Which strategy is recommended to support cognitive deficits in MS during exercise?

Which strategy is recommended to support cognitive deficits in MS during exercise?

• A. Written instructions and verbal cueing
• B. Memorization only
• C. Frequent unstructured talk during activity
• D. No guidance to avoid confusion

Answer: (A)

When cognitive deficits are present in MS, the best way to support performance during exercise is to provide clear, multimodal guidance. Written instructions give a stable reference that the person can review, which helps with memory and recall during activity. Verbal cues offer immediate, concise prompts that direct attention and highlight the next action, helping with sequencing and safety. Using both together reduces cognitive load because the person isn’t relying on memorization alone in the midst of exercise and benefits from multiple memory-and-action supports. Memorization only is unreliable in MS cognitive impairment, since processing speed and working memory can slow down and make recall difficult under physical effort. Frequent unstructured talk can be distracting and add unnecessary cognitive demands, pulling attention away from the task. Providing no guidance leaves gaps in understanding and increases confusion and risk.

When cognitive deficits are present in MS, the best way to support performance during exercise is to provide clear, multimodal guidance. Written instructions give a stable reference that the person can review, which helps with memory and recall during activity. Verbal cues offer immediate, concise prompts that direct attention and highlight the next action, helping with sequencing and safety. Using both together reduces cognitive load because the person isn’t relying on memorization alone in the midst of exercise and benefits from multiple memory-and-action supports.

Memorization only is unreliable in MS cognitive impairment, since processing speed and working memory can slow down and make recall difficult under physical effort. Frequent unstructured talk can be distracting and add unnecessary cognitive demands, pulling attention away from the task. Providing no guidance leaves gaps in understanding and increases confusion and risk.