Showing 7 results for Multiple Sclerosis
Mis Fatemeh Kafame, Mis Farahnaz Mohadi, Mis Kian Norouzi, Mr Mehdi Rahgozar,
Volume 9, Issue 1 (8-2012)
Abstract
Background and Objective: Multiple sclerosis is one of the most common chronic diseases in Central Nervous system. its chronic nature, absence of known cure and onset in young adults results in deteriorating effect on the heath of these people. This study was carried out to determine the effect of self-management program on Health Status of patients with multiple sclerosis (MS).
Material and Methods: the participants of this pre-experimental study were 82 MS patients referring to Iranian society of MS in Tehran selected via convenience sampling. The data was collected by a demographic data sheet and the health status questionnaire, and analyzed by descriptive and inferential statistics.
Results: Before intervention, the mean of health status subscales show that there is no significant difference between two groups of case and control, While after intervention and two months later(except of pain and social function) , there are significant differences in the health subscales of two groups (p≤0.05). Furthermore, in three times of measurement , there is a meaningful difference between two groups.
Conclusion: the results show that the self-management program results in improving the health status of patients with multiple sclerosis therefore, application of this supportive method could be useful to empower the MS patients and help them to manage their problems.
Key words: Multiple sclerosis, Self-Management, Health status
Maryam Jadid Milani, Dr Tahereh Ashk Torab, Dr Jila Abed Saiedi, Dr Hamid Alavi Majd,
Volume 9, Issue 2 (1-2013)
Abstract
Background and Objective: Multiple Sclerosis ( MS) results in a range of unpleasant, unpredictable and physically disabling conditions. Thus, health promotion programmes are needed and Peer support groups have been shown to play a role in health promotion. The present study was conducted to evaluate the effectiveness of peer groups on promoting physical health status in MS patients.
Material and Methods: This before and after quasi-experimental study was conducted in Tehran MS Association (2010) on 33 patients participated in three peer support groups: 10 in male group, 11 in female group and 12 in mixed group. Eight weekly sessions, each taken 2 hours, were held. The patients were asked to fill out the Physical aspect of "Multiple Sclerosis Quality of Life Inventory" with 78 items (α=0.93) in pre of intervention, two weeks after it, post of intervention and one month later.
Results : The Results show that peer support groups promote the physical health status (p=0.001). In each three groups, there is a significant difference in physical health status in patients from before of intervention until one month after (p=0.001). This change is increasing from start of intervention until the end of it and then is reducing up to one month after intervention.
Conclusion: The results show that peer groups can promote the physical health of patients with MS therefore, with the benefits of peer group, it is possible to promote the quality of care for MS patients, which in turn enhances the patients′ quality of life.
Zohreh Shahnazari, Dr Seyyed Mohammad Marandi, Dr Vahid Shayegan Nejad,
Volume 10, Issue 2 (10-2013)
Abstract
Background and objective: Multiple sclerosis (MS) is a chronic, autoimmune, inflammatory nervous system disease. It leads to the loss of myelin in the white matter of brain, spinal cord and optic nerves, and causes tiredness, muscle cramp, tremor, unsteady gait and some inability to move. The aim of this study was to investigate the effect of Pilates exercises and aquatic training on walking speed of women with MS.
Material and Methods: This clinical trial was conducted in 2012 on 45 women, referring to MS clinic of Kashani Hospital in Isfahan. The subjects with the age of 20-40, physical disablement of 4.5 and disease duration of 8±2 years were randomly allocated to one of the three groups of Pilates exercises, aquatic training and control. Training program for pilates and aquatic group was carried out in 12 weeks, three sessions per week, and each session lasted about one hour. Patients' walking speed was measured, using 25-foot walk test, before and after exercise. The data was analyzed by descriptive statistics, covariance and paired comparisons of adjusted means.
Results: The adjusted mean of walking speed scores of the experimental groups are significantly different (P<0.05). While, the comparison of paired means between the two groups was not significant.
Conclusion: Because of increased effect on walking speed, we recommend Pilates exercises and aquatic training as a complementary treatment alongside medicinal treatments for MS patients.
Saeed Mirhosseini, Mahboobeh Rezaei, Neda Mirbagher Ajorpaz,
Volume 18, Issue 1 (5-2021)
Abstract
Background: MS is a potentially disabling disease of the brain and spinal cord (central nervous system). Patients with MS have some problems in their general health. The purpose of this study was to determine the effects of Benson relaxation technique on general health in MS patients.
Methods: This randomized controlled trial study was done on MS patients who registered in MS center in Kashan, Iran, from March 2017 to July 2018. The first sixty eligible patients were recruited through convenient sampling method and then patients were randomly assigned to experimental and control groups. Patients in both groups were completed the Goldberg General Health Questionnaire (GHQ-28) before and after the intervention. Benson relaxation technique was performed by patients in the intervention group twice a day, 20 minutes per session, over a period of eight weeks. Data were analyzed using Chi-square, independent t-test, and paired t-test in the SPSS software (version 16). The level of significance was set at 0.05.
Results: There was significant difference in the mean scores of general health before (44.22±12.4) and after (31.14±11.09) the intervention in the experimental group (P=0.002). After intervention, the difference between the mean difference scores of general health in the control (1.78±3.5) and experimental (13.08±2.88) groups was significant (P=0.002).
Conclusion: According to the findings, the Benson relaxation technique can be effective for improving MS patients’ general health, physical and mental status, and social function. Due to the cost-effectiveness and safety of this technique, we propose the inclusion of the technique in the treatment protocol for MS patients.
Reza Masoudi, Kobra Zaheri, Fatemeh Deris, Kamal Solati, Nahid Jivad, Azita Zaheri ,
Volume 19, Issue 1 (1-2022)
Abstract
Background: Since happiness affects the various aspects of human life and is considered as one of the most important psychological needs, achieving it and it effects on the health of the body and soul has always occupied the mind of human beings. The aim of this study was to determine the effect of Forde's happiness program on sleep quality in patients with multiple sclerosis (MS).
Methods: This randomized clinical trial study was performed in the MS Society of Shahrekord in 2018. 70 eligible patients with MS were recruited through convenience sampling method and randomly allocated into intervention and control groups equally. The Fordyce Happiness Training Program was conducted in eight sessions in the intervention group. The sleep quality was measured by Pittsburgh Sleep Quality Index (PSQI), before intervention, immediately and three months after the implementation of Fordyce Happiness Program. The data analysis was analyzed using Chi-square, and independent t-test and Fishers exact test for demographic data distribution in intervention and control group, and repeated measures ANOVA for sleep quality in SPSS-16.
Results: The findings indicated that total scores of sleep quality of the two intervention (4.61±.052) and control (6.62±.054) groups were not significantly different before the intervention (P=0.05). However, the mean sleep quality scores of intervention and control groups showed a significant difference before, immediately after the intervention with a significant decrease in sleep quality scores over time (F=23.291, P˂0.001).
Conclusion: The results of this study demonstrated that the implementation of Fordyce Happiness Training Program in MS patients is a suitable method for improving sleep quality, and if this program continues, they will get better results.
Fariba Abdollahi, Seyede Soghra Taher Harikandeie, Leila Dehghankar, Zahra Tayebi Myaneh, Simin Zarrabadi Pour,
Volume 19, Issue 2 (9-2022)
Abstract
Background: Inadequate health literacy has negative effects on physical and mental performance, medication adherence, self-care behaviors and quality of life . The impact of health literacy on different aspects of illness perception in patients with Multiple Sclerosis (MS) is not clear. Therefore, the present study aimed to determine relationship between health literacy and illness perception in patients with MS.
Methods: This was a correlational study on 100 patients with MS who had been referred to neurology clinic of Abu Ali Sina Hospital in Qazvin (Iran) in 2017-2018. The subjects were enrolled via convenience sampling. A demographic information questionnaire, the Newest Vital Sign (NVS) health literacy instrument, and the brief illness perception questionnaire (BIPQ) were used to collect data. The data were analyzed in SPSS (version 22) using descriptive statistics, the Pearson correlation coefficient, and linear regression model.
Results: Adequate health literacy level was found in 11% of patients; 26% had a possibility of limited health literacy and 63% had a high likelihood of limited health literacy. The mean illness perception score was 35.53±1.31 (moderate). There was no significant relationship between health literacy and the mean score of illness perception (r=-0.014, P=0.894). However, there was a significant relationship between perception and recognition of present illness, as a subscale of illness perception with health literacy (r=0.243, P=0.015). Variables in the multi-variate predictive model accounted for 37.6 % of the total variance in heath literacy. Duration of illness perception significantly predict health literacy (B=0.052, P=0.035). Moreover, the only predictor of illness perception in patients with MS was income level (B=87.87, P=0.05), which explained 35.7% of the illness perception changes.
Conclusion: Based on the results, illness perception is significantly associated with health literacy. Therefore, it is necessary to promote health literacy in order to improve understanding the nature and consequences of the disease and conduct further research on the relationship between health literacy and illness perception among patients with MS.
Mahdi Rezvaniamin , Alireza Salar , Zahra Pournamdar , Nazanin Yousefian ,
Volume 22, Issue 4 (12-2025)
Abstract
Background: Headache is common in multiple sclerosis and is associated with greater functional disability. We aimed to determine whether a structured progressive muscle relaxation (PMR) program reduces headache-related disability in multiple sclerosis.
Methods: We conducted a parallel-group, quasi-experimental pretest–posttest study at Multiple Sclerosis Society clinics in Zahedan, Iran (2023). Adults with MS and recurrent headaches were allocated to PMR (n = 30) or usual care (n = 30). The PMR intervention comprised three 20 - 30-minute group sessions on consecutive days plus daily home practice for six weeks; adherence was supported by weekly phone calls. The primary outcome was the Headache Disability Inventory (HDI; 0 - 88), measured at baseline and at 3-month follow-up. Analyses were conducted using SPSS version 24 and employed χ² tests and ANCOVA, adjusting for baseline HDI and disease duration (α = 0.05).
Results: Sixty participants completed the trial (30 in the PMR group and 30 in the control group). The groups were comparable in age and gender at baseline; however, disease duration was significantly longer in the PMR group (p = 0.014). At the 3-month follow-up, HDI scores showed a significant decrease in the PMR group (21.5 ± 15.6) and a significant increase in the control group (45.1 ± 16.9), resulting in a significant between-group difference (p < 0.001). An analysis of covariance (ANCOVA), controlling for baseline HDI scores and disease duration, confirmed a significant treatment effect (F = 25.07, p < 0.001) with a large effect size (partial η2 = 0.305).
Conclusion: A six-week progressive muscle relaxation program significantly reduced headache-related disability at 3-month follow-up in multiple sclerosis and appears to be a feasible, low-cost adjunct to routine care. Larger randomized trials with longer follow-up and objective adherence tracking are warranted.
