Evidence map›Paper›PMID 40133734›Full record

Observational studyActa neurologica Belgica2025

Relationship between lower extremity sensation, physical activity, cognition, body awareness, and fatigue in people with multiple sclerosis: a cross-sectional study.

Kader Eldemir, Cagla Ozkul, Muhammed Seref Yildirim, Sefa Eldemir, Fettah Saygili, Ceyla Irkec, Arzu Guclu-Gunduz

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Acta neurologica Belgica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04548297 (Clinical Factors Associated With Position Sense in Patients With 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
–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.

NCT04548297 completednot on this map

Clinical Factors Associated With Position Sense in Patients With Multiple Sclerosis

Typeobservational_patient_registrySponsorGazi UniversityRan2020 to 2022Enrolled44ConditionsMultiple SclerosisArmsAssessment
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  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

7 authors.

Kader EldemirDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Sivas Cumhuriyet University, Sivas, Turkey.ORCID http://orcid.org/0000-0002-1167-8971
Cagla OzkulDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Bişkek Caddesi, 6. Sokak, No:2 Çankaya, 06490, Ankara, Turkey. caglaozkul@hotmail.com.ORCID http://orcid.org/0000-0001-9367-9910
Muhammed Seref YildirimDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Trakya University, Edirne, Turkey.ORCID http://orcid.org/0000-0002-8529-986X
Sefa EldemirDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Sivas Cumhuriyet University, Sivas, Turkey.ORCID http://orcid.org/0000-0002-2122-5706
Fettah SaygiliDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Aydın Adnan Menderes University, Aydın, Turkey.ORCID http://orcid.org/0000-0001-6450-6666
Ceyla IrkecDepartment of Neurology, Lokman Hekim University, Ankara, Turkey.ORCID http://orcid.org/0000-0002-4713-8010
Arzu Guclu-GunduzDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Bişkek Caddesi, 6. Sokak, No:2 Çankaya, 06490, Ankara, Turkey.ORCID http://orcid.org/0000-0001-8464-1929

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple sclerosis (MS) is a chronic autoimmune disease causing sensory and motor impairments due to central nervous system demyelination. Sensory feedback, essential for balance and gait, is often disrupted in people with MS (PwMS). However, its relationship with fatigue, physical activity, cognitive function, and body awareness remains unclear.

aimTo investigate the relationship between plantar sensation, knee position sense, and clinical factors in PwMS compared to healthy controls (HC).

methodsThirty-three PwMS and 11 HC participated in this study. Foot sensations including light touch threshold, two-point discrimination, vibration duration, and knee position sense were assessed. In addition, physical activity level, cognitive function, body awareness, and fatigue were assessed as clinical factors.

resultsNo significant differences were found between PwMS and HC in most sensory measures, except for body awareness, which was higher in HC (p:0.029). In PwMS, light touch thresholds correlated with age (r = 0.454, p = 0.008), vibration duration with walking and physical activity levels (r = 0.392-0.396, p < 0.05), two-point discrimination with EDSS score (r = 0.474, p = 0.005), knee position sense with EDSS (r = 0.385, p = 0.027) and cognitive function (r = 0.382, p = 0.028). In HC, vibration duration correlated negatively with age (r=-0.834, p:0.001), and knee position sense correlated with body mass index (r = 0.764, p:0.006) and cognitive function (r = 0.609-0.736, p < 0.05).

conclusionThese findings highlight the relationship between sensory function and clinical factors in PwMS, emphasizing the importance of age, disability level, physical activity, and cognitive function in preserving the sensory functions of the lower extremity.

trial registrationNCT04548297.

Indexed as

AwarenessCognitionExerciseFatigueLower ExtremityMultiple SclerosisSensationAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedAwarenessCognitionFatigueMultiple sclerosisSensationWalking

Identifiers

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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.