Scientific Online Resource System

Varna Medical Forum

Psychological support and effectiveness of resistance and power training with the relapsing-remitting multiple sclerosis (RRMS) population (work case)

Desislava Ruseva, Petya Angelova


Multiple Sclerosis is a condition that often affects all functional systems in the body, seriously impeding daily activities. The occurrence of functional disturbances results in loss of identity or social performance (mainly in patients with short remissions), especially in cases when the previous physical activity is strongly reduced.

The present case concerns a woman diagnosed with relapsing-remitting multiple sclerosis. The case work illustrates both the psychological methodology used in short terms, especially in the relapse period, and the benefits of resistance and power training, resulting in a positive change in patients with mild or moderate form of the condition.


multiple sclerosis; psychology work; depression symptoms; resistance training with MS; power training with MS; MS training protocol

Full Text


American College of Sports Medicine (1st edition) ACSM's Resources for Clinical Exercise Physiology: Musculoskeletal, Neuromuscular, Neoplastic, Immunologic and Hematalogic Conditions

American College of Sports Medicine (6th edition) ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription

Dalgas U, Stenager E, Jakobsen J, Petersen T, Overgaard K, Ingemann-Hansen T, Muscle fiber size increases following resistance training in multiple sclerosis, Multiple Sclerosis, 2010, n16(11): 1367-1376

Blair SN, LaMonte MJ, Nichaman MZ. The evolution of physical activity recommendations: how much is enough? American Journal of Clinical Nutrition, 2004; 79(5): 913S-920S

Bruce JM, Lynch SG, Personality traits in multiple sclerosis association with mood and anxiety disorders, Journal of Psychosomatic Research,2011, 70 (5):479-485

Janardhan V., Bakshi R., Quality of life in patients with MS: the impact of fatigue and depression., 2002; 205 (1):51-58

Jelinek G., Overcoming Multiple Sclerosis, Allen&Unwin, 2016

Jose Sa M. `Psychological aspects of multiple sclerosis`, Clinical Neurology and Neurosurgery, 2008; 110:868-877

Lynch, S. G., Kroencke, D. C., & Denney, D. R., The relationship between disability and depression in multiple sclerosis: The role of uncertainty, coping, and hope.Multiple Sclerosis, 2001; 7:411−416

Mohr, D., Dick, L., Russo, D., Pinn, J., Boudewyn, A., Goodkin, D., Thepsychosocial impact of multiple sclerosis: Exploring the patient's perspective. Health Psychology, 1999a; 18: 376−382

Taylor NF, Dodd KJ, Damiano DL. Progressive resistance exercise in physical therapy: a summary of systematic reviews, Physical Therapy, 2005; 85(11): 1208-1223

Taylor-Kevin Isaacs,, Training Clients With Neuromuscular Disorders, MS, FACSM, 2005

te Wildt, B. T., & Schultz-Venrath, U. (2004). Magical ideation - Defense mechanism or neuropathology? A study with multiple sclerosis patients. Psychopathology, 2004; 37:141−144

Vaugan R.,Morrison L.,Miller E.,The illness representation of multiple sclerosis and their relations to outcome., Britsh Journal of Health Psychology 2003; 8; 287-301

Wens I., Dalgas U., Vandenabeele F., Grevendonk L., Verboven K. , Hansen D., Eijnde B., High Intensity Exercise in Multiple Sclerosis: Effects on Muscle Contractile Characteristics and Exercise Capacity, a Randomised Controlled Trial, PLOS, 2015

Zorzon M, de Masi R, Nasuelli D, Ukmar M, Mucelli RP, CazzatoG, et al. Depression and anxiety in multiple sclerosis. A clinical and MRI study in 95 subjects. Journal of Neurology, 2001;248:416-421



Font Size