Download PDF
B&G Bewegungstherapie und Gesundheitssport 2008; 24(3): 102-108
DOI: 10.1055/s-2008-1004799
WISSENSCHAFT

© Hippokrates Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG

Bewegungstherapie bei Multipler Sklerose - Wirkungen von körperlicher Aktivität und Training

Exercise therapy for multiple sclerosis - effects of physical activity and exerciseA. Tallner1 , K. Pfeifer1
  • 1Institut für Sportwissenschaft und Sport der Universität Erlangen
Further Information

Publication History

2008

2008

Publication Date:
13 June 2008 (online)

    Permissions and Reprints

Die Multiple Sklerose ist die häufigste neurologische Erkrankung im jungen Erwachsenenalter und mit teilweise starken Symptomen und Einschränkungen verbunden, die die körperliche Aktivität stark einschränken und die Lebensqualität deutlich reduzieren können. Zielgerichtete körperliche Aktivität bzw. Bewegungstherapie haben vielfältige positive Wirkungen auf die wichtigsten Funktionssysteme und Krankheitssymptome.

Abstract

Multiple sclerosis is the most common neurological inflammatory disease among young adults. It is often associated with severe symptoms and disabilities that strongly affect physical activity and reduce quality of life considerably. Exercise leads to many positive effects on the crucial functional systems and symptoms of the disease.

Stichworte:

Multiple Sklerose - Bewegungstherapie - Sport - Training - körperliche Aktivität - Symptomatische Therapie

Key words:

Multiple sclerosis - physical therapy - exercise therapy - exercise - physical activity - symptomatic therapy

Literatur

  • 1 Bayas A, Rieckmann P. Multiple sclerosis and sports: Multiple sklerose und Sport.  Aktuelle Neurologie. 2000;  27 (6) 258-261
    PubMedGoogle Scholar
  • 2 Benito-León J, Morales J M, Rivera-Navarro J, Mitchell A. A review about the impact of multiple sclerosis on health-related quality of life.  Disability and rehabilitation. 2003;  25 (23) 1291-1303
    PubMedGoogle Scholar
  • 3 Béthoux F. Evaluation and multiple sclerosis.  Annales de réadaptation et de médecine physique. 2005;  48 (6) 369-375
    CrossrefPubMedGoogle Scholar
  • 4 Bjarnadottir O H, Konradsdottir A D, Reynisdotir K, Olafsson E. Multiple sclerosis and brief moderate exercise. A randomised study.  Mult Scler. 2007;  13 (6) 776-782
    CrossrefPubMedGoogle Scholar
  • 5 Brown T R, Kraft G H. Exercise and rehabilitation for individuals with multiple sclerosis.  Physical medicine and rehabilitation clinics of North America. 2005;  16 (2) 513-555
    CrossrefPubMedGoogle Scholar
  • 6 Cattaneo D, Jonsdottir J, Zocchi M, Regola A. Effects of balance exercises on people with multiple sclerosis: A pilot study.  Clinical rehabilitation. 2007;  21 (9) 771-781
    CrossrefPubMedGoogle Scholar
  • 7 Cattaneo D, Regola A, Meotti M. Validity of six balance disorders scales in persons with multiple sclerosis.  Disability and rehabilitation. 2006;  28 (12) 789-795
    PubMedGoogle Scholar
  • 8 Dalgas U, Stenager E, Ingemann-Hansen T. Multiple sclerosis and physical exercise: recommendations for the application of resistance-, endurance- and combined training.  Multiple Sclerosis. 2007;  14 (1) 35-53
    PubMedGoogle Scholar
  • 9 DeBolt L S, McCubbin J A. The Effects of Home-Based Resistance Exercise on Balance, Power, and Mobility in Adults with Multiple Sclerosis.  Archives of Physical Medicine and Rehabilitation. 2004;  85 (2) 290-297
    CrossrefPubMedGoogle Scholar
  • 10 Eldar R, Marincek C. Physical activity for elderly persons with neurological impairment: A review.  Scandinavian journal of rehabilitation medicine. 2001;  32 (3) 99-103
    PubMedGoogle Scholar
  • 11 Flachenecker P, Kümpfel T, Kallmann B et al. Fatigue in multiple sclerosis: A comparison of different rating scales and correlation to clinical parameters.  Multiple Sclerosis. 2002;  8 (6) 523-526
    CrossrefPubMedGoogle Scholar
  • 12 Henze T. Symptomatic treatment for multiple sclerosis: Symptomatische Therapie der Multiplen Sklerose.  Nervenarzt. 2004;  75 (Suppl. 1)
    PubMedGoogle Scholar
  • 13 Husted C, Pham L, Hekking A, Niederman R. Improving quality of life for people with chronic conditions: the example of t'ai chi and multiple sclerosis.  Alternative therapies in health and medicine. 1999;  5 (5) 70-74
    PubMedGoogle Scholar
  • 14 Karpatkin H. Multiple sclerosis and exercise. A review of the evidence.  International Journal of MS Care. 2005;  7 36-41
    CrossrefPubMedGoogle Scholar
  • 15 Kerdoncuff V, Durufle A, Le Tallec H et al. Multiple sclerosis and physical activities.  Annales de réadaptation et de médecine physique. 2006;  49 (1) 32-36
    CrossrefPubMedGoogle Scholar
  • 16 Kesselring J, FAU-Beer S, Beer S. Symptomatic therapy and neurorehabilitation in multiple sclerosis.  Lancet Neurology. 2005;  4 (10) 643-652
    CrossrefPubMedGoogle Scholar
  • 17 Killestein J, Polman C H. Current trials in multiple sclerosis: Established evidence and future hopes.  Current opinion in Neurology. 2005;  18 (3) 253-260
    PubMedGoogle Scholar
  • 18 Kos D, Kerckhofs E, Nagels G, D'hooghe M B, Ilsbroukx S. Review article: Origin of fatigue in multiple sclerosis: Review of the literature.  Neurorehabiliation and Neural Repair. 2008;  22 (1) 91-100
    PubMedGoogle Scholar
  • 19 Koseoglu B F, Gokkaya N KO, Ergun U, Inan L, Yesiltepe E. Cardiopulmonary and metabolic functions, aerobic capacity, fatigue and quality of life in patients with multiple sclerosis.  Acta Neurologica Scandinavica. 2006;  114 (4) 261-267
    CrossrefPubMedGoogle Scholar
  • 20 Kotterba S. Sleepiness and fatigue in multiple sclerosis: Müdigkeit und fatigue bei Multipler Sklerose.  Psychoneuro. 2003;  29 (7-8) 349-353
    Article in Thieme ConnectPubMedGoogle Scholar
  • 21 Kotterba S, Eren E, Fangerau T, Malin J-P, Sindern E. Sleepiness and Fatigue in Multiple Sclerosis - Comparison of Different Measuring Instruments: Differenzierung von Müdigkeit und Fatigue bei Multipler Sklerose - Vergleich unterschiedlicher Messinstrumente.  Fortschritte der Neurologie - Psychiatrie. 2003;  71 (11) 590-594
    PubMedGoogle Scholar
  • 22 Kraft G H. Multiple Sclerosis. A Paradigm Shift.  Physical medicine and rehabilitation clinics of North America. 2005;  16 (2) 13-15
    PubMedGoogle Scholar
  • 23 Kurtzke J. Rating neurological impairment in multiple sclerosis: An Expanded Disability Status Scale (EDSS).  Neurology. 1983;  33 1444-1452
    CrossrefPubMedGoogle Scholar
  • 24 Lord S, Halligan D, Wade P W. A comparison of two physiotherapy treatment approaches to improve walking in multiple sclerosis: a pilot randomized controlled study.  Clinical rehabilitation. 1998;  12 477-486
    CrossrefPubMedGoogle Scholar
  • 25 MacAllister W S, Krupp L B. Multiple sclerosis-related fatigue.  Physical medicine and rehabilitation clinics of North America. 2005;  16 (2) 483-502
    CrossrefPubMedGoogle Scholar
  • 26 McCullagh R, Fitzgerald A P, Murphy R P, Cooke G. Long-term benefits of exercising on quality of life and fatigue in multiple sclerosis patients with mild disability: a pilot study.  Clinical rehabilitation. 2008;  22 (3) 206-214
    PubMedGoogle Scholar
  • 27 Mills N, Allen J, Carey Morgan S. Does Tai Chi / Qi Gong help patients with multiple sclerosis?.  Journal of Bodywork and Movement Therapy. 2000;  4 (1) 39-48
    PubMedGoogle Scholar
  • 28 Mitchell A J, Benito-León J, González J -MM, Rivera-Navarro J. Quality of life and its assessment in multiple sclerosis: integrating physical and psychological components of wellbeing.  Lancet Neurology. 2005;  4 (9) 556-566
    CrossrefPubMedGoogle Scholar
  • 29 Motl R W, Gosney J L. Effect of exercise training on quality of life in multiple sclerosis: a meta-analysis.  Multiple Sclerosis. 2007;  14 (1) 129-135
    PubMedGoogle Scholar
  • 30 Motl R W, McAuley E, Snook E M. Physical activity and quality of life in multiple sclerosis: Possible roles of social support, self-efficacy, and functional limitations.  Rehabilitation Psychology. 2007;  52 (2) 143-151
    CrossrefPubMedGoogle Scholar
  • 31 Motl R W, Snook E M, McAuley E, Gliottoni R C. Symptoms, self-efficacy, and physical activity among individuals with multiple sclerosis.  Research in Nursing and Health. 2006;  29 (6) 597-606
    PubMedGoogle Scholar
  • 32 Motl R W, Snook E M, McAuley E, Scott J A, Douglass M L. Correlates of physical activity among individuals with multiple sclerosis.  Annals of behavioral medicine. 2006;  32 (2) 154-161
    CrossrefPubMedGoogle Scholar
  • 33 Motl R W, McAuley E, Snook E M. Physical activity and multiple sclerosis: A meta-analysis.  Multiple Sclerosis. 2005;  11 (4) 459-463
    CrossrefPubMedGoogle Scholar
  • 34 Mutluay F K, Demir R, Ozyilmaz S, Caglar A T, Altintas A, Gurses H N. Breathing-enhanced upper extremity exercises for patients with multiple sclerosis.  Clinical rehabilitation. 2007;  21 (7) 595-602
    CrossrefPubMedGoogle Scholar
  • 35 Neill J, Belan I, Ried K. Effectiveness of non-pharmacological interventions for fatigue in adults with multiple sclerosis, rheumatoid arthritis, or systemic lupus erythematosus: A systematic review.  Journal of Advanced Nursing. 2006;  56 (6) 617-635
    CrossrefPubMedGoogle Scholar
  • 36 Oken B S, Kishiyama S, Zajdel D et al. Randomized controlled trial of yoga and exercise in multiple sclerosis.  Neurology. 2004;  62 (11) 2058-2064
    CrossrefPubMedGoogle Scholar
  • 37 Pappalardo A, Castiglione A, Restivo D A, Calabrese A, Patti F. Non-pharmacologic interventions for spasticity associated with multiple sclerosis.  Neurological Sciences. 2006;  27 (Suppl. 4)
    PubMedGoogle Scholar
  • 38 Petajan J H, White A T. Recommendations for physical activity in patients with multiple sclerosis.  Sports Medicine. 1999;  27 (3) 179-191
    CrossrefPubMedGoogle Scholar
  • 39 Petajan J H, Gappmaier E, White A T, Spencer M K, Mino L, Hicks R W. Impact of aerobic training on fitness and quality of life in multiple sclerosis.  Annals of Neurology. 1996;  39 (4) 432-441
    CrossrefPubMedGoogle Scholar
  • 40 Pöllmann W, Busch C, Voltz R. Quality of life in multiple sclerosis. Measures, relevance, problems, and perspectives: Lebensqualität bei multipler Sklerose. Messinstrumente, Bedeutung, Probleme und Perspektiven.  Nervenarzt. 2005;  76 (2) 154-169
    CrossrefPubMedGoogle Scholar
  • 41 Ponichtera-Mulcare J A. Exercise and multiple sclerosis.  Medicine and Science in Sports and Exercise. 1993;  25 (4) 451-465
    PubMedGoogle Scholar
  • 42 Rampello A, Franceschini M, Piepoli M, Antenucci R, Lenti G, Olivieri D, Chetta A. Effect of aerobic training on walking capacity and maximal exercise tolerance in patients with multiple sclerosis: A randomized crossover controlled study.  Physical Therapy. 2007;  87 (5) 545-555
    PubMedGoogle Scholar
  • 43 Rietberg M B, Brooks D, Uitdehaag B M, Kwakkel G. Exercise therapy for multiple sclerosis. Cochrane Database Syst Rev. 1. 2005
    Google Scholar
  • 44 Romberg A, Virtanen A, Aunola S, Karppi S L, Karanko H, Ruutiainen J. Exercise capacity, disability and leisure physical activity of subjects with multiple sclerosis.  Multiple Sclerosis. 2004;  10 (2) 212-218
    CrossrefPubMedGoogle Scholar
  • 45 Romberg A, Virtanen A, Ruutiainen J. Long-term exercise improves functional impairment but not quality of life in multiple sclerosis.  Journal of Neurology. 2005;  252 839-845
    CrossrefPubMedGoogle Scholar
  • 46 Schulz K -H, Heesen C. Auswirkungen körperlicher Aktivität bei chronisch Kranken: Beispiele aus der Onkologie und Neurologie.  Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2005;  48 (8) 906-913
    CrossrefPubMedGoogle Scholar
  • 47 Schulz K -H, Heesen C. Exercise training in MS: Bewegungstherapie bei multipler sklerose.  Neurologie und Rehabilitation. 2006;  12 224-231
    PubMedGoogle Scholar
  • 48 Siegert R J, Abernethy D A. Depression in multiple sclerosis: a review.  Urology. 2005;  76 (4) 469-475
    PubMedGoogle Scholar
  • 49 Simmons R D, Ponsonby A -L, van der Mei I AF, Sheridan P. What affects your MS? Responses to an anonymous, Internet-based epidemiological survey.  Multiple Sclerosis. 2004;  10 (2) 202-211
    CrossrefPubMedGoogle Scholar
  • 50 Somerset M, Campbell R, Sharp D J, Peters T J. What do people with MS want and expect from health-care services?.  Health Expectations. 2001;  4 (1) 29-37
    CrossrefPubMedGoogle Scholar
  • 51 Tesar N, Baumhackl U, Kopp M, Gunther V. Effects of psychological group therapy in patients with multiple sclerosis.  Acta Neurologica Scandinavica. 2003;  107 (6) 394-399
    CrossrefPubMedGoogle Scholar
  • 52 van Den Berg M, Dawes H, Wade D T, Newman M, Burridge J, Izadi H, Sackley C M. Treadmill training for individuals with multiple sclerosis: A pilot randomised trial.  Journal of Neurology Neurosurgery and Psychiatry. 2006;  77 (4) 531-533
    CrossrefPubMedGoogle Scholar
  • 53 White L. Exercise and MS: challenges and opportunities.  Multiple Sclerosis Quarterly Report. 2004;  12 (1) 18-20
    PubMedGoogle Scholar
  • 54 White L, Dressendorfer R. Exercise and multiple sclerosis.  Sports Medicine. 2004;  34 (15) 1077-1100
    CrossrefPubMedGoogle Scholar
  • 55 Wiles C M, Newcombe R G, Fuller K J et al. Controlled randomised crossover trial of the effects of physiotherapy on mobility in chronic multiple sclerosis.  Journal of Neurology Neurosurgery and Psychiatry. 2001;  70 174-179
    CrossrefPubMedGoogle Scholar

Korrespondenzadresse

A. Tallner

Diplom-Sportwissenschaftler · Friedrich-Alexander Universität Erlangen-Nürnberg · Institut für Sportwissenschaft und Sport

Gebbertstraße 123 b

91058 Erlangen

Phone: 0 91 31 / 8 52 81 75

Email: Alexander.Tallner@sport.uni-erlangen.de

Korrespondenzadresse

Prof. Dr. K. Pfeifer

Friedrich-Alexander Universität Erlangen-Nürnberg · Institut für Sportwissenschaft und Sport

Gebbertstraße 123 b

91058 Erlangen

Phone: 0 91 31 / 8 52 81 06

Email: Klaus.Pfeifer@sport.uni-erlangen.de

      >