Week 2–5: Municipality Physiotherapy assessment (60–90 min) to explore the patient’s impairments and potential for improvements in a clinical examination prior to
group-training.
Indoor group(60 min × 2 weekly, for 4 weeks). There were three toﬁve participants in each group and one physiotherapist. Trunk control, balance
and physical activity were addressed (GroupCoreDIST). Participants received a link toCoreDIST digital exercise-videosand were advised to do
them 1 × weekly throughout the intervention. (videos can be accessed here:https://www.nord.no/en/node/35,098)
Digital meeting with a multidisciplinary team(pwMS, employer, physiotherapist & MS nurse) (20 min) regarding barriers to work participation
and needs for adaptations regarding work and physical activity, according to a structured meeting-guide (one meeting).
Week 6 Standardized testing (midway, for the RCT).
Week 7–10: Municipality Outdoor group (60 min × 2 weekly, for 4 weeks). A maximum of ten participants and two physiotherapists were included in each group. Trunk
control and balance (GroupCoreDIST exercises) were addressed, and high-intensity walking or running was performed. The intervention was
conducted in a city park where bothﬂat and uneven surfaces and hilly terrain were available (Table 2).
Additionally, participants were encouraged to comply with the exercise-videos through a weekly SMS-reminder.
Week 11–14 Standardized testing (ﬁnal, for the RCT) andqualitative interviews.
Dahl et al. 10.3389/fresc.2024.1303094
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