图书馆订阅: Guest
Begell Digital Portal Begell 数字图书馆 电子图书 期刊 参考文献及会议录 研究收集
身体康复医学评论综述
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.17

ISSN 打印: 0896-2960
ISSN 在线: 2162-6553

身体康复医学评论综述

DOI: 10.1615/CritRevPhysRehabilMed.2016017565
pages 33-45

The Effect of Intermittent vs. Continuous Training on Walking Endurance and Fatigue in People with Multiple Sclerosis: A Randomized, Crossover Trial

Herb I. Karpatkin
Department of Rehabilitation and Movement Sciences, Rutgers, The State University of New Jersey-School of Health Related Professions, Stratford, NJ; Department of Physical Therapy, Hunter College-City University of New York, New York, New York, USA
Evan T. Cohen
Department of Rehabilitation and Movement Sciences, Rutgers, The State University of New Jersey, 40 East Laurel Road, Suite 2105, Stratford, New Jersey, USA 08084
Stefanie DiCarrado
Department of Physical Therapy, Hunter College-City University of New York, New York, New York, USA
Bridget Dungan
Shift Integrative Medicine, New York, New York, USA
Jake Potrzeba
Albany Medical Center, Albany, New York, USA
Elizabeth Huallpa
Crescent Physical Therapy, Astoria, New York, USA
J. Scott Parrott
Department of Interdisciplinary Studies, Rutgers, The State University of New Jersey, Newark, New Jersey, 07107 USA

ABSTRACT

Objective: To compare effects of an intermittent and continuous walking program on walking endurance and fatigue in people with multiple sclerosis (MS)
Design: A randomized crossover prospective study
Setting: An outpatient rehabilitation clinic
Patients: A convenience sample of 12 participants with MS (median Expanded Disability Status Scale = 3.0, interquartile range [IQR] 3.25); 9 participants completed the study.
Interventions: The intervention consisted of eight 6-minute-long walks (2x/week for 4 weeks). The continuous condition consisted of 6 continuous minutes of walking. The intermittent condition consisted of three 2-minute bouts with 2-minute rests. After a 4-week detraining period, participants performed the second training condition.
Main Outcome Measurements: Outcomes included fatigue severity scale (FSS), the 6-minute walk test (6MWT), and the difference in a 100-mm visual analog scale of fatigue (ΔVAS-F) measured immediately before and after the 6MWT.
Results: The 6MWT distance increased after intermittent training (43.6 m, p = .013) and decreased after continuous training (−18.0 m, p = .362). The FSS decreased after intermittent training (p = .032) but not after continuous training. No differences were found in ΔVAS-F.
Conclusion: Intermittent training was superior to continuous training in improving walking and fatigue. Intermittent walking training should be considered to improve walking endurance and decrease fatigue in people with MS.


Articles with similar content:

Alterations in Balance and Gait Characteristics in Community-Dwelling Elderly Subjects Following Hemi Hip-Arthroplasty Compared to Healthy Control Subjects
Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.25, 2013, issue 1-2
Neha Ojha, Amitesh Narayan
Performance on the Berg Balance Scale in Fatigued Versus Nonfatigued States in People with Multiple Sclerosis
Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.25, 2013, issue 3-4
Heather Griffith, Herb I. Karpatkin, Laura B. Isham, Adam Rzetelny, Katarina Erlandsson, Sarah Gibbons, Evan T. Cohen
Kinematic and Kinetic Analysis of the Knee Joint before and after a PCL Retaining Total Knee Replacement during Gait and Single Step Ascent
Journal of Long-Term Effects of Medical Implants, Vol.21, 2011, issue 4
Nikolaos Darras, Dimitrios Mastrokalos, loannis V. Michos, Stergios N. Lallos, Nikolaos E. Efstathopoulos, Alexandros P. Apostolopoulos, Magda Tzomaki
The Effect of Attentional Focus on Temporal-Spatial Parameters of Gait
Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.22, 2010, issue 1-4
Sharon A. Nazarchuk, Nancy McNevin, Angela Hegamin, Evan T. Cohen
Combining Functional Electrical Stimulation with Mirror Therapy for the Upper Limb in People with Stroke
Critical Reviews™ in Physical and Rehabilitation Medicine, Vol.26, 2014, issue 1-2
Michael S. Kaplan, John Parsons, S. Mathieson