perjantai 7. elokuuta 2015

VOIMAHARJOITTELU OSANA OMAA HOITOA


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

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