Publication: Effect of different types of exercise on fitness in people with
multiple sclerosis: a network meta-analysis
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Date
2023-05-24
Authors
Reina Gutiérrez, Sara ; Meseguer Henarejos, Ana Belén ; Torres Costoso, Ana ; Álvarez Bueno, Celia ; Cavero Redondo, Iván ; Núñez de Arenas Arroyo, Sergio ; Guzmán Pavón, María José ; Sánchez López, Mairena ; Martínez Vizcaíno, Vicente
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Publisher
Wiley
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Description
© 2023 The Authors. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
This document is the Published version of a Published Work that appeared in final form in Scandinavian Journal of Medicine & Science in Sports. To access the final edited and published work see https://doi.org/10.1111/sms.14407
Abstract
Background: It is assumed that people with multiple sclerosis (MS) who participate
in programs of physical exercise improve their physical fitness.
Objective: The aim of this network meta-analysis
(NMA) was to analyze the effect
of different types of exercise on muscular fitness and cardiorespiratory fitness
(CRF) among people with MS and to determine the best type of exercise according
to disease severity.
Methods: MEDLINE, the Physiotherapy Evidence Database, the Cochrane
Library, SPORTDiscus, Scopus, and Web of Science were searched from inception
to April 2022 to identify randomized controlled trials (RCTs) concerning
the effect of physical exercise on fitness in people with MS. We ranked the types
of physical exercise by calculating the surface under the cumulative ranking
(SUCRA).
Results: We included 72 RCTs involving 2543 MS patients in this NMA. A ranking
of five types of physical exercise (aerobic, resistance, combined [aerobic and
resistance], sensorimotor training, and mind–body
exercises) was achieved.
Combined and resistance training had the highest effect sizes (0.94, 95% CI 0.47,
1.41, and 0.93, 95% CI 0.57, 1.29, respectively) and the highest SUCRA (86.2%
and 87.0%, respectively) for muscular fitness. The highest effect size (0.66, 95% CI
0.34, 0.99) and SUCRA (86.9%) for CRF was for aerobic exercise.
Conclusions: Combined and resistance training seem to be the most effective
exercises to improve muscular fitness and aerobic exercise for CRF in people with
MS.
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