Multiple Sclerosis Exercise Program: A Comprehensive Guide

Safe and Effective Physical Activity Guidelines for MS Patients

Neurology

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Last updated: Mar 24, 2025

Introduction

Regular exercise is crucial for managing Multiple Sclerosis (MS) symptoms and maintaining overall health. This guide outlines safe and effective exercise recommendations tailored for MS patients.

Before Starting

  • Consult your neurologist and physical therapist
  • Start slowly and progress gradually
  • Monitor your body temperature
  • Keep water nearby for hydration

Core Exercise Components

1. Flexibility Exercises (10-15 minutes daily)

  • Gentle stretching of major muscle groups
  • Hold stretches for 15-30 seconds
  • Focus on legs, arms, and trunk
  • Perform when muscles are warm

2. Strength Training (2-3 times per week)

  • Start with body weight exercises
  • Progress to light weights when ready
  • 8-12 repetitions per exercise
  • Rest between sets

3. Aerobic Exercise (3-4 times per week)

  • Low to moderate intensity
  • 10-30 minutes per session
  • Options include:
    • Stationary cycling
    • Swimming
    • Walking
    • Seated exercises

Important Safety Guidelines

Temperature Management

  • Exercise in cool environments
  • Use cooling devices if needed
  • Stop if overheated

Fatigue Management

  • Exercise during peak energy times
  • Break activities into shorter sessions
  • Rest when needed

Warning Signs to Stop

  • Excessive fatigue
  • Dizziness
  • Sharp pain
  • Vision changes
  • Significant weakness

Weekly Schedule Example

  1. Monday: Stretching + Light cardio
  2. Tuesday: Strength training
  3. Wednesday: Rest/gentle stretching
  4. Thursday: Aquatic exercise
  5. Friday: Strength training
  6. Weekend: Light activities as tolerated

Progress Tracking

Maintain an exercise log recording:

  • Duration
  • Type of exercise
  • Energy level
  • Symptoms

Always listen to your body and adjust the program as needed.

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