Table 1

Eligibility criteria

People with MSInclusion criteria
  • Any MS phenotype according to the revised McDonald’s criteria123 124

  • Aged 18 years or older

  • Any ethnicity

  • Disability status score on the Expanded Disability Status Scale (EDSS)41 of 2.0–5.0

  • Stable disease; no clinical evidence of disease activity

  • Ability to speak and understand German language


Exclusion criteria
  • Significant concomitant diseases (such as malignant diseases, other neurological or psychiatric disorders, musculoskeletal problems affecting walking, pain, uncorrected visual or hearing impairment)

  • Cognitive impairment as defined by a MoCA cut-off score of 26/30 (<26=impaired cognition)87

  • Anxiety or depression as signified by a HADS anxiety82 or depression subscale score of 11/2183 or suicidality as evaluated by a narrative screening79

  • Pregnancy

  • Relapse of MS within the last 3 months before the study

  • Any medication initiation or change (including corticosteroids) or any physiotherapy change or inpatient rehabilitation within 3 months prior to the study

  • Any change of symptomatic treatment affecting walking (medication or physiotherapy) or of disease modifying treatment during the study will lead to an exclusion of the participant from further analysis

Healthy controls
  • Age-matched and gender-matched

  • Without any history of neurological, psychiatric or orthopaedic disorders

MRI/fMRI contraindications
  • Metallic or electricity conducting implants or prostheses (cardiac pacemaker, insulin pump, middle-ear implants, heart valve or hip prostheses, artificial teeth, hearing aid, etc) in or on the body

  • Non-removable metal parts (coil, braces, etc) or metal shrapnel in or on the body

  • Tattoos in the head or neck area, nicotine plasters or cosmetic eye modifications

  • Pregnancy

  • Epilepsy

  • Claustrophobia

  • fMRI, functional MRI; HADS, Hospital and Anxiety and Depression Scale; MoCA, Montreal Cognitive Assessment; MS, multiple sclerosis.