The aim of this project is to investigate the impact of Pilates on the posture, pain, function and quality of life on people with MS who use wheelchairs.

Pilates is a form of exercise that is designed to improve core stability and posture by strengthening the muscles that hold the trunk in a good position. This is relevant to people with MS in wheelchairs as the ability to hold a good sitting posture allows efficient breathing, improved function of the arms, and may decrease back, shoulder and neck pain.

The impact of Pilates will be tested using a randomized controlled trial of 30 people with MS who use wheelchairs. One group of participants will attend 12 weeks of Pilates classes and will also be asked to practice Pilates in their own home. A second group will act as a control and will not receive any additional treatment to their usual care.

Both groups will be assessed for posture, pain, function and quality of life before the study, at 6 weeks, at 12 weeks and 3 months after the classes have finished. In addition to the assessments, two focus groups will be held within 6 weeks of the classes finishing in order to explore the opinions and experiences of the participants.