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Asghari A, Arsham S, Daneshfar A. Effect of Resistance Training on Joint Position Sense and Disability in Adult Women with Multiple Sclerosis. IJMCL. 2019; 1 (1) :2-12
URL: http://ijmcl.com/article-1-41-en.html
Assistant Professor in Motor Behavior, Kharazmi University, Tehran, Iran
Abstract:   (1779 Views)
Background: Multiple Sclerosis is a chronic disease of the central nervous system that is caused by destruction of myelin of the neuronal cells.
Objectives: This study aimed at determining the effect of resistance training on joint position sense in patients with multiple sclerosis.
Methods: This was a quasi-experimental study with the pretest-posttest design. Of 60 people referring to the National Multiple Sclerosis Association of Iran, 12 women aged 20-55 years were selected based on physical disability scale developed by Kurtzke (1-4) and their fitness for participation in a sports protocol. They were randomly assigned to two groups: resistance training and control. The experimental group performed resistance training for 6 weeks, while the control group did not have any physical activity during this period. A goniometer was used to evaluate the joint position sense.
Results: The results of covariance analysis indicated a significant difference between the mean scores of two experimental and control groups joint position sense at an angle of 40 degrees (P<0.05). Resistance training at the starting knee flexion angle (40 degrees) led to progression of joint position sense, while it had no significant effect on the end angle (60 degrees). The effect of resistance training was also significant on physical disability (P=0.001). Six weeks of resistance training reduced reconstruction error of the 40-degree angle.
Conclusions: People with multiple sclerosis can improve the sensory aspect of movement, their physical ability, thereby the pattern and quality of their daily functional movements by these exercises. It is suggested that these exercises be used along with other rehabilitation programs to rehabilitate these patients.
Full-Text [PDF 416 kb]   (736 Downloads)    
Type of Study: Original Article | Subject: 2. Motor control
Received: 2019/04/17 | Accepted: 2019/07/9 | Published: 2019/08/25

1. Soltani, M., Hejazi, S. M., Noorian, A., Zendedel, A., & Ashkanifar, F. (2009). The effect of aerobic training on the improvement of expanded disability status scale (EDSS) in multiple sclerosis patients. J Mashhad School Nurs Midw; 9(2): 107-13.
2. Salami, F (1995). Neurological diseases, in addition to the major manifestations of neurological diseases. Tehran: Hayyan Publications.
3. Mirshafiyi, S. A (2008). Multiple Sclerosis. Tehran: Hayyan Publications.
4. Greenwood, N. L., Duffell, L. D., Alexander, C. M., & McGregor, A. H. (2011). Electromyographic activity of pelvic and lower limb muscles during postural tasks in people with benign joint hypermobility syndrome and non-hypermobile people. A pilot study. Manual therapy, 16(6), 623-628. [DOI:10.1016/j.math.2011.07.005]
5. Neisi, K., Ebrahimi, A., Goharpey, S. (2005). Investigating the effect of starting angle and target angle on measuring the sense of position of knee joint in healthy men. Jondishapur Scientific Medical Journal, No. 30.
6. Richie, D. H. (2001). Functional instability of the ankle and the role of neuromuscular control: a comprehensive review. The journal of foot and ankle surgery, 40(4), 240-251. [DOI:10.1016/S1067-2516(01)80025-9]
7. White, L. J., McCoy, S. C., Castellano, V., Gutierrez, G., Stevens, J. E., Walter, G. A., & Vandenborne, K. (2004). Resistance training improves strength and functional capacity in persons with multiple sclerosis. Multiple Sclerosis Journal, 10(6), 668-674. [DOI:10.1191/1352458504ms1088oa]
8. Barofsky, I. (2004). Quality of life research: A critical introduction. Quality of Life Research, 13(5), 1021-1024. [DOI:10.1023/B:QURE.0000025693.23152.fe]
9. Motl, R. W., Arnett, P. A., Smith, M. M., Barwick, F. H., Ahlstrom, B., & Stover, E. J. (2008). Worsening of symptoms is associated with lower physical activity levels in individuals with multiple sclerosis. Multiple Sclerosis Journal, 14(1), 140-142. [DOI:10.1177/1352458507079126]
10. Khodadadeh, S., Kordi, M., Khosravi, N., Sanglaji, B. (2010). Effect of 8 weeks of selected exercise on walking distance, strength and fatigue of MS patients. Journal of Hayatno Rehabilitation Clinic. Volume 10, Issue 2, pp. 28-22.
11. Huisinga, J. M., Filipi, M., & Stergiou, N. (2011). Elliptical exercise improves fatigue ratings and quality of life in patients with multiple sclerosis. Journal of Rehabilitation Research & Development. 48, 881- 890. [DOI:10.1682/JRRD.2010.08.0152]
12. Hazneci, B., Yildiz, Y., Sekir, U., Aydin, T., & Kalyon, T. A. (2005). Efficacy of isokinetic exercise on joint position sense and muscle strength in patellofemoral pain syndrome. American journal of physical medicine & rehabilitation, 84(7), 521-527. [DOI:10.1097/01.phm.0000167682.58210.a7]
13. Sekir, U., Yildiz, Y., Hazneci, B., Ors, F., & Aydin, T. (2007). Effect of isokinetic training on strength, functionality and proprioception in athletes with functional ankle instability. Knee surgery, sports traumatology, arthroscopy, 15(5), 654-664. [DOI:10.1007/s00167-006-0108-8]
14. Westlake, K. P., Wu, Y., & Culham, E. G. (2007). Sensory-specific balance training in older adults: effect on position, movement, and velocity sense at the ankle. Physical therapy, 87(5), 560-568. [DOI:10.2522/ptj.20060262]
15. Peixoto, J. G., Dias, J. M. D., Dias, R. C., da Fonseca, S. T., & Teixeira-Salmela, L. F. (2011). Relationships between measures of muscular performance, proprioceptive acuity, and aging in elderly women with knee osteoarthritis. Archives of gerontology and geriatrics, 53(2), 253-257. [DOI:10.1016/j.archger.2011.05.008]
16. Stillman, B. C., McMeeken, J. M., & Macdonell, R. A. (1998). Aftereffects of resisted muscle contractions on the accuracy of joint position sense in elite male athletes. Archives of physical medicine and rehabilitation, 79(10), 1250-1254. [DOI:10.1016/S0003-9993(98)90270-2]
17. Thompson, K. R., Mikesky, A., Bahamonde, R. E., & Burr, D. B. (2003). Effects of physical training on proprioception in older women. J Musculoskelet Neuronal Interact, 3(3): 223-231.
18. Fry, D. K., Huang, M. H., & Rodda, B. J. (2016). Predictors of static balance in ambulatory persons with multiple sclerosis. International Journal of Rehabilitation Research, 39(1), 42-47. [DOI:10.1097/MRR.0000000000000142]
19. Jamali, A., Sadeghi, E., & Fereshtenejad, N. (2015, May). Sensory Impairment and Its Relationship with Balance and Quality Of Life in People with Multiple Sclerosis. In Multiple Sclerosis Journal (Vol. 21, No. 6, pp. 813-813).
20. Tripp, B. L., Yochem, E. M., & Uhl, T. L. (2007). Recovery of upper extremity sensorimotor system acuity in baseball athletes after a throwing-fatigue protocol. Journal of athletic training, 42(4), 452.
21. Schapira, RT. (2000). Symptom management and rehabilitation. In Burks JS Johnson KP. Multiple Sclerosis, Diagnosis, Management and Rehabilitation. New York. Demos Medical Publishing, 86:315-320.
22. Kurtzke, J. F. (1983). Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology, 33(11), 1444-1452. [DOI:10.1212/WNL.33.11.1444]
23. www.lafayetteinstrument.com
24. Cuthbert, S. C., & Goodheart, G. J. (2007). On the reliability and validity of manual muscle testing: a literature review. Chiropractic & osteopathy, 15(1), 4. [DOI:10.1186/1746-1340-15-4]
25. Lafortune, M. A., Lambert, C. E., & Lake, M. J. (1993). Skin marker displacement at the knee joint. Journal of biomechanics, 26(3), 299. [DOI:10.1016/0021-9290(93)90408-7]
26. Ribeiro, F., Mota, J., & Oliveira, J. (2007). Effect of exercise-induced fatigue on position sense of the knee in the elderly. European journal of applied physiology, 99(4), 379-385. [DOI:10.1007/s00421-006-0357-8]
27. Palmer, M. L., & Epler, M. (1990). Principles of examination techniques. Clinical assessment procedures in physical therapy. Philadelphia: JB Lippincott, 8-36.
28. Dalgas, U., Stenager, E., & Ingemann-Hansen, T. (2008). Multiple sclerosis and physical exercise: recommendations for the application of resistance, endurance and combined training. Multiple Sclerosis Journal, 14(1), 35-53. [DOI:10.1177/1352458507079445]
29. Meeuwsen, H. J., Sawicki, T. M., & Stelmach, G. E. (1993). Improved foot position sense as a result of repetitions in older adults. Journal of gerontology, 48(3), 137-141. [DOI:10.1093/geronj/48.3.P137]
30. Refshauge, K. M., & Fitzpatrick, R. C. (1995). Perception of movement at the human ankle: effects of leg position. The Journal of physiology, 488(1), 243-248. [DOI:10.1113/jphysiol.1995.sp020962]
31. Petrella, R. J., Lattanzio, P. J., & Nelson, M. G. (1997). Effect of age and activity on knee joint proprioception. American Journal of Physical Medicine & Rehabilitation, 76(3), 235-241. 50. [DOI:10.1097/00002060-199705000-00015]
32. Goodman, M., & Marks, R. (1998). The association between knee proprioception and isotonic quadriceps femoris strength. Physiotherapy Canada, 50(1), 53-57.
33. Bouët, V., & Gahéry, Y. (2000). Muscular exercise improves knee position sense in humans. Neuroscience letters, 289(2), 143-146. [DOI:10.1016/S0304-3940(00)01297-0]
34. Baker, V., Bennell, K., Stillman, B., Cowan, S., & Crossley, K. (2002). Abnormal knee joint position sense in individuals with patellofemoral pain syndrome. Journal of Orthopaedic Research, 20(2), 208-214. [DOI:10.1016/S0736-0266(01)00106-1]
35. Arsham, S. (2011) Introduction to Sport Biomechanics. Islamic Azad University, Dezful Branch.
36. Shumway-Cook. A., Woollacott M.H. (2012). Motor Control (Translating Research into Clinical Practice). Publisher: Lippincott Williams & Wilkins.
37. Edin, B. B. (2001). Cutaneous afferents provide information about knee joint movements in humans. The Journal of physiology, 531(1), 289-297. [DOI:10.1111/j.1469-7793.2001.0289j.x]
38. Romberg, A., Virtanen, A., Ruutiainen, J., Aunola, S., Karppi, S. L., Vaara, M. & Seppänen, A. (2004). Effects of a 6-month exercise program on patients with multiple sclerosis: A randomized study. Neurology, 63(11), 2034-2038. [DOI:10.1212/01.WNL.0000145761.38400.65]
39. DeBolt, L. S., & McCubbin, J. A. (2004). The effects of home-based resistance exercise on balance, power, and mobility in adults with multiple sclerosis. Archives of physical medicine and rehabilitation, 85(2), 290-297. [DOI:10.1016/j.apmr.2003.06.003]
40. Dodd, K. J., Taylor, N. F., Denisenko, S., & Prasad, D. (2006). A qualitative analysis of a progressive resistance exercise programe for people with multiple sclerosis. Disability and rehabilitation, 28(18), 1127-1134. [DOI:10.1080/09638280500531842]
41. Smith, C., Hale, L., Olson, K., & Schneiders, A. G. (2009). How does exercise influence fatigue in people with multiple sclerosis?. Disability and rehabilitation, 31(9), 685-692. [DOI:10.1080/09638280802273473]
42. Salem, Y., Scott, A. H., Karpatkin, H., Concert, G., Haller, L., Kaminsky, E. & Spatz, E. (2011). Community-based group aquatic program for individuals with multiple sclerosis: a pilot study. Disability and rehabilitation, 33(9), 720-728. [DOI:10.3109/09638288.2010.507855]
43. Pérez, C. A., Sánchez, V. M., Teixeira, F. D. S., & Fernández, J. D. P. (2007). Effects of a resistance training program in multiple sclerosis Spanish patients: a pilot study. Journal of sport rehabilitation, 16(2), 143-153. [DOI:10.1123/jsr.16.2.143]
44. Gutierrez, G. M., Chow, J. W., Tillman, M. D., McCoy, S. C., Castellano, V., & White, L. J. (2005). Resistance training improves gait kinematics in persons with multiple sclerosis. Archives of physical medicine and rehabilitation, 86(9), 1824-1829. [DOI:10.1016/j.apmr.2005.04.008]
45. Brett, S. (2011). Balance exercises for people with multiple sclerosis. Nursing standard, 15(33), 47-52. 57.

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