Evidence map›Paper›PMID 40270018›Full record

ArticleBMC sports science, medicine & rehabilitation2025

Internet-based exercise and physical activity promotion for persons with multiple sclerosis: a randomized controlled trial.

Verena Hartung, Alexander Tallner, Peter Flachenecker, Mathias Mäurer, René Streber, Philipp Wanner, Asarnusch Rashid, Layal Shammas, Gottfried Hois, Christian Dettmers and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04367389 (Internet-based Physical Activity Promotion and Exercise Prescription for People 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.

NCT04367389 nacompletednot on this map

Internet-based Physical Activity Promotion and Exercise Prescription for People With Multiple Sclerosis

TypeinterventionalSponsorUniversity of Erlangen-NürnbergRan2019 to 2020Enrolled62ConditionsMultiple SclerosisArmsPhysical activity promotion, Exercise
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. Review
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

15 authors.

Verena HartungDepartment of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany.
Alexander TallnerDepartment of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany.
Peter FlacheneckerNeurological Rehabilitation Center Quellenhof, Kuranlagenallee 2, 75323, Bad Wildbad, Germany.
Mathias MäurerKlinikum Würzburg Mitte gGmbH, Juliuspromenade 19, 97070, Würzburg, Germany.
René StreberDepartment of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany.
Philipp WannerDepartment of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany.
Asarnusch RashidZTM Bad Kissingen GmbH, Münchner Straße 5, 97688, Bad Kissingen, Germany.
Layal ShammasZTM Bad Kissingen GmbH, Münchner Straße 5, 97688, Bad Kissingen, Germany.
Gottfried Hoismedi train, Karl-Zucker-Straße, 10, 91052, Erlangen, Germany.
Christian DettmersKliniken Schmieder, Eichhornstraße 68, 78464, Konstanz, Germany.
Holger RoickE/M/S/A Center for Neurology / Psychiatry / Neuroradiology, Freiheitstraße 23, 78224, Singen, Germany.
Alexander StefanouDepartment of Neurology, Klinikum Stuttgart, Kriegsbergstraße 60, 70174, Stuttgart, Germany.
Hayrettin TumaniSpecialty Hospital for Neurology Dietenbronn, Dietenbronn 7, 88477, Schwendi, Germany.
Susanne WeberFacharztpraxis für Neurologie und Psychiatrie, Rotebühlplatz 19, 70178, Stuttgart, Germany.
Klaus PfeiferDepartment of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany. klaus.pfeifer@fau.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe evaluated the effects of a 12-week internet-based exercise and physical activity promotion program for persons with multiple sclerosis.

methodsWe performed a multicenter, randomized, waitlist-controlled study. The intervention group (IG) received the 12-week program, followed by 12 weeks with usual care. The control group (CG) received usual care only. The main components of the 12-week program were: (1) a tailored home-based exercise prescription, (2) e-learning resources, (3) telephone and video meetings with an exercise therapist, (4) the provision of a consumer-based PA monitor. Measurements were taken at baseline, postintervention, and after 24 weeks. The primary outcome was device-measured steps/day. Other outcomes were device-measured moderate-to-vigorous physical activity, subjectively measured leisure-time and transportation physical activity and sport/exercise, physical activity-related health competence, walking ability, quality of life, fatigue, depression, and PA-related self-concordance. We compared changes from baseline to postintervention between groups and analyzed changes in the IG during the follow-up.

resultsAnalysis of 56 persons with multiple sclerosis (IG: n = 29, CG: n = 27, age: 45.6 ± 10.9) revealed no significant intervention effect on steps/day. However, significant improvements were observed in moderate-to-vigorous physical activity, sport/exercise, control competence, fatigue, and quality of life (physical). During the follow-up, sport/exercise and quality of life decreased significantly. Leisure-time and transportation physical activity increased significantly.

conclusionsOur study provides first evidence that the developed program can increase control competence, aspects of physical activity and health in persons with multiple sclerosis. A trial with a larger sample is recommended to confirm our results and examine intervention mechanisms.

trial registrationRegistry: Clinicaltrials.gov; registration number: NCT04367389; date of registration: 2020-04-21 (retrospectively registered).

Indexed as

Behavior changeExerciseInternet-based interventionMultiple sclerosisPhysical activityPhysical activity-related health competence

Identifiers

PMID40270018
PMCPMC12016365

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.