Maria, 42, a former nurse who often undertook shiftwork, has had MS since her early 30s, and is now severely disabled by her symptoms.

She is aware shiftwork is a known risk factor for MS and seeks advice about healthy lifestyle factors that may improve her wellbeing.¹

A structured, multidisciplinary rehabilitation program combined with physical therapies, particularly exercise, can improve function and play an important role in maintaining muscle strength, mobility, quality of life and reduced fatigue.²

A systematic review concluded there was limited but promising evidence for exercise training for MS patients with severe mobility disability and that further research was warranted.³