Cochrane · systematic review · CD009956

Exercise therapy for fatigue in multiple sclerosis

Heine, M, van de Port, I, Rietberg, MB, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

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
11
current version
GRADE rated
11
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 9.1%Low 4 · 36.4%Moderate 6 · 54.5%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

Overall analysis for fatigue in multiple sclerosis

Population: people with multiple sclerosis
3 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue
no estimate extracted36 studies · 1603 participantsModerate
Exercise versus no‐exercise control
no estimate extracted27 studies · 1325 participantsModerate
Exercise versus exercise
no estimate extracted9 studies · 278 participantsLow

Per fatigue measure for fatigue in multiple sclerosis

Population: people with multiple sclerosis
3 questions
OutcomeEffectEvidenceStatus / GRADE
Modified Fatigue Impact Scale
no estimate extracted8 studies · 688 participantsModerate
Fatigue Severity Scale
no estimate extracted13 studies · 449 participantsModerate
Other
no estimate extracted5 studies · 167 participantsLow

Per exercise group for fatigue in multiple sclerosis

Population: people with multiple sclerosis
5 questions
OutcomeEffectEvidenceStatus / GRADE
Endurance training
no estimate extracted11 studies · 266 participantsModerate
Muscle power training
no estimate extracted4 studies · 207 participantsLow
Downgraded: imprecision
Task‐oriented training
no estimate extracted2 studies · 36 participantsVery low
Mixed training
no estimate extracted6 studies · 495 participantsModerate
'Other' training
no estimate extracted9 studies · 295 participantsLow