Influence of Transcranial Direct Current Stimulation and Exercise on Fatigue and Quality of Life in Multiple Sclerosis

Background: Multiple sclerosis (MS) is a chronic autoimmune disease of the central nervous system that leads to a great deterioration in the quality of life. Objective: We aimed to assess the effectiveness of two individual programs, one based on transcranial direct current stimulation (tDCS) and an...

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Main Authors: Inés Muñoz-Paredes, Azael J. Herrero, Natalia Román-Nieto, Alba M. Peña-Gomez, Jesús Seco-Calvo
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/1/84
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author Inés Muñoz-Paredes
Azael J. Herrero
Natalia Román-Nieto
Alba M. Peña-Gomez
Jesús Seco-Calvo
author_facet Inés Muñoz-Paredes
Azael J. Herrero
Natalia Román-Nieto
Alba M. Peña-Gomez
Jesús Seco-Calvo
author_sort Inés Muñoz-Paredes
collection DOAJ
description Background: Multiple sclerosis (MS) is a chronic autoimmune disease of the central nervous system that leads to a great deterioration in the quality of life. Objective: We aimed to assess the effectiveness of two individual programs, one based on transcranial direct current stimulation (tDCS) and another based on the effect of physical exercise on fatigue and quality of life in patients with MS. Methods: A total of 12 patients with relapsing–remitting and progressive secondary MS participated. Fatigue and quality of life were assessed before and after intervention. The exercise program and tDCS were carried out over a 4-week period, with a washout period of 5 months. Results: The results show significant improvements in the different quality of life subscales after the application of tDCS, activities of daily living (r = 0.625; <i>p</i> = 0.037) (g = 0.465), psychological well-being (r = 0.856; <i>p</i> = 0.004) (g = 0.727) and coping (r = 0.904; <i>p</i> = 0.18) (g = 0.376), and in those after the application of exercise, activities of daily living (r = 0.853; <i>p</i> = 0.003) (g = 0.570) and psychological well-being (r = 0.693; <i>p</i> = 0.041) (g = 0.417). After the application of both therapies, more than 50% of the subjects did not have a positive fatigue score on the MFIS scale. Conclusion: The major findings suggest that the application of both therapies produces a beneficial effect with significant improvements in the quality of life of this sample.
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spelling doaj.art-c9c7c5930fe649adb0c5d81146c9da122023-11-16T15:25:21ZengMDPI AGHealthcare2227-90322022-12-011118410.3390/healthcare11010084Influence of Transcranial Direct Current Stimulation and Exercise on Fatigue and Quality of Life in Multiple SclerosisInés Muñoz-Paredes0Azael J. Herrero1Natalia Román-Nieto2Alba M. Peña-Gomez3Jesús Seco-Calvo4Faculty of Health Sciences, University of León, 24071 León, SpainDepartment of Health Sciences, European University Miguel de Cervantes, 47012 Valladolid, SpainMultiple Sclerosis Association of Palencia, 34004 Palencia, SpainMultiple Sclerosis Association of Palencia, 34004 Palencia, SpainFaculty of Physiotherapy and Nursing, University of Leon, 24071 León, SpainBackground: Multiple sclerosis (MS) is a chronic autoimmune disease of the central nervous system that leads to a great deterioration in the quality of life. Objective: We aimed to assess the effectiveness of two individual programs, one based on transcranial direct current stimulation (tDCS) and another based on the effect of physical exercise on fatigue and quality of life in patients with MS. Methods: A total of 12 patients with relapsing–remitting and progressive secondary MS participated. Fatigue and quality of life were assessed before and after intervention. The exercise program and tDCS were carried out over a 4-week period, with a washout period of 5 months. Results: The results show significant improvements in the different quality of life subscales after the application of tDCS, activities of daily living (r = 0.625; <i>p</i> = 0.037) (g = 0.465), psychological well-being (r = 0.856; <i>p</i> = 0.004) (g = 0.727) and coping (r = 0.904; <i>p</i> = 0.18) (g = 0.376), and in those after the application of exercise, activities of daily living (r = 0.853; <i>p</i> = 0.003) (g = 0.570) and psychological well-being (r = 0.693; <i>p</i> = 0.041) (g = 0.417). After the application of both therapies, more than 50% of the subjects did not have a positive fatigue score on the MFIS scale. Conclusion: The major findings suggest that the application of both therapies produces a beneficial effect with significant improvements in the quality of life of this sample.https://www.mdpi.com/2227-9032/11/1/84physical trainingactivities of daily livingModified Fatigue Impact Scale
spellingShingle Inés Muñoz-Paredes
Azael J. Herrero
Natalia Román-Nieto
Alba M. Peña-Gomez
Jesús Seco-Calvo
Influence of Transcranial Direct Current Stimulation and Exercise on Fatigue and Quality of Life in Multiple Sclerosis
Healthcare
physical training
activities of daily living
Modified Fatigue Impact Scale
title Influence of Transcranial Direct Current Stimulation and Exercise on Fatigue and Quality of Life in Multiple Sclerosis
title_full Influence of Transcranial Direct Current Stimulation and Exercise on Fatigue and Quality of Life in Multiple Sclerosis
title_fullStr Influence of Transcranial Direct Current Stimulation and Exercise on Fatigue and Quality of Life in Multiple Sclerosis
title_full_unstemmed Influence of Transcranial Direct Current Stimulation and Exercise on Fatigue and Quality of Life in Multiple Sclerosis
title_short Influence of Transcranial Direct Current Stimulation and Exercise on Fatigue and Quality of Life in Multiple Sclerosis
title_sort influence of transcranial direct current stimulation and exercise on fatigue and quality of life in multiple sclerosis
topic physical training
activities of daily living
Modified Fatigue Impact Scale
url https://www.mdpi.com/2227-9032/11/1/84
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