Walking abilities and its treatment strategies in Multiple Sclerosis patients

INTERVENTION: Intervention1: Lower limb strength training or Balance training: â?¢ Experimental: Strength training group Specific training of lower limb muscles â?¢ Experimental: Balance training group Six weeks of intensive strength training Intervention: Other: Balance training Intervention2: Strength training group: Individual lower limb muscles will be strengthened based on principles of progressive resistance exercise programme.Therapy will be given for a period of 45 minutes per session at a frequency of 3 sessions per week for 6 weeks. Intervention3: Core strengthening group: Pilates based core strengthening and lower limb muscle strengthening programme. Therapy will be given for a period of 45 minutes per session at a frequency of 3 sessions per week for 6 weeks. Intervention4: Pilates treatment protocol: We will give Pilates based core strengthening and lower limb muscle strengthening exercise therapy. Therapy will be given for a period of 45 minutes per session at a frequency of 3 sessions per week for 6 weeks. Control Intervention1: NIL: NIL Control Intervention2: Conventional strength training treatment: We will give conventional treatment comprising of individual lower limb muscles strengthening based on principles of progressive resistance exercise programme.Therapy will be given for a period of 45 minutes per session at a frequency of 3 sessions per week for 6 weeks. CONDITION: Health Condition 1: G35‐ Multiple sclerosis PRIMARY OUTCOME: Balance and Walking abilitiesTimepoint: Baseline and Post 6 weeks SECONDARY OUTCOME: Perceived walking capabilities and Perceived fatigue indexTimepoint: Baseline,at 6 weeks INCLUSION CRITERIA: â?¢ Diagnosed with Multiple Sclerosis, classified as relapsing remitting, or primary/secondary progressive â?¢ Expanded Disability Status Scale (EDSS)score of â?¤ 6 â?¢ Reduced walking ability (subjectively experienced)