| Stage (EDSS) | Focus | Example Intervention | |--------------|-------|----------------------| | Mild (0–3.5) | Maximize fitness & community mobility | HIIT cycling, group balance class | | Moderate (4–6) | Maintain walking & manage fatigue | Treadmill + cooling vest, home exercise program | | Severe (6.5–8) | Preserve transfers & prevent contractures | Caregiver training, passive ROM, power wheelchair mobility | | Advanced (>8) | Positioning, respiratory health, skin integrity | Seating assessment, assisted cough, pressure relief |
Tailored aerobic and resistance training. physiotherapy management of multiple sclerosis ppt upd