39 results match your criteria: "The Danish MS Hospitals[Affiliation]"

Unlabelled: This review investigated the psychometric properties of the most commonly used short-, long-, complex- and patient-reported walking outcome measures in multiple sclerosis(MS): the timed-25-foot walk test (T25FW), the six-minute walk test (6MWT), the six-spot step-test (SSST), and the 12-item MS walking scale (MSWS-12), along with reported reference data of these tests.

Methods: Based on PubMed and Embase searches, psychometric as well as descriptive data of T25FW, 6MWT, SSST, and MSWS-12 were extracted from studies evaluating persons with MS (pwMS). Descriptive data was also extracted from healthy controls (HC), if reported.

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Introduction: Multiple sclerosis has a substantial negative impact on physical activity (PA). However, limited knowledge exists on objectively measured PA levels and types across disability status along with its influence on walking capacity.

Objectives: To (1) determine PA levels/types in persons with MS (pwMS) (overall and across disability status) and in healthy controls (HC), and (2) investigate the association between PA levels/types and walking capacity.

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Unlabelled: This study examines how power training affects estimated bone strength, revealing that females benefit more than males, especially in the upper limbs (radius). These findings highlight the importance of designing sex-specific exercise programs to enhance bone health. Further research is needed to optimize training duration and address site-specific differences.

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Sarcopenia in older people with multiple sclerosis: A cross-sectional study.

Mult Scler Relat Disord

November 2024

Exercise Biology, Department of Public Health, Aarhus University, Aarhus, Denmark; The Danish MS Hospitals, Ry and Haslev, Denmark.

Article Synopsis
  • Older people with multiple sclerosis (pwMS) are at a higher risk for sarcopenia, which means they may experience decreased muscle mass, strength, and function, and this issue is not well-studied in this population.
  • This study analyzed 41 older pwMS and 27 healthy controls using the EWGSOP2 diagnostic tool and focused on their muscle strength in both upper and lower extremities.
  • Results revealed that older pwMS had significantly lower muscle strength, especially in their lower extremities, and concluded that lower extremity tests are more effective for diagnosing sarcopenia in this group.
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Article Synopsis
  • Inpatient rehabilitation improves health-related quality of life (HRQOL) for multiple sclerosis (MS) patients, but the benefits often lessen after returning home, prompting a study on monthly telecoaching to sustain improvements.
  • A one-year study compared two telecoaching methods (telephone and web-based) to see if they could help maintain HRQOL post-discharge, using a neuropsychological group and a physical group for analysis.
  • Results showed that the neuropsychological group experienced long-term HRQOL benefits from telecoaching, particularly with one-on-one phone support, while the physical group did not see any significant improvement.
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Background: For persons with multiple sclerosis (pwMS), exercise is known to be safe and effective at treating several symptoms and it may even be disease-modifying. However, exercise can trigger heat intolerance, exercise-induced heat sensitivity (EIHS), which may cause some pwMS to refrain from exercise. No review has yet summarized the existing knowledge on EIHS in pwMS.

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Article Synopsis
  • The study explored the effectiveness of multidisciplinary rehabilitation (MDR) for individuals with multiple sclerosis (MS), highlighting the complexities of their symptoms and diverse treatment needs.
  • A randomized controlled trial was conducted with follow-up assessments focused on five main areas: Resilience, Cognitive Function, Energy, Physical Function, and Personal Needs, measuring outcomes using the Functional Assessment of Multiple Sclerosis (FAMS) tool.
  • Results showed significant improvements in FAMS scores at discharge for all focus areas, though the extent and durability of these improvements varied, underscoring the importance of tailored goal-setting in MDR for better health outcomes.
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The consequences of short-term disuse are well known, but effective countermeasures remain elusive. This study investigated the effects of neuromuscular electrical stimulation (NMES) during 5 days of bed rest on retaining lower limb muscle mass and muscle function in healthy young and old participants. One leg received NMES of the quadriceps muscle (3 × 30min/day) (NMES), and the other served as a control (CON).

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Introduction: Multiple sclerosis (MS) causes a broad range of symptoms, with physical function being one of the most disabling consequences according to patients themselves. Exercise effectively improves lower extremity physical function. Nonetheless, it is unknown which exercise modality is most effective and it remains challenging to keep persons with MS adhering to exercise over a longer period.

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Exercise as medicine in Parkinson's disease.

J Neurol Neurosurg Psychiatry

October 2024

Exercise Biology, Department of Public Health, Aarhus University, Aarhus, Denmark.

Parkinson's disease (PD) is an incurable and progressive neurological disorder leading to deleterious motor and non-motor consequences. Presently, no pharmacological agents can prevent PD evolution or progression, while pharmacological symptomatic treatments have limited effects in certain domains and cause side effects. Identification of interventions that prevent, slow, halt or mitigate the disease is therefore pivotal.

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Objective: The aim of the present systematic review was to investigate the effects of voluntary walking interventions in persons with multiple sclerosis (pwMS). For this purpose, we developed a framework to describe the components of walking interventions.

Data Sources: Two databases (MEDLINE/PubMed and EMBASE) were searched in January 2023.

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Article Synopsis
  • A study compared walking capacity in individuals with multiple sclerosis (MS) to healthy controls using three tests: the timed 25-foot walk test, the six-minute walk test, and the six-spot step test.
  • Researchers found significant walking impairments in MS patients across all tests, with deficits of 26%, 36%, and 44% for each respective test compared to healthy individuals.
  • The six-spot step test was identified as the most effective in detecting these walking capacity impairments among the tested options.
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  • The study investigates how neuromuscular function varies between older individuals with multiple sclerosis (pwMS) and healthy controls (HC) across different age groups (young, middle-aged, and old).
  • Findings revealed that pwMS exhibited significantly reduced muscle strength (Fmax), rate of force development (RFD), and voluntary activation (VA) in knee extensors (KE) compared to HC, with greater declines observed in the plantar flexors (PF) as they aged.
  • The results indicate that both MS and age negatively impact muscle function, particularly in PF, with unique patterns of decline between pwMS and HC, suggesting a need for further research into the neural mechanisms behind these deficits.
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Cardiorespiratory fitness (V̇O) across the adult lifespan in persons with multiple sclerosis and matched healthy controls.

J Sci Med Sport

January 2024

Exercise Biology, Department of Public Health, Aarhus University, Denmark; The Danish MS Hospitals, Ry and Haslev, Denmark. Electronic address: https://twitter.com/HvidLars.

Objectives: Cardiorespiratory fitness (measured as peak oxygen uptake; V̇O) is a well-established health predictor in the general population and in persons with multiple sclerosis (pwMS). We aimed to investigate differences in V̇O between age groups and the prevalence of V̇O impairments across the adult lifespan in pwMS compared to age- and sex-matched healthy controls (HC).

Design: Cross-sectional study.

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Article Synopsis
  • Low-frequency fatigue (LFF) is characterized by a decrease in the ability of muscles to generate force at low frequencies compared to high frequencies during electrical stimulation.
  • In a study with 16 participants, knee extensions were performed to measure how LFF affected the torque-velocity relationship after inducing fatigue through dynamic exercises.
  • Results showed that maximal torque and power significantly decreased after fatigue, while the maximal contraction velocity remained largely unchanged, suggesting that LFF affects muscle power production but not contraction speed during low- and high-frequency exercise.
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The MoxFo initiative-Mechanisms of action: Biomarkers in multiple sclerosis exercise studies.

Mult Scler

November 2023

Institute of Neuroimmunology and Multiple Sclerosis, Center for Molecular Neurobiology Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Background: As exercise exerts neurobiological and immunomodulatory effects, it might also act as a disease-modifying intervention in MS. However, a clear mechanistic link between exercise and disease-modifying effects in MS has yet to be established.

Objective: Establish recommendations for future mechanistic exercise studies in MS.

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Purpose: To investigate the indirect measurement of 1-repetition-maximum (1RM) free-weight half-squat in high-level sprinters using the load-velocity relationship.

Methods: Half-squat load and velocity data from 11 elite sprinters were collected in 2 separate testing sessions. Approximately 24 hours prior to the first testing session, sprinters completed a fatiguing high-intensity training session consisting of running intervals, staircase exercises, and body-weight exercises.

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Article Synopsis
  • - Researchers investigated the link between knee extensor rate of force development (RFD) and falls in people with multiple sclerosis (pwMS), noting that RFD, a measure of how quickly muscle force can be generated, is typically more affected than maximal muscle strength (Fmax) in this population.
  • - The study involved 53 pwMS participants categorized as non-fallers, fallers, and recurrent fallers based on their history of falls over the past year, with assessments conducted using isokinetic dynamometry to evaluate RFD and Fmax.
  • - Findings revealed significant reductions in both RFD and Fmax among fallers and recurrent fallers compared to non-fallers, with a strong association between lower R
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Exploring the peripheral mechanisms of lower limb immobilisation on muscle function using novel electrophysiological methods.

Clin Neurophysiol

July 2023

Department of Clinical Neurophysiology, Aarhus University Hospital, Denmark; Institute of Clinical Medicine, Aarhus University, Denmark. Electronic address:

Article Synopsis
  • The study aimed to investigate how short-term ankle immobilisation affects peripheral nervous system (PNS) measures and muscle performance, using new methods like muscle velocity recovery cycles (MVRC) and motor unit number estimation (MUNE).
  • Twelve participants experienced one week of immobilization followed by two weeks of retraining, with assessments on muscle properties, strength, imaging, and walking ability conducted before and after both phases.
  • Results showed decreases in muscle action potential, strength, and walking capacity after immobilization, but these returned to baseline post-retraining; however, changes in PNS measures were minimal, suggesting that PNS does not play a significant role in these observed changes.
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Article Synopsis
  • The study examines the benefits of exercise on multiple sclerosis (MS), particularly focusing on physical function and cognition in patients who have been diagnosed for less than 2 years.
  • A randomized trial with 84 participants compared 48 weeks of aerobic exercise to a control group receiving health education, measuring various physical and cognitive functions.
  • Results showed significant improvements in aerobic fitness for those who exercised, while overall cognitive function remained unchanged; however, both groups reported reduced perception of disease and fatigue impact.
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Article Synopsis
  • A systematic literature review was conducted to assess the impact of neuromuscular rate of force development (RFD), maximal muscle strength (Fmax), and physical function in neurodegenerative conditions like Parkinson's, Alzheimer's, Multiple Sclerosis, and Stroke.
  • The review found that individuals with neurodegenerative diseases showed significant deficits in RFD (-31%) and physical function (-26%), both of which were worse than those seen in Fmax (-21%).
  • It concluded that RFD is more sensitive to changes in neuromuscular function due to neurodegeneration than Fmax and could be a valuable biomarker for monitoring these changes in physical function.
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Article Synopsis
  • The study examined how immobilizing one leg affects balance and muscle power in young and older healthy men over a period of two weeks, followed by four weeks of training.
  • It found that both age groups experienced a decrease in muscle power after immobilization, but only the older men showed significant impairments in balance.
  • After retraining, all measures returned to pre-immobilization levels, indicating that resistance training effectively restores muscle power and balance in both age groups.
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Muscle Strength and Power in People With Parkinson Disease: A Systematic Review and Meta-analysis.

J Neurol Phys Ther

January 2023

Exercise Biology, Department of Public Health, Aarhus University, Aarhus, Denmark (M.G., L.G.H., C.T., U.D., M.L.-C.); Cancer Surveillance and Pharmacoepidemiology, Danish Cancer Society Research Center, Copenhagen, Denmark (M.G.); The Danish MS Hospitals, Ry and Haslev, Denmark (L.G.H.); Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden (S.J., E.F.); and Medical Unit Occupational Therapy and Physical Therapy, Women's Health and Allied Health professionals Theme, Karolinska University Hospital, Stockholm, Sweden (S.J., E.F.).

Background And Purpose: No studies have synthesized the literature regarding mechanical muscle function (ie, strength, power, rate of force development [RFD]) in people with Parkinson disease (PD). Here, we aimed to expand our understanding of mechanical muscle function in people with PD (PwPD) by systematically reviewing (1) the psychometric properties of isokinetic/isometric dynamometry in PD, (2) the literature comparing mechanical muscle function in PwPD with healthy controls (HC), and (3) reported associations between muscle mechanical muscle function and functional capacity and/or disease severity.

Methods: Systematic literature search in 6 databases.

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Objective: To investigate (1) how current and pulse frequency of electrical stimulation (ES) as well as contraction mode (isometric, concentric, and eccentric) influence torque output and discomfort and (2) how familiarization by repeated ES sessions influences ratings of perceived discomfort.

Design: An experimental study, 3 sessions.

Setting: A university laboratory.

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