Short Sprint Interval Training in People With Multiple Sclerosis (sSIT-MS)
Short Sprint Interval Training as an Effective Exercise Strategy for People With Multiple Sclerosis
The goal of this clinical trial is to learn whether a short sprint interval training protocol on a cycle ergometer can improve physical function, walking, muscle strength, exercise capacity, fatigue, cognitive processing speed, and patient-reported outcomes in people with multiple sclerosis.
The main questions it aims to answer are:
- Does short sprint interval training improve walking performance, lower-limb coordination, muscle strength, exercise capacity, fatigue, and cognitive processing speed in people with multiple sclerosis?
- How do participants respond to short sprint interval training in terms of heart rate, power, cadence, perceived exertion, and affective valence?
- What adverse events or unintended effects, if any, occur during the intervention?
Researchers will compare short sprint interval training with usual physical activity to see if this exercise program improves physical, cognitive, and patient-reported outcomes.
Participants will:
- Be randomly assigned to either a short sprint interval training group or a usual physical activity group.
- Complete assessments before and after the 2-week training period.
- Continue their usual physical activity if they are assigned to the control group.
- Complete 6 supervised exercise sessions over 2 weeks if they are assigned to the short sprint interval training group.
- During each exercise session, perform short 5-second high-intensity cycling sprints on a recumbent cycle ergometer, separated by recovery periods.
- Complete walking, strength, stepping, calf endurance, fatigue, and cognitive processing speed assessments.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Daniel Alexandre Boullosa Álvarez
- Phone Number: 56 +34 987 29 30 00
- Email: dboua@unileon.es
Study Locations
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León
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Ponferrada, León, Spain, 24416
- Recruiting
- Ule Motion Lab
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Contact:
- Daniel Alexandre Boullosa Álvarez
- Phone Number: 56 +34 987 29 30 00
- Email: dboua@unileon.es
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosis of multiple sclerosis according to the revised McDonald criteria; Expanded Disability Status Scale score 0-3.5.
- Age 18-65 years.
- No multiple sclerosis relapse or exacerbation in the previous month.
Exclusion Criteria:
- Neurological disease other than multiple sclerosis.
- Cognitive impairment preventing completion of tests or questionnaires.
- Neurological, orthopedic, or visual impairments affecting gait.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Short Sprint Interval Training Intervention Group
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Participants will perform a supervised short sprint interval training program on a recumbent cycle ergometer for 2 weeks, with 3 sessions per week.
Each session will include a 5-minute warm-up at an easy intensity, followed by repeated 5-second high-intensity cycling sprints separated by 40 seconds of active recovery.
The number of sprints will increase progressively across sessions from 5 to 9, with a reduced number of sprints in the final session.
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No Intervention: Usual Physical Activity Control Group
Participants in this arm will not receive any intervention and will be asked to continue their usual physical activity during the 2-week study period.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in Symbol Digit Modalities Test Oral Score
Time Frame: Baseline and Week 4
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Cognitive processing speed will be assessed through the oral version of the Symbol Digit Modalities Test (SDMT).
The outcome will be reported as the total number of correct responses.
Scores range from 0 to 110, with higher scores indicating better cognitive processing speed.
Change from baseline to Week 4 will be evaluated.
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Baseline and Week 4
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Change in Fatigue Severity Scale Score
Time Frame: Baseline and Week 4
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Fatigue severity will be assessed through the Fatigue Severity Scale (FSS).
The FSS includes 9 items, each scored from 1, indicating strongly disagree, to 7, indicating strongly agree.
The total score is calculated as the mean of the 9 items and ranges from 1 to 7, with higher scores indicating greater fatigue severity.
Change from baseline to Week 4 will be evaluated.
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Baseline and Week 4
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Change in Timed 25 Foot Walk Time
Time Frame: Baseline to Week 4
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Walking speed will be assessed through the Timed 25-Foot Walk (T25FW).
This test will be performed forwards and backwards, at a comfortable pace and as fast as safely possible, with 2 trials for each condition.
Time will be recorded in seconds using a stopwatch.
The outcome will be reported as the lowest time recorded for each condition, with lower times indicating a faster walking speed.
Change from baseline to Week 4 will be evaluated.
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Baseline to Week 4
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Change in the Six-Spot Step Test Time
Time Frame: Baseline and Week 4
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Dynamic walking performance and lower-limb coordination will be assessed through the Six-Spot Step Test (SSST).
The SSST will be performed after a familiarization trial as fast as safely possible for two trials with each leg.
Time will be recorded in seconds using a stopwatch, with lower times indicating better lower-limb coordination and walking performance.
The outcome will be reported as the lowest time recorded for each leg.
Change from baseline to Week 4 will be evaluated.
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Baseline and Week 4
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in Handgrip Strength
Time Frame: Baseline and Week 4
|
Handgrip strength will be assessed using a hand dynamometer and recorded in kg.
The outcome will be the best of 3 trials, with higher scores indicating greater handgrip strength.
Change from baseline to Week 4 will be evaluated.
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Baseline and Week 4
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Change in Lower-limb Muscle Power
Time Frame: Baseline to Week 4
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Lower-limb muscle power will be assessed through the 5-repetition Sit-to-Stand test (5-STS) with the time recorded in seconds with a stopwatch.
The outcome will be reported as the best of the 2 trials, with lower times indicating greater muscle power.
Change from baseline to Week 4 will be evaluated.
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Baseline to Week 4
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Change in Lower-limb endurance and strength
Time Frame: Baseline to Week 4
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Lower-limb endurance and strength will be assessed through the 30-second Sit-to-Stand test (30-STS), with the number of repetitions visually counted.
The outcome will be reported as the best of 2 trials, with a higher number of repetitions indicating greater lower-limb endurance and strength.
Change from baseline to Week 4 will be evaluated.
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Baseline to Week 4
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Change in Cardiorespiratory fitness
Time Frame: Baseline and Week 4
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Cardiorespiratory fitness will be assessed using the Young Men's Christian Association 3-minute step test (YMCA step test).
Heart rate will be assessed with a chest strap heart-rate monitor.
The outcome will be recorded as the mean recovery heart rate after 60 s of rest, with lower scores indicating better cardiorespiratory fitness.
Change from baseline to Week 4 will be evaluated.
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Baseline and Week 4
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Change in Plantar flexor strength-endurance
Time Frame: Baseline to Week 4
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Plantar flexor strength-endurance will be assessed using the standing single-leg heel-rise test.
The outcome will be reported as the number of repetitions visually counted from each leg in 1 trial, with a higher number of repetitions indicating greater plantar flexor endurance capacity.
Change from baseline to Week 4 will be evaluated.
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Baseline to Week 4
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Cadence during the intervention sessions
Time Frame: During each sprint interval training session, up to 2 weeks
|
Data will be recorded during each intervention session and will be used as descriptive data. Cadence will be recorded using the potentiometer of the recumbent cycle ergometer by a custom software app in revolutions per minute. |
During each sprint interval training session, up to 2 weeks
|
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Heart rate during the intervention sessions
Time Frame: During each sprint interval training session, up to 2 weeks
|
Data will be recorded during each intervention session and will be used as descriptive data. Heart rate will be recorded using the handheld sensors of the recumbent cycle ergometer by a custom software app in beats per minute. |
During each sprint interval training session, up to 2 weeks
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Power during intervention sessions
Time Frame: During each sprint interval training session, up to 2 weeks
|
Data will be recorded during each intervention session and will be used as descriptive data. Power output will be recorded using the potentiometer of the recumbent cycle ergometer by a custom software app in watts. |
During each sprint interval training session, up to 2 weeks
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Rating of Perceived Exertion After Each Sprint
Time Frame: After each sprint during each sprint interval training session, up to 2 weeks
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Rating of perceived exertion (RPE) will be assessed using the Borg Category-Ratio 10 scale (CR10).
Scores range from 0 to 10, with 0 indicating rest and 10 indicating maximal effort.
The outcome will be reported as the perceived exertion score recorded after each sprint, with lower scores indicating lower perceived exertion.
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After each sprint during each sprint interval training session, up to 2 weeks
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Session Rating of Perceived Exertion
Time Frame: After each exercise session during the 2-week intervention period
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Global session rating of perceived exertion (sRPE) will be assessed after each exercise session using the Borg Category-Ratio 10 scale (CR10).
Scores ranges from 0 to 10, with 0 indicating rest and 10 indicating maximal effort.
The outcome will be reported as the session perceived exertion score, with lower scores indicating lower perceived exertion.
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After each exercise session during the 2-week intervention period
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Affective Valence After Each Sprint
Time Frame: After each sprint during each sprint interval training session, up to 2 weeks
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Affective valence will be assessed after every sprint in the short sprint interval training intervention using the Feeling Scale.
This scale ranges from -5 to +5, with +5 indicating very good, 0 indicating neutral, and -5 indicating very bad.
The outcome will be reported as the affective valence score, with higher scores indicating better affective valence.
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After each sprint during each sprint interval training session, up to 2 weeks
|
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Descriptive and anthropometric data
Time Frame: Baseline
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Height measured in meters.
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Baseline
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Descriptive and anthropometric data
Time Frame: Baseline
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Body mass measured in kilograms.
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Baseline
|
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Descriptive and anthropometric data
Time Frame: Baseline
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Body mass index measured through the combination of weight and height reported in kg/m^2.
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Baseline
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Descriptive and anthropometric data.
Time Frame: Baseline
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Waist circumference and Hip circumference will be measured in centimeters.
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Baseline
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Descriptive and anthropometric data
Time Frame: Baseline
|
Waist circumference and Hip circumference will be combined to report Waist-to-hip ratio as an index.
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Baseline
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Descriptive and anthropometric data
Time Frame: Baseline
|
Smoking status will be reported by the patient with yes or no.
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Baseline
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Descriptive and anthropometric data
Time Frame: Baseline
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Most affected side will be reported by the patient as left, right, or both.
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Baseline
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Descriptive and anthropometric data.
Time Frame: Baseline
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Limb dominance will be reported by the patient as left, right, or ambidextrous.
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Baseline
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Descriptive and anthropometric data.
Time Frame: Baseline
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Patient-reported walking ability over the previous 2 weeks will be assessed using the 12-Item Multiple Sclerosis Walking Scale (MSWS-12).
Items are scored on a Likert scale from 1 to 5, with 1 indicating "Not at all" and 5 indicating "Extremely".
Scores range from 12 to 60 and are transformed into a percentage.
The outcome will be reported as the percentage, with higher percentages indicating a greater perceived impact of MS on walking.
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Baseline
|
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Descriptive and anthropometric data.
Time Frame: Baseline
|
Fatigue over the previous 4 weeks will be assessed using the Modified Fatigue Impact Scale (MFIS).
Items are scored on a Likert scale from 0 to 4, with 0 indicating "Never" and 4 indicating "Almost always".
Total scores range from 0 to 84.
The outcome will be reported as the total score, with higher scores indicating a greater impact of fatigue.
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Baseline
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
General Publications
- Thompson AJ, Banwell BL, Barkhof F, Carroll WM, Coetzee T, Comi G, Correale J, Fazekas F, Filippi M, Freedman MS, Fujihara K, Galetta SL, Hartung HP, Kappos L, Lublin FD, Marrie RA, Miller AE, Miller DH, Montalban X, Mowry EM, Sorensen PS, Tintore M, Traboulsee AL, Trojano M, Uitdehaag BMJ, Vukusic S, Waubant E, Weinshenker BG, Reingold SC, Cohen JA. Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. Lancet Neurol. 2018 Feb;17(2):162-173. doi: 10.1016/S1474-4422(17)30470-2. Epub 2017 Dec 21.
- Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989 Oct;46(10):1121-3. doi: 10.1001/archneur.1989.00520460115022.
- Hobart JC, Riazi A, Lamping DL, Fitzpatrick R, Thompson AJ. Measuring the impact of MS on walking ability: the 12-Item MS Walking Scale (MSWS-12). Neurology. 2003 Jan 14;60(1):31-6. doi: 10.1212/wnl.60.1.31.
- Reich DS, Lucchinetti CF, Calabresi PA. Multiple Sclerosis. N Engl J Med. 2018 Jan 11;378(2):169-180. doi: 10.1056/NEJMra1401483. No abstract available.
- Dobson R, Giovannoni G. Multiple sclerosis - a review. Eur J Neurol. 2019 Jan;26(1):27-40. doi: 10.1111/ene.13819. Epub 2018 Nov 18.
- Foster C, Florhaug JA, Franklin J, Gottschall L, Hrovatin LA, Parker S, Doleshal P, Dodge C. A new approach to monitoring exercise training. J Strength Cond Res. 2001 Feb;15(1):109-15.
- Walton C, King R, Rechtman L, Kaye W, Leray E, Marrie RA, Robertson N, La Rocca N, Uitdehaag B, van der Mei I, Wallin M, Helme A, Angood Napier C, Rijke N, Baneke P. Rising prevalence of multiple sclerosis worldwide: Insights from the Atlas of MS, third edition. Mult Scler. 2020 Dec;26(14):1816-1821. doi: 10.1177/1352458520970841. Epub 2020 Nov 11.
- Strober LB, Bruce JM, Arnett PA, Alschuler KN, DeLuca J, Chiaravalloti N, Lebkuecher A, Di Benedetto M, Cozart J, Thelen J, Guty E, Roman CAF. Tired of not knowing what that fatigue score means? Normative data of the Modified Fatigue Impact Scale (MFIS). Mult Scler Relat Disord. 2020 Nov;46:102576. doi: 10.1016/j.msard.2020.102576. Epub 2020 Oct 13.
- Callesen J, Richter C, Kristensen C, Sunesen I, Naesby M, Dalgas U, Skjerbaek AG. Test-retest agreement and reliability of the Six Spot Step Test in persons with multiple sclerosis. Mult Scler. 2019 Feb;25(2):286-294. doi: 10.1177/1352458517745725. Epub 2017 Dec 20.
- Benedict RH, Amato MP, Boringa J, Brochet B, Foley F, Fredrikson S, Hamalainen P, Hartung H, Krupp L, Penner I, Reder AT, Langdon D. Brief International Cognitive Assessment for MS (BICAMS): international standards for validation. BMC Neurol. 2012 Jul 16;12:55. doi: 10.1186/1471-2377-12-55.
- Gustavsen S, Olsson A, Sondergaard HB, Andresen SR, Sorensen PS, Sellebjerg F, Oturai A. The association of selected multiple sclerosis symptoms with disability and quality of life: a large Danish self-report survey. BMC Neurol. 2021 Aug 16;21(1):317. doi: 10.1186/s12883-021-02344-z.
- Tacchino A, Di Giovanni R, Grange E, Spirito MM, Ponzio M, Battaglia MA, Brichetto G, Solaro CM. The administration of the paper and electronic versions of the Manual Ability Measure-36 (MAM-36) and Fatigue Severity Scale (FSS) is equivalent in people with multiple sclerosis. Neurol Sci. 2024 Mar;45(3):1155-1162. doi: 10.1007/s10072-023-07103-1. Epub 2023 Oct 12.
- Yocum A, McCoy SW, Bjornson KF, Mullens P, Burton GN. Reliability and validity of the standing heel-rise test. Phys Occup Ther Pediatr. 2010 Aug;30(3):190-204. doi: 10.3109/01942631003761380.
- Kappos L, Yiu S, Reucassel J, Oh J, Granziera C, Killestein J, Bermel RA, Berge C, Kazlauskaite A, Schneble HM, Dahlke F, Cree BAC. Performance of Composite Endpoints Defining Progression Independent of Relapse Activity in Multiple Sclerosis. Ann Clin Transl Neurol. 2025 Sep;12(9):1805-1812. doi: 10.1002/acn3.70111. Epub 2025 Jul 8.
- Tulipani LJ, Meyer B, Fox S, Solomon AJ, Mcginnis RS. The Sit-to-Stand Transition as a Biomarker for Impairment: Comparison of Instrumented 30-Second Chair Stand Test and Daily Life Transitions in Multiple Sclerosis. IEEE Trans Neural Syst Rehabil Eng. 2022;30:1213-1222. doi: 10.1109/TNSRE.2022.3169962. Epub 2022 May 16.
- Seferoglu M, Aksoy MK, Tunc A. Hand Grip Strength as a Predictive Tool for Upper Extremity Functionality, Balance, and Quality of Life in People With Multiple Sclerosis. Int J MS Care. 2024 May 29;26(Q3):134-139. doi: 10.7224/1537-2073.2022-030. eCollection 2024 May.
- Gervasoni E, Torchio A, Bertoni R, Chieffo R, Rocca MA, Pau M, Cocco E, Morozumi T, Filippi M, Cattaneo D, Rovaris M. Beyond EDSS: multidomain impairments are detectable and associated with walking disorders in low-disabled people with multiple sclerosis. J Neurol. 2025 May 18;272(6):404. doi: 10.1007/s00415-025-13128-7.
- Youssef H, Gonul MN, Sobeeh MG, Akar K, Feys P, Cuypers K, Vural A. Is High-Intensity Interval Training More Effective Than Moderate Continuous Training in Rehabilitation of Multiple Sclerosis: A Comprehensive Systematic Review and Meta-analysis. Arch Phys Med Rehabil. 2024 Aug;105(8):1545-1558. doi: 10.1016/j.apmr.2023.12.012. Epub 2024 Jan 8.
- Ribeiro JA, Schuch FB, Tonello L, Meneghel Vargas KF, Oliveira-Junior SA, Muller PT, Boullosa D. Effectiveness of short sprint interval training in women with major depressive disorder: a proof-of-concept study. Front Psychiatry. 2024 Apr 15;15:1356559. doi: 10.3389/fpsyt.2024.1356559. eCollection 2024.
- Boullosa D, Dragutinovic B, Feuerbacher JF, Benitez-Flores S, Coyle EF, Schumann M. Effects of short sprint interval training on aerobic and anaerobic indices: A systematic review and meta-analysis. Scand J Med Sci Sports. 2022 May;32(5):810-820. doi: 10.1111/sms.14133. Epub 2022 Feb 11.
- Martin-Nunez J, de Castro SG, Heredia-Ciuro A, Navas-Otero A, Cabrera-Martos I, Ortiz-Rubio A, Valenza MC. High-Intensity Interval Training Effects on People With Multiple Sclerosis: A Systematic Review and Meta-analyses for Exercise Capacity and Fatigue. Am J Phys Med Rehabil. 2025 Jul 1;104(7):605-612. doi: 10.1097/PHM.0000000000002676. Epub 2024 Dec 3.
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- Metcalfe RS, Williams S, Fernandes GS, Astorino TA, Stork MJ, Phillips SM, Niven A, Vollaard NBJ. Affecting Effects on Affect: The Impact of Protocol Permutations on Affective Responses to Sprint Interval Exercise; A Systematic Review and Meta-Analysis of Pooled Individual Participant Data. Front Sports Act Living. 2022 Feb 17;4:815555. doi: 10.3389/fspor.2022.815555. eCollection 2022.
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 20633
- RYC2021-031098-I (Other Grant/Funding Number: State Research Agency / Ministry of Science, Innovation and Universities)
- ULE-13-B (Other Grant/Funding Number: Regional Government of Castile and León / European Social Fund Plus (ESF+) 2021-2027)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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