From various studies, we know that gait disorders are common in MS. Particularly in the case of a primarily chronic progressive course, there are gait disorders even during the early phase.
It is known that physical activity is reduced in MS patients, and this also leads to reduced stamina. This has negative impacts on various everyday activities, social contact and quality of life. Furthermore, with gait disorders there is an increased risk of complications (falls, osteoporosis). The training plan should include both strength and endurance training, as impairments are not only detectable in muscle strength, but also in cardiovascular parameters. One important piece of information is that training-induced flare-ups of existing neurological symptoms may occur. As a rule, the whole body should be trained with four to eight exercises per training unit. Training of the lower extremities should be of high priority for MS patients, as the extent of the deficit of strength in the legs is, evidentially, more important than in the arms. For severely affected patients, treadmill training with weight unloading may be used. Our own experiences show that young patients, in particular, are often very motivated in training within the first seven to ten days, but after that a considerable increase in the symptoms of fatigue may occur. Rest breaks must be strictly adhered to and a longer lunch break is also necessary for recovery.
Furthermore, many patients found that it was pleasant to use a cold vest before therapy.
From a medical or medicinal perspective, spasticity in the lower extremities should be taken into account and, if necessary, appropriate treatment should be initiated.
On the whole, we can demonstrate very good success in our facility when it comes to gait disorders due to multiple sclerosis.
These articles might also interest you:
+ "Rehabilitation in Multiple Sclerosis at the Rehabilitation Clinic Wien Baumgarten"- from Prim. Dr. Christoph Stepan
+ "Neurorehabilitation in Vienna" - from Prim. Dr. Christoph Stepan
+ "Through proper diet the risk of multiple sclerosis can be reduced" - from Prim. Dr. Matthias König
+ "Neurorehabilitation in Multiple Sclerosis" - from Prim. Dr. Hermann Moser