Disability and Fatigue in Multiple Sclerosis: Can Rehabilitation Improve Them through a Structured Retraining Program?

Table 1

Retraining program.

Retraining program
(i) Energy-saving techniques	Information about your disease and symptoms, the factors that worsen it, and the factors that favor the onset of symptoms.
(ii) Transfer training and postural hygiene.
(iii) Reflex inhibition and relaxation postures	Decubitus, sitting, and bipedestation.
(iv) Stretching and exercises for spasticity control	Insisting on functional exercises for triple flexion (decubitus and upright) osteoarticular alterations that prevent physical activity.
(v) Respiratory physiotherapy techniques	Passive, assisted, active mobilization
(vi) Mobility techniques and general active exercises.
(vii) Neuromeningeal mobility techniques and proprioceptive neuromuscular facilitation techniques
(viii) Frenkel exercises and proprioception exercises.	Coordination and functional balance (quadrupedal, seated, and standing).
(ix) Aerobic training on a cycleergometer or pedalier	According to the patient’s functional situation. Classic endurance training for 30 minutes, at a constant power corresponding to the ventilatory threshold (UV1).
(x) Walking rehabilitation and stair training

Source: own elaboration.