The perceived benefits and barriers to exercise participation in persons with multiple sclerosis

Purpose. The purpose of this study was to examine the perceived benefits and barriers to exercise participation in persons with multiple sclerosis (MS). Method. A cross-sectional postal survey comprised of 93 adults with MS was conducted. Participants completed the Exercise Benefits and Barriers Scale (EBBS), Spinal Cord Injury Exercise Self-Efficacy Scale (EXSE), Multiple Sclerosis Impact Scale, Disease Steps Scale and International Physical Activity Questionnaire. Results. Forty-three percent of the participants were classified as exercising individuals (EX group) as compared with non-exercising individuals (non-EX group). Participants in the EX group reported significantly higher scores on the EBBS and EXSE. Items related to physical performance and personal accomplishment were cited as the greatest perceived benefits to exercise participation and those items related to physical exertion as the greatest perceived barriers to both the EX and non-EX groups. Conclusion. When compared with previous studies conducted in the general population, the participants in the present study reported different perceived barriers to exercise participation. Furthermore, awareness of the benefits of physical activity is not sufficient to promote exercise participation in persons with MS. Perceived exercise self-efficacy is shown to play an important role in promoting exercise participation in persons with MS.

[1]  A. Bandura Social Foundations of Thought and Action , 1986 .

[2]  M. Subirá,et al.  Modalities of fatigue in multiple sclerosis: correlation with clinical and biological factors , 2000, Multiple sclerosis.

[3]  S. Walker,et al.  Development and psychometric evaluation of the exercise benefits/barriers scale. , 1987, Research in nursing & health.

[4]  Seth A Brown,et al.  Measuring perceived benefits and perceived barriers for physical activity. , 2005, American journal of health behavior.

[5]  M. Hutchinson,et al.  Latitudinal variation in the prevalence of multiple sclerosis in Ireland, an effect of genetic diversity , 2004, Journal of Neurology, Neurosurgery & Psychiatry.

[6]  C. Polman,et al.  Multiple Sclerosis Impact Scale (MSIS-29): relation to established measures of impairment and disability , 2004, Multiple sclerosis.

[7]  E. McAuley,et al.  Self-efficacy and environmental correlates of physical activity among older women and women with multiple sclerosis. , 2007, Health education research.

[8]  J. Paltamaa,et al.  Physical functioning in multiple sclerosis: a population-based study in central Finland. , 2006, Journal of rehabilitation medicine.

[9]  W. Valdar,et al.  Sex ratio of multiple sclerosis in Canada: a longitudinal study , 2006, The Lancet Neurology.

[10]  J. Teasdale Self-efficacy: Toward a unifying theory of behavioural change? , 1978 .

[11]  A. Bauman,et al.  Physical activity preferences, preferred sources of assistance, and perceived barriers to increased activity among physically inactive Australians. , 1997, Preventive medicine.

[12]  B. Chamberlain Health Promotion in Nursing Practice. 5th Edition , 2007 .

[13]  T. Riise,et al.  Multiple sclerosis and lifestyle factors: the Hordaland Health Study , 2005, Neurological Sciences.

[14]  J. De Keyser,et al.  The impact of disabilities on quality of life in people with multiple sclerosis , 2008, Multiple sclerosis.

[15]  R. Vazirinejad,et al.  A health profile of adults with multiple sclerosis living in the community , 2008, Multiple sclerosis.

[16]  A. Bandura Self-efficacy: toward a unifying theory of behavioral change. , 1977, Psychological review.

[17]  R. Motl,et al.  Physical activity behaviors in individuals with multiple sclerosis: roles of overall and specific symptoms, and self-efficacy. , 2008, Journal of pain and symptom management.

[18]  A. Fitzgerald,et al.  Long-term benefits of exercising on quality of life and fatigue in multiple sclerosis patients with mild disability: a pilot study , 2008, Clinical rehabilitation.

[19]  M. Kopp,et al.  Effects of psychological group therapy in patients with multiple sclerosis , 2003, Acta neurologica Scandinavica.

[20]  Meral Mirza,et al.  Balance performance in three forms of multiple sclerosis , 2006, Neurological research.

[21]  C. Powell,et al.  Health promotion in nursing practice. , 1991, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[22]  R. Motl,et al.  Physical Activity, Self-Efficacy, and Quality of Life in Multiple Sclerosis , 2008, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[23]  M. Gibney,et al.  Perceived benefits and barriers to physical activity in a nationally representative sample in the European Union , 1999, Public Health Nutrition.

[24]  Leigh Hale,et al.  How does exercise influence fatigue in people with multiple sclerosis? , 2009, Disability and rehabilitation.

[25]  J. Haselkorn,et al.  Exercise and quality of life among people with multiple sclerosis: looking beyond physical functioning to mental health and participation in life. , 2009, Archives of physical medicine and rehabilitation.

[26]  A. Bandura Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[27]  E J Orav,et al.  Disease Steps in multiple sclerosis , 1995, Neurology.

[28]  Suzanne Groah,et al.  International Journal of Behavioral Nutrition and Physical Activity the Sci Exercise Self-efficacy Scale (eses): Development and Psychometric Properties , 2022 .

[29]  K. Vandenborne,et al.  Resistance training improves strength and functional capacity in persons with multiple sclerosis , 2004, Multiple sclerosis.

[30]  B E Ainsworth,et al.  Compendium of physical activities: an update of activity codes and MET intensities. , 2000, Medicine and science in sports and exercise.

[31]  C. Powell,et al.  Health promotion in nursing practice. , 1991, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[32]  John W Chow,et al.  Resistance training improves gait kinematics in persons with multiple sclerosis. , 2005, Archives of physical medicine and rehabilitation.

[33]  E J Orav,et al.  Disease steps in multiple sclerosis: a longitudinal study comparing Disease Steps and EDSS to evaluate disease progression , 1999, Multiple sclerosis.

[34]  Robert W. Motl,et al.  Effect of Exercise Training on Walking Mobility in Multiple Sclerosis: A Meta-Analysis , 2009, Neurorehabilitation and neural repair.

[35]  M Hutchinson,et al.  The multiple sclerosis impact scale (MSIS-29) is a reliable and sensitive measure , 2004, Journal of Neurology, Neurosurgery & Psychiatry.

[36]  B. Phillips,et al.  Gait and balance impairment in early multiple sclerosis in the absence of clinical disability , 2006, Multiple sclerosis.

[37]  B. Ainsworth,et al.  Guidelines for data processing analysis of the International Physical Activity Questionnaire (IPAQ) - Short and long forms , 2005 .

[38]  A Thompson,et al.  The Multiple Sclerosis Impact Scale (MSIS-29): a new patient-based outcome measure. , 2001, Brain : a journal of neurology.

[39]  E. McAuley,et al.  Symptoms, self-efficacy, and physical activity among individuals with multiple sclerosis. , 2006, Research in nursing & health.