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Physical activity and pediatric multiple sclerosis: Developing a research agenda.

E Ann Yeh1, Dominique Kinnett-Hopkins2, Stephanie A Grover3

  • 1Departments of Neurology, Neurosciences and Mental Health, and Pediatrics, Hospital for Sick Children, University of Toronto, Canada ann.yeh@sickkids.ca.

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Summary

Exercise and physical activity may help manage symptoms and slow disease progression in children with multiple sclerosis (MS). This review highlights the need for research into exercise

Keywords:
Pediatricdepressionexercisefatiguemultiple sclerosisoutcomephysical activityreview

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Area of Science:

  • Neurology
  • Pediatrics
  • Rehabilitation Medicine

Background:

  • Pediatric multiple sclerosis (MS) presents significant challenges, including fatigue, depression, and neurocognitive decline.
  • Children with MS often show a higher disease burden on MRI compared to adults.
  • Limited research exists on behavioral interventions for symptom management and disease modification in pediatric MS.

Purpose of the Study:

  • To build an evidence-based case for the symptomatic and disease-modifying effects of exercise and physical activity in pediatric MS.
  • To establish a research agenda for physical activity and exercise in the lifelong management of pediatric MS.

Main Methods:

  • Review of pediatric MS and its consequences.
  • Overview of physical activity's effects in children and adults with MS.
  • Selective review of research on the neurological benefits of physical activity in pediatric populations.

Main Results:

  • Children with MS frequently experience fatigue and depression.
  • Progressive neurocognitive decline can occur early after diagnosis in pediatric MS.
  • Higher MRI-detected disease burden is observed in pediatric-onset MS.

Conclusions:

  • Exercise and physical activity show potential for symptomatic and disease-modifying benefits in pediatric MS.
  • Establishing an early, lifelong exercise agenda is critical for managing pediatric MS.
  • Further research is needed to guide effective physical activity interventions for pediatric MS.