@article{Opsommer:15151,
      recid = {15151},
      author = {Opsommer, Emmanuelle and Ribeiro, Carla and Carrard,  Sophie and Hilfiker, Roger and Mbarga, Josiane},
      title = {Exploring the integration and patient engagement of  balance home exercises in the daily management of multiple  sclerosis : a comprehensive qualitative analysis},
      publisher = {Taylor & Francis},
      journal = {Disability and rehabilitation},
      address = {London. 2024-12},
      number = {ARTICLE},
      pages = {9 p.},
      abstract = {Purpose : This study investigated the perceptions and  experiences of patients with multiple sclerosis (MS)  regarding a home-based balance exercises program, focusing  on its practicality and perceived effects for daily  management and the factors influencing its implementation.  Materials and Methods : Employing a qualitative approach,  semi-structured interviews were conducted with 18 patients  with MS in Switzerland (13 women, 5 men; mean age  53 ± 11 years). The study used purposive sampling to ensure  diverse representations. The exercise program included 19  tailored exercises, adapted by physiotherapists for each  participant. Data analysis involved inductive thematic  analysis to understand the practical implementation,  challenges, and perceived benefits. Results : Key themes  emerged, such as adaptability of exercises, implementation  variability, approaches to integration, facilitators,  obstacles, and perceived effects. Adaptability to  fluctuating symptoms, individual lifestyle impacts, and  variability in exercise practices were notable.  Facilitators included personalized support from  physiotherapists, while obstacles ranged from fatigue to  complex exercise variants. Perceived effects varied, with  some patients reporting physical and psychological  benefits. Conclusions : The study highlights diverse  patient experiences with the balance exercises program. Key  challenges included physical exertion and adapting to MS  symptoms. Physiotherapists played a pivotal role in  personalization and guidance. Despite challenges, patients  demonstrated adaptability and proactive integration of  exercises into their MS management.},
      url = {http://arodes.hes-so.ch/record/15151},
      doi = {https://doi.org/10.1080/09638288.2024.2435519},
}