Evidence map›Paper›PMID 38650042›Full record

ArticlePilot and feasibility studies2024

Multimodal exercise training to reduce frailty in people with multiple sclerosis: study protocol for a pilot randomized controlled trial.

Tobia Zanotto, Danya Pradeep Kumar, Abbas Tabatabaei, Sharon G Lynch, Jianghua He, Trent J Herda, Hannes Devos, Ramkumar Thiyagarajan, Lee Chaves, Kenneth Seldeen and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06042244 (Multimodal Exercise Training to Reduce Frailty in People With Multiple Sclerosis), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 26% 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.

NCT06042244 nacompletednot on this map

Multimodal Exercise Training to Reduce Frailty in People With Multiple Sclerosis

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2023 to 2025Enrolled16ConditionsMultiple Sclerosis, FrailtyArmsMultimodal Exercise Group, Waitlist
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Frailty in multiple sclerosis: A scoping review.Multiple sclerosis and related disorders · 2024
    Article
  3. 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

12 authors at 3 institutions in 1 country.

Tobia ZanottoDepartment of Occupational Therapy Education, School of Health Professions, University of Kansas Medical Center, Kansas City, KS, 66160, USA. tzanotto@kumc.edu.ORCID http://orcid.org/0000-0002-6571-4763
Danya Pradeep KumarDepartment of Physical Therapy, Rehabilitation Science, and Athletic Training, School of Health Professions, University of Kansas Medical Center, Kansas City, KS, USA.
Abbas TabatabaeiDepartment of Physical Therapy, Rehabilitation Science, and Athletic Training, School of Health Professions, University of Kansas Medical Center, Kansas City, KS, USA.
Sharon G LynchDepartment of Neurology, School of Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Jianghua HeDepartment of Biostatistics and Data Science, University of Kansas Medical Center, Kansas City, KS, USA.
Trent J HerdaDepartment of Health, Sport, and Exercise Sciences, University of Kansas, Lawrence, KS, USA.
Hannes DevosMobility Core, University of Kansas Center for Community Access, Rehabilitation Research, Education and Service, Kansas City, KS, USA.
Ramkumar ThiyagarajanLandon Center on Aging, University of Kansas Medical Center, Kansas City, KS, USA.
Lee ChavesLandon Center on Aging, University of Kansas Medical Center, Kansas City, KS, USA.
Kenneth SeldeenLandon Center on Aging, University of Kansas Medical Center, Kansas City, KS, USA.
Bruce R TroenLandon Center on Aging, University of Kansas Medical Center, Kansas City, KS, USA.
Jacob J SosnoffMobility Core, University of Kansas Center for Community Access, Rehabilitation Research, Education and Service, Kansas City, KS, USA.
University of Kansas Medical Center · USUniversity of Kansas · USKansas State University · US

Funding

Landon Center on Aging GR17633
6 · The paper itself

Abstract

backgroundFrailty, a syndrome characterized by decreased reserve and resistance to stressors across multiple physiologic systems, is highly prevalent in people living with multiple sclerosis (pwMS), independent of age or disability level. Frailty in MS is strongly associated with adverse clinical outcomes, such as falls, and may aggravate MS-related symptoms. Consequently, there is a pressing necessity to explore and evaluate strategies to reduce frailty levels in pwMS. The purpose of this pilot randomized controlled trial (RCT) will be to examine the feasibility and preliminary efficacy of a multimodal exercise training program to reduce frailty in pwMS.

methodsA total of 24 participants will be randomly assigned to 6 weeks of multimodal exercise or to a waitlist control group with a 1:1 allocation. PwMS aged 40-65 years and living with frailty will be eligible. The multimodal exercise program will consist of cognitive-motor rehabilitation (i.e., virtual reality treadmill training) combined with progressive, evidence-based resistance training. At baseline and post-intervention, participants will complete the Evaluative Frailty Index for Physical Activity (EFIP), measures of fall risk, and quality of life. Frailty-related biomarkers will also be assessed. In addition, the feasibility of the multimodal exercise program will be systematically and multidimensionally evaluated. DISCUSSION: To date, no RCT has yet been conducted to evaluate whether targeted exercise interventions can minimize frailty in MS. The current study will provide novel data on the feasibility and preliminary efficacy of multimodal exercise training as a strategy for counteracting frailty in pwMS.

trial registrationClinicalTrials.gov, NCT06042244 (registered in September 2023).

Indexed as

ExerciseFrailtyMultiple sclerosisRehabilitationResistance training

Identifiers

PMID38650042
PMCPMC11034042
OpenAlexW4395005929

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.