Evidence map›Paper›PMID 41736941›Full record

ArticleBMJ open sport & exercise medicine2026

Clinician-led, single-blind, randomised controlled trial evaluating the efficacy of a high-intensity resistance and impact training intervention for improving health-related quality of life in people with multiple sclerosis: protocol for STRONG-MS.

Lisa Grech, Belinda Beck, David Scott, Marc Sim, Jakub Mesinovic, Paul Jansons, Fernanda Rodrigues Fonseca, Julie Abimanyi-Ochom, Michelle Allan, Stefan Blum and 18 more

Abstract read
In one paragraph

Article in BMJ open sport & exercise medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

28 authors.

Lisa GrechSchool of Psychology, Faculty of Health, Deakin University, Burwood, Victoria, Australia.
Belinda BeckGriffith University, Gold Coast, Queensland, Australia.ORCID https://orcid.org/0000-0003-1295-6395
David ScottDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0001-5226-1972
Marc SimNutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia.
Jakub MesinovicDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0003-1297-2731
Paul JansonsDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0002-8766-0516
Fernanda Rodrigues FonsecaInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0003-4620-9064
Julie Abimanyi-OchomDeakin Health Economics, School of Health and Social Development, Institute for Health Transformation, Faculty of Health, Deakin University, Geelong, Victoria, Australia.
Michelle AllanDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.
Stefan BlumBrisbane Neurology, South Brisbane, Queensland, Australia.
Ernest ButlerDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.
William CarrollPerron Institute for Neurological and Translational Science, Nedlands, Western Australia, Australia.
Nigel CaswellPeople with MS Victoria, Blackburn, Victoria, Australia.
Peter EbelingDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0002-2921-3742
Vanessa GanDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.
Alan HerschtalMonash University Clinical Trials Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0009-0004-2061-4787
Nevin JohnDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.
Allan KermodePerron Institute for Neurological and Translational Science, Nedlands, Western Australia, Australia.ORCID https://orcid.org/0000-0002-4476-4016
Linh Le-KavanaghPerron Institute for Neurological and Translational Science, Nedlands, Western Australia, Australia.ORCID https://orcid.org/0009-0005-3764-0452
Shalika Bohingamu MudiyanselageDeakin Health Economics, School of Health and Social Development, Institute for Health Transformation, Faculty of Health, Deakin University, Geelong, Victoria, Australia.
Lynne Elizabeth OhmanPeople with MS Victoria, Blackburn, Victoria, Australia.
Mia PoposkaPrivate Lived Experience Consultant, Perth, Western Australia, Australia.
Alison ReecePeople with MS Victoria, Blackburn, Victoria, Australia.
Phoebe SansomDepartment of Physiotherapy, Monash Health, Clayton, Victoria, Australia.
Charlotte ScroggieDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.
Christopher TodaroSchool of Psychology, Faculty of Health, Deakin University, Burwood, Victoria, Australia.
Jennifer WattsDeakin Health Economics, School of Health and Social Development, Institute for Health Transformation, Faculty of Health, Deakin University, Geelong, Victoria, Australia.
Ayse ZenginDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: People with multiple sclerosis (MS) engage in less physical activity and experience higher rates of osteoporosis, falls and fractures than the general population, contributing to reduced health-related quality of life (HRQoL) and increased healthcare costs. High-intensity resistance and impact training (HiRIT) has beneficial effects on bone, muscle and physical function in other populations, but its effectiveness in people with MS is unclear. Methods and analysis: STRONG-MS is a codesigned, clinician-led, single-blind, randomised controlled trial evaluating the effect of a HiRIT programme, ONERO, on HRQoL for people with MS. Secondary aims include assessing changes in bone mineral density, body composition, physical function, fatigue, mood as well as intervention safety, feasibility, acceptability, sustainability and cost-effectiveness. One hundred and eighty participants will be randomised (2:1) to ONERO or usual care for 12 months. The intervention comprises two times weekly, supervised, small-group sessions delivered by accredited allied health professionals. Outcomes will be assessed at 12 and 24 months using intention-to-treat analyses. Sustainability will be evaluated during a second 12-month period, during which participants fund ongoing participation privately or through support schemes. Ethics and dissemination: The study has approval from a Health Human Research Ethics Committee. All participants will provide written informed consent. Findings will be disseminated through peer-reviewed publications, conference presentations and summaries for participants, consumer representatives and community organisations. This study will provide novel evidence on the ability of the ONERO to improve HRQoL and musculoskeletal health in people with MS as well as its feasibility, acceptability and sustainability, to inform poststudy implementation.

Indexed as

Bone mineral densityExerciseOsteoporosisQuality of life

Identifiers

PMID41736941
PMCPMC12927361

What OpenQuestion holds

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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.