Evidence map›Paper›PMID 34741240›Full record

ArticleJournal of neurology2022

The impact of the COVID-19 pandemic on an international rehabilitation study in MS: the CogEx experience.

Anthony Feinstein, Maria Pia Amato, Giampaolo Brichetto, Jeremy Chataway, Nancy D Chiaravalloti, Gary Cutter, Ulrik Dalgas, John DeLuca, Rachel Farrell, Peter Feys and 9 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03679468 (Improving Cognition in People With Progressive Multiple Sclerosis), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 29% 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.

NCT03679468 nacompletednot on this map

Improving Cognition in People With Progressive Multiple Sclerosis: A Multi-Arm, Randomized, Blinded, Sham-Controlled Trial of Cognitive Rehabilitation and Aerobic Exercise.

TypeinterventionalSponsorSunnybrook Health Sciences CentreRan2019 to 2023Enrolled309ConditionsMultiple Sclerosis, Primary Progressive, Cognitive ImpairmentArmsCognitive Rehabilitation, Sham Exercise, Sham Cognitive Rehabilitation, Aerobic Exercise
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. 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

19 authors at 12 institutions in 6 countries.

Anthony FeinsteinDepartment of Psychiatry, University of Toronto and Sunnybrook Health Sciences Centre, Toronto, ON, M5R 3B6, Canada. ant.feinstein@utoronto.ca.ORCID http://orcid.org/0000-0002-0132-0909
Maria Pia AmatoDepartment NEUROFARBA, Section Neurosciences, University of Florence, Florence, Italy.
Giampaolo BrichettoScientific Research Area, Italian Multiple Sclerosis Foundation (FISM), Via Operai 40, 16149, Genoa, Italy.
Jeremy ChatawayQueen Square Multiple Sclerosis Centre, Department of Neuroinflammation, Faculty of Brain Sciences, UCL Queen Square Institute of Neurology, University College London, London, WC1B 5EH, UK.
Nancy D ChiaravallotiKessler Foundation, East Hanover, NJ, USA.
Gary CutterDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA.
Ulrik DalgasExercise Biology, Department of Public Health, Aarhus University, Dalgas Avenue 4, 8000, Aarhus, Denmark.
John DeLucaKessler Foundation, East Hanover, NJ, USA.
Rachel FarrellQueen Square Multiple Sclerosis Centre, Department of Neuroinflammation, Faculty of Brain Sciences, UCL Queen Square Institute of Neurology, University College London, London, WC1B 5EH, UK.
Peter FeysREVAL. Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium.
Massimo FilippiNeuroimaging Research Unit, Institute of Experimental Neurology, IRCSS San Raffaele Scientific Institute, Milan, Italy.
Jennifer FreemanFaculty of Health, School of Health Professions, University of Plymouth, Devon, UK.
Matilde IngleseDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, and Center of Excellence for Biomedical Research, University of Genoa, Genoa, Italy.
Cecilia MezaDepartment of Psychiatry, University of Toronto and Sunnybrook Health Sciences Centre, Toronto, ON, M5R 3B6, Canada.
Rob MotlDepartment of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, USA.
Maria Assunta RoccaNeuroimaging Research Unit, Institute of Experimental Neurology, IRCSS San Raffaele Scientific Institute, Milan, Italy.
Brian M SandroffKessler Foundation, East Hanover, NJ, USA.
Amber SalterDepartment of Neurology, Section on Statistical Planning and Analysis, UT Southwestern Medical Center, Dallas, TX, USA.
CogEx Research Team
Rutgers, The State University of New Jersey · USQueen Mary University of London · GBSunnybrook Health Science Centre · CAUniversity of Alabama at Birmingham · USVita-Salute San Raffaele University · ITAarhus University · DKAssociazione Italiana Sclerosi Multipla · ITDon Carlo Gnocchi Foundation · ITHasselt University · BEOspedale Policlinico San Martino · ITSouthwestern Medical Center · USUniversity of Plymouth · GB

Funding

Multiple Sclerosis Scientific Research Foundation EGID3185
6 · The paper itself

Abstract

Pandemic restrictions have led to changes in therapy plans and disrupted rehabilitation services for people with multiple sclerosis. CogEx is an international, multicentre MS dual-intervention (cognitive rehabilitation, aerobic exercise) randomized, controlled rehabilitation trial confined to people with progressive disease. The primary outcome is cognition (processing speed).There are 11 treatment sites in six countries with participants required to make 27 site visits over 12 weeks. Collectively, the large, in-person demands of the trial, and the varying international policies for the containment of COVID-19, might disproportionately impact the administration of CogEx. During the first lockdown, all centres closed on average for 82.9 (SD = 24.3) days. One site was required to lockdown on two further occasions. One site remained closed for 16 months. Ten staff (19.2%) were required to quarantine and eight staff (15.4%) tested positive for COVID. 10 of 264 (3.8%) participants acquired COVID-19. All survived. The mean duration of enrollment delay has been [236.7 (SD = 214.5) days]. Restarting participants whose interventions were interrupted by the pandemic meant recalculating the intervention prescriptions for these individuals. While the impact of the pandemic on CogEx has been considerable, all study sites are again open. Participants and staff have shown considerable flexibility and resilience in keeping a complex, international endeavour running. The future in general remains uncertain in the midst of a pandemic, but there is cautious optimism the study will be completed with sufficient sample size to robustly evaluate our hypothesis and provide meaningful results to the MS community on the impact of these interventions on people with progressive MS.Trial registration: The trial was registered on September 20th 2018 at www.clinicaltrials.gov having identifier NCT03679468. Registration was performed before recruitment was initiated.

Indexed as

COVID-19Multiple SclerosisCommunicable Disease ControlExerciseHumansPandemicsCognitionCOVID-19ExerciseInternationalMultiple sclerosisMultisiteNeurorehabilitation

Identifiers

PMID34741240
PMCPMC8570234
OpenAlexW3211242169

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.