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Exercise comparisons suggest different cognitive gains in multiple sclerosis

A review of randomized trials found benefits on cognitive tests, but the apparent advantage depended on the type of exercise and the cognitive skill measured.

By 100HP editorialAbstract-based explanation checked

Based on the published abstract. The full paper may contain additional methods, results and limitations.

The 30-second takeaway

In people with multiple sclerosis, exercise effects differed across cognitive domains. Exercise games, or exergaming, showed better information-processing speed than usual care, while other approaches showed benefits for memory or executive function. The abstract supports looking at the particular skill tested; it does not establish a universally best exercise program for every person with multiple sclerosis.

Keep in mind

The abstract does not give intervention durations, describe usual care, or report whether cognitive test changes translated into daily-life improvements. The network findings should not be treated as a personalized exercise ranking.

THE NUMBERS, WITH CONTEXT

What researchers found

SMD 0.40 (95% CI 0.15 to 0.65)

Information-processing speed

Exergaming versus usual care in people with multiple sclerosis; assessment timing was not reported in the abstract.

J Neurol, 2025 · Original source ↓

Why separate the outcomes?

The review examined overall cognition alongside processing speed, memory, and executive function. A favorable result on one domain does not demonstrate the same advantage across all cognitive skills or everyday activities.

Reading the standardized difference

The estimated advantage was 0.40 standard deviations, units based on score variability. The 95% confidence interval gives an uncertainty range of 0.15 to 0.65 standard deviations. These numbers describe test scores, not percentage gains or proven everyday benefits.

CHECK THE ORIGINAL

The original publication

The impact of different exercise types on cognitive function in patients with multiple sclerosis: a systematic review and network meta-analysis.

Su X, Zheng Z, Yu F et al.
J Neurol · 2025

PubMed ID
41110004
Record checked

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