What is the best exercise for multiple sclerosis?

The best exercise for individuals with multiple sclerosis (multiple sclerosis) can vary depending on their specific symptoms, fitness level, and personal preferences. Regular physical activity can have numerous benefits for people with multiple sclerosis, including improved strength, balance, mobility, and overall well-being. Here are some types of exercises that are often recommended for individuals with multiple sclerosis:

Aerobic Exercise:

Aerobic activities, such as walking, swimming, cycling, and low-
impact aerobics, can help improve cardiovascular fitness, endurance, and overall energy
levels. These exercises can also benefit mood and cognitive function.

Strength Training:

Resistance or strength training exercises can help build and maintain
muscle strength. Focusing on major muscle groups can improve overall function and
support activities of daily living.

Balance and Coordination Exercises:

Balance exercises, such as yoga and tai chi, can enhance balance and reduce the risk of falls. These exercises can also improve core strength and stability.

Flexibility and Stretching:

Stretching exercises can help maintain flexibility and reduce muscle stiffness. Stretching can be particularly beneficial for individuals with spasticity.

Mind-Body Exercises:

Mind-body exercises like yoga, tai chi, and Pilates can promote relaxation, improve posture, and enhance overall well-being.

Aquatic Exercise:

Water-based exercises, such as swimming and water aerobics, can provide a low-impact, supportive environment for individuals with multiple sclerosis, especially if mobility is a concern.


Recumbent stationary cycling can provide a cardiovascular workout and
strengthen the leg muscles while minimizing impact on the joints.

Adaptive Sports:

Participating in adaptive sports or recreational activities tailored to
individual abilities and interests can be a fun and motivating way to stay active. Examples
include wheelchair basketball, adaptive skiing, and adaptive yoga.

When incorporating exercise into an multiple sclerosis management plan, it is  important to consider the following:


Exercise recommendations should be personalized to accommodate a person specific abilities and limitations.


Starting with exercises that match current fitness levels and gradually increasing intensity and duration is key to avoid overexertion.

Rest and Recovery:

Adequate rest and recovery are essential to prevent fatigue and manage potential heat sensitivity.


Staying well-hydrated is important, as some individuals with multiple sclerosis
are sensitive to heat.


Safety precautions, such as using assistive devices if needed and exercising in a
controlled environment, should be taken into consideration.

Before starting any new exercise program, individuals with multiple sclerosis should consult with
their healthcare provider or a physical therapist to ensure that the chosen exercises are
appropriate and safe for their specific condition. They can provide guidance and tailor an
exercise plan to individual needs and goals.

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