BackgroundMultiple sclerosis (MS) is a disease affecting the myelination of the central nervous system, leading to numerous problems involving muscle strength, coordination, balance, sensation, vision and even certain cognitive defects. Unfortunately, the etiology of MS is not known, but it is generally considered and accepted to be an autoimmune disease of the central nervous system (Rietberg et al. 2004). According to a study (Noonan et al. 2010) on the prevalence of MS, the disease affects more than a million people worldwide, and approximately 85% of those affected will suffer from unpredictable sessions of exacerbations and remissions. The report (Noonan et al. 2010) found that the prevalence of MS was much higher in women than in men, and it was also higher in non-Hispanic whites than in other racial or ethnic groups in all 3 regions of the United States. States studied. Signs and symptoms MS causes degeneration of myelin around axons due to the destruction of oligodendrocytes, which are cells that make up the myelin sheath of an axon; loss of myelin decreases the neuron's ability to propagate an action potential. Because this disease affects the central nervous system, MS can cause dysfunction in the sensory and motor aspects of the body. Some common sensory complaints (Lundy-Ekman, 2007) related to MS include tingling, numbness, and/or paresthesias in the affected area, which are variable but usually involve one or more limbs (Palace, 2001), as well as partial blindness in one eye, decreased visual acuity and double vision. Lhermitte's sign, which is a radiating shock that spreads to the back or limbs, is another common feature of MS that appears in the middle of the document ......e for the management of sclerosis symptoms in plates. Physical. 2013;93(6):723-728.Rietberg MB, Brooks D, Uitdehaag BMJ, Kwakkel G. Exercise therapy for multiple sclerosis (Review). Cochrane Database Syst Rev. 2004; 3.Paltamaa J, Sjögren T, Peurala S, Heinonen A. Effects of physiotherapy interventions on balance in multiple sclerosis: systematic review and meta-analysis of randomized controlled trials. J Rehabilitation Med. 2012;44(10):811-823.Noonan CW, Williamson DM, Henry JP, Indian R, Lynch SG, Neuberger JS, Schiffer R, Trottier J, Wagner L, Marrie RA. The prevalence of multiple sclerosis in 3 American communities. Previous Dis chronicle. 2010;7(1):A12.Palace J. Diagnosing multiple sclerosis. J Neurol Neurosurgery Psychiatry. 2001;7(2)(suppl):ii3-8.Lundy-Ekman, L. Neuroscience: fundamentals of rehabilitation. 3rd ed. St. Louis, Missouri: Saunders Elsevier; 2007