Exercises
Benefits associated with regular exercise contribute greatly to the well-being of people with MS. Exercise should be seen as one of the key elements of self-management in the condition. There are many good reasons why exercise is suitable and can be recommended for people with MS. Taken together, exercise in MS:
- is effective in improving/maintaining a number of aspects of physical, mental and overall health
- enhances quality of life, especially when conducted in groups
- may prevent functional decline in the long-term
- may potentially have a protective effect on brain function
- is safe, and the advantages far outweigh the drawbacks
- leads to maximum benefits when performed regularly, is variable and is enjoyable
Exercise 1
Forward lunge. Stand with legs slightly apart. Step forward with one leg, bend the knee and lower your body. The lunged knee should not go in front of the toes. Then push back off the lunged leg to the starting position. Hands may be held to the sides too.
Exercise 2
Leg curl with the use of an ankle weight to strengthen knee flexor
muscles.
Exercise 3
Alternate heel-toe lifts to train lower leg musculature. If hand support is reduced, the exercise becomes increasingly demanding for balance.
Exercise 4
Elastic resistive bands are easy to adjust and provide resistance
for users at any level of strength and ability. The figure shows an example of how to improve hip extensor muscles.
Exercise 5
Step-ups sideways is a functional exercise for the core muscle groups of the lower limbs. Note the balance support provided by
the chair.
Exercise 6
A gymnastic ball can be effectively used for a large variety of training purposes such as development and maintenance of balance and coordination.
Exercise 7
Rhythmic bouncing on the ball with simultaneous handclaps provides a good aerobic workout.
Exercise 8
A challenging alternative to strengthen abdominal muscles
as well as to improve stability of the pelvis.
Exercise 9
Biceps curl with a resistive band. The wrist should be kept
straight and rigid.
Exercise 10
A comprehensive exercise for the entire arm with a resistive band.
Exercise 11
An exercise which develops balance, co-ordination and strength all at the same time. Back should be straight with face looking down at the floor while the opposite arm and leg are lifted into a horizontal position.
Exercise 12
One of the various ways to strengthen abdominals. Hands may also alternately be kept behind the neck.
Exercise 13
Stretching of the knee flexor muscles. Keep the back straight and bend the entire trunk forward. Don’t forget to breathe!
Exercise 14
Stretching of the back muscles. The position also relieves lower
limb spasticity.
Exercise 15
Stretching of the inner thighs.
Exercise 16
Stretching of the knee extensor muscles.
Exercise 17
Stretching of the calf muscles. By placing a board under the ball of
the feet the stretch is made more effective.
Exercise 18

Nordic walking is ideal for people with MS. When walking, the poles always move diagonally behind the body.
The correct pole length (= walker’s height multiplied by 0.68) is critical to being able to use the right walking technique.