Mixed
Regular, supervised, individualized exercise (aerobic, resistance, balance, or combined) is safe and effective for improving cardiorespiratory fitness, muscle strength, fatigue, and quality of life in patients with multiple sclerosis (MS), without triggering disease exacerbation.
Start with a medical screening to ensure safety. Begin with low-to-moderate intensity aerobic exercise (like walking or cycling) for 10-40 minutes, 2-5 times a week. Add resistance training 2-3 times a week using machines for safety. If you get hot or tired, use cooling strategies (fans, cool water) and take breaks. Focus on consistency and gradual progression rather than intensity. Consult a specialist to tailor the program to your specific disability level.
Physicians now believe that regular exercise training is a potential solution for limiting the reconditioning process and achieving an optimal level of patient activities, functions and many physical and mental symptoms without any concern about triggering the onset or exacerbation of disease symptoms or relapse.
Why this rating
The paper is a narrative review citing multiple studies and guidelines, though it acknowledges limited data on severe cases.
Source
Exercise prescription for patients with multiple sclerosis; potential benefits and practical recommendations
Farzin Halabchi et al. · BMC Neurology · 2017
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