Exercise and Sports Science Australia (ESSA) position statement on exercise for people with mild to moderate multiple sclerosis

Journal article


Hoang, Phu D., Lord, Stephen, Gandevia, Simon and Menant, Jasmine. (2022). Exercise and Sports Science Australia (ESSA) position statement on exercise for people with mild to moderate multiple sclerosis. Journal of Science and Medicine in Sport. 25(2), pp. 146-154. https://doi.org/10.1016/j.jsams.2021.08.015
AuthorsHoang, Phu D., Lord, Stephen, Gandevia, Simon and Menant, Jasmine
Abstract

Objectives: Multiple sclerosis (MS), the most common chronic and progressive neurological condition of the central nervous system, affects 26,000 Australian adults. Exercise training has beneficial effects on MS-related impairments including reduced muscular strength, poor aerobic capacity and impaired mobility, and in consequence can improve quality of life. This Position Statement provides evidence-based recommendations for exercise prescription and delivery of exercise training for people with MS with mild to moderate disability.

Design and methods: Synthesis of published works within the field of exercise training in MS.

Results: Exercise provides many benefits to people with MS. There is strong evidence that resistance and aerobic training, performed 2 to 3 times per week at a moderate intensity, are safe and can improve muscle strength, cardiorespiratory fitness, balance, fatigue, functional capacity, mobility and quality of life in people with MS with mild to moderate disability (Expanded Disease Severity Scale (EDSS) ≤ 6.5). However, the evidence for those with severe disability (EDSS >6.5) is less clear. The effects of exercise on MS pathogenesis, central nervous structures and other outcomes such as depression and cognitive impairment, have not been adequately investigated. Effective exercise interventions to improve balance, joint contractures and reduce falls in people with MS are also urgently needed as well as investigations of long-term (≥1 year) effects of exercise training.

Conclusions: Resistance and aerobic training exercises are effective to alleviate some characteristic signs and symptoms in MS and should be supplemented by balance exercise to prevent falls. Exercise training programs should be prescribed and delivered by qualified exercise professionals. It is important to recognise and accommodate exercise-associated complications such as fatigue and heat sensitivity.

Keywordsmultiple sclerosis; resistance exercise; aerobic exercise; fatigue; muscle weakness
Year2022
JournalJournal of Science and Medicine in Sport
Journal citation25 (2), pp. 146-154
PublisherElsevier Ltd
ISSN1440-2440
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jsams.2021.08.015
PubMed ID34538565
Scopus EID2-s2.0-85115002280
Page range146-154
FunderMS Research Australia
National Health and Medical Research Council (NHMRC)
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online15 Jan 2022
Publication process dates
Accepted17 Aug 2021
Deposited05 Sep 2023
Permalink -

https://acuresearchbank.acu.edu.au/item/8z963/exercise-and-sports-science-australia-essa-position-statement-on-exercise-for-people-with-mild-to-moderate-multiple-sclerosis

Restricted files

Publisher's version

  • 32
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Brief report : Passive mechanical properties of gastrocnemius in multiple sclerosis and ankle contracture
Hoang, Phu D., Psarakis, Michael, Kwah, Li Khim, Clarke, Jillian L., Gandevia, Simon C. and Diong, Joanna. (2021). Brief report : Passive mechanical properties of gastrocnemius in multiple sclerosis and ankle contracture. Clinical Biomechanics. 84, p. Article 105338. https://doi.org/10.1016/j.clinbiomech.2021.105338
Safety, feasibility, and efficacy of an eccentric exercise intervention in people with multiple sclerosis with ankle contractures
Psarakis, Michael, Lord, Stephen R. and Hoang, Phu D.. (2021). Safety, feasibility, and efficacy of an eccentric exercise intervention in people with multiple sclerosis with ankle contractures. International Journal of MS Care. 23(1), pp. 31-36. https://doi.org/10.7224/1537-2073.2019-022
The frequency of bowel and bladder problems in multiple sclerosis and its relation to fatigue : A single centre experience
Lin, Sophia D., Butler, Jane E., Boswell-Ruys, Claire L., Phu, Hoang, Jarvis, Tom, Gandevia, Simon C. and McCaughey, Euan J.. (2019). The frequency of bowel and bladder problems in multiple sclerosis and its relation to fatigue : A single centre experience. PLoS ONE. 14(9), p. Article e0222731. https://doi.org/10.1371/journal.pone.0222731
Cold Water Ingestion Improves Exercise Tolerance of Heat-Sensitive People with MS
Georgia K. Chaseling, Davide Filingeri, Michael Barnett, Phu Hoang, Scott L. Davis and Ollie Jay. (2018). Cold Water Ingestion Improves Exercise Tolerance of Heat-Sensitive People with MS. Medicine and Science in Sports and Exercise. 50(4), pp. 643-649. https://doi.org/10.1249/MSS.0000000000001496
Relationship between physiological and perceived fall risk in people with multiple sclerosis: Implications for assessment and management
Gunn, Hilary, Cameron, Michelle, Hoang, Phu, Lord, Stephen R., Shaw, Steve and Freeman, Jennifer. (2018). Relationship between physiological and perceived fall risk in people with multiple sclerosis: Implications for assessment and management. Archives of Physical Medicine and Rehabilitation. 99(10), pp. 2022 - 2029. https://doi.org/10.1016/j.apmr.2018.03.019
Wearable technology reveals gait compensations, unstable walking patterns and fatigue in people with multiple sclerosis
Psarakis, Michael, Greene, David A., Cole, Michael H., Lord, Stephen R., Hoang, Phu and Brodie, Matthew A. D.. (2018). Wearable technology reveals gait compensations, unstable walking patterns and fatigue in people with multiple sclerosis. Physiological Measurement. 39(7), pp. 1 - 13. https://doi.org/10.1088/1361-6579/aac0a3
Afferent thermosensory function in relapsing–remitting multiple sclerosis following exercise-induced increases in body temperature
Filingeri, Davide, Chaseling, Georgia K., Hoang, Phu, Barnett, Michael, Davis, Scott L. and Jay, Ollie. (2017). Afferent thermosensory function in relapsing–remitting multiple sclerosis following exercise-induced increases in body temperature. Experimental Physiology. 102(8), pp. 887 - 893. https://doi.org/10.1113/EP086320
Impaired heel to toe progression during gait is related to reduced ankle range of motion in people with Multiple Sclerosis
Psarakis, Michael, Greene, David, Moresi, Mark, Baker, Michael, Stubbs, Peter, Brodie, Matthew, Lord, Stephen and Hoang, Phu. (2017). Impaired heel to toe progression during gait is related to reduced ankle range of motion in people with Multiple Sclerosis. Clinical Biomechanics. 49, pp. 96-100. https://doi.org/10.1016/j.clinbiomech.2017.08.012
A simple test of choice stepping reaction time for assessing fall risk in people with multiple sclerosis
Tijsma, Mylou, Vister, Eva, Hoang, Phu and Lord, Stephen R.. (2017). A simple test of choice stepping reaction time for assessing fall risk in people with multiple sclerosis. Disability and Rehabilitation. 39(6), pp. 601 - 607. https://doi.org/10.3109/09638288.2016.1148784
Effects of a home-based step training programme on balance, stepping, cognition and functional performance in people with multiple sclerosis - A randomized controlled trial
Hoang, Phu, Schoene, Daniel, Gandevia, Simon C., Smith, Stuart T. and Lord, Stephen R.. (2016). Effects of a home-based step training programme on balance, stepping, cognition and functional performance in people with multiple sclerosis - A randomized controlled trial. Multiple Sclerosis Journal. 22(1), pp. 94 - 103. https://doi.org/10.1177/1352458515579442
Gyroscopic corrections improve wearable sensor data prior to measuring dynamic sway in the gait of people with Multiple Sclerosis
Brodie, Matthew A. D., Psarakis, Michael and Hoang, Phu. (2016). Gyroscopic corrections improve wearable sensor data prior to measuring dynamic sway in the gait of people with Multiple Sclerosis. Computer Methods in Biomechanics and Biomedical Engineering. 19(12), pp. 1339 - 1346. https://doi.org/10.1080/10255842.2016.1140747
Medications are associated with falls in people with multiple sclerosis - A Prospective Cohort study
Cameron, Michelle H., Karstens, Lisa, Hoang, Phu, Bourdette, Dennis and Lord, Stephen R.. (2015). Medications are associated with falls in people with multiple sclerosis - A Prospective Cohort study. International Journal of MS Care. 17(5), pp. 207 - 214. https://doi.org/10.7224/1537-2073.2014-076
Falls in people with MS - An individual data meta-analysis from studies from Australia, Sweden, United Kingdom and the United States
Nilsagård, Ylva E., Gunn, Hilary, Freeman, Jennifer, Hoang, Phu, Lord, Stephen R., Mazumder, Rajarshi and Cameron, Michelle. (2015). Falls in people with MS - An individual data meta-analysis from studies from Australia, Sweden, United Kingdom and the United States. Multiple Sclerosis Journal. 21(1), pp. 92 - 100. https://doi.org/10.1177/1352458514538884
Neuromuscular electrical stimulation cycling exercise for persons with advanced multiple sclerosis
Fornusek, Ché and Hoang, Phu. (2014). Neuromuscular electrical stimulation cycling exercise for persons with advanced multiple sclerosis. Journal of Rehabilitation Medicine. 46(7), pp. 698 - 702. https://doi.org/10.2340/16501977-1792
Passive mechanical properties of the gastrocnemius after spinal cord injury
Diong, Joanna, Herbert, Robert, Harvey, Lisa, Kwah, Li, Clark, Jillian, Hoang, Phu, Martin, Josh, Clarke, E, Bilston, L and Gandevia, S. (2012). Passive mechanical properties of the gastrocnemius after spinal cord injury. Muscle & Nerve. 46(2), pp. 237 - 245. https://doi.org/10.1002/mus.23356