Coordination and movement disorders

Muscle cramps, muscle weakness or stiffness (spasticity) affect several people with multiple sclerosis (MS). Many patients, especially in the advanced stages of the disease, experience muscle weakness that can make it difficult to walk. Find out how to best take care of your muscles.

Muscle weakness in MS

As you clicked through these pages, a simple press of your finger on the mouse or screen activated a series of muscles from your fingers to your shoulders. Our body is made up of more than 600 muscles that constantly contract and stretch to help us control our movements, from small actions such as typing to big ones like jumping into a pool.

Damage to the nerves that control the muscles can, over time, lead to muscle weakness. This can be exacerbated if muscles become deconditioned through lack of use.

Typical signs are:

  • Uncoordinated movements of the arms or legs (ataxia): ataxia concerns on the one hand fine motor skills, i.e. targeted movements of the hands and fingers, and on the other hand the muscles of the legs and thus walking and balance.
  • Tremor: tremor is the medical term for shaking or trembling movements of varying strength, usually in the hands. Hand tremors occur in particular when you want to make targeted movements, for example when drinking from a glass.
  • Fine motor disorders, for example when writing or grabbing small objects.

What can be done about movement and coordination disorders

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A physical therapist or occupational therapist can help you develop a training programme that is tailored to your needs. Consult your doctor for more information.

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Regular physical activity is the best way to maintain muscle strength. Performing simple exercises several times per week can make a big difference!

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Try sports that improve coordination and movement: yoga, tai chi, qigong, Feldenkrais method.

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Learn relaxation techniques such as autogenic training.

Your doctor is in the best position to advise you on a case-by-case basis.

Swiss Multiple Sclerosis Society, https://www.multiplesklerose.ch/fr/ (last accessed 08/07/2024). 

Neurologen und Psychiater im Netz über Multiple Sklerose (MS) https://www.neurologen-und-psychiater-im-netz.org/neurologie/erkrankungen/multiple-sklerose-ms (in German, last accessed 08/07/2024).

Atlas of MS 3rd edition. MS International Federation,  (last accessed 08/07/2024).,https://www.atlasofms.org/map/global/epidemiology/number-of-people-with-ms

AMSEL e. V. Deutscher Verband für MS-Betroffene www.amsel.de (in German, last accessed 08/07/2024).

National Institute of Neurological Disorders and Stroke https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Multiple-Sclerosis-Hope-Through-Research#whatisMS (last accessed 08/07/2024).

MS Trust https://mstrust.org.uk/ (last accessed 08/07/2024).

Flexikon https://flexikon.doccheck.com/de/Muskel (in German, last accessed 08/07/2024).