Core Stability and Balance Training in Multiple Sclerosis

Multiple sclerosis (MS) often disrupts central nervous system pathways that govern postural control and trunk musculature, leading to impaired core stability and increased risk of falls. Deficits in deep abdominal and spinal stabiliser activation compromise the ability to maintain upright posture and execute daily tasks. Rehabilitation strategies for MS emphasise targeted exercises to enhance neuromuscular control of the trunk and limbs, coupled with sensorimotor reintegration to promote compensatory mechanisms. Modalities span traditional physiotherapy, mind–body approaches such as Pilates, vibration and perturbation training, and emerging digital platforms including exergames and telehealth. These interventions aim to induce neuroplastic changes in cortical and spinal circuits, improving anticipatory postural adjustments and reactive balance responses. By integrating task-specific practice with progressive loading and feedback, core stability and balance training can restore functional mobility, reduce fatigue and enhance independence. Globally, these approaches offer scalable solutions to address diverse healthcare infrastructures, supporting self-management and community-based programmes. The interconnection between digital innovations and evidence-based exercise protocols underscores a shift towards personalised, accessible rehabilitation pathways that mitigate disability and optimise quality of life in people with MS.

Research from Nature Portfolio

No recent Nature Portfolio content available.

Core Stability and Balance Training in Multiple Sclerosis publication trend

The graph below shows the total number of articles in core stability and balance training in multiple sclerosis across all publications each year (not limited to Nature Index journals).

Technical terms

Core stability: The ability to maintain or control the position and movement of the trunk over the pelvis and legs during both static and dynamic activities.

Balance training: A set of exercises designed to enhance postural control, proprioception and the capacity to respond to perturbations.

Pilates: A mind–body exercise method focusing on controlled movements, breathing and alignment to strengthen deep stabilising muscles.

Exergame: An interactive digital application that combines physical exercise with gaming elements to engage users in therapeutic movements.

Telerehabilitation: The remote delivery of rehabilitation services through telecommunications technology, facilitating access to exercise programmes outside clinical settings.

References

1. An Internet- and Kinect-Based Multiple Sclerosis Fitness Intervention Training With Pilates Exercises: Development and Usability Study. JMIR Serious Games (2023).
2. Neuroplasticity of the Sensorimotor Cortex during Learning. Neural Plasticity (2011).
3. Therapeutic Effects of the Pilates Method in Patients with Multiple Sclerosis: A Systematic Review. Journal of Clinical Medicine (2022).
4. Feasibility of a new intervention addressing group-based balance and high-intensity training, physical activity, and employment in individuals with multiple sclerosis: a pilot randomized controlled trial. Frontiers in Rehabilitation Sciences (2024).