Movement Activities in Patients with Multiple Sclerosis

The effect of controlled movement activity in the treatment of multiple sclerosis (MS) has repeatedly been demonstrated by numerous studies that have also shown that exercise does not affect severity or frequency of relapses. This paper summarizes current state of knowledge on movement activities mechanisms and their application in the treatment of major MS-related neurological symptoms (fatigue, spastic paresis, ataxia, postural instability). Both research and clinical practice consistently show that the complexity of the clinical picture of MS requires a comprehensive therapeutic intervention. The paper reviews the mechanisms of action and the latest recommendations on the major forms of physical activities used in patients with MS, i.e. aerobic, resistance and combined training.The authors add their clinical experience, including their own design of a group circuit aerobic-resistance training. The paper does not discuss any other elements of the comprehensive therapeutic approach as this is out of the scope of the paper.