Najafi, Parisa and Hadizadeh, Maryam and Cheong, Jadeera Phaik Geok and Motl, Robert W. and Abdullah, Suhailah and Mohafez, Hamidreza and Poursadeghfard, Maryam (2023) Effects of tele-exercise training on physical and mental health and quality of life in multiple sclerosis: Do the effects differ by modality and clinical disease course? Multiple Sclerosis and Related Disorders, 80. ISSN 2211-0348, DOI https://doi.org/10.1016/j.msard.2023.105129.
Full text not available from this repository.Abstract
Introduction: Tele-exercise training has improved mental and physical health and quality of life (QOL) in people with multiple sclerosis (PwMS), but there is little known about the comparability of effects across modalities and clinical disease courses. Objective: To evaluate the effect of tele-Pilates and tele-yoga training on physical and mental factors and QOL in PwMS, with a focus on two phenotype classifications - relapsing-remitting MS (RRMS) and secondary progressive MS (SPMS). Methods: Eighty-two persons with RRMS (n = 48) and SPMS (n = 34) were randomly assigned into tele-Pilates (n = 29), tele-yoga (n = 26), or control (n = 27). The tele-exercis training was conducted three times per week for eight weeks. Results: Significant time x group interactions were observed for QoL (p = 0.01), physical activity levels (p < 0.001), mental health (p = 0.05), and a decline in depression (p = 0.002) following tele-Pilates and tele-yoga. The corresponding subfactors, including pain, energy, emotional well-being, and role limitation due to emotional and physical problems, have shown significant improvements after interventions compared with control (all p < 0.05). The effects of exercise over control did not depend on MS phenotype (all p > 0.05). Discussion: Tele-yoga and tele-Pilates exercises improved QoL and mental and physical health in PwMS, and the benefits were similar across both MS phenotypes. These findings highlight the potential of implementing tele-yoga and tele-Pilates as non-pharmacological mind-body symptomatic treatments for individuals with both RRMS and SPMS.
| Item Type: | Article |
|---|---|
| Funders: | Fundamental Research Grant Scheme (FRGS), Ministry of Education, Malaysia [Grant No: FRGS/1/2020/STG03/UM/02/7] |
| Uncontrolled Keywords: | Pilates; Yoga; Quality of life; Telerehabilitation; Mental health; Physical activity; Phenotype |
| Subjects: | R Medicine > RC Internal medicine |
| Divisions: | Faculty of Engineering Faculty of Medicine Faculty of Sports and Exercise Science (formerly known as Centre for Sports & Exercise Sciences) |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 03 Nov 2025 06:53 |
| Last Modified: | 03 Nov 2025 06:53 |
| URI: | http://eprints.um.edu.my/id/eprint/48584 |
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