Tailored Exercise Strategies for Individuals with Multiple Sclerosis: An Evidence-Based Perspective

Paper ID : 1689-SPORTCONGRESS (R1)

Authors

Romina Roomi Mohseni1, کیا رنجبر *2 1ندارم 2خوارزمی

Abstract

Abstract Introduction: Multiple sclerosis (MS) is a progressive autoimmune disorder of the central nervous system that impairs mobility, balance, and energy regulation. Contrary to outdated beliefs discouraging physical exertion, current research highlights the therapeutic value of structured and personalized exercise in enhancing functional capacity and psychological well-being in MS patients. Methods: This narrative review synthesized findings from randomized controlled trials, meta-analyses, and clinical guidelines published between 2015 and 2025. Databases searched included PubMed, Scopus, and Cochrane Library. Selection criteria focused on studies evaluating the safety, feasibility, and efficacy of various sports and exercise modalities in MS populations. Results: Aquatic therapy, yoga, resistance training, and stationary cycling were consistently associated with improved fatigue management, mobility, and mood. Aquatic exercise offers thermal regulation and joint relief. Yoga and Tai Chi enhance neuromuscular coordination and mental clarity. Resistance training preserves muscle strength and posture, while cycling supports cardiovascular health. Adaptive sports foster social inclusion and self-confidence. Safety adaptations include fatigue pacing, fall prevention strategies, and professional supervision. Conclusion: Exercise is a safe and effective adjunct therapy for MS patients across all disability levels. Personalized programs can mitigate symptoms and improve quality of life. Integration into clinical care should emphasize multidisciplinary collaboration and progressive adaptation.

Keywords

Keywords: Multiple Sclerosis, Physical Activity, Aquatic Therapy, Resistance Training, Fatigue

Status: Abstract Accepted (Poster Presentation)