Evidence map›Paper›PMID 27834736›Full record

Trial reportMultiple sclerosis (Houndmills, Basingstoke, England)2017

CoDuSe group exercise programme improves balance and reduces falls in people with multiple sclerosis: A multi-centre, randomized, controlled pilot study.

Anna Carling, Anette Forsberg, Martin Gunnarsson, Ylva Nilsagård

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Multiple sclerosis (Houndmills, Basingstoke, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
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  5. Interventions for preventing falls in people with multiple sclerosis.The Cochrane database of systematic reviews · 2019
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  8. Preventive strategies in neuroimmunology.Neurological research and practice · 2026
    Review
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  17. Balance exercise facilitates everyday life for people with multiple sclerosis: A qualitative study.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Anna CarlingUniversity Healthcare Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden/Department of Physiotherapy, School of Medical Sciences, Örebro University, Örebro University Hospital, Örebro, Sweden.
Anette ForsbergUniversity Healthcare Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Martin GunnarssonDepartment of Neurology, School of Medical Sciences, Örebro University, Örebro, Sweden.
Ylva NilsagårdUniversity Healthcare Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Örebro University · SEÖrebro University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImbalance leading to falls is common in people with multiple sclerosis (PwMS).

objectiveTo evaluate the effects of a balance group exercise programme (CoDuSe) on balance and walking in PwMS (Expanded Disability Status Scale, 4.0-7.5).

methodsA multi-centre, randomized, controlled single-blinded pilot study with random allocation to early or late start of exercise, with the latter group serving as control group for the physical function measures. In total, 14 supervised 60-minute exercise sessions were delivered over 7 weeks. Pretest-posttest analyses were conducted for self-reported near falls and falls in the group starting late. Primary outcome was Berg Balance Scale (BBS). A total of 51 participants were initially enrolled; three were lost to follow-up.

resultsPost-intervention, the exercise group showed statistically significant improvement ( p = 0.015) in BBS and borderline significant improvement in MS Walking Scale ( p = 0.051), both with large effect sizes (3.66; -2.89). No other significant differences were found between groups. In the group starting late, numbers of falls and near falls were statistically significantly reduced after exercise compared to before ( p < 0.001; p < 0.004).

conclusionThis pilot study suggests that the CoDuSe exercise improved balance and reduced perceived walking limitations, compared to no exercise. The intervention reduced falls and near falls frequency.

Indexed as

Accidental FallsAdultAgedExercise TherapyFemaleHumansMaleMiddle AgedMultiple SclerosisPilot ProjectsPostural BalanceSingle-Blind MethodTreatment OutcomeAccidental fallscore stabilityexercisemultiple sclerosispostural balance

Identifiers

PMID27834736
PMCPMC5564949
OpenAlexW2556046641

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.