Movement-to-music Program Improves Physical Function and Sleep Quality in Multiple Sclerosis: A Three-arm RCT

Journal

Archives of Physical Medicine and Rehabilitation

Year

2017

Abstract

Research Objectives: To examine the effects of two intervention types: movement-to-music (M2M) and Adapted Yoga (AY) on lower limb function, mobility and quality of life measures in people with multiple sclerosis (MS).DesignThree-arm randomized controlled study. Participants were randomly assigned to one of three groups: M2M, AY, or waitlist control. Setting: Community fitness center. Participants: Individuals (N=81) with MS (Patient Determined Disease Steps 0-6) between the ages of 18 and 65. Interventions: Both M2M (n=27) and AY (n=26) groups completed three 60-minute sessions per week for 12 weeks. Each M2M session consisted of movement routines that targeted range of motion, muscle strength, endurance and balance. These routines were choreographed with different movement patterns, tempo, and duration that progressed across the intervention. An AY session involved practicing adapted yoga poses, with number and duration of the poses increasing during the intervention. Control (n=28) received educational materials by mail.Main Outcome Measure(s)Baseline and post-intervention assessments included the five-time sit-to-stand (FTSTS) for lower limb functional strength, timed up-and-go (TUG) for mobility, and 6-minute walk test (6MWT) for walking endurance as well as fatigue, pain, and sleep quality using the NIH PROMIS Short Forms. Results: Participants in M2M showed improvements in TUG (p < 0.01) and 6MWT (p < 0.01). A significant reduction in time to complete FTSTS was found in M2M (p=0.03) and AY (p < 0.01) when compared to controls. No changes were observed in fatigue and pain in both intervention groups, while significant improvement in sleep quality was found in M2M (p=0.02). Conclusions: Our preliminary findings suggest that music-based movement program improves physical function and sleep quality in people with MS. Future studies should explore the potential neurological, mental, musculoskeletal and cardiorespiratory effects of M2M.

Music and Health Institute Terms

Endurance Level; Fatigue; Mobility; Music in Combination with Other Techniques; Neurodegenerative Disorders; Observational Measures; Parkinson's Disease; Receptive Music Methods; Sleep Quality; Music Medicine

Indexed Terms

multiple sclerosis; sleep quality; controlled study; EMBASE keywords; endurance; fatigue; human; lower limb; major clinical study; muscle strength; outcome assessment; pain; randomized controlled trial; range of motion; six minute walk test; timed up and go test

Study Type

Randomized Controlled; Trial; Quantitative Methods

Document Type

Article

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