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Published on: January 29, 2016
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Moving exercise research in multiple sclerosis forward (the MoXFo initiative): Developing consensus statements for
Ulrik Dalgas1, Lars G Hvid1, Gert Kwakkel2
1Section for Sport Science, Department of Public Health, Aarhus University, Aarhus, Denmark.
Summary
Exercise is crucial for managing multiple sclerosis (MS). An international expert partnership aims to overcome research barriers by establishing a framework for future exercise studies in MS, enhancing quality and outcomes for patients.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Exercise Science
Background:
- Exercise is vital for managing multiple sclerosis (MS) due to its wide-ranging benefits.
- Despite increasing research, study quality and content barriers impede progress in exercise interventions for MS.
- An international collaboration of experts has formed to address these challenges and advance the research agenda.
Purpose of the Study:
- To establish a collaborative framework for improving the quality and scope of exercise research in multiple sclerosis.
- To identify and address key barriers hindering progress in understanding exercise's role in MS management.
- To develop recommendations for future research directions in exercise for individuals with MS.
Main Methods:
- An international expert panel convened to identify urgent research areas and establish a framework.
- Five key themes were identified: Definitions and terminology, Study methodology, Reporting and outcomes, Adherence to exercise, and Mechanisms of action.
- Five expert groups were formed to outline challenges and provide recommendations within each theme, with planned collaboration with MS organizations.
Main Results:
- Identification of five critical themes requiring attention to advance exercise research in MS.
- Formation of expert groups tasked with detailing challenges and proposing solutions for each theme.
- A collaborative framework is being developed to guide future research and improve study quality.
Conclusions:
- A structured, multi-expert approach is essential to overcome existing barriers in MS exercise research.
- Collaboration with people with MS and relevant organizations is integral to the framework's success.
- This initiative aims to enhance the quality and impact of exercise studies, ultimately benefiting individuals with MS.

