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Efficacy of an Internet-Based Program to Promote Physical Activity and Exercise after Inpatient Rehabilitation in Persons with Multiple Sclerosis: A Randomized, Single-Blind, Controlled Study

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  • Peter Flachenecker

    (Neurological Rehabilitation Center Quellenhof, 75323 Bad Wildbad, Germany
    Department of Neurology, University of Würzburg, 97080 Würzburg, Germany)

  • Anna Karoline Bures

    (Neurological Rehabilitation Center Quellenhof, 75323 Bad Wildbad, Germany
    Department of Neurology, University of Würzburg, 97080 Würzburg, Germany)

  • Angeli Gawlik

    (Department of Health & Social Psychology, German Sport University Cologne, 50933 Cologne, Germany
    Department of Sport Science and Sport, University of Erlangen-Nuremberg, 91058 Erlangen, Germany)

  • Ann-Christin Weiland

    (Neurological Rehabilitation Center Quellenhof, 75323 Bad Wildbad, Germany)

  • Sarah Kuld

    (Faculty of Economics, University of Bayreuth, 95447 Bayreuth, Germany)

  • Klaus Gusowski

    (Neurological Rehabilitation Center Quellenhof, 75323 Bad Wildbad, Germany)

  • René Streber

    (Department of Sport Science and Sport, University of Erlangen-Nuremberg, 91058 Erlangen, Germany)

  • Klaus Pfeifer

    (Department of Sport Science and Sport, University of Erlangen-Nuremberg, 91058 Erlangen, Germany)

  • Alexander Tallner

    (Department of Sport Science and Sport, University of Erlangen-Nuremberg, 91058 Erlangen, Germany)

Abstract

Background: Multimodal rehabilitation improves fatigue and mobility in persons with multiple sclerosis (PwMS). Effects are transient and may be conserved by internet-based physical activity promotion programs. Objective: Evaluate the effects of internet-based physical activity and exercise promotion on fatigue, quality of life, and gait in PwMS after inpatient rehabilitation. Methods: PwMS (Expanded Disability Status Scale (EDSS) ≤ 6.0, fatigue: Würzburg Fatigue Inventory for Multiple Sclerosis (WEIMuS) ≥ 32) were randomized into an intervention group (IG) or a control group (CG). After rehabilitation, IG received 3 months of internet-based physical activity promotion, while CG received no intervention. Primary outcome: self-reported fatigue (WEIMuS). Secondary outcomes: quality of life (Multiple Sclerosis Impact Scale 29, MSIS-29), gait (2min/10m walking test, Tinetti score). Measurements: beginning (T0) and end (T1) of inpatient rehabilitation, 3 (T2) and 6 (T3) months afterwards. Results: 64 of 84 PwMS were analyzed (IG: 34, CG: 30). After rehabilitation, fatigue decreased in both groups. At T2 and T3, fatigue increased again in CG but was improved in IG ( p < 0.001). MSIS-29 improved in both groups at T1 but remained improved at T2 and T3 only in IG. Gait improvements were more pronounced in IG at T2. Conclusions: The study provides Class II evidence that the effects of rehabilitation on fatigue, quality of life, and gait can be maintained for 3–6 months with an internet-based physical activity and exercise promotion program.

Suggested Citation

  • Peter Flachenecker & Anna Karoline Bures & Angeli Gawlik & Ann-Christin Weiland & Sarah Kuld & Klaus Gusowski & René Streber & Klaus Pfeifer & Alexander Tallner, 2020. "Efficacy of an Internet-Based Program to Promote Physical Activity and Exercise after Inpatient Rehabilitation in Persons with Multiple Sclerosis: A Randomized, Single-Blind, Controlled Study," IJERPH, MDPI, vol. 17(12), pages 1-13, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4544-:d:375684
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    References listed on IDEAS

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    1. Kerina H Jones & David V Ford & Philip A Jones & Ann John & Rodden M Middleton & Hazel Lockhart-Jones & Jeffrey Peng & Lisa A Osborne & J Gareth Noble, 2013. "The Physical and Psychological Impact of Multiple Sclerosis Using the MSIS-29 via the Web Portal of the UK MS Register," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-9, January.
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    1. Kerina H Jones & David V Ford & Philip A Jones & Ann John & Rodden M Middleton & Hazel Lockhart-Jones & Jeffrey Peng & Lisa A Osborne & J Gareth Noble, 2013. "How People with Multiple Sclerosis Rate Their Quality of Life: An EQ-5D Survey via the UK MS Register," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-8, June.

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