L’vibratory training, an intervention used to improve the physical function of people with multiple sclerosis, could improve cognitive function and overall quality of life from the people that coexist with this illness. To declare it in a study is the associate professor Feng Yang with the collaboration of Francois Bethoux of the Cleveland Clinic Foundation and faculty members of the Georgia State University Pey-Shan Wen and Yichuan Zhao.
There Research was published in the scientific journal International Journal of MS Care.
Vibratory training for multiple sclerosis: here’s what it consists of and what its benefits are
Multiple sclerosis (SM) it’s a chronic neurological disease affecting the body’s central nervous system. It can limit a person’s mobility, impair physical and cognitive functions, and increase the risk of falls, collectively compromising quality of life.
Cognitive impairment has been particularly difficult for researchers to cope with, with few intervention strategies proven effective in preserving or restoring cognitive function for people with MS.
Vibration training requires the affected individual to sit or stand on a platform that vibrates at a fast pace but with a small movement for a specific period of time.For the Yang study, believed to be the first of its kind, 18 adults with MS were recruited who completed assessments to determine their perceived disability status, cognitive function and quality of life. Then, some of the participants attended vibration training three times a week for six weeks.
The training group included eight women and one man, with an average age of 53.9 years; the training was given three times a week, for a total of 18 sessions. Nine women who acted as controls (average age 49) were instructed to continue with their usual lifestyle.
Each session consisted of five short, low-frequency vibration workouts a 20 Hz, followed by a minute of rest. An alternating side-to-side platform was used, on which patients stood and barefoot, holding the support bars with their knees slightly flexed.
During the study, the researchers gradually increased the amplitude and duration of the peak-to-peak vibration of each attack: 2mm and one minute were set for the first two weeks, increasing by 4mm and one minute for the two weeks. subsequent and 4 mm and 1.5 minutes for the last two weeks.
Compared to the control group, those who went through six weeks of training showed greater reductions in disability, as assessed with the Multiple Sclerosis Functional Composite (MSFC), whose three parts assess the strength and function of the lower and upper limbs, as well as cognitive abilities.
Also there walking speed of patients – measured in the Timed 25-foot Walking Test portion of the MSFC – increased after the training program compared to pre-workout speeds, while no changes were observed among patients in the control group.
“The positive impact of vibration training on gait speed is practically important for people with MS because maintaining mobility is critical to maintaining independence, work and social participation“, The experts specified.
The training group patients also showed a better executive function than controls, measured with a scale that evaluates the behaviors involved in starting the task, working memory, planning and organization. A score measuring memory function on a verbal learning test also increased in the training group.
A scale relevant to quality of life, the physical domain score of the Short Form Health Survey (SF-36), in 36 voices, also showed improvements in patients’ post-workout scores compared to their pre-workout scores, indicating benefits in daily life of relevance to people with MSThis investigation revealed that vibratory training improved not only physical abilities, such as increased walking speed, but also cognitive functions, such as memory capacity and executive function.
One participant reported itching after the first five vibration sessions, but otherwise “No serious discomfort or adverse vibration reactions were reported during the study“, The researchers observed:”These findings suggest that vibration training could be an effective alternative training paradigm for improving cognition and quality of life in people with MS“, the scientists said, adding that his findings “they provide an encouraging basis for conducting a large-scale clinical trial ”.
“Despite the limitations, such as the doter resorting to a limited sample of volunteers, restricted MS types and disability levels, etc., this study suggests that a six-week vibratory training course could improve cognitive function and quality of life among people with MSYang and his team wrote.
“The goal of rehabilitation in people with MS is to reduce the impact of MS on personal activity, function and social participation to enable people with MS to have maximum independence and quality of life,” the scientist specified. The program was also well accepted and tolerated, suggesting it could provide an inexpensive treatment option for those living with the disease.
“Having a proven program to help manage MS-related disability and cognitive impairment is essential for optimizing the health-related quality of life for people with MS“Stated the researchers.
As a neurodegenerative disease that damages the protective lining around nerve cells, MS is characterized by symptoms such as numbness, fatigue and impaired speech and muscle coordination. As it progresses, cognition can also be affected and greater movement difficulties can weigh on quality of life.
Vibration training is increasingly of interest in the prevention and treatment of movement disorders. During this research, patients stand or sit on a platform that vibrates at certain frequencies and amplitudes. The vibration transmits energy to the whole body and forces the muscles to contract and relax.
“The intense mechanical oscillation from the platform stimulates various sensorimotor units of the human body and leads to improvements in sensorimotor functions”, the researchers explained. “Evidence shows that a short-term vibratory training course (6 to 10 weeks) improves physical functions (such as balance, mobility, strength and power) in the elderly “, concluded the experts.
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