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Original article| Volume 74, 104710, June 2023

The effects of online exercise training on physical functions and quality of life in patients with pediatric-onset multiple sclerosis

  • Author Footnotes
    1 Address: Istanbul University-Cerrahpaşa Buyukcekmece Campus Alkent 2000 Mah. Yigitturk Cad. No:5/9/1 Buyukcekmece/Istanbul
    Pelin Vural
    Correspondence
    Corresponding author: Department of Physiotherapy and Rehabilitation, Institute of Graduate Studies, Istanbul University-Cerrahpasa, Istanbul, Turkey.
    Footnotes
    1 Address: Istanbul University-Cerrahpaşa Buyukcekmece Campus Alkent 2000 Mah. Yigitturk Cad. No:5/9/1 Buyukcekmece/Istanbul
    Affiliations
    Department of Physiotherapy and Rehabilitation, Institute of Graduate Studies, Istanbul University-Cerrahpasa, Istanbul, Turkey

    Department of Medical Services and Techniques, Vocational School of Health Services, Physiotherapy Program, Istanbul Aydin University, Istanbul, Turkey
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  • Yonca Zenginler Yazgan
    Affiliations
    Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Istanbul, Turkey
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  • Ela Tarakci
    Affiliations
    Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Istanbul, Turkey
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  • Serhat Guler
    Affiliations
    Department of Pediatric Neurology, Faculty of Medicine, Biruni University, Istanbul, Turkey
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  • Sema Saltik
    Affiliations
    Department of Pediatric Neurology, Cerrahpasa Medicine Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey
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  • Author Footnotes
    1 Address: Istanbul University-Cerrahpaşa Buyukcekmece Campus Alkent 2000 Mah. Yigitturk Cad. No:5/9/1 Buyukcekmece/Istanbul

      Highlights

      • Internet-based exercise training program found effective in patients with POMS.
      • Exercise training can improve functionality and quality of life and reduce fatigue.
      • Patients with POMS should be directed to exercise training programs.

      Abstract

      Background

      Patients with pediatric-onset multiple sclerosis (PwPOMS) frequently experience motor, sensory, and cognitive problems. Although exercise is known to be effective in adult patients with MS, there are still no studies investigating the effectiveness of exercise in PwPOMS. To examine the effectiveness of online exercise training on physical activity, muscle strength, functionality, gait, fatigue, and quality of life in PwPOMS.

      Methods

      Twenty-one individuals were included and randomly divided into two groups. The online exercise training program (OETP) group received exercise training including aerobics, strengthening, and balance training for 8 weeks, and the control group received no intervention. Outcomes were assessed at baseline, 8 weeks, and 32 weeks.

      Results

      Significant improvements were recorded in physical activity, muscle strength, functionality, gait, fatigue, and quality of life in the OETP group after treatment (p<0.05). Between groups, the OETP group was superior to the control group in terms of physical activity, muscle strength, functionality, and quality of life (p<0.05). The OETP group remained superior to the control group in follow-up.

      Conclusion

      OETP performed under the supervision of a physiotherapist is effective in PwPOMS. Even if these patients have no disabilities, it would be beneficial to refer them to rehabilitation from an early period.

      Keywords

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