Javier Martín-Núñez, Sheila Gómez de Castro, Alejandro Heredia-Ciuró, Alba Navas-Otero, Irene Cabrera-Martos, Araceli Ortiz-Rubio, Marie Carmen Valenza
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引用次数: 0
Abstract
Objective: This study was to examine the effects of high-intensity interval training interventions on exercise capacity and fatigue in people with multiple sclerosis.
Design: We performed a systematic review and meta-analysis. PubMed/MEDLINE, Web of Science, Scopus, and Google Scholar databases were systematically searched from inception to January 2024. We reviewed randomized controlled trials that focused their intervention on high-intensity interval training for people with multiple sclerosis to improve exercise capacity or fatigue. Two researchers performed the search process independently in the different databases and assessed methodological quality and risk of bias.
Results: Eleven studies were included in the systematic review and seven of them were meta-analyzed. The overall pooled effect favored high-intensity interval training interventions in improving exercise capacity (standardized mean difference = 0.29; 95% confidence interval = 0.05, 0.53; P = 0.02) and reducing fatigue (standardized mean difference = -0.26; 95% confidence interval = -0.50, -0.02; P = 0.03) in people with multiple sclerosis. We generally found a low risk of bias and a good methodological quality.
Conclusions: The results of this review and meta-analysis provide evidence that high-intensity interval training interventions improved and reduced fatigue in people with multiple sclerosis. High-intensity interval training intervention may be a good option to improve exercise capacity and reduce fatigue of these people.
To claim cme credits: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME.
Cme objectives: Upon completion of this article, the reader should be able to: (1) Determine the impact that whiplash-associated disorders have on a patient's life; (2) Identify and recognize the greater benefits of a supervised exercise therapy on recovery after a whiplash injury; and (3) Differentiate between the different exercise protocols conducted (types of exercises and duration) and incorporate therapy appropriately as part of an effective treatment plan.
Level: Advanced.
Accreditation: The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s) ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
期刊介绍：
American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals.
Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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