Hello Dianne Della Ratta,
You may want to have the client assessed by the doctor or physical therapist first.
1.morning exercise may be best for the fatigue issue
2.stay cool to increase the energy level
3.possible blurry vision may exacerbate the balance problem
4.progress slowly with strength work
5.fatigue sets in quickly; so, try to differentiate between fatigue and exertion
6.monitor activity with RPE
Functional exercises are probably best to start with: sit to stand, and walking in place, which will both help with balance.
Doing myofascial release with a small soft ball on the feet should help bring sensation to the feet to improve balance and walking.
Flexibility for the whole body should be beneficial in helping the person move fluidly. Start slowly and carefully with the cardio, about ten minutes at a comfortable level. Progress any and all activity according to the person’s comfort zone/RPE.
Natalie aka NAPS 2 B Fit.
I currently train two clients with MS. I am happy to say that both have made remarkable progress.
No, I did not do flexibility and cardio. Rather, I strength trained as much as possible and worked on balance as long as it was in a safe environment.
You will probably find that she not only has a foot drop but also problems with hip flexion, as was the case with my clients. Those put her at greatest risk of falling but in both cases I have seen improvement. I’ll be happy to talk to you offline if you wish. You can call me, the contact information is on my website.
Yes, very light free weight dumbbell movements and light resistance tubing work best in my opinion.