Balance and coordination
Problems with coordination and balance occur when the cerebellum, i.e. the part of the brain responsible for the coordination of movements, becomes affected by MS. This may result in loss of balance while walking. It may also become difficult to grasp tiny objects with the hands. Trembling (tremor) might also occur.
Managing loss of balance and coordination
Exercising (physiotherapy) is usually recommended in varying degrees and intensity, depending on the type of muscles affected by the condition. Exercise serves to promote coordination and balance, which are often affected in people with MS. People with more moderate disabilities and those who suffer from heat-related symptoms may find exercise in water easier. Tremor can often be managed with drugs.
Water provides support, which helps counteract balance problems when exercising. Also, water prevents exercise- related overheating, which can aggravate symptoms in some people with MS.

