Effects of Mind-body Movement Interventions for Managing Symptoms in People with Multiple Sclerosis: An Overview of Reviews.

IF 7.4 2区医学 Q1 CLINICAL NEUROLOGY

Current Neurology and Neuroscience Reports Pub Date : 2026-01-31 DOI:10.1007/s11910-025-01478-8

Lita Buttolph, A M Bruton, P Filbin, R S Wexler, O Gray, T Mazure, L Wooliscroft, R Spain, G Y Yeh, H Zwickey, J Z Goldenberg

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Abstract

Purpose of review: Exercise is a recommended non-pharmacological approach to treat multiple sclerosis (MS) symptoms. Mind-body movement interventions (MBMIs) offer a multi-component exercise option that integrates movement, breathwork, and mindfulness. Using an umbrella review, we assessed the current best evidence on MBMIs (ai chi, dance, Pilates, qigong, tai chi, and yoga) for managing MS symptoms.

Recent findings: MBMIs significantly improved balance, equal to or superior to active controls (AC) or usual care (UC). Ai chi/tai chi/qigong significantly improved depression. Analyzed with other mind-body therapies, yoga reduced pain compared to AC/UC. Mixed results were found for fatigue. Physical function and quality of life were comparable to AC/UC. The certainty of evidence was low to very low for most MBMIs. Most reviews were "critically low" quality. MBMIs are commonly included in MS exercise reviews and may improve balance, pain, and depression. However, larger trials with active comparators and comprehensive reporting are needed to improve quality and certainty.

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心身运动干预对多发性硬化症患者症状管理的影响：综述

综述目的：运动是一种推荐的治疗多发性硬化症（MS）症状的非药物方法。身心运动干预（mbmi）提供了一种多组分的运动选择，将运动、呼吸和正念结合在一起。通过总括性回顾，我们评估了目前关于mbmi（太极拳、舞蹈、普拉提、气功、太极和瑜伽）治疗多发性硬化症症状的最佳证据。最近的研究发现：mbmi显著改善了平衡，等于或优于主动对照（AC）或常规护理（UC）。爱chi/太极/气功显著改善抑郁。与其他身心疗法一起分析，与AC/UC相比，瑜伽减轻了疼痛。疲劳的结果好坏参半。身体功能和生活质量与AC/UC相当。对于大多数mbmi来说，证据的确定性低到非常低。大多数评论的质量都“极低”。mbmi通常包括在MS运动回顾中，可以改善平衡、疼痛和抑郁。但是，为了提高质量和确定性，需要使用有效比较国进行更大规模的试验并提供全面的报告。

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来源期刊

Current Neurology and Neuroscience Reports 医学-临床神经学

CiteScore

9.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Neurology and Neuroscience Reports provides in-depth review articles contributed by international experts on the most significant developments in the field. By presenting clear, insightful, balanced reviews that emphasize recently published papers of major importance, the journal elucidates current and emerging approaches to the diagnosis, treatment, management, and prevention of neurological disease and disorders. Presents the views of experts on current advances in neurology and neuroscience Gathers and synthesizes important recent papers on the topic Includes reviews of recently published clinical trials, valuable web sites, and commentaries from well-known figures in the field.