prikaz prve stranice dokumenta Combined upper limb and breathing exercise programme for pain management in ambulatory and non-ambulatory multiple sclerosis individuals: part II analyses from feasibility study
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Scientific paper - Original scientific paper
Combined upper limb and breathing exercise programme for pain management in ambulatory and non-ambulatory multiple sclerosis individuals: part II analyses from feasibility study
Neurological sciences, 41 (2019); 65-74. https://doi.org/10.1007/s10072-019-04046-4
Grubić Kezele, Tanja; Babić, Matea; Kauzlarić-Živković, Tamara; Gulić, Tamara

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Grubić Kezele, T., Babić, M., Kauzlarić Živković, T. & Gulić, T. (2019). Combined upper limb and breathing exercise programme for pain management in ambulatory and non-ambulatory multiple sclerosis individuals: part II analyses from feasibility study. Neurological sciences, 41., 65-74. doi: 10.1007/s10072-019-04046-4

Grubić Kezele, Tanja, et al. "Combined upper limb and breathing exercise programme for pain management in ambulatory and non-ambulatory multiple sclerosis individuals: part II analyses from feasibility study." Neurological sciences, vol. 41, 2019, pp. 65-74. https://doi.org/10.1007/s10072-019-04046-4

Grubić Kezele, Tanja, Matea Babić, Tamara Kauzlarić Živković and Tamara Gulić. "Combined upper limb and breathing exercise programme for pain management in ambulatory and non-ambulatory multiple sclerosis individuals: part II analyses from feasibility study." Neurological sciences 41 (2019): 65-74. https://doi.org/10.1007/s10072-019-04046-4

Grubić Kezele, T., et al. (2019) 'Combined upper limb and breathing exercise programme for pain management in ambulatory and non-ambulatory multiple sclerosis individuals: part II analyses from feasibility study', Neurological sciences, 41, pp. 65-74. doi: 10.1007/s10072-019-04046-4

Grubić Kezele T, Babić M, Kauzlarić Živković T, Gulić T. Combined upper limb and breathing exercise programme for pain management in ambulatory and non-ambulatory multiple sclerosis individuals: part II analyses from feasibility study. Neurological sciences [Internet]. 2019 [cited 2025 February 24];41:65-74. doi: 10.1007/s10072-019-04046-4

T. Grubić Kezele, M. Babić, T. Kauzlarić Živković and T. Gulić, "Combined upper limb and breathing exercise programme for pain management in ambulatory and non-ambulatory multiple sclerosis individuals: part II analyses from feasibility study", Neurological sciences, vol. 41, pp. 65-74, 2019. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:871300. [Accessed: 24 February 2025]

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Metadata
Title (english)Combined upper limb and breathing exercise programme for pain management in ambulatory and non-ambulatory multiple sclerosis individuals: part II analyses from feasibility study
AuthorTanja Grubić Kezele
AuthorMatea Babić
AuthorTamara Kauzlarić-Živković
AuthorTamara Gulić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Physiology, Immunology and Pathophxsiology)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Basic Medical Sciences
Human Physiology
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (english)
Abstract Purpose The present small semi-controlled feasibility study investigated a possible efficacy of a combined upper limb and breathing exercise programme in managing pain in ambulatory and non-ambulatory patients with EDSS from 0.0–8.0. Method People with MS (N = 19) were enrolled in this single-blind randomized controlled study and divided into 2 groups: exercise group (5 ambulatory, 5 non-ambulatory ; Expanded Disability Status Scale (EDSS), 1.0–8.0) and related control group that... More performed no exercise (4 ambulatory, 5 non-ambulatory ; EDSS, 1.0–7.5). The exercise group performed combined upper limb and breathing exercises in a group led by a physiotherapist (2 days/week, 60 min/session) accompanied by independent home exercises (3 days/week, ≥ 20 min/session). Participants underwent measures of pain level (visual analogue scale) for physical pain, functional independence of daily activities (Barthel index) and handgrip strength (HGS) for dominant (D) and non-dominant (ND) hand evaluated by a dynamometer before and after the 4-week period by the blinded assessor. Results The VAS for pain showed statistically significant group-by-time interaction only in non-ambulatory (p = .049) individuals, but with large intervention effects on both subgroups (ambulatory, p = .159 ; non-ambulatory, d = 0.97). Functional independence in daily activities (Barthel index) showed statistically non-significant group-by-time interaction in ambulatory (p = .195, d = 0.89) and non-ambulatory (p = .102, d = 1.64) individuals, but despite the absence of statistical significance, there were large intervention effects. Handgrip strength was significantly improved for both hands in ambulatory (D, p = .012 ; d = 2.07 ; ND, p = .025, d = 1.77) and only non-dominant hand in non-ambulatory individuals (D, p = .288, d = 0.83 ; ND, p = .012, d = 2.21). Conclusion This small pilot study provides preliminary proof-of-concept data supporting low-intensity upper limb and breathing exercise programme for potential reduction of pain and improvement of functional independence in both ambulatory and nonambulatory individuals with MS in a larger sample and that strengthening the upper limbs might be an additional pain relief mechanism. Trial registration NTC03222596 Less
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleNeurological sciences
Numberingvol. 41, pp. 65-74
p-ISSN1590-1874
DOIhttps://doi.org/10.1007/s10072-019-04046-4
URN:NBNurn:nbn:hr:184:871300
Publication2019
Document URLhttp://bib.irb.hr/1015745
Type of resourceText
Access conditionsRestricted access
Terms of useLicence In copyright icon
Created on2022-02-11 17:42:03
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