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Exercise and Sports Science Australia (ESSA) position statement on exercise for people with mild to moderate multiple
Phu D Hoang1, Stephen Lord2, Simon Gandevia3
1Neuroscience Research Australia (NeuRA), Australia; Australian Catholic University, Australia; Multiple Sclerosis Limited, Australia; School of Population Health, University of New South Wales, Australia.
Journal of Science and Medicine in Sport
|September 20, 2021
Summary
Exercise training, including resistance and aerobic activities, improves strength, fitness, and mobility in individuals with mild to moderate multiple sclerosis (MS). Qualified professionals should guide programs, considering fatigue and heat sensitivity.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Exercise Physiology
Background:
- Multiple sclerosis (MS) is a progressive neurological condition affecting over 26,000 Australians.
- Exercise training offers significant benefits for MS-related impairments such as reduced strength, aerobic capacity, and mobility.
- This statement focuses on exercise recommendations for individuals with mild to moderate MS disability.
Purpose of the Study:
- To provide evidence-based recommendations for exercise prescription and delivery for people with MS.
- To synthesize current research on the efficacy of exercise interventions in MS.
- To guide healthcare professionals in optimizing exercise programs for MS patients.
Main Methods:
- A comprehensive synthesis of published literature on exercise training in multiple sclerosis.
- Review of studies focusing on exercise prescription and its impact on MS symptoms.
- Analysis of evidence for different exercise modalities and intensities.
Main Results:
- Resistance and aerobic training (2-3 times/week, moderate intensity) are safe and effective for improving strength, fitness, balance, and mobility in MS (EDSS ≤ 6.5).
- Evidence is less clear for individuals with severe MS disability (EDSS > 6.5).
- Further research is needed on exercise effects on MS pathogenesis, central nervous system structures, depression, cognitive impairment, and long-term outcomes.
Conclusions:
- Resistance and aerobic exercises are effective for managing MS symptoms and should be combined with balance exercises to prevent falls.
- Exercise programs must be designed and delivered by qualified professionals.
- Management should address exercise-associated complications like fatigue and heat sensitivity.
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