[en] Introduction and objectives: Multiple Sclerosis is a demyelinating, chronic, autoimmune and inflammatory disease that constitutes one of the main causes of non-traumatic neurological disability among young adults. In 70% of the cases it appears in people between 20-40 years old, being the unknown etiology and manifesting symptoms as visual, motor, sensory and vesical alterations, cerebellar dysfunction, brain stem and cognitive impairment, among others. The objective of this study is to determine if the performance of a therapeutic exercise protocol based on the muscular strengthening of upper and lower limbs, work of balance, and training of the gait will be beneficial for the improvement of said variables, besides being beneficial in improving functionality, tolerance to exercise, and quality of life in patients diagnosed with MS. Material and methods: A randomized controlled trial, single-blind was proposed. It will be carried out with 58 patients from the Asociación Coruñesa de Esclerosis Múltiple (ACEM) divided into two groups (29 patients in the experimental group and 29 patients in the control group). Both will receive the usual physiotherapy treatment (consisting of massage therapy, stretching, postural correction and sensitivity work) but in the experimental group will also be carried out a protocol of therapeutic exercise consisting of muscle strength training of upper and lower limbs, balance and walking. Said protocol will be performed during 8 weeks (a total of 20 sessions, with a duration of 90 minutes/session). The variables analyzed and the measuring instruments are: the muscle strength of upper and lower limbs (Dynamometer), balance (Berg's Balance Scale), gait (6MWT), functionality (Kurtzke's EDSS), exercise tolerance (FSS) and quality of life (MSQOL-54).

[gl] Introducción e obxectivos: A Esclerose Múltiple é unha enfermidade desmielinizante, crónica, autoinmune e inflamatoria que constitúe unha das principais causas de discapacidade neurolóxica non traumática entre os adultos xoves. No 70% dos casos aparece en persoas entre 20-40 anos, sendo a etioloxía descoñecida e manifestando sintomatoloxía como alteracións visuais, motoras, sensitivas e vesicais, disfunción cerebelosa, do tronco cerebral e afectación cognitiva, entre outras. O obxectivo deste estudo é determinar se a realización dun protocolo de exercicio terapéutico baseado no fortalecemento muscular de MMSS e MMII, traballo do equilibrio e entrenamento da marcha resultará beneficioso para a mellora de ditas variables, ademáis de resultar beneficioso na melloría da funcionalidade, a tolerancia ao exercicio e a calidade de vida en pacientes diagnosticados de EM. Material e métodos: plantéase un ensaio clínico controlado, aleatorizado, simple cego. Levarase a cabo con 58 doentes da Asociación Coruñesa de Esclerose Múltiple (ACEM) divididos en dous grupos (29 doentes no grupo experimental e 29 doentes no grupo control). Ambos recibirán o tratamento habitual de fisioterapia (consistente en masoterapia, estiramentos, corrección postural e traballo da sensibilidade), mais no grupo experimental realizarase tamén un protocolo de exercicio terapéutico consistente no entrenamento da forza muscular de MMSS e MMII, traballo do equilibrio e a marcha. Dito protocolo levarase a cabo durante 8 semanas (un total de 20 sesións cunha duración de 90 minutos/sesión). As variables analizadas e os seus instrumentos de medida son a forza muscular de MMSS e MMII (Dinamómetro), o equilibrio (Escala de Equilibrio de Berg), a marcha (6MWT), a funcionalidade (EDSS de Kurtzke), a tolerancia ao exercicio (FSS) e a calidade de vida (MSQOL-54).