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Multiple Sclerosis Fatigue-Paced Circuit exercise demonstration
Exercise library

Multiple Sclerosis Fatigue-Paced Circuit

A short, energy-conserving set of gentle movements with rest breaks, following pacing principles for fatigue management.

Area
Neuro
Stage
Mobility phase
Equipment
A sturdy chair, A clock or timer

Typical dose: 1 set × 5 reps · once a day, 3 days a week. This is a general starting point, not a plan matched to your condition or stage.

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How to do it

You need: A sturdy chair, A clock or timer.

Set out a firm chair with space to stand and move around it. Have water to hand and plan a rest after each part.

  1. Do five slow sit-to-stands from the chair, then sit and rest for a minute.
  2. Do ten seated marches, lifting each knee, then rest for a minute.
  3. Do ten slow heel raises holding the chair, then rest for a minute.
  4. Do five gentle standing side steps each way, then rest.
  5. Stop the circuit early if your legs feel heavy or your walking becomes unsteady.

Form cues

  • You rest before you feel tired, not after.
  • Movements stay slow and smooth throughout, with no rushing.
  • You feel worked but not wiped out at the end.

Common mistakes

  • Skipping the rest breaks to get it done quicker.
  • Exercising in a hot room or the hottest part of the day, which worsens MS fatigue.
  • Pushing on through heavy, weak legs, which tends to cause a longer setback.

Safety: Stop and message your physio if you have a fall, a sudden drop in strength or vision, or new numbness that does not settle.

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