b'Symptom ManagementAAddaappttiinnggf orrSSuucccceessss foTToommaaiinnttaaiinnaanneexxeerrcciisseer ouuttiinnee,,aaddaappttaattiioonnssrommaayynneeeeddttoobbeemmaaddeeBy Jana Candia and Meghan SantanderExercise: some love it, some hate it. NoAccording to the Canadian Physical Activity matter how you feel, approaching exerciseGuidelines for Adults with MS, adults ages 18 with MS can be intimidating, but it doesntto 64 with mild to moderate disability need to have to be. It is a vital part of your prescriptionengage in both aerobic activity and strength for health and successful living with MS. training for major muscle groups weekly. E Aerobic activity should be completed for at ExxeerrcciisseevveerrssuusspphhyyssiiccaallaaccttiivviittyyExercise is planned, structured, and repetitiveleast 30 minutes two times per week at a bodily movement with the goal to improve ormoderate intensity. Examples of aerobic maintain overall health, such as strengthactivities include upper body or lower body training and aerobic exercise. Physical activitycycling,walking,orusinganelliptical.To includes planned and unplanned activitiesgauge moderate activity levels in an activity, that make up your daily life; they can oftenyou should be working at a level where you be broken down into short intervals, such ascan talk but not sing a song. Strength training householdchores,groceryshopping,andshouldbeperformedformajormuscle childcare. Physical activity requires movinggroups at least two times per week. Major your body and expending energy, but it mustmusclegroupscanbelegs,arms,core,or be supplemented with intentional exercise.back. The important thing to remember is This article will tackle some barriers to exercisethat you should consult with your doctor or a and how to overcome them.rehab professional before beginning your E exercise journey.ExxeerrcciisseewwiitthhMMSS TIt was once believed that exercising couldTaacckklliinnggtthheeCChhaalllleennggeesscause a possible exacerbation of MS symptomsWaayyssttooAAddaappttWfollowing a workout. However, in 1996, a studyHeat sensitivity: Getting overheated will completed by the University of Utah foundstop any exercise program in its tracks. If that not only was exercise safe for those withpossible, adjust the temperature in your workout MS, but exercise over time was linked withspace. Circulating the airow through the use better cardiovascular tness, improved strength,of room fans or small personal fans can be a better bowel and bladder function, and increasedcost-effectivewaytoremaincool.Cooling mental health. Exercising can also reducevests, while usually more expensive, provide fatigue, increase mobility, and increase youranother great way to regulate body temperature overall quality of life. while working out. The most practical approach msfocusmagazine.org 10'