[PHYSICAL EXERCISE FOR PEOPLE WITH MULTIPLE SCLEROSIS: EFFECTS, RECOMMENDATIONS AND BARRIERS].

Area of Science:

• Neurology
• Rehabilitation Medicine
• Exercise Science

Context:

• Multiple sclerosis (MS) rehabilitation aims to enhance patient activity and independence.
• Physical training (PTr) is a key component of MS rehabilitation, though its use has been debated.
• Existing knowledge on PTr effects and recommendations for MS patients is reviewed.

Purpose:

• To summarize current knowledge on the effects of physical training in multiple sclerosis.
• To review perceived benefits and barriers to physical training participation in MS patients.
• To provide evidence-based recommendations for physical training in MS rehabilitation.

Summary:

• Aerobic training positively impacts physical conditioning, gait speed, fatigue, depression, and cognition in MS patients.
• While research is limited, strength training also demonstrates beneficial effects for MS patients.
• Physical training has no detrimental effects on individuals with MS.

Impact:

• Recommends aerobic training (60-80% max heart rate), strength training (1-3 sets, 8-15 reps), and balance/ambulation exercises.
• Highlights that awareness of benefits is insufficient; factors like exertion, facility access, and self-efficacy are crucial for exercise adherence.
• Provides a foundation for developing effective, safe, and accessible physical training programs for multiple sclerosis management.