Background:Although previous studies have examined the effects of exercise training on other International Classification of Functioning,Dis-ability and Health(ICF)component levels in persons with multiple sclerosis(MS),the effects of exercise training on participation remain unclear.The objectives of this review were to:(1)characterize systematically the use of outcome measures that capture participation in exercise training studies;(2)quantify the effect of exercise training on participation in persons with MS.Methods:A search of 6 electronic databases(CINAHL,SPORTDiscuss,Embase,MEDLINE,Cochrane Central,and Scopus)was conducted to identify controlled and noncontrolled trials involving exercise training and participation in persons with MS.Search strings were built from Med-ical Subject Headings and CINAHL headings.ICF linking rules were used to identify participation chapters and categories captured.Meta-analy-sis was used to quantify the effect of exercise training on participation in randomized controlled trials comparing exercise effects to no intervention/usual care.Results:We included 49 articles involving controlled and noncontrolled exercise trials in the systematic review of outcome measures.We cap-tured 16 different outcome measures that captured all 9 participation chapters and identified 89 unique participation categories.Across these 16 outcome measures,mobility was the most commonly represented participation chapter,with 108 items.A subsample of 23 randomized con-trolled trials was included in the meta-analysis.An overall effect of 0.60(standard error=0.12,95％confidence interval:0.36-0.84,z=4.9,p＜0.001)was calculated,indicating a moderate,positive effect of exercise training on participation.Conclusion:The current review provides information that can be used to guide the selection of outcome measures that capture participation in studies of exercise training in persons with MS.Exercise training has a positive effect on outcomes that capture participation,providing further evidence for the role of exercise training in promoting and maintaining engagement in everyday life.

Thomas Edwards;Anne Sophie Michelsen;Afolasade O.Fakolade;Ulrik Dalgas;Lara A.Pilutti

School of Human Kinetics,University of Ottawa,Ottawa,ON K1N6N5,Canada;Department of Public Health-Exercise Biology,Aarhus University,Aarhus C 8000,Denmark;School of Rehabilitation Therapy,Queens University,Kingston,ON K7L3N6,Canada;Interdisciplinary School of Health Sciences,Brain and Mind Research Institute,University of Ottawa,Ottawa,ON K1N6N5,Canada

运动与健康科学（英文）

[1]Thomas Edwards;Anne Sophie Michelsen;Afolasade O.Fakolade;Ulrik Dalgas;Lara A.Pilutti-.Exercise training improves participation in persons with multiple sclerosis:A systematic review and meta-analysis)[J].运动与健康科学（英文）,2022(03):393-402

SPORTDiscuss,noncontrolled,Headings,chapters

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