Exercise in patients with multiple sclerosis
Exercise in patients with multiple sclerosis
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DOI：
10.1016/s1474-4422(17)30281-8
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发表时间：
2017-10-01
期刊：
影响因子：
48
通讯作者：
Thompson, Alan J.
中科院分区：
文献类型：
--
作者：
Motl, Robert W.;Sandroff, Brian M.;Thompson, Alan J.
对于多发性硬化症患者来说，锻炼是一种有益的康复策略，可以管理症状，恢复功能，优化生活质量，促进健康，并促进对日常生活活动的参与。然而，与普通人群中的成年人相比，这一人群从事的促进健康的体力活动水平通常较低，这一事实在过去25年中没有改变，尽管越来越多的证据表明锻炼有好处。要克服这一挑战，必须解决通过患者-临床医生互动促进锻炼的主要限制。这些限制是现有证据的质量和范围不够充分，对运动对多发性硬化症患者有益影响的机制了解不充分，以及缺乏将证据转化为实践的概念框架和工具包。未来解决这些限制的研究对于将运动纳入多发性硬化症患者的临床护理的决定至关重要。
Exercise can be a beneficial rehabilitation strategy for people with multiple sclerosis to manage symptoms, restore function, optimise quality of life, promote wellness, and boost participation in activities of daily living. However, this population typically engages in low levels of health-promoting physical activity compared with adults from the general population, a fact which has not changed in the past 25 years despite growing evidence of the benefits of exercise. To overcome this challenge, the main limitations to promoting exercise through the patient-clinician interaction must be addressed. These limitations are the inadequate quality and scope of existing evidence, incomplete understanding of the mechanisms underlying the beneficial effects of exercise in people with multiple sclerosis, and the absence of a conceptual framework and toolkit for translating the evidence into practice. Future research to address those limitations will be essential to inform decisions about the inclusion of exercise in the clinical care of people with multiple sclerosis.