Self-Management Program Based on Physical Exercises in People With Multiple Sclerosis
CHU de Reims
UCL

      Fatigue is the most chronic and disabling symptom in multiple sclerosis patients.
      Self-management physical exercise programs seem promising to allow patients to improve their
      fatigue and their deconditioning. However, the effectiveness of such programs has been poorly
      assessed until now. The objectives of the present study are to evaluate the relationships
      between fatigue and physical capacity among slightly affected MS patients, and to carry on a
      large trial to assess the effectiveness of a self-management exercise program in the same
      patients. Sixty-four patients will be included and will be asked, after an educational
      period, to perform at least three exercise sessions of more than 30 minutes each week, over a
      period of three months. Patients will be splitted in two groups : one group will perform
      endurance and resistance physical exercises, and the other one will perform relaxation
      exercises with the help of soothing music. A regular coaching will adapt the exercises and
      motivate the patients to continue the treatment. Assessors won't be informed of patients'
      treatment. Four evaluations will be done, and will notably assess muscle strength, endurance,
      fatigue and social participation.
    
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