The Effect of Structured Physical Exercise on the Quality of Life of Patients with Multiple Sclerosis
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Physical Exercise, Patient Quality, Multiple Sclerosis
Abstract
neurologis kronis yang seringkali menimbulkan penurunan fungsi fisik dan psikologis. Multiple Sclerosis (MS) adalah penyakit autoimun yang memengaruhi sistem saraf pusat, sering menyebabkan penurunan fungsi fisik dan psikologis. Gejala seperti kelemahan otot, kelelahan, dan gangguan kognitif dapat mengganggu aktivitas sehari-hari dan kualitas hidup pasien secara signifikan. Tujuan penelitian ini adalah untuk mengevaluasi apakah latihan fisik terstruktur dapat memperbaiki QoL pada pasien dengan MS. Metode penelitian yang digunakan adalah sebuah studi klinis acak terkontrol. Sejumlah pasien dengan Multiple Sclerosis dibagi secara acak menjadi dua kelompok: kelompok intervensi yang menjalani program latihan fisik terstruktur dan kelompok kontrol yang tidak menjalani program tersebut. Intervensi dilakukan dengan mengawasi dan menyesuaikan latihan fisik sesuai dengan kebutuhan individu pasien, dengan fokus pada peningkatan kekuatan, keseimbangan, dan mobilitas. Hasil penelitian menunjukkan bahwa pasien yang menjalani latihan fisik terstruktur mengalami peningkatan dalam QoL mereka dibandingkan dengan kelompok kontrol. Para peserta menunjukkan peningkatan dalam aspek-aspek seperti kemandirian, mobilitas, kualitas tidur, dan kesejahteraan psikologis. Selain itu, mereka melaporkan pengurangan dalam gejala kelelahan dan depresi. Kesimpulan dari penelitian ini yaitu latihan fisik terstruktur memiliki dampak positif pada QoL pasien dengan Multiple Sclerosis. Intervensi ini tidak hanya meningkatkan fungsi fisik, tetapi juga memberikan manfaat psikologis yang signifikan, meningkatkan rasa percaya diri dan kesejahteraan emosional. Implikasi dari temuan ini adalah pentingnya memasukkan latihan fisik terstruktur sebagai bagian integral dari manajemen MS, membantu pasien untuk mengelola gejala mereka secara efektif dan meningkatkan kualitas hidup mereka secara keseluruhan.
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References
Afkar, A., Ashouri, A., Rahmani, M., & Emami Sigaroudi, A. (2017). Effect of exercise therapy on quality of life of patients with multiple sclerosis in Iran: A systematic review and meta-analysis. Neurological Sciences, 38(11), 1901–1911. https://doi.org/10.1007/s10072-017-3047-x
Alphonsus, K. B., Su, Y., & D’Arcy, C. (2019). The effect of exercise, yoga and physiotherapy on the quality of life of people with multiple sclerosis: Systematic review and meta-analysis. Complementary Therapies in Medicine, 43, 188–195. https://doi.org/10.1016/j.ctim.2019.02.010
Coote, S., Uszynski, M., Herring, M. P., Hayes, S., Scarrott, C., Newell, J., Gallagher, S., Larkin, A., & Motl, R. W. (2017). Effect of exercising at minimum recommendations of the multiple sclerosis exercise guideline combined with structured education or attention control education – secondary results of the step it up randomised controlled trial. BMC Neurology, 17(1), 119. https://doi.org/10.1186/s12883-017-0898-y
Di Fabio, R. P., Choi, T., Soderberg, J., & Hansen, C. R. (1997). Health-Related Quality of Life for Patients With Progressive Multiple Sclerosis: Influence of Rehabilitation. Physical Therapy, 77(12), 1704–1716. https://doi.org/10.1093/ptj/77.12.1704
Feys, P., Tytgat, K., Gijbels, D., De Groote, L., Baert, I., & Van Asch, P. (2013). Effects of an 1-day education program on physical functioning, activity and quality of life in community living persons with multiple sclerosis. NeuroRehabilitation, 33(3), 439–448. https://doi.org/10.3233/NRE-130975
Garg, H., Bush, S., & Gappmaier, E. (2016). Associations Between Fatigue and Disability, Functional Mobility, Depression, and Quality of Life in People with Multiple Sclerosis. International Journal of MS Care, 18(2), 71–77. https://doi.org/10.7224/1537-2073.2015-013
Giacobbi, P. R., Dietrich, F., Larson, R., & White, L. J. (2012). Exercise and Quality of Life in Women With Multiple Sclerosis. Adapted Physical Activity Quarterly, 29(3), 224–242. https://doi.org/10.1123/apaq.29.3.224
Guicciardi, M., Carta, M., Pau, M., & Cocco, E. (2019). The Relationships between Physical Activity, Self-Efficacy, and Quality of Life in People with Multiple Sclerosis. Behavioral Sciences, 9(12), 121. https://doi.org/10.3390/bs9120121
Homayuni, A., Abedini, S., Hosseini, Z., Etemadifar, M., & Ghanbarnejad, A. (2021). Explaining the facilitators of quality of life in patients with multiple sclerosis: A qualitative study. BMC Neurology, 21(1), 193. https://doi.org/10.1186/s12883-021-02213-9
Jelinek, G. A., De Livera, A. M., Marck, C. H., Brown, C. R., Neate, S. L., Taylor, K. L., & Weiland, T. J. (2016). Lifestyle, medication and socio-demographic determinants of mental and physical health-related quality of life in people with multiple sclerosis. BMC Neurology, 16(1), 235. https://doi.org/10.1186/s12883-016-0763-4
Kalron, A., Aloni, R., Givon, U., & Menascu, S. (2018). Fear of falling, not falls, impacts leisure-time physical activity in people with multiple sclerosis. Gait & Posture, 65, 33–38. https://doi.org/10.1016/j.gaitpost.2018.06.174
Kuspinar, A., Rodriguez, A. M., & Mayo, N. E. (2012). The effects of clinical interventions on health-related quality of life in multiple sclerosis: A meta-analysis. Multiple Sclerosis Journal, 18(12), 1686–1704. https://doi.org/10.1177/1352458512445201
Marck, C. H., Hadgkiss, E. J., Weiland, T. J., Van Der Meer, D. M., Pereira, N. G., & Jelinek, G. A. (2014). Physical activity and associated levels of disability and quality of life in people with multiple sclerosis: A large international survey. BMC Neurology, 14(1), 143. https://doi.org/10.1186/1471-2377-14-143
McAuley, E., Motl, R. W., Morris, K. S., Hu, L., Doerksen, S. E., Elavsky, S., & Konopack, J. F. (2007). Enhancing physical activity adherence and well-being in multiple sclerosis: A randomised controlled trial. Multiple Sclerosis Journal, 13(5), 652–659. https://doi.org/10.1177/1352458506072188
Mitchell, A. J., Benito-León, J., González, J.-M. M., & Rivera-Navarro, J. (2005). Quality of life and its assessment in multiple sclerosis: Integrating physical and psychological components of wellbeing. The Lancet Neurology, 4(9), 556–566. https://doi.org/10.1016/S1474-4422(05)70166-6
Motl, R. W., & Gosney, J. L. (2008). Effect of exercise training on quality of life in multiple sclerosis: A meta-analysis. Multiple Sclerosis Journal, 14(1), 129–135. https://doi.org/10.1177/1352458507080464
Motl, R. W., & McAuley, E. (2009). Pathways between physical activity and quality of life in adults with multiple sclerosis. Health Psychology, 28(6), 682–689. https://doi.org/10.1037/a0015985
Motl, R. W., & McAuley, E. (2014). Physical activity and health-related quality of life over time in adults with multiple sclerosis. Rehabilitation Psychology, 59(4), 415–421. https://doi.org/10.1037/a0037739
Motl, R. W., McAuley, E., Snook, E. M., & Gliottoni, R. C. (2009). Physical activity and quality of life in multiple sclerosis: Intermediary roles of disability, fatigue, mood, pain, self-efficacy and social support. Psychology, Health & Medicine, 14(1), 111–124. https://doi.org/10.1080/13548500802241902
Motl, R. W., McAuley, E., Wynn, D., Sandroff, B., & Suh, Y. (2013). Physical activity, self-efficacy, and health-related quality of life in persons with multiple sclerosis: Analysis of associations between individual-level changes over one year. Quality of Life Research, 22(2), 253–261. https://doi.org/10.1007/s11136-012-0149-z
Nieste, I., Spaas, J., Franssen, W. M. A., Asch, P. V., Savelberg, H. H. C. M., & Eijnde, B. O. (2023). The effect of a structured running exercise intervention on non-exercise physical activity and sedentary behaviour in persons with mild Multiple Sclerosis and healthy controls. Journal of Activity, Sedentary and Sleep Behaviors, 2(1), 29. https://doi.org/10.1186/s44167-023-00037-1
Petajan, J. H., & White, A. T. (1999). Recommendations for Physical Activity in Patients with Multiple Sclerosis: Sports Medicine, 27(3), 179–191. https://doi.org/10.2165/00007256-199927030-00004
Pilutti, L. A., Lelli, D. A., Paulseth, J. E., Crome, M., Jiang, S., Rathbone, M. P., & Hicks, A. L. (2011). Effects of 12 Weeks of Supported Treadmill Training on Functional Ability and Quality of Life in Progressive Multiple Sclerosis: A Pilot Study. Archives of Physical Medicine and Rehabilitation, 92(1), 31–36. https://doi.org/10.1016/j.apmr.2010.08.027
Reina-Gutiérrez, S., Cavero-Redondo, I., Martínez-Vizcaíno, V., Núñez De Arenas-Arroyo, S., López-Muñoz, P., Álvarez-Bueno, C., Guzmán-Pavón, M. J., & Torres-Costoso, A. (2022). The type of exercise most beneficial for quality of life in people with multiple sclerosis: A network meta-analysis. Annals of Physical and Rehabilitation Medicine, 65(3), 101578. https://doi.org/10.1016/j.rehab.2021.101578
Stroud, N. M., & Minahan, C. L. (2009). The impact of regular physical activity on fatigue, depression and quality of life in persons with multiple sclerosis. Health and Quality of Life Outcomes, 7(1), 68. https://doi.org/10.1186/1477-7525-7-68
Stuifbergen, A. K., Blozis, S. A., Harrison, T. C., & Becker, H. A. (2006). Exercise, Functional Limitations, and Quality of Life: A Longitudinal Study of Persons With Multiple Sclerosis. Archives of Physical Medicine and Rehabilitation, 87(7), 935–943. https://doi.org/10.1016/j.apmr.2006.04.003
Swank, C., Thompson, M., & Medley, A. (2013). Aerobic Exercise in People with Multiple Sclerosis. International Journal of MS Care, 15(3), 138–145. https://doi.org/10.7224/1537-2073.2012-037
Turner, A. P., Kivlahan, D. R., & Haselkorn, J. K. (2009). Exercise and Quality of Life Among People With Multiple Sclerosis: Looking Beyond Physical Functioning to Mental Health and Participation in Life. Archives of Physical Medicine and Rehabilitation, 90(3), 420–428. https://doi.org/10.1016/j.apmr.2008.09.558
Vister, E., Tijsma, M. E., Hoang, P. D., & Lord, S. R. (2017). Fatigue, Physical Activity, Quality of Life, and Fall Risk in People with Multiple Sclerosis. International Journal of MS Care, 19(2), 91–98. https://doi.org/10.7224/1537-2073.2015-077
Vore, M. E., Elgelid, S., Bolger, S., Parsons, C., Quashnoc, R., & Raymor, J. (2011). Impact of a 10-Week Individualized Exercise Program on Physical Function and Fatigue of People with Multiple Sclerosis. International Journal of MS Care, 13(3), 121–126. https://doi.org/10.7224/1537-2073-13.3.121
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Copyright (c) 2024 Minarti Minarti, Heru Sulistijono, Agus Mukholid, Khrisna Agung Cendekiawan, Andro Ruben Runtu
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