Download PDF
Aktuelle Neurologie 2012; 39(05): 248-253
DOI: 10.1055/s-0032-1311614
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Sport bei Multipler Sklerose

Exercise and Multiple Sclerosis
D. Frevel
1   Neurologische Klinik, Caritas-Krankenhaus Bad Mergentheim gGmbH, Bad Mergentheim
,
M. Mäurer
1   Neurologische Klinik, Caritas-Krankenhaus Bad Mergentheim gGmbH, Bad Mergentheim
› Author Affiliations
Further Information

Publication History

Publication Date:
12 June 2012 (online)

Also available at
    Permissions and Reprints

Zusammenfassung

Die Multiple Sklerose ist eine chronisch entzündliche Erkrankung des Zentralnervensystems und die häufigste neurologische Erkrankung im jungen Erwachsenenalter. Sie kann in ihrem Verlauf zu erheblichen Funktionseinschränkungen und Beeinträchtigungen bei den Betroffenen führen. Mit zielgerichteter körperlicher Aktivität lässt sich ein positiver Effekt in der symptomatischen Therapie erzielen und bestehenden Funktionseinschränkungen entgegenwirken.

Abstract

Multiple Sclerosis is a chronic inflammatory disease of the central nervous system and the most common disabling disorder of young adults. MS might lead to significant functional impairments resulting in disability. Exercise is an essential part of symptomatic MS therapy to gain positive effects in symptom management and to work against existing functional impairments.

Schlüsselwörter

Sport - Multiple Sklerose - Lebensqualität

Keywords

exercise - multiple sclerosis - quality of life
 

  • Literatur

  • 1 DeBolt LS, McCubbin JA. The effects of home-based resistance exercise on balance, power, and mobility in adults with multiple sclerosis. Arch Phys Med Rehabil 2004; 85: 290-297
    CrossrefPubMedGoogle Scholar
  • 2 Uhthoff W. Untersuchungen über die bei der multiplen Herdsklerose vorkommenden Augenstörungen. Eur Arch Psychiatry Clin Neurosci 1890; 21: 305-410
    PubMedGoogle Scholar
  • 3 Rasminsky M. The effects of temperature on conduction in demyelinated single nerve fibers. Arch Neurol 1973; 28: 287-292
    CrossrefPubMedGoogle Scholar
  • 4 Smith R, Adeney-Steel M, Fulcher G et al. Symptom change with exercise is a temporary phenomenon for people with multiple sclerosis. Arch Phys Med Rehabil 2006; 87: 723-727
    CrossrefPubMedGoogle Scholar
  • 5 Simmons RD, Ponsonby AL, van der Mei I et al. What affects your MS? Responses to an anonymous, internet-based epidemiological survey. Mult Scler 2004; 10: 202-211
    CrossrefPubMedGoogle Scholar
  • 6 Ponichtera-Mulcare JA. Exercise and multiple sclerosis. Med Sci Sports Exerc 1993; 25: 451-465
    PubMedGoogle Scholar
  • 7 Baecke J, Burema J, Frijters J. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clinic Nutr 1982; 36: 936-942
    PubMedGoogle Scholar
  • 8 Tallner A, Waschbisch A, Wenny I et al. Multiple Sclerosis relapses are not associated with exercise. Mult Scler July 6, 2011;
    PubMedGoogle Scholar
  • 9 Dalgas U, Ingemann-Hansen T, Stenager E. Physical Exercise and MS – Recommendations. The International MS Journal 2009; 16: 5-11
    PubMedGoogle Scholar
  • 10 White LJ, Dressendorfer RH. Exercise and multiple sclerosis. Sports Med 2004; 34: 1077-1100
    CrossrefPubMedGoogle Scholar
  • 11 Tallner A, Pfeifer K. Bewegungstherapie bei Multiple Sklerose – Wirkungen von körperlicher Aktivität und Training. Bewegungstherapie und Gesundheitssport 2008; 24: 1-7
    PubMedGoogle Scholar
  • 12 McDonnell GV, Hawkins SA. An assessment of the spectrum of disability and handicap in multiple sclerosis: a population-based study. Mult Scler 2001; 7: 111-117
    PubMedGoogle Scholar
  • 13 Heesen C, Böhn J, Reich C et al. Patient perception of bodily functions in multiple sclerosis: gait and visual function are the most valuable. Mult Scler 2008; 14: 988-991
    CrossrefPubMedGoogle Scholar
  • 14 Branas P, Jordan R, Fry-Smith A et al. Treatments for fatigue in multiple sclerosis: a rapid and systematic review. Health Technol Assess 2000; 4: 1-61
    PubMedGoogle Scholar
  • 15 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. J Adv Nur 2006; 56: 617-635
    CrossrefPubMedGoogle Scholar
  • 16 Flachenecker P, Kümpfel T, Kallmann B et al. Fatigue in multiple sclerosis: a comparison of different rating scales and correlation to clinical parameters. Mult Scler 2002; 8: 523-526
    CrossrefPubMedGoogle Scholar
  • 17 Motl RW, Gosney JL. Effect on exercise training on quality of life in multiple sclerosis: a meta-analysis. Mult Scler 2008; 14: 129-135
    CrossrefPubMedGoogle Scholar
  • 18 DiFabio RP, Choi T, Soderberg J et al. Health-related quality of life for patients with progressive multiple sclerosis: influence of rehabilitation. Phys Ther 1997; 77: 1704-1716
    PubMedGoogle Scholar
  • 19 Patti F, Cacopardo M, Palermo F et al. Health-related quality of life and depression in an Italian sample of multiple sclerosis patients. J Neurol Sci 2003; 211: 55-62
    CrossrefPubMedGoogle Scholar
  • 20 Heesen C, Poettgen J, Groß R. Kognitive Störungen bei Multiple Sklerose. Erhebliche Auswirkungen auf Alltag und Lebensqualität. Psychoneuro 2008; 34: 355-360
    Article in Thieme ConnectPubMedGoogle Scholar
  • 21 Sastre-Garriga J, Alonso J, Renim M et al. A functional magnetic resonance proof of concept pilot trial of cognitive rehabilitation in multiple sclerosis. Mult Scler 2011; 17: 457-467
    CrossrefPubMedGoogle Scholar
  • 22 Romberg A, Virtanen A, Ruutiainen J et al. Effects of a 6-month exercise program on patients with multiple sclerosis. A randomized study. Neurology 2004; 63: 2034-2038
    CrossrefPubMedGoogle Scholar
  • 23 Bayas A, Rieckmann P. Multiple Sklerose und Sport. Akt Neurol 2000; 27: 258-261
    Article in Thieme ConnectPubMedGoogle Scholar
  • 24 Motl RW, Snook EM, McAuley E et al. Correlates of physical activity among individuals with multiple sclerosis. Ann Behav Med 2006; 32: 154-161
    CrossrefPubMedGoogle Scholar
  • 25 Motl RW, Snook EM, McAuley E et al. Symptoms, self-efficacy, and physical activity among individuals with multiple sclerosis. Res Nurs Health 2006; 29: 597-606
    CrossrefPubMedGoogle Scholar
  • 26 Petajan JH, Gappmaier E, White AT et al. Impact of aerobic training on fitness and quality of life in multiple sclerosis. Ann Neurol 1996; 39: 432-441
    CrossrefPubMedGoogle Scholar
  • 27 Rasova K, Havrdova E, Brandejsky P et al. Comparison of the influence of different rehabilitation programmes on clinical, spirometric and spiroergometric parameters in patients with multiple sclerosis. Mult Scler 2006; 12: 227-234
    CrossrefPubMedGoogle Scholar
  • 28 Kileff J, Ashburn A. A pilot study of the effect of aerobic exercise on people with moderate disability multiple sclerosis. Clin Rehabil 2005; 19: 165-169
    CrossrefPubMedGoogle Scholar
  • 29 Collett J, Dawes H, Meaney A et al. Exercise for multiple sclerosis: a single-blind randomized trial comparing three exercise intensities. Mult Scler 2011; 17: 594-603
    CrossrefPubMedGoogle Scholar
  • 30 Dalgas U, Stenager E, Jakobsen J et al. Resistance training improves muscle strength and functional capacity in multiple sclerosis. Neurology 2009; 73: 1478-1484
    CrossrefPubMedGoogle Scholar
  • 31 Schulz KH, Gold SM, Witte J et al. Impact of aerobic training on immune-endocrine parameters, neurotrophic factors, quality of life and coordinative function in multiple sclerosis. J Neurol Sci 2004; 225: 11-18
    CrossrefPubMedGoogle Scholar
  • 32 Heesen C, Gold SM, Hartmann S et al. Endocrine and cytokine responses to standardized physical stress in multiple sclerosis. Brain, Behavior and Immunity 2003; 17: 473-481
    CrossrefPubMedGoogle Scholar
  • 33 Petersen AW, Pedersen BK. The anti-inflammatory effect of exercise. J Appl Physiol 2005; 98: 1154-1162
    CrossrefPubMedGoogle Scholar
  • 34 De Souza-Teixeira F, Costilla S, Ayán C et al. Effects of resistance training in multiple sclerosis. Int J Sports Med 2009; 30: 245-250
    Article in Thieme ConnectPubMedGoogle Scholar
  • 35 Taylor NF, Dodd KJ, Prasad D et al. Progressive resistance exercise for people with multiple sclerosis. Disability and Rehabilitation 2006; 28: 1119-1126
    PubMedGoogle Scholar
  • 36 White LJ, McCoy SC, Castellano V et al. Resistance training improves strength and functional capacity in persons with multiple sclerosis. Mult Scler 2004; 10: 668-674
    CrossrefPubMedGoogle Scholar
  • 37 Dalgas U, Stenager E, Jakobsen J et al. Fatigue, mood and quality of life improve in MS patients after progressive resistance training. Mult Scler 2010; 16: 480-490
    CrossrefPubMedGoogle Scholar
  • 38 Filipi ML, Kucera DL, Filipi EO et al. Improvement in strength following resistance training in MS patients despite varied disability levels. Neuro Rehabilitation 2011; 28: 373-382
    PubMedGoogle Scholar
  • 39 Bjarnadottir OH, Konradsdottir AD, Reynisdottir K et al. Multiple sclerosis and brief moderate exercise. A randomised study. Mult Scler 2007; 13: 776-782
    CrossrefPubMedGoogle Scholar
  • 40 Snook EM, Motl RW. Effect of exercise training on walking mobility in multiple sclerosis: a meta-analysis. Neurorehabil Neural Repair 2009; 23: 108-116
    PubMedGoogle Scholar
  • 41 Motl RW, Goldman MD, Benedict R. Walking impairment in patients with multiple sclerosis: exercise training as a treatment option. Neuropsychiatr Dis Treat 2010; 6: 767-774
    PubMedGoogle Scholar
  • 42 Thoumie P, Mevellec E. Relation between walking speed and muscle strength is affected by somatosensory loss in multiple sclerosis. J Neurol Neurosurg Psychiatry 2002; 73: 313-315
    CrossrefPubMedGoogle Scholar
  • 43 Thoumie P, Lamotte D, Cantalloube S et al. Motor determinants of gait in 100 ambulatory patients with multiple sclerosis. Mult Scler 2005; 11: 485-491
    CrossrefPubMedGoogle Scholar
  • 44 Camarri B, Eastwood PR, Cecins NM et al. Six minute walk distance in healthy subjects aged 55–75 years. Respir Med 2006; 100: 658-665
    CrossrefPubMedGoogle Scholar
  • 45 Bassey EJ, Fiatarone MA, O’Neill EF et al. Leg extensor power and functional performance in very old men and women. Clinical Science 1992; 82: 321-327
    PubMedGoogle Scholar
  • 46 Rietberg MB, Brooks D, Uitdehaag BMJ et al. Exercise therapy for multiple sclerosis. The Cochrane Library 2009; 4
    PubMedGoogle Scholar
  • 47 Andreasen AK, Stenager E, Dalgas U. The effect of exercise therapy on fatigue in multiple sclerosis. Mult Scler 2011; 17: 1041-1054
    CrossrefPubMedGoogle Scholar
  • 48 McCullagh R, Fitzgerald AP, Murphy RP et al. Long-term benefits of exercising on quality of life and fatigue in multiple sclerosis patients with mild disability: a pilot study. Clin Rehabil 2008; 22: 206-214
    PubMedGoogle Scholar
  • 49 Mostert S, Kesselring J. Effects of a short-term exercise training programme on aerobic fitness, fatigue, health perception and activity level of subjects with multiple sclerosis. Mult Scler 2002; 8: 161-168
    CrossrefPubMedGoogle Scholar
  • 50 Surakka J, Romberg A, Ruutiainen J et al. Effects of aerobic and strength exercise on motor fatigue in men and women with multiple sclerosis: a randomized controlled trial. Clin Rehabil 2004; 18: 737-746
    CrossrefPubMedGoogle Scholar
  • 51 Rampello A, Franceschini M, Piepoli M et al. Effect of aerobic training on walking capacity and maximal exercise tolerance in patients with multiple sclerosis: a randomized crossover controlled study. Phys Ther 2007; 87: 545-555
    CrossrefPubMedGoogle Scholar
  • 52 Oken BS, Kishiyama S, Zajdel D et al. Randomized controlled trial of yoga and exercise in multiple sclerosis. Neurology 2004; 62: 2058-2064
    CrossrefPubMedGoogle Scholar
  • 53 Karpatkin H. Multiple Sclerosis and exercise. A review of the evidence. International Journal of MS Care 2005; 7: 36-41
    CrossrefPubMedGoogle Scholar
  • 54 Expert Opinion Paper . Rehabilitation: Recommendations for persons with multiple sclerosis. Medical Advisory Board of the National Multiple Sclerosis Society 2004;
    PubMedGoogle Scholar