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A Practical Approach to Using Integrated Knowledge Translation to Inform a Community-Based Exercise Study
Open AccessFeature PaperArticle

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

1
Neurological Rehabilitation Center Quellenhof, 75323 Bad Wildbad, Germany
2
Department of Neurology, University of Würzburg, 97080 Würzburg, Germany
3
Department of Health & Social Psychology, German Sport University Cologne, 50933 Cologne, Germany
4
Department of Sport Science and Sport, University of Erlangen-Nuremberg, 91058 Erlangen, Germany
5
Faculty of Economics, University of Bayreuth, 95447 Bayreuth, Germany
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(12), 4544; https://doi.org/10.3390/ijerph17124544
Received: 30 April 2020 / Revised: 19 June 2020 / Accepted: 21 June 2020 / Published: 24 June 2020
(This article belongs to the Special Issue Patient-Oriented Exercise Interventions)
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. View Full-Text
Keywords: multiple sclerosis; rehabilitation; fatigue; quality of life; walking; physical activity; exercise; online systems; internet-based intervention; health behavior multiple sclerosis; rehabilitation; fatigue; quality of life; walking; physical activity; exercise; online systems; internet-based intervention; health behavior
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Flachenecker, P.; Bures, A.K.; Gawlik, A.; Weiland, A.-C.; Kuld, S.; Gusowski, K.; Streber, R.; Pfeifer, K.; Tallner, A. 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. Int. J. Environ. Res. Public Health 2020, 17, 4544.

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