Trening aerobowy poprawia funkcje poznawcze i funkcjonalne u pacjentów z depresją w stwardnieniu rozsianym. Badanie pilotażowe na podstawie studium przypadku

Marta Niwald, Justyna Redlicka, Elżbieta Miller

M. Niwald, J. Redlicka, E. Miller – Aerobic training enhances cognition and functional status in depressive multiple sclerosis patients. A case-control study-pilot study. Fizjoterapia Polska 2018; 18(2); 96-102


Background: The objectives of this study were to assess the effects of aerobic training (AT) on depression, cognition and functional status in 2 groups of multiple sclerosis (MS) patients: with depression syndrome (MS-D) and without depression (MS).
Objectives: a sample of 31 individuals with MS and 28 MS-D performed 30 minutes of AT using lower-extremity ergometer 3×10 min each day, with a 60-minute break for 6 weeks. Both groups were matched for the age and sex.
Material and methods: all examined parameters were assessed before and after AT series with use of Montreal Cognitive Assessment (MoCA), the Beck Depression Inventory (BDI), Activities of Daily Living (ADL) scale and the Expanded Disability Status Scale (EDSS). We analyzed the drop-out rate as a measure of feasibility.
Results: In both groups, the AT session induced a significant improvement in reducing depression (BDI) and cognition impairment (MoCA). However, the changes observed in MS-D patients were significantly greater than those observed in MS patients, especially in BDI and MoCA. There were no statistically significant correlations of EDSS, MOCCA, BDI, ADL, age or gender.
Conclusions: AT appears to be an effective and simple tool for improving cognition and functional status in patients with MS. This study indicates that aerobic training is feasible and could be beneficial for patients with progressive MS.

Key words:
Aerobic training, Multiple Sclerosis (MS), cognition, depression

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