Effects of Aerobic Exercise on Restless Legs Syndrome Severity in Individuals with Multiple Sclerosis: A Case report

The primary focus in treating restless legs syndrome (RLS) is medical interventions. Although the benefits of physical activity are becoming increasingly evident, studies on the impact of exercise in people with both multiple sclerosis (MS) and RLS are limited. In this case report, we explored the effects of aerobic activity on RLS severity and related symptoms in a woman with RLS and MS. The RLS diagnostic criteria guided the diagnosis. Given the extensive impact of RLS symptoms, comprehensive assessment tools were utilized. Over 24 sessions, the patient performed aerobic exercise using a reclined exercise bike under the supervision of a physical therapist. Initially, each session lasted 20 min and consisted of 2-3 min of warm-up, 15 min of activity, and 2-3 min of cool-down. The duration of each session gradually increased to 30 min over 12 weeks. The study findings indicate that aerobic exercise may alleviate RLS severity, enhance sleep quality, reduce daytime sleepiness, improve gait, and enhance the quality of life in people with RLS and MS.