Evidence map›Paper›PMID 41484293›Full record

Trial reportScientific reports2026

Exercise induces structural brain changes and elevates irisin levels and enhances functional performance in multiple sclerosis a pilot randomized study.

Furkan Bilek, Gülnihal Deniz, Gözde Elidar, Zübeyde Ercan, Caner Feyzi Demir

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Furkan BilekDepartment of Gerontology, Fethiye Faculty of Health Sciences, Muğla Sıtkı Koçman University, Fethiye, Muğla, Turkey. fzt.furkanbilek@gmail.com.ORCID http://orcid.org/0000-0003-1567-7201
Gülnihal DenizDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Erzurum Technical University, Erzurum, Turkey.ORCID http://orcid.org/0000-0002-5944-8841
Gözde ElidarDepartment of Neurology, School of Medicine, Fırat University, Elazıǧ, Turkey.ORCID http://orcid.org/0009-0005-9883-3311
Zübeyde ErcanDepartment of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Fırat University, Elazığ, Turkey.ORCID http://orcid.org/0000-0002-5294-8771
Caner Feyzi DemirDepartment of Neurology, School of Medicine, Fırat University, Elazıǧ, Turkey.ORCID http://orcid.org/0000-0002-2861-2418

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exercise may promote neuroprotection in multiple sclerosis (MS), but the relationships between exercise-induced brain changes, myokine release, and functional improvements are not fully understood. This pilot randomized controlled trial examined the effects of a 12-week progressive resistance training (PRT) program on brain structure, serum irisin levels, and functional performance, measured with the MS functional composite (MSFC), (PRT: *N*=11; control: *N*=10). The PRT group demonstrated increased serum irisin and enhanced motor and cognitive function, including faster walking speed, improved manual dexterity, and better processing speed. Neuroimaging revealed volumetric increases in gray matter, cerebellum, hippocampus, temporal lobe, and caudate nucleus following PRT. Compared to controls, the exercise group showed greater improvements in irisin levels, mobility, and regional brain volumes, particularly in gray matter, cerebellum, and temporal and hippocampal regions. Correlations were observed between cerebellar and frontal lobe volume changes and cognitive gains, while occipital lobe expansion was linked to fine motor improvements. However, no direct association was found between irisin elevation and brain structural changes. These results suggest that PRT induces concurrent neuroplastic adaptations and functional benefits in MS, though the role of irisin may involve mechanisms beyond volumetric effects. Resistance training represents a viable non-pharmacological strategy to support brain health and functional outcomes in MS.

Indexed as

BrainExerciseFibronectinsMultiple SclerosisAdultCognitionFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMyokinesPilot ProjectsResistance TrainingFibronectinsFNDC5 protein, humanMyokinesBrain volumeCognitive functionExerciseIrisinMultiple sclerosisNeuroplasticity

Identifiers

PMID41484293
PMCPMC12835146

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.