendations for
the application of resistance, endurance and combined
training (Dalgas et al)
- Developpment of evidence informed physical activity
guidelines for adults with MS (Latimer-Cheung et al)
- See also Pearson et al (2015) . Clinical Rehabilitation, On
physical activity
FUNCTIONAL- AND NEUROLOGICAL RESERVE
- Y-as= functonele reserve
- X-as= tijd
1
- Start grafiek (1) 2
Alle lijnen nog samen
Op moment diagnose
Genoeg brain reserve
- Daling (2)
Atrofie hersenen
- Disability = EDSS
- Groene kader
Nog wat tegenspraak over oefentheraîe dat
hersenen beschermt in MS
o Use it or losei t
- Medical treatment
DMD
Exercise as Medicine to reduce symptoms
- U Dalgas et al. Exercise as Medicine in Multiple Sclerosis—Time for a Paradigm Shift: Preventive,
Symptomatic, and Disease-Modifying Aspects and Perspectives. (2019)
- /w/ training= ↑kracht
- Aerobic training (VO2 max)= ↑aerobic capacity
- Balans ↑ bij krachttraining
Nala Melis Pagina 2
Evidence-based Physical Rehabilitation with multi-dimensional effects
Rehabilitation in MS: a systematic review of systematic reviews (Khan et al 2016)
- Included 39
Cochraine: 15
Other :24 met 2 reports
- Cochraine review van alle oude cochraine reviews
- Hoogste evidentie
Oefentherapie (wandelen & fatigue)
Physical therapy
Fatigue management programma’s
- Matige evidentie
Spasticiteit management
UL training
Energie consevatie
Multi-disciplinaire behandeling
Cognitieve training
Neuropsychologische reva
Vocational reva
What’s matters in rehabilitation is ‘functioning’
- Thompson et al. (2022)
- Accumulating & multisymptomatology in more disabled PMS
Exercise is an effective symptomatic treatment
- Exercise and lifestyle physical activity recommendation for people with MS troughout the disease course
(kalb et al)
- Lifestyle, exercise and acivity pachage for people living with progressive MS (LEAP-MS): protocol for a single
arm feasibility study (latchem-Hastings et al)
- Dalgas et al. 2019 (graf)
Aerobiic capacity
Stregth
Information progression
speed
o MET
o PASSAT
EXERCISE THERAPY
- Input (stimulus) → blackbox → output (response)
- What are we doing? How often do we need to do it?
Nala Melis Pagina 1
, Phys. Theory:MS: evidence based MS physical rehab
- Exercise is quantifiable PT isn’t, we need to clarify what we do
GUIDELINES AVAILABLE FOR EXERCISE IN MS
- Multiple sclerosis and physical exercise: recommendations for
the application of resistance, endurance and combined
training (Dalgas et al)
- Developpment of evidence informed physical activity
guidelines for adults with MS (Latimer-Cheung et al)
- See also Pearson et al (2015) . Clinical Rehabilitation, On
physical activity
FUNCTIONAL- AND NEUROLOGICAL RESERVE
- Y-as= functonele reserve
- X-as= tijd
1
- Start grafiek (1) 2
Alle lijnen nog samen
Op moment diagnose
Genoeg brain reserve
- Daling (2)
Atrofie hersenen
- Disability = EDSS
- Groene kader
Nog wat tegenspraak over oefentheraîe dat
hersenen beschermt in MS
o Use it or losei t
- Medical treatment
DMD
Exercise as Medicine to reduce symptoms
- U Dalgas et al. Exercise as Medicine in Multiple Sclerosis—Time for a Paradigm Shift: Preventive,
Symptomatic, and Disease-Modifying Aspects and Perspectives. (2019)
- /w/ training= ↑kracht
- Aerobic training (VO2 max)= ↑aerobic capacity
- Balans ↑ bij krachttraining
Nala Melis Pagina 2
