**5. Conclusions**

Regular rehabilitation is very important for patients with multiple sclerosis. First of all, physical activity reduces the existing dysfunctions and allows to maintain the independence for longer. Development of the disability in MS patients can be caused not only by the progression of the disease but also by reduced physical activity compared to healthy people. It is suggested that rehabilitation may delay the progression of MS. Physical activity can stimulate changes in neuroplasticity of the brain. The role of cytokines and neurotrophic factors, in particular brain-derived neurotrophic factor (BDNF), in these processes is stressed.

The type of therapy undertaken and its effectiveness in eliminating the resulting dysfunctions depend on many factors, but above all on the stage of the disease, the effects of secondary physical inactivity and the patient's motivation. Kinesiotherapy conducted on a regular basis can help to improve the general condition of the patient, both physically and mentally.

Comprehensive rehabilitation should be introduced as soon as MS is diagnosed. Physiotherapy should begin with education, that is, explaining the patient the reason behind the regular physical activity and preparing him or her for the progressive nature of the disease. Most patients are diagnosed with MS at a young age and the correct patterns should be taught to them at the initial stage, as they may be useful when his or her condition deteriorates. When treating MS patients, it is important to bear in mind that they are losing functions that used to be natural to them. Therefore, alternative form of rehabilitations are worth considering. It is necessary to plan a therapeutic program in such a way that the patient, despite the prospect of the increasing number of dysfunctions, is willing in undertake physical activity. Physiotherapy cannot become a cause of mental suffering of the patient, resulting from the awareness of the progression of the disease. It is worth implementing a therapy based on the patient's previous interests or a method that requires the patient to learn new skills. Judo can be an attractive form of rehabilitation for patients with multiple sclerosis.

*Role of Physiotherapy and Practice of Judo as an Alternative Method of Treatment in Multiple… DOI: http://dx.doi.org/10.5772/intechopen.95501*
