Finding balance: improving stability with MS

Living with multiple sclerosis (MS) can profoundly impact various aspects of life, with balance-related issues being among the most challenging. Here we explore the complexities and strategies related to maintaining balance when living with MS, based on insights from Exercise Physiologist (EP), Caitlin Jerkovic from our Footscray Wellbeing Centre.

Acknowledging the challenge

The journey begins with recognising the intricacies of balance as a multifaceted ability critical for daily living. The disruption of this fundamental skill due to MS can significantly affect mental health and quality of life.

Caitlin says, 'Balance is an elegant coordination of systems involving our vestibular function, motor coordination, sensory input, and vision. Disorders in any of these areas can pose considerable challenges for individuals with MS.'

Understanding the impact

Balance is not merely about standing still but involves maintaining equilibrium during movement – dynamic balance. Individuals with MS may face difficulties owing to impaired vestibular function, motor coordination, and sensory disturbances. This deterioration can present as dizziness, vertigo, muscle weakness, coordination problems, and more, contributing to a higher risk of falls and diminished quality of life.

Comprehensive assessment

Evaluating balance in individuals with MS is a multi-step process involving clinical history, neurological exams, and functional movement assessments. From the Romberg test to advanced postural assessments, understanding the extent of balance impairment is crucial for effective management.

Catilin says there several approaches that can improve balance and function.

'Physical therapy plays a pivotal role in managing balance disorders. A tailored exercise regimen focusing on strength and proprioception can help mitigate the risk of falls. Relearning methods like the stepping strategy can significantly reduce the impact of a fall, offering a proactive response to prevent injury.

'Using devices like Nordic walking poles or ankle-foot orthoses can aid in providing additional stability. Adjusting the home environment – removing clutter, ensuring proper lighting, and planning movements – can further reduce the risk of falls. Awareness and planning around one's daily activities are vital components in maintaining balance.'

Addressing social factors and mental wellbeing

Living with MS can bring about social anxieties, particularly when using aids like canes during fluctuating symptoms. Creative solutions, such as using hiking poles, can mitigate these concerns. Furthermore, mental wellbeing is crucial – engaging with support networks, managing stress, and setting gradual, achievable goals can boost confidence and reduce anxiety related to falls.

'Navigating balance issues with MS requires a comprehensive approach, combining medical, therapeutic, and personal strategies. Regular assessments and adjustments, combined with proactive strategies and support networks, help manage balance challenges and improve quality of life,' Caitlin says.

At MS Plus, resources and support are readily available to assist those on this journey towards stability and enhanced wellbeing.

MS Plus physiotherapists and exercise physiologistsopens in new tab can provide your clients with ongoing support to manage their balance issues.