Evidence map›Paper›PMID 32599767›Full record

Trial reportInternational journal of environmental research and public health2020

Efficacy of an Internet-Based Program to Promote Physical Activity and Exercise after Inpatient Rehabilitation in Persons with Multiple Sclerosis: A Randomized, Single-Blind, Controlled Study.

Peter Flachenecker, Anna Karoline Bures, Angeli Gawlik, Ann-Christin Weiland, Sarah Kuld, Klaus Gusowski, René Streber, Klaus Pfeifer, Alexander Tallner

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
2.2field-weighted citation impact, top 12% 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, 4 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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  7. Lifestyle changes and patient-reported outcomes over five years in a sample of people with multiple sclerosis after a single multimodal intensive lifestyle education workshop.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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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

9 authors at 5 institutions in 1 country.

Peter FlacheneckerNeurological Rehabilitation Center Quellenhof, 75323 Bad Wildbad, Germany.
Anna Karoline BuresNeurological Rehabilitation Center Quellenhof, 75323 Bad Wildbad, Germany.
Angeli GawlikDepartment of Health & Social Psychology, German Sport University Cologne, 50933 Cologne, Germany.ORCID 0000-0001-5493-6785
Ann-Christin WeilandNeurological Rehabilitation Center Quellenhof, 75323 Bad Wildbad, Germany.
Sarah KuldFaculty of Economics, University of Bayreuth, 95447 Bayreuth, Germany.
Klaus GusowskiNeurological Rehabilitation Center Quellenhof, 75323 Bad Wildbad, Germany.
René StreberDepartment of Sport Science and Sport, University of Erlangen-Nuremberg, 91058 Erlangen, Germany.
Klaus PfeiferDepartment of Sport Science and Sport, University of Erlangen-Nuremberg, 91058 Erlangen, Germany.
Alexander TallnerDepartment of Sport Science and Sport, University of Erlangen-Nuremberg, 91058 Erlangen, Germany.ORCID 0000-0002-0410-6182
Friedrich-Alexander-Universität Erlangen-Nürnberg · DENeurologisches Rehabilitationszentrum Quellenhof Bad Wildbad · DEUniversity of Würzburg · DEGerman Sport University Cologne · DEUniversity of Bayreuth · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultimodal rehabilitation improves fatigue and mobility in persons with multiple sclerosis (PwMS). Effects are transient and may be conserved by internet-based physical activity promotion programs.

objectiveEvaluate the effects of internet-based physical activity and exercise promotion on fatigue, quality of life, and gait in PwMS after inpatient rehabilitation.

methodsPwMS (Expanded Disability Status Scale (EDSS) ≤ 6.0, fatigue: Würzburg Fatigue Inventory for Multiple Sclerosis (WEIMuS) ≥ 32) were randomized into an intervention group (IG) or a control group (CG). After rehabilitation, IG received 3 months of internet-based physical activity promotion, while CG received no intervention. PRIMARY OUTCOME: self-reported fatigue (WEIMuS). SECONDARY OUTCOMES: quality of life (Multiple Sclerosis Impact Scale 29, MSIS-29), gait (2min/10m walking test, Tinetti score). MEASUREMENTS: beginning (T0) and end (T1) of inpatient rehabilitation, 3 (T2) and 6 (T3) months afterwards.

results64 of 84 PwMS were analyzed (IG: 34, CG: 30). After rehabilitation, fatigue decreased in both groups. At T2 and T3, fatigue increased again in CG but was improved in IG (

conclusionsThe study provides Class II evidence that the effects of rehabilitation on fatigue, quality of life, and gait can be maintained for 3-6 months with an internet-based physical activity and exercise promotion program.

Indexed as

Exercise TherapyInternetMultiple SclerosisExerciseFatigueHumansInpatientsQuality of LifeSingle-Blind Methodexercisefatiguehealth behaviorinternet-based interventionmultiple sclerosisonline systemsphysical activityquality of liferehabilitationwalking

Identifiers

PMID32599767
PMCPMC7344392
OpenAlexW3038107664

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.