RT Journal Article
ID 60ccf92e5c27d9e5
A1 Karpatkin, Herb I.
A1 Cohen, Evan T.
A1 DiCarrado, Stefanie
A1 Dungan, Bridget
A1 Potrzeba, Jake
A1 Huallpa, Elizabeth
A1 Parrott, J. Scott
T1 The Effect of Intermittent vs. Continuous Training on Walking Endurance and Fatigue in People with Multiple Sclerosis: A Randomized, Crossover Trial
JF Critical Reviews™ in Physical and Rehabilitation Medicine
JO CRP
YR 2016
FD 2016-12-13
VO 28
IS 1-2
SP 33
OP 45
K1 multiple sclerosis
K1 walking
K1 gait
K1 fatigue
K1 rehabilitation
AB 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.
PB Begell House
LK https://www.dl.begellhouse.com/journals/757fcb0219d89390,7d05545f5ad8aa9c,60ccf92e5c27d9e5.html