Effect of acute unloaded leg cycling on spasticity in individuals with multiple sclerosis using anti-spastic medications

This article examines the effect of a bout of unloaded leg cycling on the soleus H-reflex and modified Ashworth scale (MAS) in 6 individuals with multiple sclerosis (MS) who had spasticity of the leg muscles and were currently taking anti-spastic medications. H-reflex and MAS data were collected before and 10, 30, and 60 min after 20 min of unloaded leg cycling and a control condition. The unloaded leg cycling resulted in concomitant reductions in soleus H-reflex and MAS scores compared with the control condition. This provides a basis for incorporating exercise along with anti-spastic medications into a multifaceted plan for spasticity management in individuals with MS.