Evidence map›Paper›PMID 40934065›Full record

ArticleIBRO neuroscience reports2025

Effect of action observation training on hand function, upper extremity strength and fatigue in individuals with multiple sclerosis.

Fatemeh Savaedi, Omid Anbiyaee, Akram Ansari, Fatemeh Chichagi, Nazanin Moeini, Eftekhar Azarm, Mahsa Fadavighaffari, Sara Khosravi, Meimanat Akbari

Abstract read
In one paragraph

Article in IBRO neuroscience reports, 2025. 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. 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

9 authors.

Fatemeh SavaediDepartment of Occupational Therapy, School of Rehabilitation Sciences, Tehran University of Medical Sciences, Tehran, Iran.
Omid AnbiyaeeSchool of Medicine, Cardiovascular Research Center,Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Akram AnsariHormozgan University of Medical Sciences, Bandar Abbas, Iran.
Fatemeh ChichagiTehran Heart Center, Tehran University of Medical Science, Tehran, Iran.
Nazanin MoeiniStudent Research Committee, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
Eftekhar AzarmSchool of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Mahsa FadavighaffariMusculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Department of Occupational Therapy, School of Rehabilitation Science, Ahvaz, Iran.
Sara KhosraviBachelor of Occupational Therapy of Ahvaz Jondishapour University of Medical Sciences, Ahvaz, Iran.
Meimanat AkbariPhD Candidate in Occupational Therapy, Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Multiple sclerosis (MS) is a chronic autoimmune condition that affects the central nervous system, frequently resulting in upper limb impairment, which considerably affects activities of daily living and quality of life. Action Observation Training (AOT) is a novel neurorehabilitation method that utilizes the mirror neuron system to improve motor performance. This study aimed to evaluate the effectiveness of AOT in improving hand function, grip strength, and reducing fatigue in individuals with MS. Methods: A non-randomized, single-blind clinical experiment was conducted involving 30 multiple sclerosis patients, who were allocated to either an intervention group (AOT in conjunction with standard physical therapy) or a control group (standard physical therapy alone). The primary outcome was evaluated utilizing the Arm Function in Multiple Sclerosis Questionnaire (AMSQ). Secondary objectives included grip and pinch strength (assessed by dynamometry) and Fatigue Severity Scale (FSS). Evaluations were conducted at baseline and following four weeks of intervention. Data were evaluated utilizing Analysis of Covariance (ANCOVA) with significance established at p < 0.05. Results: The intervention group showed significantly greater improvements in AMSQ scores (adjusted mean difference = -29.5, ± 4.5 SE, p < 0.05), power grip strength (MD = 10.54, ± 3.20 SE, p = 0.003 for the affected hand), pinch strength (MD = 1.46, ± 0.45 SE, p = 0.003 for the affected hand), and fatigue (MD = -9.60, ± 4.13 SE, p = 0.028), compared to the control group. These findings suggest that AOT is an effective intervention for improving upper limb function and reducing fatigue in individuals with MS. Conclusion: AOT significantly improves hand function, grip strength, and fatigue levels in individuals with MS, suggesting its potential as an effective rehabilitation tool. Future investigations should examine the enduring advantages of AOT and its amalgamation with alternative neurorehabilitation methodologies.

Indexed as

Action observation therapyFatigueHand FunctionMultiple sclerosisNeurorehabilitation

Identifiers

PMID40934065
PMCPMC12418844

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.