This guide outlines the updated 2025-2026 physiotherapy (PT) management of Multiple Sclerosis (MS), structured for use in clinical presentations or professional guides. Modern management emphasizes neuroplasticity early intervention individualized exercise prescription 1. Core Principles of PT Management (2025 Updates) Contemporary guidelines from NICE (2022/NG220)
Abstract Multiple Sclerosis (MS) is a chronic, autoimmune, inflammatory disease of the central nervous system (CNS) characterized by demyelination and axonal loss. While pharmacological management focuses on modifying the disease course, physiotherapy (PT) remains the cornerstone of symptom management and functional rehabilitation. This article outlines the contemporary physiotherapy approach to MS, moving from assessment through specific interventions for mobility, spasticity, balance, and fatigue.
Paper: Effectiveness of balance and gait rehabilitation programs in persons with multiple sclerosis: A systematic review and meta-analysis
Authors: Paltamaa, J., et al. (2020) – Clinical Rehabilitation
Why it’s interesting:
Symptomatic Management: Targeted interventions for muscle weakness, spasticity, ataxia, and chronic fatigue.
End of article – ready to convert into an updated PPT slide deck.
A comprehensive assessment is the foundation of any MS physiotherapy plan:
Physical Activity: Tailored aerobic and resistance training.