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dc.contributor.authorToomey, Elaine
dc.contributor.authorCoote, Susan
dc.date.accessioned2017-09-26T12:49:51Z
dc.date.available2017-09-26T12:49:51Z
dc.date.issued2017-02-21
dc.identifier.citationToomey, Elaine, & Coote, Susan. (2017). Augmenting home exercise programmes in multiple sclerosis with ‘exercise buddies’: A pilot study. International Journal of Therapy and Rehabilitation, 24(2), 54-61. doi: 10.12968/ijtr.2017.24.2.54en_IE
dc.identifier.issn1759-779X
dc.identifier.urihttp://hdl.handle.net/10379/6833
dc.description.abstractBackground: Non-ambulatory people with multiple sclerosis comprise 25% of the multiple sclerosis population. Literature reviews show insufficient evidence exists regarding physiotherapy for this population. A qualitative study suggested benefits from exercise buddies , who were paid carers delivering a physiotherapy home exercise programme. Aims: To explore the feasibility and effects of exercise buddies for non-ambulatory people with multiple sclerosis. Methods: Twenty-nine non-ambulatory people with multiple sclerosis (age range: 43 72) were randomised to 10 weeks of usual care or the exercise buddy intervention. People with multiple sclerosis were assessed with the Multiple Sclerosis Impact Scale 29 and the Guys Neurological Disability Scale pre- and post-intervention. Their informal caregivers (12 male, 16 female, aged 21 68) completed the Adult Carer Quality of Life questionnaire. Findings: Using analysis of covariance to adjust for pre-intervention scores, there was no significant differences between groups after treatment on the Multiple Sclerosis Impact Scale 29 physical (P=0.395), Multiple Sclerosis Impact Scale 29 psychological (P=0.176) or Guys Neurological Disability Scale (P=0.177). The Adult Carer Quality of Life was also not significantly different between groups post-treatment (P=0.432). Using paired t-tests, the exercise buddy group improved significantly from baseline on the two components of the Multiple Sclerosis Impact Scale 29 (physical: P=0.024; psychological: P=0.009), which was not seen in the usual care group. Conclusions: This pilot study found no significant between group differences post-treatment. However, good feasibility and significant positive changes from baseline for the exercise buddy group warrant further exploratory work, in addition to a cost analysis.en_IE
dc.description.sponsorshipThis work was funded by MS Ireland through the National Lottery of Ireland.en_IE
dc.formatapplication/pdfen_IE
dc.language.isoenen_IE
dc.publisherMark Allen Healthcareen_IE
dc.relation.ispartofInternational Journal of Therapy and Rehabilitationen
dc.subjectMultiple sclerosisen_IE
dc.subjectSevere disabilityen_IE
dc.subjectPrimary careen_IE
dc.subjectPhysiotherapyen_IE
dc.subjectNon-ambulatoryen_IE
dc.subjectExercise buddiesen_IE
dc.titleAugmenting home exercise programmes in multiple sclerosis with 'exercise buddies' : A pilot studyen_IE
dc.typeArticleen_IE
dc.date.updated2017-09-26T09:43:01Z
dc.identifier.doi10.12968/ijtr.2017.24.2.54
dc.local.publishedsourcehttps://doi.org/10.12968/ijtr.2017.24.2.54en_IE
dc.description.peer-reviewedpeer-reviewed
dc.contributor.funder|~|1267880|~|
dc.internal.rssid12131504
dc.local.contactElaine Toomey, Health Behaviour Change Research Group, , Room 2058, School Of Psychology, , Arts Millennium Building, , National University Of Ireland Galway. 4458 Email: elaine.toomey@nuigalway.ie
dc.local.copyrightcheckedNo
dc.local.versionACCEPTED
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