Editing Multiple sclerosis (section)

=== Non-pharmaceutical ===

There is some evidence that [[aquatic therapy]] is a beneficial intervention.<ref>{{cite journal |vauthors=Corvillo I, Varela E, Armijo F, Alvarez-Badillo A, Armijo O, Maraver F |title=Efficacy of aquatic therapy for multiple sclerosis: a systematic review |journal=Eur J Phys Rehabil Med |volume=53 |issue=6 |pages=944–952 |date=December 2017 |pmid=28215060 |doi=10.23736/S1973-9087.17.04570-1 |type=Review}}</ref>

The spasticity associated with MS can be difficult to manage because of the progressive and fluctuating course of the disease.<ref>{{cite journal |vauthors=Khan F, Amatya B, Bensmail D, Yelnik A |title=Non-pharmacological interventions for spasticity in adults: An overview of systematic reviews |journal=Ann Phys Rehabil Med |volume=62 |issue=4 |pages=265–273 |date=July 2019 |pmid=29042299 |doi=10.1016/j.rehab.2017.10.001 |s2cid=207497395 |doi-access=free }}</ref> Although there is no firm conclusion on the efficacy in reducing spasticity, PT interventions can be a safe and beneficial option for patients with multiple sclerosis. Physical therapy including vibration interventions, electrical stimulation, exercise therapy, standing therapy, and radial shock wave therapy (RSWT), were beneficial for limiting spasticity, helping limit excitability, or increasing range of motion.<ref>{{cite journal |vauthors=Etoom M, Khraiwesh Y, Lena F, et al |title=Effectiveness of Physiotherapy Interventions on Spasticity in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis |journal=Am J Phys Med Rehabil |volume=97 |issue=11 |pages=793–807 |date=November 2018 |pmid=29794531 |doi=10.1097/PHM.0000000000000970 |s2cid=44156766 }}</ref>