Evidence map›Paper›PMID 29159465›Full record

ArticleJournal of neurology2018

Changes in disability in people with multiple sclerosis: a 10-year prospective study.

David Conradsson, Charlotte Ytterberg, Lena von Koch, Sverker Johansson

Registry-linked trialAbstract read
In one paragraph

Article in Journal of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07098273 (Restoring Manual Dexterity in Multiple Sclerosis), which is not on this map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07098273 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Restoring Manual Dexterity in Multiple Sclerosis: A Feasibility Study Combining Muscle Electrostimulation and Transcranial Magnetic Stimulation To Enhance Neuroplasticity

TypeinterventionalSponsorFondazione Don Carlo Gnocchi ETSRan2025 to 2027Enrolled50ConditionsMultiple SclerosisArmsTMS and FES- based rehabilitation, FES-based rehabilitation
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Investigation of the relationship between expanded disability status and swallowing difficulty with swallowing anxiety in multiple sclerosis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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  5. Correlates of long-term clinical outcomes in pediatric multiple sclerosis: A 12-year study.Multiple sclerosis (Houndmills, Basingstoke, England) · 2026
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  16. Combined platelet-to-lymphocyte ratio and blood-brain barrier biomarkers as indicators of disability in acute neuromyelitis optica spectrum disorder.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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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.

David ConradssonDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 23100, Huddinge, 141 83, Stockholm, Sweden. david.conradsson.1@ki.se.
Charlotte YtterbergDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 23100, Huddinge, 141 83, Stockholm, Sweden.
Lena von KochDivision of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Sverker JohanssonDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 23100, Huddinge, 141 83, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the long-term course of disability in relation with disease severity in people with multiple sclerosis (PwMS).

objectiveTo explore changes in a broad spectrum of disability over 10 years in relation with disease severity in PwMS.

methodsWe conducted a longitudinal study of 155 PwMS who attended the MS Centre at Karolinska University Hospital, Stockholm. Disease severity was determined by the use of the Expanded Disability Status Scale (EDSS) and classified as mild MS (EDSS score 0-3.5) or moderate/severe MS (EDSS score 4-9.5). Ten-year changes in perceived physical and psychological impacts of MS, walking, cognition, manual dexterity, participation in social/lifestyle activities, and signs of depression were compared between PwMS with mild and moderate/severe MS at baseline.

resultsAlthough walking, manual dexterity, and cognition declined in both groups, only the moderate/severe group demonstrated that long-term increased physical impact of MS, increased wheel-chair dependency, and reduced participation in social/lifestyle activities. Perceived psychological impact of MS declined in both groups, while signs of depression were experienced by fewer in the mild group and remained unaltered in the moderate/severe group.

conclusionWe found a more pronounced increase in disability across 10 years in individuals with moderate/severe MS compared to mild MS. These findings accentuate the importance of developing a variety of interventions that can be applied across the spectrum of disease severity.

Indexed as

Disease ProgressionPersons with DisabilitiesActivities of Daily LivingAdultCognition DisordersCohort StudiesDepressive DisorderDisability EvaluationFatigueFemaleHumansLife StyleMaleMiddle AgedMultiple SclerosisMuscle SpasticityDisease progressionEpidemiologyFunctioningLongitudinal studyMobilityParticipation

Identifiers

PMID29159465
PMCPMC5760611

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.