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Updated: Feb 8, 2026

The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool
Published on: June 30, 2014
Cardiac autonomic function during postural changes and exercise in people with multiple sclerosis: A cross-sectional
Elisa Gervasoni1, Marco Bove2, Mattia Sinatra3
1Fondazione Don Carlo Gnocchi Onlus, IRCCS S. Maria Nascente, Milano, Italy; Università degli Studi di Genova, DINOGMI, Genova, Italy.
Multiple sclerosis (MS) patients show impaired parasympathetic tone at rest and post-exercise, but autonomic dysfunction does not influence fatigue perception. Early assessment of autonomic dysfunction in MS is crucial.
Area of Science:
- Neurology
- Cardiology
- Autonomic Neuroscience
Background:
- Multiple sclerosis (MS) frequently leads to autonomic dysfunction (AD), impacting treatment and exercise.
- Early detection of subclinical AD in MS is essential for managing patient care.
Purpose of the Study:
- To assess cardiac autonomic tone in people with MS (PwMS) without overt AD.
- To evaluate autonomic response during postural changes, exercise, and recovery.
- To investigate the relationship between autonomic tone and fatigue perception in PwMS.
Main Methods:
- Compared heart rate variability in 23 PwMS and 20 healthy controls (HC).
- Measured ECG during rest, sit-to-stand maneuvers, and exercise with recovery.
- Analyzed parasympathetic and sympatho-vagal parameters from heart rate variability.
Main Results:
- PwMS exhibited significantly lower parasympathetic indexes at rest and post-exercise compared to HC.
- Heart rate was not significantly different between PwMS and HC across conditions.
- No correlation was found between autonomic tone and perceived fatigue in PwMS.
Conclusions:
- Parasympathetic tone is impaired in PwMS during basal and recovery states, but not during postural challenges or exercise.
- Autonomic dysfunction does not appear to influence perceived fatigue in this MS cohort.
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