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Effect of different types of exercise on fitness in people with multiple sclerosis: a network meta-analysis

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dc.contributor.authorReina Gutiérrez, Sara
dc.contributor.authorMeseguer Henarejos, Ana Belén
dc.contributor.authorTorres Costoso, Ana
dc.contributor.authorÁlvarez Bueno, Celia
dc.contributor.authorCavero Redondo, Iván
dc.contributor.authorNúñez de Arenas Arroyo, Sergio
dc.contributor.authorGuzmán Pavón, María José
dc.contributor.authorSánchez López, Mairena
dc.contributor.authorMartínez Vizcaíno, Vicente
dc.contributor.departmentFisioterapia
dc.date.accessioned2024-06-25T07:12:39Z
dc.date.available2024-06-25T07:12:39Z
dc.date.issued2023-05-24
dc.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.14407es
dc.description.abstractBackground: 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.es
dc.formatapplication/pdfes
dc.format.extent13es
dc.identifier.doihttps://doi.org/10.1111/sms.14407
dc.identifier.eisbnScandinavian Journal of Medicine & Science in Sports, 2023, Vol. 33, N. 10, pp.1916-1928es
dc.identifier.issnPrint: 0905-7188
dc.identifier.issnElectronic: 1600-0838
dc.identifier.urihttp://hdl.handle.net/10201/142621
dc.languageenges
dc.publisherWileyes
dc.relationThis research was supported by a grant from the Consejería de Educación, Cultura y Deportes-JCCM and FEDER funds (SBPLY/17/180, 501/000,533). SR-G (2020-PREDUCLM-15596) and SNA-A (2020-PREDUCLM-16704) are supported by a grant from the Universidad de Castilla-La Mancha, Spain.es
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/10.1111/sms.14407es
dc.rightsinfo:eu-repo/semantics/openAccesses
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectCRFes
dc.subjectPhysical activityes
dc.subjectPhysiotherapyes
dc.subjectRehabilitationes
dc.subjectStrengthes
dc.titleEffect of different types of exercise on fitness in people with multiple sclerosis: a network meta-analysises
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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