Evidence map›Paper›PMID 40786702›Full record

ArticleDigital health

Effects of high-intensity multimodal functional training on motor and cognitive functions in people with multiple sclerosis: A study protocol of a pilot randomized controlled trial.

Rebecca Cardini, Rita Bertoni, Ilaria Carpinella, Chiara Pegorini, Andrea Tacchino, Erica Grange, Valentina Guidotti, Giampaolo Brichetto, Claudio Solaro, Tommaso Budassi and 4 more

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Optimal type and dose of exercise to improve cognitive function in healthy and pre-sarcopenic older adults: a bayesian network meta-analysis of randomized controlled trials.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026
    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

14 authors.

Rebecca CardiniDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Rita BertoniIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
Ilaria CarpinellaIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.ORCID https://orcid.org/0000-0001-7486-0706
Chiara PegoriniIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
Andrea TacchinoScientific Research Area, Italian Multiple Sclerosis Foundation (FISM), Genoa, Italy.
Erica GrangeScientific Research Area, Italian Multiple Sclerosis Foundation (FISM), Genoa, Italy.
Valentina GuidottiScientific Research Area, Italian Multiple Sclerosis Foundation (FISM), Genoa, Italy.
Giampaolo BrichettoScientific Research Area, Italian Multiple Sclerosis Foundation (FISM), Genoa, Italy.
Claudio SolaroNeurology Unit Galliera Hospital, Genoa, Italy.
Tommaso BudassiNeurology Unit Galliera Hospital, Genoa, Italy.
Tatiana LanfrancoNeurology Unit Galliera Hospital, Genoa, Italy.
Marco RovarisIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
Davide CattaneoDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Elisa GervasoniIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Multiple sclerosis (MS) is a chronic neurological condition causing motor and cognitive impairments. Evidence indicates that multimodal rehabilitation, including high-intensity interval training (HIIT), balance, and strength exercises can improve balance, walking ability, and cognition while reducing fatigue in People with MS (PwMS). This study aims to evaluate the effects of high-intensity multimodal functional training on improvements in balance, walking, and cognitive function and fatigue reduction in PwMS. Materials and Methods: This pilot randomized controlled, assessor-blinded, multicenter trial will include PwMS with an Expanded Disability Status Scale score ≥ 2 and ≤ 5.5 points. Participants will be randomized to an experimental group receiving high-intensity multimodal training (aerobic HIIT, balance, and strength exercises) or a control group (conventional rehabilitation). The intervention will consist of 16 sessions over 8 weeks. Participants will undergo an extensive evaluation at baseline (T0), post-intervention (T1), and after 2 months at the follow-up (T2). The assessment will include a fatiguing walking test, standing balance evaluation, and cognitive performance tests. Primary outcomes will focus on walking velocity during a fatiguing walking test, while secondary outcomes will evaluate balance, fatigue, and cognitive functions using wearable sensors and clinical scales. Results: Expected results will be a higher effect on walking (primary outcome), balance, fatigue, and cognition (secondary outcomes) for the experimental group (high-intensity multimodal functional training) compared to the control group (conventional rehabilitation). Conclusion: This study introduces a time-efficient, high-intensity multimodal rehabilitation protocol targeting motor and non-motor symptoms in PwMS. By promoting neuroplasticity, the intervention could enhance independence, quality of life, and inform future rehabilitation strategies for MS.

Indexed as

circuit-based exercisehigh-Intensity interval trainingmultiple sclerosisNeurological rehabilitationwearable inertial sensors

Identifiers

PMID40786702
PMCPMC12332357

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.