Hyötyisikö MS-potilas paino- tai voimaharjoittelusta? Asian tiimoilta on tehty tutkimuksia noin 10 vuoden aikana ja kyllä niiden sanoma on se, että potilas hyötyy sopivasta treeniohjelmasta. Omakohtaiset kokemukset myös vahvistavat ajatusta voimaharjoittelun suotuisista efekteistä.
Kaikki eivät voi treenata samalla ohjelmalla eli ne tulisi räätälöidä yksilöllisesti. Marjalle tehdyssä treeniohjelmassa painottuu ns. "isot liikkeet", jotka kuormittavat isoja lihasryhmiä. Voimaharjoittelupäiviä on viikossa 2-3 ja sen lisäksi ohjelmassa on pari kertaa viikossa aerobinen harjoitus. Ajan säästämiseksi olemme virittäneet treenipaikaksi autotallin ja tämä ratkaisu on ollut oikein hyvä. Tein talliimme ns. kyykkyhäkin , jotta voi turvallisemmin treenata isommillakin painoilla.
Keräsin alle useita kliinisiä tutkimuksia, joissa on kartoitettu voimaharjoittelun vaikutuksia MS-potilaille. Suosittelen tutustumaan ja ehkäpä motivoitumaankin.
Resistance
training improves strength and functional capacity in persons with multiple
sclerosis
à MS patients are capable of making positive
adaptations to resistance training that are associated with improved ambulation
and decreased fatigue.
http://www.ncbi.nlm.nih.gov/pubmed/15584492
http://www.ncbi.nlm.nih.gov/pubmed/15584492
Resistance
training improves gait kinematics in persons with multiple sclerosis
à Resistance training may be an
effective intervention strategy for improving walking and functional ability in
moderately disabled persons with MS.
Resistance
training improves muscle strength and functional capacity in multiple sclerosis
à Twelve weeks of intense progressive
resistance training of the lower extremities leads to improvements of muscle
strength and functional capacity in patients with multiple sclerosis, the
effects persisting after 12 weeks of self-guided physical activity.
Neuromuscular
adaptations to long-term progressive resistance trainingtranslates to
improved functional capacity for people with multiple sclerosis and
is maintained at follow-up
à The training group
significantly improved neuromuscular function of the knee extensors and
flexors, which translated to improvements in functional capacity. Furthermore,
the improved functional capacity was maintained after 24 weeks of self-guided
physical activity. The waitlist group produced similar patterns of changes
after PRT.
Effects
of a resistance training program and subsequent detraining on muscle
strength and muscle power in multiple sclerosis patients
à A 12-week RTP improved MVIC and
muscle power in MS patients. Additionally, 12 weeks of detraining blunted
strength training adaptations in MS patients, although muscle
powertraining adaptations were still evident after the detraining period.
Resistance
training and vibration improve muscle strength and functional capacity in
female patients with multiple sclerosis
à The results of this study indicated
this type of training can cause improvements in muscle strength and
functional capacity in patients with multiple sclerosis.
Improvement
in strength following resistance training in MS patients despite
varied disability levels
à The results demonstrated that all
individuals with MS, despite disability levels, show parallel improvement in
strength and endurance. This study supports the use of exercise,
includingresistance programs, for all MS patients.
Combined training improves
walking mobility in persons with significant disability from multiple
sclerosis: a pilot study
à These results suggest that a
moderately intense, comprehensive, combined exercise training program
represents a rehabilitation strategy that is associated with improved walking
mobility in a small sample of persons with MS who have recent onset of gait
impairment.
Muscle
fiber size increases following resistance training in multiple
sclerosis
à We conclude that
progressive resistance training induces a compensatory increase of
muscle fiber size in patients with the central nervous system
disorder, multiple sclerosis
Fatigue,
mood and quality of life improve in MS patients after progressiveresistance training
à The beneficial effect of
progressive resistance training on all scores was maintained at
follow-up after further 12 weeks. Fatigue, mood and quality of life all
improved following progressive resistance training, the beneficial effect
being maintained for at least 12 weeks after end of intervention.
Progressive resistance exercise
for people with multiple sclerosis
à adults with MS benefited from a PRE
programme by improving muscle performance and physical activities, without
adverse events. These findings suggest that PRE may be a feasible and useful
fitness alternative for people with mild to moderate disability due to MS
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