[Daily life activities and multiple sclerosis]

Abstract

The onset of Multiple Sclerosis usually concerns young adults who are making plans for their life. The personal, familial, professional plans must be adapted to the course of the disease. This adapted daily life must be as normal as possible to prevent the social loneliness which is the principal complication of Multiple Sclerosis. Three frequent situations of daily life have recently been studied in Multiple Sclerosis. Pregnancy is permitted. There is a dramatic decrease of the relapse rate during pregnancy but an obvious increase after delivery. Pregnancy has no influence on disability. Vaccinations do not favor the onset or the worsening of Multiple Sclerosis according to studies with large number of patients (in particular hepatitis B vaccination). Stress is not able to trigger the onset or relapses of Multiple Sclerosis. Stress could even protect against relapses. The Multiple Sclerosis daily life does not need to take specific precautions which would expose to the marginalization of patients.