Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/30312
Title: Periodized home-based training: A new strategy to improve high intensity exercise therapy adherence in mildly affected patients with Multiple Sclerosis
Authors: KEYTSMAN, Charly 
VAN NOTEN, Pieter 
SPAAS, Jan 
NIESTE, Ine 
VAN ASCH, Paul 
OP 'T EIJNDE, Bert 
Issue Date: 2019
Publisher: ELSEVIER SCI LTD
Source: MULTIPLE SCLEROSIS AND RELATED DISORDERS, 28, p. 91-97
Abstract: Introduction: Although high intensity exercise therapy (HIT) in Multiple Sclerosis (MS) induces substantial effects, longer term compliance to such a training program is not evident. When embedded in a periodized, home-based training strategy, high intensity exercise therapy adherence may improve. This is explored first in mildly affected persons with MS. Methods: Exercise capacity (maximal exercise test) and body composition (DEXA) of healthy controls (n = 22) and persons with MS (n = 23, EDSS: 1.9 +/- 1.1) were assessed at baseline (PRE). Next and within the context of an MS awareness project (climbing the Mont Ventoux, France), all participants were enrolled in a 6 m home-based periodized HIT oriented cycling program with remote (Polar (R) M200 activity tracker) supervision. Hereafter, POST measurements were performed similar to baseline. Results: Six months of periodized and home-based HIT oriented training induced improvements in body weight ( - 3%, p = 0.008), BMI ( - 3%, p = 0.01), total mass ( - 2%, p = 0.023), VO2max (+ 5%, p = 0.016), workload (+ 11%, p = 0.001), time until exhaustion (+ 14%, p = 0.001), recovery heart rate (+ 4%, p = 0.04), lactate peak ( + 16%, p = 0.03) and RER (+ 4%, p = 0.04) in MS. Furthermore, all persons with MS safely reached the top of the Mont Ventoux, except for two. Conclusion: The applied 6 m periodized, home-based and HIT-oriented cycling program provided good therapy adherence with similar improvements in exercise capacity compared to healthy controls. Furthermore, this exercise regimen trained mildly-affected persons with MS adequately to climb the Mont Ventoux.
Notes: [Keytsman, Charly; Van Noten, Pieter; Spaas, Jan; Nieste, Ine; Eijnde, Bert O.] Hasselt Univ, Fac Med & Life Sci, REVAL Rehabil Res Ctr, Biomed Res Inst BIOMED, Agoralaan Bldg A, B-3590 Diepenbeek, Belgium. [Van Asch, Paul] Move Sport Fdn, Mechelsesteenweg, Kontich, Belgium.
Document URI: http://hdl.handle.net/1942/30312
ISSN: 2211-0348
e-ISSN: 2211-0356
DOI: 10.1016/j.msard.2018.12.018
ISI #: 000459833100018
Category: A1
Type: Journal Contribution
Validations: ecoom 2020
Appears in Collections:Research publications

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