: Specialists use neuromuscular reeducation to retrain the body for safer walking and better coordination.
: Physiotherapists help patients manage energy through "Energy Management" techniques and by using digital tools like apps or wearables to monitor activity. physiotherapy management of multiple sclerosis ppt upd
Moderate-intensity cycling or rowing to improve cardiovascular health. : Specialists use neuromuscular reeducation to retrain the
: Reducing the risk of secondary issues like contractures, falls, and respiratory infections. : Reducing the risk of secondary issues like
Physiotherapy goals are divided into short-term functional gains and long-term secondary prevention:
| Domain | Recommendation | Caution | |--------|----------------|---------| | Aerobic | 2-3x/week, 20-30 min, 60-80% HRmax or RPE 12-14 (Borg) | Avoid overheating → pre-cooling | | Resistance | 2x/week, 8-15 reps, 60-80% 1RM | Avoid eccentric overload in weak quads | | Balance | Daily, 10-15 min, dual-task training | Progress from stable to unstable surface | | Flexibility | Daily, static stretches for hip flexors, hamstrings, calves | Avoid long-duration stretch in spasticity without agonist activation |
: Promoting regular physical activity is a primary aim to prevent secondary symptoms. Moderate-intensity workouts are often recommended, with a focus on increasing aerobic activity gradually. Symptom-Specific Interventions :