Research Article

Short-Term and Long-Term Effects of an Exercise-Based Patient Education Programme in People with Multiple Sclerosis: A Pilot Study

Table 3

RCT outcomes in walking ability, QoL, fatigue, and self-efficacy for immediate ePEP group and waitlist-control group at baseline (T0), after six-week ePEP (T1).

Variable EG-I () EG-W () Difference between groups
T0
mean ± SD
median (IQR)
T1
mean ± SD
median (IQR)
Change from T0-T1
mean (%)
median (IQR)
T0
mean ± SD
median (IQR)
T1
mean ± SD
median (IQR)
Change from T0-T1
mean (%)
median (IQR)
-scoreEffect size

TUG (s)7.8 ± 1.8
7.8 (6.2–9.4)
7.2 ± 1.6
7.0 (6.0–8.3)
0.5 (+7.1)
0.2 (−0.0–1.5)
7.8 ± 1.6
6.9 (6.1–8.5)
7.2 ± 1.2
6.7 (5.6–7.7)
0.6 (+8.1)
0.5 (0.3–0.9)
6MWT (m)483.2 ± 89.7
488.1 (399.1–541.5)
496.1 ± 128.4
501.0 (396.1–568.3)
−12.9 (+2.7)
−21.5 (−38.2–11.6)
526.0 ± 117.5
477.6 (393.4–620.9)
530.5 ± 153.8
532.2 (448.2–639.0)
−4.5 (+0.8)
−17.0 (−37.4–34.7)
FGA (score)19.5 ± 4.0
20.5 (15.5–21.8)
25.4 ± 3.7
25.5 (23.5–28.8)
−5.9 (+30.1)
−6.0 (−8.0–4.0)
20.7 ± 6.6
25.5 (17.8–28.5)
23.3 ± 6.9
28.0 (21.8–30.0)
−2.7 (+12.9)
−2.5 (−4.0–−0.8)
MusiQol (score)68.1 ± 10.6
69.2 (60.6–75.6)
77.2 ± 11.4
79.5 (66.0–86.2)
−9.1 (+13.4)
−9.8 (−15.8–−0.4)
70.0 ± 7.8
74.9 (49.8–83.4)
74.6 ± 11.5
75.1 (62.9–84.4)
−4.6 (+6.5)
−5.6 (−9.8–−0.6)
WEIMuS (score)26.0 ± 17.7
28.5 (6.5–40.3)
22.1 ± 15.5
22.0 (7.3–34.0)
3.9 (+14.9)
2.0 (−4.0–11.5)
21.3 ± 6.1
15.5 (12.5–29.0)
18.8 ± 9.2
11.5 (9.5–19.3)
2.5 (+11.7)
0.0 (−4.8–9.5)
Mental fatigue (score)10.5 ± 10.2
6.0 (1.3–22)
9.5 ± 8.4
9.0 (1.0–16.0)
1.0 (+9.5)
0.0 (−1.0–1.8)
8.8 ± 3.9
7.0 (2.8–10.5)
7.5 ± 2.3
8.0 (5.5–9.3)
1.3 (+15.1)
1.0 (−2.5–5.0)
Physical fatigue (score)15.5 ± 10.0
19.0 (4.0–22.8)
12.6 ± 8.3
12.5 (5.8–20.0)
2.9 (+18.5)
1.0 (−3.0–10.3)
12.5 ± 5.8
6.5 (4.5–9.5)
11.3 ± 8.4
7.5 (4.8–22.0)
1.2 (+9.3)
−1.5 (−3.5–7.5)
SSA (score)4.7 ± 0.7
4.9 (4.4–5.3)
4.2 ± 0.8
4.45 (3.8–4.7)
0.5 (−10.8)
0.2 (−0.1–1.5)
4.4 ± 1.3
4.6 (2.9–6.2)
4.6 ± 1.8
4.5 (3.4–6.4)
−0.2 (+3.4)
0.2 (−0.7–0.4)

Note. Positive percentage values indicate improvements and negative percentage values indicate declines; -scores were taken from results of Mann–Whitney test; effect size r was computed using formula /square root of ; denotes statistically significant difference between changes of scores of the groups () for exact value of Mann–Whitney test (two-tailed). EG-I: immediate ePEP group; EG-W: waitlist-control group; T0: baseline measurements; T1: measurements after six-week ePEP; SD: standard deviation; IQR: interquartile range (25th–75th); TUG: Timed-Up-and-Go-Test; 6MWT: Six-Minute-Walk-Test; FGA: Functional Gait Assessment; MusiQol: Multiple Sclerosis International Questionnaire of Quality of Life; WEIMuS: German MS-specific fatigue questionnaire—lower values indicate fatigue improvement; SSA: scale for self-efficacy towards physical exercise.