Exercise can be a beneficial rehabilitation strategy for people with multiple sclerosis to manage symptoms, restore function, optimise quality of life, promote wellness, and boost participation in activities of daily living. However, this population typically engages in low levels of health-promoting physical activity compared with adults from the general population, a fact which has not changed in the past 25 years despite growing evidence of the benefits of exercise. To overcome this challenge, the main limitations to promoting exercise through the patient-clinician interaction must be addressed. These limitations are the inadequate quality and scope of existing evidence, incomplete understanding of the mechanisms underlying the beneficial effects of exercise in people with multiple sclerosis, and the absence of a conceptual framework and toolkit for translating the evidence into practice. Future research to address those limitations will be essential to inform decisions about the inclusion of exercise in the clinical care of people with multiple sclerosis.

中文翻译：

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多发性硬化症患者的运动。

对于多发性硬化症患者来说，锻炼可以成为一种有益的康复策略，以控制症状、恢复功能、优化生活质量、促进健康并促进对日常生活活动的参与。然而，与普通人群相比，这一人群通常从事的促进健康的体育活动水平较低，尽管越来越多的证据表明运动的益处，这一事实在过去 25 年中并未改变。为了克服这一挑战，必须解决通过医患互动促进锻炼的主要限制。这些限制是现有证据的质量和范围不足，对运动对多发性硬化症患者产生有益影响的机制理解不完整，缺乏将证据转化为实践的概念框架和工具包。解决这些限制的未来研究对于决定将运动纳入多发性硬化症患者的临床护理至关重要。