Cochrane · systematic review · CD009131

Neuropsychological rehabilitation for multiple sclerosis

Rosti‐Otajärvi, EM, Hämäläinen, PI · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

Multiple Sclerosis and Rare Diseases of the CNS2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 50%Low 5 · 35.7%Moderate 2 · 14.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

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Cognitive training versus any control for multiple sclerosis

Population: patients with multiple sclerosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Attention
Cognitive training vs any control
SMD 0.065 studies · 573 participantsLow
Downgraded: risk of bias
Information processing speed
Cognitive training vs any control
SMD 0.154 studies · 176 participantsVery low
Downgraded: risk of bias, inconsistency
Memory span
Cognitive training vs any control
SMD 0.54 [0.2, 0.88]2 studies · 150 participantsLow
Downgraded: risk of bias
Working memory
Cognitive training vs any control
SMD 0.33 [0.09, 0.57]3 studies · 288 participantsVery low
Downgraded: risk of bias
Immediate verbal memory
Cognitive training vs any control
SMD 0.24 studies · 360 participantsLow
Downgraded: risk of bias
Executive functions
Cognitive training vs any control
SMD 0.352 studies · 112 participantsVery low
Downgraded: risk of bias
Depression
Cognitive training vs any control
SMD 0.265 studies · 196 participantsVery low
Downgraded: risk of bias, inconsistency

Cognitive training combined with other neuropsychological rehabilitation methods versus any control for multiple sclerosis

Population: patients with multiple sclerosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Attention
Cognitive training combined with other neuropsychological rehabilitation methods vs any control
SMD 0.15 [0.01, 0.28]5 studies · 894 participantsModerate
Downgraded: risk of bias
Information processing speed
Cognitive training combined with other neuropsychological rehabilitation methods vs any control
SMD 0.053 studies · 181 participantsVery low
Downgraded: risk of bias
Immediate verbal memory
Cognitive training combined with other neuropsychological rehabilitation methods vs any control
SMD 0.31 [0.08, 0.54]7 studies · 308 participantsVery low
Downgraded: risk of bias
Delayed memory
Cognitive training combined with other neuropsychological rehabilitation methods vs any control
SMD 0.22 [0.02, 0.42]4 studies · 400 participantsModerate
Downgraded: risk of bias
Everyday cognitive performance/patient's report
Cognitive training combined with other neuropsychological rehabilitation methods vs any control
SMD 0.14 studies · 1011 participantsLow
Downgraded: risk of bias, inconsistency
Depression
Cognitive training combined with other neuropsychological rehabilitation methods vs any control
MD 0.254 studies · 187 participantsLow
Downgraded: risk of bias, inconsistency
Fatigue
Cognitive training combined with other neuropsychological rehabilitation methods vs any control
SMD 0.083 studies · 159 participantsVery low
Downgraded: risk of bias, inconsistency