Hitting the Mark: Exercise Prescription and High Intensity Training for Persons with Multiple Sclerosis
Achieving the optimal exercise dose for persons with multiple sclerosis (MS) is a key to best clinical practice. For persons with MS, exercise can be both a disease-modifying activity and a means of ameliorating secondary deficits; however, the fatigue commonly experienced by persons with MS can limit exercise dosage. Physical Therapists must carefully consider the exercise prescription for their patients with MS. Evidence regarding the use of high-intensity training for several other neurologic populations suggests that it may be a safe, feasible, and effective means of improving function in pwMS. The purpose of this presentation is to present evidence-based recommendations for traditional exercise prescription for pwMS, then to share evidence suggesting that HIT is feasible, safe, and effective for pwMS.
1. Generate a prescription for traditional strengthening, aerobic and flexibility exercise for persons with MS
2. Summarize the evidence for High-Intensity Training exercise for persons with neurologic dysfunction
3. Delineate indications and contraindications for the use of High-Intensity Training in persons with neurologic dysfunction
4. Apply recent evidence regarding High-Intensity Training to exercise interventions for their patients with MS
Course launched September 2022
PT, MA, PhD, NCS
Evan T. Cohen, PT, MA, PhD, NCS earned his MA in Physical Therapy from Touro College (NY) in 1992, and his PhD in Health Sciences from Trident University (CA) in 2010. He has been an ABPTS Neurologic Certified Specialist since 2002. His clinical practice has focused primarily on neurologic rehabilitation with a specific concentration on the rehabilitation of people with multiple sclerosis. He has published and presented extensively about physical therapy examination, outcomes measurement and physical therapy for people with multiple sclerosis. He has served as a member of the Neurology Section’s MSEDGE Task Force, and co-authored the Multiple Sclerosis Clinical Summary and supporting cases on PTNow, the translational knowledge portal of the APTA. He is an Associate Professor in the Doctor of Physical Therapy Program at Arcadia University.
PT, DSc, MSCS
Herb Karpatkin received his Masters degree in Physical Therapy from Boston University, and a Doctorate in Neurology from Rocky Mountain University. He is a board certified in neurology and geriatrics through the American Physical Therapy Association, and a certified Multiple Sclerosis Clinical Specialist through the Consortium of Multiple Sclerosis Centers. He has held clinical posts at the Rusk Institute of Rehabilitation Medicine, Burke Rehabilitation Hospital, the International Multiple Sclerosis Management Practice, and academic posts in the physical therapy departments of Touro College and Hunter College. He has presented extensively both nationally and internationally on physical therapy and multiple sclerosis, and has published articles on Multiple Sclerosis in the Journal of Neurologic Physical Therapy, Archives of Physical Medicine and Rehabilitation, International Journal of Multiple Sclerosis and Multiple Sclerosis International. He is the recipient of the 2015 American Physical Therapy Association Award for Excellence in Neurologic Education and the 2019 National Multiple Sclerosis Society Research Partners award. In addition to continuing to be actively involved in patient care, he is a tenured associate professor of physical therapy at Hunter College, City University of New York teaching courses in neurologic evaluation and intervention, psychosocial aspects of health care, and research design, as well as mentoring DPT students through the research process. His primary areas of research are aimed at understanding and developing interventions that result in improved mobility for persons with MS.