Physical Exercise and Ms--Recommendations (Report‪)‬

Introduction Physical exercise has for many years been a controversial issue in multiple sclerosis (MS) rehabilitation, and the general advice to the patient has been to avoid physical exercise. This advice was given in part because some patients were reported to experience symptom instability during exercise, (1) but also because it was believed to help the patient preserve energy for activities of daily living. (2) However, pioneering work by Shapiro et al. (3) and Petajan et al. (4) showed that endurance training was well tolerated by MS patients and that it actually had some beneficial effects. Today it is known that well-organized physical exercise is a safe and efficient way to achieve physical improvements that have the potential to improve an MS patient's quality of life.