Article

This systematic review was conducted to provide rich and deep evidence
of the perceived determinants and consequences of physical activity and exercise
based on qualitative research in multiple sclerosis (MS).
METHOD: Electronic
databases and article reference lists were searched to identify qualitative
studies of physical activity and exercise in MS. Studies were included if they
were written in English and examined consequences/determinants of physical
activity in persons with MS. Content analysis of perceived determinants and
consequences of physical activity and exercise was undertaken using an inductive
analysis guided by the Physical Activity for people with Disabilities framework
and Social Cognitive Theory, respectively. RESULTS: Nineteen articles were
reviewed. The most commonly identified perceived barriers of physical activity
and exercise were related to the environmental (i.e. minimal or no disabled
facilities, and minimal or conflicting advice from healthcare professionals) and
related to personal barriers (i.e. fatigue, and fear and apprehension). The most
commonly identified perceived facilitators of physical activity were related to
the environment (i.e. the type of exercise modality and peer support) and related
to personal facilitators (i.e. appropriate exercise and feelings of
accomplishment). The most commonly identified perceived beneficial consequences
of physical activity and exercise were maintaining physical functions, increased
social participation and feelings of self-management and control. The most
commonly identified perceived adverse consequences were increased fatigue and
feelings of frustration and lost control. CONCLUSIONS: Results will inform future
research on the perceived determinants and consequences of physical activity and
exercise in those with MS and can be adopted for developing professional
education and interventions for physical activity and exercise in MS.
Implications for Rehabilitation Physical activity and exercise behaviour in
people with multiple sclerosis (MS) is subject to a number of modifiable
determinants. Healthcare professionals working to promote physical activity and
exercise in those with MS should choose to endorse the positive benefits of
participation. Future physical activity interventions for those with MS may be
improved by incorporating behavioural management strategies.

Langue : ANGLAIS