Canadian Physical Activity Guidelines FOR ADULTS WITH MULTIPLE SCLEROSIS Guidelines To achieve important fitness benefits, adults aged 18-64 years with multiple sclerosis who have mild to moderate disability need at least: • 30 minutes of moderate intensity aerobic activity, 2 times per week, CanadianAND Physical Activity Guidelines • Strength training exercises for major muscle groups, 2 times per week. 24 24 2 0 1 2 S C I E N T I F I C S TAT E M E N T S 24 FOR Meeting these guidelines may also reduce fatigue, improve mobility and enhance elements of health-related quality of life. Preamble Aximus inveriore, qui acium sunt. Is etus eius es apisqua temquam as rem eatqui consenisin prate exceperum audae dolla nihillupist, tempeliquo earcide rferchic tem aria cus dolorita qui te voluptati autatus daniasperum qui rehendu cipsaessed ut et volupta tiosam voles quostem corio inciliquodis modiscieniet quide dolo omnis asperem faceper spitisit, quiat. 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Mus sitiorro essinti dit, ilit plande nonsequodio te volupta ssequo mod mostion sedipita Who are the Guidelines for? • These guidelines are appropriate for adults (aged 18-64 years) with minimal to moderate disability resulting from either relapsing remitting or progressive forms of multiple sclerosis Getting Started • You may wish to speak to a health professional to find out what types and amounts of physical activity are appropriate for you. • A health professional might include a doctor, a physiotherapist, or a qualified exercise professional. • Guidelines • If you are are physically inactive , activities performed at a lower intensity, Rum quae vendi erferuptate eturem que am, tore volendae nulpa dolorep frequency, and duration than recommended volori sus at ent ullupti quamus, velitis earit expelecus. o • o • Gradually increase duration, Hicitate molore dio cuptatibea consequi doluptate iust,frequency, issi im may bring some benefit. and intensity as a progression towards meeting theconsequi guidelines. Hicitate molore dio cuptatibea doluptate iust, issi im. Hicitate molore dio cuptatibea consequi doluptate iust, issi im Now is the time. Walk, run, or wheel, and embrace life. n Society for Exercise Physiology, 2012. All rights reserved. www.csep.ca/guidelines Canadian Physical Activity Guidelines FOR ADULTS WITH MULTIPLE SCLEROSIS HERE IS WHAT IS RECOMMENDED Aerobic Activity Strength Training Activity How often? Two times per week Two times per week • Aerobic and strength training activities can be done on the same day • Rest your muscles for at least one day between strength training sessions How much? Gradually increase your activity so that you are doing at least 30 minutes of aerobic activity during each workout session. Repetitions are the number of times you lift and lower a weight. Try to do 10-15 repetitions of each exercise. This counts as 1 set. Gradually work up to doing 2 sets of 10-15 repetitions of each exercise. How hard? These activities should be performed at a moderate intensity. Moderate-intensity physical activity is usually a 5 or 6 on a scale of 10, and causes your heart rate to go up. As a general rule if you’re doing moderate-intensity activity you can talk, but not sing a song, during the activity. Pick a resistance (free weights, cable pulleys, bands, etc.) heavy enough that you can barely, but safely, finish 10-15 repetitions of the last set. Be sure to rest for 1-2 minutes between each set and exercise. How to? Some options for activity include: Aerobic activities • Upper Body Exercises: arm cycling • Lower Body Exercises: walking, leg cycling • Combined Upper and Lower body exercises: elliptical trainer Strength training activities for the upper and lower body • Weight machines • Free weights • Cable pulleys Other types of exercise that may bring benefits • Elastic resistance bands • Aquatic exercise •Calisthenics