{"id":770870,"date":"2026-09-10T19:54:15","date_gmt":"2026-09-10T17:54:15","guid":{"rendered":"https:\/\/www.dynseo.com\/sclerose-en-plaques-en-etablissement-activites-supports-et-amenagements-concrets-a-mettre-en-place-2\/"},"modified":"2026-09-10T19:57:44","modified_gmt":"2026-09-10T17:57:44","slug":"multiple-sclerosis-in-institutions-activities-resources-and-concrete-adjustments-to-implement","status":"publish","type":"post","link":"https:\/\/www.dynseo.com\/en\/multiple-sclerosis-in-institutions-activities-resources-and-concrete-adjustments-to-implement\/","title":{"rendered":"Multiple Sclerosis in Institutions: Activities, Resources, and Concrete Adjustments to Implement"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Article HTML&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;Contenu&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243;][et_pb_code _builder_version=&#8221;4.16&#8243;]<\/p>\n<section class=\"dynen dynen-inarticle\" data-dynen=\"inarticle\"><pee class=\"dynen-h\">In this article<\/pee><pee class=\"dynen-sub\">The associated training<\/pee><a class=\"dynen-form\" href=\"https:\/\/www.dynseo.com\/en\/courses\/multiple-sclerosis-in-an-institution-understanding-the-disease-and-adapting-professional-practice-en\/\"><\/p>\n<div class=\"dynen-form__img\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Sclerose-en-plaques-en-etablissement.png\" alt=\"\" loading=\"lazy\"><\/div>\n<div class=\"dynen-form__body\"><span class=\"dynen-tag dynen-tag--quali\">Qualiopi Training<\/span><b>Multiple Sclerosis in institutions: understanding the disease and adapting professional practice<\/b><span class=\"dynen-go\">Discover the training \u2192<\/span><\/div>\n<p><\/a><pee class=\"dynen-sub\">The cited resources<\/pee>\n<div class=\"dynen-grid dynen-grid--ico\"><a class=\"dynen-ico dynen-dom--memoire\" href=\"https:\/\/www.dynseo.com\/en\/our-tools\/communication-notebook\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/plugins\/dynseo-enrichment\/assets\/tools\/carnet-de-liaison.svg\" alt=\"\" width=\"56\" height=\"56\" loading=\"lazy\"><b>Communication notebook<\/b><span class=\"dynen-go\">Discover \u2192<\/span><\/a><\/div>\n<pee class=\"dynen-sub\">The notebooks to print \u2014 EDITH Collection<\/pee>\n<div class=\"dynen-covers\"><a class=\"dynen-cover\" href=\"https:\/\/www.dynseo.com\/en\/scarlettsnotebooks\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/08\/EDITH_DE_01_berlin-von-frueher_CARREE.png\" alt=\"\" loading=\"lazy\"><span>Berlin from earlier<\/span><\/a><a class=\"dynen-cover\" href=\"https:\/\/www.dynseo.com\/en\/scarlettsnotebooks\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/08\/EDITH_DE_02_der-schwarzwald_CARREE.png\" alt=\"\" loading=\"lazy\"><span>The Black Forest<\/span><\/a><a class=\"dynen-cover\" href=\"https:\/\/www.dynseo.com\/en\/scarlettsnotebooks\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/08\/EDITH_DE_03_die-nord-und-ostseekueste_CARREE.png\" alt=\"\" loading=\"lazy\"><span>The North and Baltic Sea Coast<\/span><\/a><a class=\"dynen-cover\" href=\"https:\/\/www.dynseo.com\/en\/scarlettsnotebooks\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/08\/EDITH_DE_04_die-alpen_CARREE.png\" alt=\"\" loading=\"lazy\"><span>The Alps<\/span><\/a><a class=\"dynen-cover\" href=\"https:\/\/www.dynseo.com\/en\/scarlettsnotebooks\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/08\/EDITH_DE_06_die-50er-und-60er-jahre_CARREE.png\" alt=\"\" loading=\"lazy\"><span>The 50s and 60s<\/span><\/a><a class=\"dynen-cover dynen-cover--more\" href=\"https:\/\/www.dynseo.com\/en\/scarlettsnotebooks\/\"><span>See the EDITH collection \u2192<\/span><\/a><\/div>\n<\/section>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_code admin_label=&#8221;HTML import\u00e9&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<style type=\"text\/css\">\n.dbi-art-2f973b .dyn-article {\n  --dyn-bleu:#5e5ed7;\n  --dyn-bleu-fonce:#5268c9;\n  --dyn-vert:#a9e2e4;\n  --dyn-jaune:#ffeca7;\n  --dyn-rose:#e73469;\n  --dyn-encre:#1d1d2e;\n  --dyn-gris:#5c5c72;\n  --dyn-fond:#f6f6fd;\n  --dyn-ombre:0 6px 24px rgba(29,29,46,.08);\n  --dyn-ombre-forte:0 12px 34px 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{\n        \"@type\": \"Organization\",\n        \"name\": \"DYNSEO\",\n        \"url\": \"https:\/\/www.dynseo.com\/\"\n      },\n      \"image\": \"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Sclerose-en-plaques-en-etablissement.png\"\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"mainEntity\": [\n        {\n          \"@type\": \"Question\",\n          \"name\": \"\u00c0 quelle fr\u00e9quence proposer ces activit\u00e9s ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Chaque jour, mais peu \u00e0 la fois. Une seule activit\u00e9 par domaine et par jour suffit, \u00e0 condition qu'elle ait vraiment lieu et qu'elle respecte l'\u00e9nergie disponible. La r\u00e9gularit\u00e9 compte davantage que l'intensit\u00e9 : quinze minutes tous les jours nourrissent mieux les capacit\u00e9s qu'une longue s\u00e9ance hebdomadaire. Les jours de grande fatigue, on ne supprime pas tout : on garde une activit\u00e9 plaisir, tr\u00e8s courte, pour prot\u00e9ger le rituel lui-m\u00eame. Et l'on pr\u00e9voit au moins un jour vraiment libre par semaine, car le repos fait partie du soin dans la scl\u00e9rose en plaques.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Combien de temps doit durer une s\u00e9ance ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Entre dix et vingt minutes pour une activit\u00e9 donn\u00e9e, et rarement plus d'une heure au total sur la journ\u00e9e, en s\u00e9quences fractionn\u00e9es. Au-del\u00e0, la fatigue caract\u00e9ristique de la SEP prend le dessus et l'activit\u00e9 devient contre-productive. La r\u00e8gle d'or : on s'arr\u00eate avant que la fatigue s'installe, pas quand elle est d\u00e9j\u00e0 l\u00e0. Observez les signes discrets \u2014 mots plus lents, gestes moins pr\u00e9cis, vision qui se trouble \u2014 et concluez la s\u00e9ance sur une r\u00e9ussite. Une activit\u00e9 qui finit bien donne envie de recommencer ; une activit\u00e9 pouss\u00e9e trop loin d\u00e9courage la suivante.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Comment motiver une personne qui refuse ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Trois leviers fonctionnent mieux que l'insistance. D'abord, baisser la difficult\u00e9 jusqu'\u00e0 obtenir des r\u00e9ussites, car c'est souvent la peur de l'\u00e9chec qui bloque. Ensuite, remplacer l'exercice par une activit\u00e9 qui a du sens pour la personne : cuisiner, \u00e9couter sa musique, appeler un proche. Enfin, rendre le progr\u00e8s visible avec un tableau de suivi affich\u00e9. N\u00e9gociez la dur\u00e9e plut\u00f4t que le principe : \u00ab on essaie cinq minutes et on arr\u00eate si vous voulez \u00bb obtient presque toujours plus. Et respectez le refus du jour : il peut simplement signaler une fatigue qu'il vaut mieux \u00e9couter.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Quel mat\u00e9riel faut-il vraiment ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Presque rien de sp\u00e9cialis\u00e9. La plupart des activit\u00e9s reposent sur ce dont dispose d\u00e9j\u00e0 l'\u00e9tablissement : du linge, des ustensiles de cuisine, des cartes, des photos, de la musique, un agenda. Trois investissements utiles font la diff\u00e9rence : des supports antid\u00e9rapants et des ustensiles \u00e0 poign\u00e9e large pour la pr\u00e9hension, des documents en gros caract\u00e8res tr\u00e8s contrast\u00e9s pour la vision, et une tablette pour les jeux qui ajustent seuls la difficult\u00e9. Les supports de suivi DYNSEO sont gratuits \u00e0 imprimer. Pour les am\u00e9nagements de s\u00e9curit\u00e9 (barres d'appui, si\u00e8ge de douche), c'est l'ergoth\u00e9rapeute qui indique le mat\u00e9riel adapt\u00e9 \u00e0 chaque personne.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Ces activit\u00e9s conviennent-elles \u00e0 tous les \u00e2ges ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"La scl\u00e9rose en plaques d\u00e9bute souvent chez l'adulte jeune, mais elle concerne des personnes de tous \u00e2ges en \u00e9tablissement. Les activit\u00e9s pr\u00e9sent\u00e9es ici s'adaptent en modulant la difficult\u00e9, la dur\u00e9e et le th\u00e8me, jamais l'exigence de respect de la personne. Pour un adulte jeune, on privil\u00e9gie des supports en phase avec ses centres d'int\u00e9r\u00eat et son histoire ; pour une personne plus \u00e2g\u00e9e, on peut simplifier l'interface num\u00e9rique avec une application comme EDITH. Dans tous les cas, on part de ce qui a du sens pour la personne. Pour toute question sur l'\u00e9volution ou les capacit\u00e9s, r\u00e9f\u00e9rez-vous au m\u00e9decin qui la suit.\"\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/script><\/p>\n<div class=\"dbi-art-2f973b\"><!--\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\nDYNSEO \u2014 GABARIT ARTICLE SEO\/GEO  \u00b7  v1.0\nNe pas modifier les noms de classes : le script generer-articles.py\net tous les articles d\u00e9j\u00e0 publi\u00e9s en d\u00e9pendent.\n\nLe script generer-articles.py injecte, dans l'ordre : le header color\u00e9,\nl'encadr\u00e9 formation ou outil, le corps r\u00e9dig\u00e9, puis les donn\u00e9es structur\u00e9es.\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n--><\/p>\n<div class=\"dyn-article\">\n<header class=\"dyn-pagehead dyn-pagehead--bleu\">\n  <span class=\"dyn-pagehead__cat\">Families &amp; caregivers \u00b7 Multiple sclerosis (MS)<\/span><\/p>\n<h1>Multiple sclerosis in care facilities: activities, resources, and concrete arrangements to implement<\/h1>\n<pee class=\"dyn-pagehead__lead\">In care facilities, multiple sclerosis is not only addressed during rehabilitation times. It plays out in the gaps of the day: the moment when one waits for a meal, the quiet hour of the afternoon, the journey to the activity room. It is precisely in these intervals that autonomy is built \u2014 or lost. This article brings together <strong>activities, resources, and concrete arrangements for multiple sclerosis in care facilities<\/strong>, designed to be implemented starting tomorrow, with the materials already available and without turning every moment into a work session.<\/pee>\n<ul class=\"dyn-pagehead__meta\">\n<li>\u23f1\ufe0f 19 min read<\/li>\n<li>\ud83d\udc65 For families and caregivers<\/li>\n<li>\ud83d\udd04 Updated in August 2026<\/li>\n<\/ul>\n<\/header>\n<aside class=\"dyn-hero\" aria-label=\"Training presented in this article\">\n<div class=\"dyn-hero__grid\">\n<div class=\"dyn-hero__media\"><a href=\"https:\/\/www.dynseo.com\/en\/courses\/multiple-sclerosis-in-an-institution-understanding-the-disease-and-adapting-professional-practice-en\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Sclerose-en-plaques-en-etablissement.png\" alt=\"DYNSEO Training 'Multiple sclerosis in care facilities: understanding the disease and adapting professional practice'\" width=\"1920\" height=\"1080\" loading=\"lazy\"><\/a><\/div>\n<div class=\"dyn-hero__body\">\n      <span class=\"dyn-hero__eyebrow\">The training related to this article<\/span>\n      <pee class=\"dyn-hero__title\"><a href=\"https:\/\/www.dynseo.com\/en\/courses\/multiple-sclerosis-in-an-institution-understanding-the-disease-and-adapting-professional-practice-en\/\">Multiple sclerosis in care facilities: understanding the disease and adapting professional practice<\/a><\/pee>\n      <pee class=\"dyn-hero__pitch\">Everything this article explains, put into practice.<\/pee>\n<ul class=\"dyn-badges\">\n<li>\ud83c\udfa5 8 modules \u00b7 32 lessons<\/li>\n<li>\ud83d\udcbb 100% online<\/li>\n<li>\u23f1\ufe0f At your own pace<\/li>\n<li>\ud83c\udfc5 Qualiopi organization<\/li>\n<li>\ud83c\udf0d 9 languages<\/li>\n<\/ul>\n<div class=\"dyn-hero__actions\">\n        <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/multiple-sclerosis-in-an-institution-understanding-the-disease-and-adapting-professional-practice-en\/\">See the training<\/a><br \/>\n        <span class=\"dyn-hero__price\">20.0 \u20ac<\/span>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/aside>\n<pee>This is not a theoretical course. It is a toolbox: fourteen precisely described activities, a daily and weekly organization, the arrangement of spaces room by room, free tools to print, and the role of digital technology. Whether you are a caregiver, an activity leader, or a relative of a resident, you will find ways to take action immediately, taking into account the two realities that govern everything in MS: fatigue and heat sensitivity.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 SHORT RESPONSE (GEO) \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<section class=\"dyn-tldr\">\n<h2>The essentials in 30 seconds<\/h2>\n<pee>A useful stimulation in multiple sclerosis relies on four principles: <strong>short, regular, at the right difficulty, and respectful of fatigue<\/strong>. We build around the day&#8217;s capacities, not around a fixed program.<\/pee>\n<ul>\n<li><strong>Fatigue commands<\/strong> \u2014 we plan demanding activities when energy is at its peak, often late in the morning, and we stop before exhaustion, not after.<\/li>\n<li><strong>Heat limits<\/strong> \u2014 a cool environment protects capacities; heat can temporarily bring back symptoms.<\/li>\n<li><strong>The right level<\/strong> \u2014 the person must succeed in most attempts; repeated failure leads to abandonment.<\/li>\n<li><strong>Written record<\/strong> \u2014 noting each day makes visible evolutions that team memory erases, and facilitates transmission.<\/li>\n<li><strong>The environment<\/strong> \u2014 a few simple adjustments to common areas and the room facilitate participation and prevent falls.<\/li>\n<\/ul>\n<\/section>\n<nav class=\"dyn-toc\" aria-label=\"Table of contents\">\n  <pee>In the table of contents<\/pee>\n<ol>\n<li><a href=\"#dyn-reperes\">Multiple sclerosis in care facilities: guidelines before any activity<\/a><\/li>\n<li><a href=\"#dyn-fatigue\">Fatigue and heat: the framework to respect<\/a><\/li>\n<li><a href=\"#dyn-motricite\">Motor skills, balance, and daily gestures<\/a><\/li>\n<li><a href=\"#dyn-cognition\">Memory, attention, and processing speed<\/a><\/li>\n<li><a href=\"#dyn-communication\">Language, communication, and social connection<\/a><\/li>\n<li><a href=\"#dyn-bienetre\">Well-being, mood, and sensory stimulation<\/a><\/li>\n<li><a href=\"#dyn-journee\">A typical day and a typical week<\/a><\/li>\n<li><a href=\"#dyn-environnement\">Arranging the spaces of the facility<\/a><\/li>\n<li><a href=\"#dyn-supports\">Free resources to print<\/a><\/li>\n<li><a href=\"#dyn-numerique\">The role of digital technology and the JOE application<\/a><\/li>\n<li><a href=\"#dyn-erreurs\">The 5 mistakes to avoid<\/a><\/li>\n<li><a href=\"#dyn-faq\">Frequently asked questions<\/a><\/li>\n<\/ol>\n<\/nav>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 GUIDELINES \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-reperes\">Multiple sclerosis in care facilities: guidelines before any activity<\/h2>\n<pee>Multiple sclerosis is a neurological disease whose progression and symptoms vary greatly from one person to another, and sometimes from one day to the next in the same person. In a facility, this imposes a simple rule: we do not follow a program, we follow a person. The guidelines below apply before each activity, whatever it may be.<\/pee>\n<div class=\"dyn-cards\">\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udd0b<\/span><\/p>\n<h3>Start from the day&#8217;s abilities<\/h3>\n<pee>A person capable of an exercise on Monday may not be on Thursday, without anything having worsened. We ask, we observe, and we adjust without comment.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83c\udfaf<\/span><\/p>\n<h3>Aim for success<\/h3>\n<pee>The person should succeed in most of their attempts. If everything is too easy, we increase the difficulty; if failure repeats, we decrease it immediately.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\u23f1\ufe0f<\/span><\/p>\n<h3>Short rather than long<\/h3>\n<pee>Ten to twenty minutes is enough. We stop before fatigue, never when it has set in: a session that ends poorly discourages the next one.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\u270d\ufe0f<\/span><\/p>\n<h3>Note down every time<\/h3>\n<pee>One line is enough: what was done, what caused fatigue, what worked well. This makes progress visible and smooths the transmission between teams.<\/pee>\n  <\/div>\n<\/div>\n<div class=\"dyn-alerte\">\n  <strong>\u26a0\ufe0f Above all: rely on the care plan<\/strong>\n  <pee>The following activities are daily activities, not medical protocols. Some may be discouraged depending on the impairments: swallowing disorders, significant spasticity, balance disorders, major fatigue, cognitive disorders. Refer to the personalized project and consult the doctor, physiotherapist, occupational therapist, or speech therapist who follows the person: they are the ones who indicate what is appropriate. Observe, report, apply the instructions, and refer to the healthcare professional for any diagnosis or prognosis.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 FATIGUE \/ HEAT \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-fatigue\">Fatigue and heat: the framework to respect<\/h2>\n<pee>Two realities condition everything else. Ignoring them means proposing activities that fail and discourage; respecting them multiplies the chances that participation becomes a pleasure.<\/pee>\n<pee>Fatigue is one of the most frequently reported symptoms in multiple sclerosis: the ARSEP Foundation and patient associations describe it as an exhaustion that is not proportional to the effort made and that rest does not always suffice to erase. Concretely, in a facility, this means three things. We schedule the most demanding activity when energy is highest \u2014 often late morning, sometimes otherwise depending on the person. We break it down: three ten-minute sessions are better than one thirty-minute session. And we ensure a real quiet time in the afternoon, without screens or stimulation, which is part of the program just like the activities.<\/pee>\n<pee>Heat sensitivity is the other point of vigilance: in many people, an increase in body or environmental temperature can temporarily cause symptoms to reappear (blurred vision, heavy legs, increased fatigue). This phenomenon is reversible, but it hinders activity. Therefore, we ensure a temperate environment, avoid the hottest times of the day in summer, offer cool water, and do not hesitate to postpone or shorten when it is heavy.<\/pee>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 The right reflex before each session<\/strong>\n  <pee>Three questions in ten seconds: has the person slept well and recovered? Is the room cool? Do they want to, right now? If the answer is no, we lighten or reschedule. An activity canceled for good reasons is better than an activity endured.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 MOTOR SKILLS \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-motricite\">Motor skills, balance and daily gestures<\/h2>\n<pee>These activities maintain mobility, coordination and confidence. They complement physiotherapy and occupational therapy, they never replace them. Ask the rehabilitation team which ones best serve the current objectives, and always adapt to the day&#8217;s fatigue level.<\/pee>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">1<\/div>\n<h3 class=\"dyn-module__title\">Folding and sorting laundry<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 coordination of both hands, fine motor skills, sitting posture, participation in a useful task.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 a basket of clean and light laundry, 10 minutes, sitting at a stable table.<\/li>\n<li><strong>Procedure<\/strong> \u2014 start with large pieces that are easy to grasp: towels, dishcloths. The less skilled hand holds, the more skilled hand folds. Let the person do it, do not do it for them.<\/li>\n<li><strong>Easier<\/strong> \u2014 fold in half only, with thick towels that slip less.<\/li>\n<li><strong>Harder<\/strong> \u2014 pairing socks, folding clothes into quarters, sorting by color.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 the less skilled hand participates spontaneously, without being asked.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">2<\/div>\n<h3 class=\"dyn-module__title\">Seated cooking workshop<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 grip strength, hand-eye coordination, planning a task in steps.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 a non-slip board (or a damp cloth underneath), wide-handled utensils, simple ingredients, 15 minutes, always seated.<\/li>\n<li><strong>Procedure<\/strong> \u2014 wash, mix, garnish: prepare a fruit salad, assemble jars, decorate a cake. The person performs; the companion prepares and secures the station.<\/li>\n<li><strong>Easier<\/strong> \u2014 a single step, broad movements (mixing, pouring).<\/li>\n<li><strong>Harder<\/strong> \u2014 follow a recipe displayed in four steps, without oral reminders.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 movements become more precise, fatigue sets in later than at the beginning.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">3<\/div>\n<h3 class=\"dyn-module__title\">Secure balance course<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 balance, weight transfer, confidence in movement.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 a clear corridor, a support bar or handrail, usual technical aid, 5 to 10 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 same route every day, with a support point identified halfway. Move slowly, keeping the gaze on the horizon rather than on the feet. A companion always stays within reach.<\/li>\n<li><strong>Easier<\/strong> \u2014 a short round trip with support possible all the way, several times a day.<\/li>\n<li><strong>Harder<\/strong> \u2014 navigate around a light obstacle, or walk while holding a short conversation, which increases the load.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 the same route requires fewer breaks, the gaze is lifted.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">4<\/div>\n<h3 class=\"dyn-module__title\">Gentle exercise in a chair<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 joint range, muscle awakening, body awareness, without putting oneself in danger.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 a stable chair, possibly a small lightweight ball or a scarf, 10 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 slow and broad movements of the arms, hands, ankles, following a simple instruction and a regular rhythm. Strictly respect the ranges indicated by the physiotherapist and never force.<\/li>\n<li><strong>Easier<\/strong> \u2014 movements of the upper body only, by imitation.<\/li>\n<li><strong>Harder<\/strong> \u2014 chaining a small memorized sequence of three movements.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 movements become broader and more fluid over the days.<\/li>\n<\/ul>\n<\/div>\n<pee><strong>\u274c To avoid&nbsp;:<\/strong> pushing \u201c&nbsp;to progress&nbsp;\u201d when the person shows signs of fatigue (slower words, less precise gestures, blurred vision). In MS, too much effort does not gain ground, it loses it for the rest of the day.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 COGNITION \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-cognition\">Memory, attention and processing speed<\/h2>\n<pee>Multiple sclerosis can be accompanied by cognitive disorders, particularly attention, working memory, and a slowdown in information processing. This does not mean giving up&nbsp;: it means allowing more time, reducing distractions, and valuing every success.<\/pee>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">5<\/div>\n<h3 class=\"dyn-module__title\">The reconstructed list<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 working memory, categorization, memorization strategies.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 paper, pencil, 10 minutes, in a quiet space.<\/li>\n<li><strong>Procedure<\/strong> \u2014 state a shopping list of five or six items, talk about something else for a minute, then the person recalls. Allow as much time as needed, without prompting the answer too quickly.<\/li>\n<li><strong>Easier<\/strong> \u2014 three items, immediate recall.<\/li>\n<li><strong>Harder<\/strong> \u2014 ten items to group by section before recalling.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 the person invents their own tricks (grouping, associating, visualizing).<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">6<\/div>\n<h3 class=\"dyn-module__title\">The adapted pairs game<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 visual attention, memory, spatial scanning.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 a deck of cards or large printed images, 10 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 lay the cards face down, turn over two cards at a time to find pairs. Limit the number of cards according to fatigue and maintain a pace without time pressure.<\/li>\n<li><strong>Easier<\/strong> \u2014 six cards, in a single row, well contrasted.<\/li>\n<li><strong>Harder<\/strong> \u2014 twenty cards, spread widely on the table.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 the number of attempts needed decreases from week to week.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">7<\/div>\n<h3 class=\"dyn-module__title\">The agenda for the next day<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 prospective memory, temporal markers, sense of control over one&#8217;s day.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 a large box agenda or a whiteboard in the room, 5 minutes each evening.<\/li>\n<li><strong>Procedure<\/strong> \u2014 write down together the two or three appointments or activities for the next day, then check off the next evening what took place.<\/li>\n<li><strong>Easier<\/strong> \u2014 the caregiver writes, the person reads aloud.<\/li>\n<li><strong>Harder<\/strong> \u2014 the person writes alone and anticipates the week.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 they consult their agenda spontaneously during the day.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">8<\/div>\n<h3 class=\"dyn-module__title\">The sorting by themes<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 sustained attention, mental flexibility, reasoning, with a concrete support.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 a set of image cards (food, animals, objects), or magazine photos, 10 to 15 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 sort the images according to an announced criterion (what can be eaten \/ what cannot be eaten), then change the criterion (by color, by size) to work on flexibility.<\/li>\n<li><strong>Easier<\/strong> \u2014 two very different categories, few cards.<\/li>\n<li><strong>Harder<\/strong> \u2014 three categories, or find the common criterion oneself.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 the change of instruction is followed without confusion.<\/li>\n<\/ul>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA MILIEU \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<div class=\"dyn-cta\">\n<h3>Understanding MS to adjust each activity at the right time<\/h3>\n<pee>Knowing why fatigue and heat weigh so heavily, spotting the signs of a bad day, adapting one&#8217;s posture&nbsp;: the DYNSEO training \u201c&nbsp;Multiple Sclerosis in institutions&nbsp;\u201d dedicates short and concrete lessons to this. 32 lessons, 100&nbsp;% online, unlimited access, at your own pace. Certified organization Qualiopi (N\u00b0&nbsp;11757351875), certificate of completion.<\/pee>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/multiple-sclerosis-in-an-institution-understanding-the-disease-and-adapting-professional-practice-en\/\">Discover the training \u2014 20&nbsp;\u20ac<\/a>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 COMMUNICATION \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-communication\">Language, communication and social connection<\/h2>\n<pee>Depending on the impairments, MS can affect the articulation, breath, or rhythm of speech. These activities maintain communication and connection; they complement speech therapy when it exists, without replacing it. Ask the speech therapist what best serves the current objectives.<\/pee>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">9<\/div>\n<h3 class=\"dyn-module__title\">Reading in two voices<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 articulation, breath, comprehension, and pleasure of reading.<\/li>\n<li><strong>Material and duration<\/strong> \u2014 a short article or a text in large print, 10 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 the companion reads a sentence, the person reads the next one. We stop at the end of a paragraph, never in the middle of an effort. We do not correct every mistake.<\/li>\n<li><strong>Easier<\/strong> \u2014 the person only reads the last word of each sentence.<\/li>\n<li><strong>Harder<\/strong> \u2014 summarize the paragraph in one sentence after reading.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 the read sentences get longer, the pace becomes regular.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">10<\/div>\n<h3 class=\"dyn-module__title\">Guided memory workshop<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 old memory, spontaneous speech, valuing life history.<\/li>\n<li><strong>Material and duration<\/strong> \u2014 objects, photos, or period music, 15 minutes, in a small group or individually.<\/li>\n<li><strong>Procedure<\/strong> \u2014 we present a trigger (a song, a photo, an everyday object from the past) and let whatever comes come, without correcting or questioning in rapid succession. An open question is enough: \u201cWhat does this remind you of?\u201d<\/li>\n<li><strong>Easier<\/strong> \u2014 a single very familiar trigger, short time.<\/li>\n<li><strong>Harder<\/strong> \u2014 build a small chronological narrative from several memories.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 speech becomes more fluid, the exchange turns into a conversation.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">11<\/div>\n<h3 class=\"dyn-module__title\">Prepared connection with loved ones<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 maintain family connection and regain confidence in remote exchange.<\/li>\n<li><strong>Material and duration<\/strong> \u2014 a phone or tablet, a sheet with two or three prepared sentences, 5 to 10 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 we choose a kind and informed interlocutor, we write together what we want to say to them, then we call on speakerphone with the companion next to us, without intervening.<\/li>\n<li><strong>Easier<\/strong> \u2014 a recorded voice message, which can be replayed and redone.<\/li>\n<li><strong>Harder<\/strong> \u2014 a call without a sheet, then a video call.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 the person themselves asks to contact a loved one.<\/li>\n<\/ul>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 WELL-BEING \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-bienetre\">Well-being, mood, and sensory stimulation<\/h2>\n<pee>MS can weigh on mood, and mood conditions adherence to everything else. These three activities do not aim for any performance: they maintain pleasure, calm, and the feeling of existing as a person, not as a patient. For any lasting sadness, withdrawal, or loss of momentum, we talk to the doctor or psychologist: moral suffering can be treated.<\/pee>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">12<\/div>\n<h3 class=\"dyn-module__title\">Personal playlist<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 mood, evocation of memories, relaxation. Familiar melodies often remain very accessible.<\/li>\n<li><strong>Material and duration<\/strong> \u2014 a speaker or headphones, a selection of music from the person&#8217;s 15-30 years, 15 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 listen together, then let the speech or silence come. Many people hum, keep the beat, share a memory.<\/li>\n<li><strong>Variant<\/strong> \u2014 associate a photo from the same era with each piece.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 the face relaxes, the person requests \u201ctheir\u201d music.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">13<\/div>\n<h3 class=\"dyn-module__title\">The calming sensory time<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 relaxation, grounding in the moment, reduction of tension and mental fatigue.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 soft materials to touch, scents to smell (with the team&#8217;s agreement), dim light, 10 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 offer, without imposing, a slow exploration: touch a fabric, smell a familiar scent, listen to soft sounds. Respect refusals, which are also a form of choice.<\/li>\n<li><strong>Easier<\/strong> \u2014 only one sense engaged at a time.<\/li>\n<li><strong>More difficult<\/strong> \u2014 associate an emotion or a memory with each sensation and name it.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 breathing slows down, the person extends the moment on their own.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">14<\/div>\n<h3 class=\"dyn-module__title\">The adapted creative workshop<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 expression, pleasure of doing, pride in a visible result, fine coordination.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 simple materials to handle (large markers, gluing, modeling clay, indoor gardening), 15 to 20 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 a short project with a concrete result on the same day. Adapt tools to grip (thick handles, non-slip supports) and value the gesture more than perfection.<\/li>\n<li><strong>Easier<\/strong> \u2014 participate in only one step of the collective project.<\/li>\n<li><strong>More difficult<\/strong> \u2014 carry out a small project from start to finish over several sessions.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 the person shows their work, talks about it, wants to do it again.<\/li>\n<\/ul>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 DAY \/ WEEK \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-journee\">A typical day and a typical week<\/h2>\n<pee>The classic trap: wanting to offer everything every day. One activity per domain and per day is more than enough, as long as it takes place and respects the available energy. Here is a framework that places demands when energy is high and protects the calm time of the afternoon.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Moment<\/th>\n<th>What we put in<\/th>\n<th>Duration<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>End of morning<\/td>\n<td>The most demanding activity of the day \u2014 motor skills or cognition<\/td>\n<td>15-20 min<\/td>\n<\/tr>\n<tr>\n<td>Before the meal<\/td>\n<td>A time for connection: reading aloud, exchange, prepared call<\/td>\n<td>10 min<\/td>\n<\/tr>\n<tr>\n<td>Beginning of afternoon<\/td>\n<td>Mandatory calm time, without screens or stimulation<\/td>\n<td>45-60 min<\/td>\n<\/tr>\n<tr>\n<td>Mid-afternoon<\/td>\n<td>Gentle digital session or board game<\/td>\n<td>15 min<\/td>\n<\/tr>\n<tr>\n<td>End of afternoon<\/td>\n<td>A pleasure activity \u2014 music, creative workshop, sensory<\/td>\n<td>15-20 min<\/td>\n<\/tr>\n<tr>\n<td>Evening<\/td>\n<td>Agenda for the next day, in the room<\/td>\n<td>5 min<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<pee>Throughout the week, we rotate the main focuses to vary the stimuli without overloading, and we keep one truly free day. Rest is not an absence of program: it is part of the program.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Day<\/th>\n<th>Main focus of the day<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Monday<\/td>\n<td>Motor skills \u2014 laundry, gentle gymnastics<\/td>\n<\/tr>\n<tr>\n<td>Tuesday<\/td>\n<td>Cognition \u2014 reconstructed list, pairs game<\/td>\n<\/tr>\n<tr>\n<td>Wednesday<\/td>\n<td>Communication \u2014 reading aloud, memory workshop<\/td>\n<\/tr>\n<tr>\n<td>Thursday<\/td>\n<td>Independence \u2014 cooking workshop from start to finish<\/td>\n<\/tr>\n<tr>\n<td>Friday<\/td>\n<td>Social connection \u2014 prepared call or visit, group game<\/td>\n<\/tr>\n<tr>\n<td>Saturday<\/td>\n<td>Pleasure \u2014 music, creative workshop, short outing<\/td>\n<\/tr>\n<tr>\n<td>Sunday<\/td>\n<td>Nothing imposed. Rest is part of care.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Adapt the framework to fatigue<\/strong>\n  <pee>This typical week is a base, not an obligation. On a day of great fatigue, we keep only the pleasure activity at the end of the day and the evening agenda. We never catch up: we simply resume the next day where we left off.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 ENVIRONMENT \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-environnement\">Arrange the spaces of the establishment<\/h2>\n<pee>A well-thought-out environment does half the work: it reduces unnecessary fatigue, secures movements, and makes participation possible. Many adjustments cost almost nothing. For others, an assessment by the occupational therapist is the best investment.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Space<\/th>\n<th>What is problematic<\/th>\n<th>What we change<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Room<\/td>\n<td>Bed too low, switch far away, nighttime getting up<\/td>\n<td>Adjusted bed height, switch accessible from the bed, illuminated path to the toilet<\/td>\n<\/tr>\n<tr>\n<td>Bathroom<\/td>\n<td>Wet floor, prolonged standing, transfers<\/td>\n<td>Grab bars fixed to the wall, non-slip mat, shower seat, equipment approved by the occupational therapist<\/td>\n<\/tr>\n<tr>\n<td>Activity room<\/td>\n<td>Heat, background noise, insufficient light<\/td>\n<td>Temperature-controlled and ventilated room, noise sources turned off during the activity, enhanced lighting without glare<\/td>\n<\/tr>\n<tr>\n<td>Dining room<\/td>\n<td>Heavy dishes, table unsuitable for wheelchair<\/td>\n<td>Lightweight dishes and ergonomic cutlery, table at the right height, quiet place for fatigable individuals<\/td>\n<\/tr>\n<tr>\n<td>Hallways and circulation<\/td>\n<td>Carpets, clutter, long distances<\/td>\n<td>Clear and non-slip floor, continuous handrails, regular resting benches along the routes<\/td>\n<\/tr>\n<tr>\n<td>All spaces<\/td>\n<td>Fatigue related to movement, disorientation<\/td>\n<td>Bring activities closer to the rooms when possible, clear and contrasting visual markers<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 In case of visual impairments or reading fatigue<\/strong>\n  <pee>Prefer materials in large print, with high contrast (dark text on light background), without information overload on the same page. Space out the lines, limit the number of items per exercise, and always allow the person to take a break as soon as their vision blurs: this is often a sign of fatigue, not disinterest.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 SUPPORTS \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-supports\">Free printable materials<\/h2>\n<pee>These DYNSEO tools are freely downloadable and printable from the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/\">catalog of free tools<\/a>. Three of them are enough to structure the entire routine described here and to facilitate communication between the team and the family.<\/pee>\n<ul>\n<li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/tableau-suivi-progres\/\">Progress tracking chart (visual)<\/a> \u2014 one mark per day, one line per activity. This is the tool that makes progress visible and reignites motivation when it wanes. Displayed in the room, it also becomes a useful time marker.<\/li>\n<li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/fiche-suivi-seance\/\">Session tracking sheet<\/a> \u2014 what was worked on, what was tiring, what worked well. To be filled out in one minute after each activity, it ensures continuity between caregivers and days.<\/li>\n<li><a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/communication-notebook\/\">Communication notebook<\/a> \u2014 to relay your observations to the care team, the doctor, or the family without forgetting anything. It links what is seen daily to care decisions.<\/li>\n<li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/tableau-suivi-competences\/\">Skills tracking chart<\/a> \u2014 to visualize over several weeks what is maintained, what progresses, and what needs to be adapted.<\/li>\n<li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/carnet-de-mots\/\">Word notebook<\/a> \u2014 a communication tool to personalize with familiar photos, useful as soon as speech becomes fatigued.<\/li>\n<\/ul>\n<pee>The principle is always the same: write little, but write every day. A one-line observation, noted at the moment, is better than a long summary reconstructed from memory a week later.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 NUM\u00c9RIQUE \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-numerique\">The role of digital technology and the application JOE<\/h2>\n<pee>A tablet does not replace rehabilitation or real activities. It provides two things that paper does not: automatic adjustment of the level of difficulty, which avoids failure as well as boredom, and a record of results that objectively tracks progress without discussion.<\/pee>\n<pee>For the adult affected by multiple sclerosis, the <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">JOE<\/a> application is the reference tool: short games of memory, attention, logic, and language, with an adaptable level. It is used in brief sequences, at a fixed time, like a ritual.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Application<\/th>\n<th>For whom<\/th>\n<th>Usage type<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">CLINT<\/a><\/td>\n<td>Adult concerned with MS<\/td>\n<td>15 minutes a day, 2 to 3 memory, attention, and logic games<\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">SCARLETT<\/a><\/td>\n<td>Senior, simplified interface<\/td>\n<td>Same principle, with navigation designed for seniors<\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.dynseo.com\/mon-dico-une-application-pour-favoriser-la-communication\/\">MY DICTIONARY<\/a><\/td>\n<td>Difficult communication, visual support<\/td>\n<td>Helps with daily communication<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<pee>The right dosage: about fifteen minutes a day, at a fixed time, rather than a long weekly session. Keep the screen away from late evening, which disrupts sometimes already fragile sleep, and stop at the end of the scheduled time, even when everything is going well. To complement, the <a href=\"https:\/\/www.dynseo.com\/en\/our-tests\/\">cognitive tests catalog<\/a> helps to establish a starting point, always to be interpreted with a professional.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 ERRORS \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-erreurs\">The 5 mistakes to avoid<\/h2>\n<ol class=\"dyn-steps\">\n<li><strong>Ignoring fatigue.<\/strong> Continuing &#8220;to finish&#8221; when signs of fatigue appear wastes the session and compromises the rest of the day. In MS, we stop before, never after.<\/li>\n<li><strong>Neglecting heat.<\/strong> An overheated room, a time slot in the summer heat: and symptoms reappear, completely skewing the activity. A cool environment is part of the setup.<\/li>\n<li><strong>Doing instead.<\/strong> Out of kindness or to save time, we deprive the person of what they can still do. This is a major cause of avoidable loss of autonomy.<\/li>\n<li><strong>Choosing a level that is too difficult.<\/strong> Repeated failure discourages and leads to giving up. Better too easy for a week than too hard for two days.<\/li>\n<li><strong>Not taking notes.<\/strong> Without written records, slow developments become invisible, communication is lost between teams, and one wrongly concludes that nothing is changing.<\/li>\n<\/ol>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 SERIES \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2>To go further<\/h2>\n<div class=\"dyn-serie\">\n  <a href=\"#situations-quotidien\"><span>Everyday situations<\/span>Multiple sclerosis in institutions: 10 difficult situations and how to respond<\/a><br \/>\n  <a href=\"#guide-complet\"><span>In-depth guide<\/span>Multiple sclerosis in institutions: the complete guide to understanding what is at stake<\/a><br \/>\n  <a href=\"#aides-interlocuteurs\"><span>Support &amp; contacts<\/span>Who to contact, what support is available, and how to sustain over time<\/a><br \/>\n  <a href=\"#presentation-formation\"><span>Training<\/span>Program, content, and who the DYNSEO MS training is for<\/a>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 FAQ \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-faq\">Frequently asked questions<\/h2>\n<div class=\"dyn-faq\">\n<h3>How often should these activities be offered?<\/h3>\n<pee>Every day, but little by little. One activity per domain and per day is enough, provided it really takes place and respects the available energy. Regularity matters more than intensity: fifteen minutes every day nourish abilities better than a long weekly session. On days of great fatigue, we do not eliminate everything: we keep a short, enjoyable activity to protect the ritual itself. And we plan at least one truly free day per week, as rest is part of care in multiple sclerosis.<\/pee>\n<h3>How long should a session last?<\/h3>\n<pee>Between ten and twenty minutes for a given activity, and rarely more than an hour in total throughout the day, in split sequences. Beyond that, the characteristic fatigue of MS takes over and the activity becomes counterproductive. The golden rule: we stop before fatigue sets in, not when it is already there. Observe the subtle signs \u2014 slower words, less precise gestures, blurred vision \u2014 and conclude the session on a success. An activity that ends well encourages wanting to start again; an activity pushed too far discourages the next one.<\/pee>\n<h3>How to motivate a person who refuses?<\/h3>\n<pee>Three levers work better than insistence. First, lower the difficulty until successes are achieved, as it is often the fear of failure that blocks. Next, replace the exercise with an activity that makes sense to the person: cooking, listening to their music, calling a loved one. Finally, make progress visible with a displayed tracking chart. Negotiate the duration rather than the principle: &#8220;let&#8217;s try for five minutes and stop if you want&#8221; almost always yields more. And respect the refusal of the day: it may simply signal fatigue that is better to heed.<\/pee>\n<h3>What equipment is really needed?<\/h3>\n<pee>Almost nothing specialized. Most activities rely on what the institution already has: linen, kitchen utensils, cards, photos, music, a calendar. Three useful investments make a difference: non-slip supports and wide-handled utensils for gripping, documents in large, highly contrasted fonts for vision, and a tablet for games that automatically adjust difficulty. DYNSEO tracking supports are free to print. For safety adaptations (grab bars, shower seats), it is the occupational therapist who indicates the appropriate equipment for each person.<\/pee>\n<h3>Are these activities suitable for all ages?<\/h3>\n<pee>Multiple sclerosis often begins in young adults, but it affects people of all ages in institutions. The activities presented here can be adapted by modulating difficulty, duration, and theme, but never the requirement to respect the person. For a young adult, we prioritize supports in line with their interests and history; for an older person, we can simplify the digital interface with an application like SCARLETT. In all cases, we start from what makes sense for the person. For any questions about evolution or abilities, refer to the doctor who follows them.<\/pee>\n<\/div>\n<div class=\"dyn-note\">\n  <strong>\u2139\ufe0f Information and not medical advice<\/strong>\n  <pee>These activities are general everyday suggestions. They do not replace prescribed rehabilitation or medical advice. Have what is suitable for each person validated by the doctor and the rehabilitation team (physiotherapist, occupational therapist, speech therapist) who are following them. In case of new symptoms or emergencies, contact the emergency services in your country.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 FINAL CTA \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<div class=\"dyn-cta\">\n<h3>Implement these activities, supports, and arrangements for multiple sclerosis in a facility<\/h3>\n<pee>The DYNSEO training \u201cMultiple Sclerosis in a Facility: Understanding the Disease and Adapting Professional Practice\u201d covers all of this step by step: understanding the disease, adjusting activities to fatigue, arranging the environment, supporting over time. 32 lessons, 100% online, unlimited access, at your own pace. Certified organization Qualiopi (No. 11757351875), certificate of completion.<\/pee>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/multiple-sclerosis-in-an-institution-understanding-the-disease-and-adapting-professional-practice-en\/\">Discover the training \u2014 20 \u20ac<\/a>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":412655,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"[et_pb_section fb_built=\"1\" admin_label=\"Article HTML\" _builder_version=\"4.16\" custom_padding=\"0px||0px||false|false\" global_colors_info=\"{}\"][et_pb_row admin_label=\"Contenu\" _builder_version=\"4.16\" width=\"100%\" max_width=\"100%\" custom_padding=\"0px||0px||false|false\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.16\" global_colors_info=\"{}\"][et_pb_row _builder_version=\"4.16\"][et_pb_column type=\"4_4\" _builder_version=\"4.16\"][et_pb_code _builder_version=\"4.16\"]<section class=\"dynen dynen-inarticle\" data-dynen=\"inarticle\"><p class=\"dynen-h\">In this article<\/p><p class=\"dynen-sub\">The associated training<\/p><a class=\"dynen-form\" href=\"https:\/\/www.dynseo.com\/en\/courses\/multiple-sclerosis-in-an-institution-understanding-the-disease-and-adapting-professional-practice-en\/\"><div class=\"dynen-form__img\"><img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Sclerose-en-plaques-en-etablissement.png\" alt=\"\" loading=\"lazy\"><\/div><div class=\"dynen-form__body\"><span class=\"dynen-tag dynen-tag--quali\">Qualiopi Training<\/span><b>Multiple Sclerosis in institutions: understanding the disease and adapting professional practice<\/b><span class=\"dynen-go\">Discover the training \u2192<\/span><\/div><\/a><p class=\"dynen-sub\">The cited resources<\/p><div class=\"dynen-grid dynen-grid--ico\"><a class=\"dynen-ico dynen-dom--memoire\" href=\"https:\/\/www.dynseo.com\/en\/our-tools\/communication-notebook\/\"><img src=\"https:\/\/www.dynseo.com\/wp-content\/plugins\/dynseo-enrichment\/assets\/tools\/carnet-de-liaison.svg\" alt=\"\" width=\"56\" height=\"56\" loading=\"lazy\"><b>Communication notebook<\/b><span class=\"dynen-go\">Discover \u2192<\/span><\/a><\/div><p class=\"dynen-sub\">The notebooks to print \u2014 EDITH Collection<\/p><div class=\"dynen-covers\"><a class=\"dynen-cover\" href=\"https:\/\/www.dynseo.com\/en\/scarlettsnotebooks\/\"><img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/08\/EDITH_DE_01_berlin-von-frueher_CARREE.png\" alt=\"\" loading=\"lazy\"><span>Berlin from earlier<\/span><\/a><a class=\"dynen-cover\" href=\"https:\/\/www.dynseo.com\/en\/scarlettsnotebooks\/\"><img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/08\/EDITH_DE_02_der-schwarzwald_CARREE.png\" alt=\"\" loading=\"lazy\"><span>The Black Forest<\/span><\/a><a class=\"dynen-cover\" href=\"https:\/\/www.dynseo.com\/en\/scarlettsnotebooks\/\"><img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/08\/EDITH_DE_03_die-nord-und-ostseekueste_CARREE.png\" alt=\"\" loading=\"lazy\"><span>The North and Baltic Sea Coast<\/span><\/a><a class=\"dynen-cover\" href=\"https:\/\/www.dynseo.com\/en\/scarlettsnotebooks\/\"><img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/08\/EDITH_DE_04_die-alpen_CARREE.png\" alt=\"\" loading=\"lazy\"><span>The Alps<\/span><\/a><a class=\"dynen-cover\" href=\"https:\/\/www.dynseo.com\/en\/scarlettsnotebooks\/\"><img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/08\/EDITH_DE_06_die-50er-und-60er-jahre_CARREE.png\" alt=\"\" loading=\"lazy\"><span>The 50s and 60s<\/span><\/a><a class=\"dynen-cover dynen-cover--more\" href=\"https:\/\/www.dynseo.com\/en\/scarlettsnotebooks\/\"><span>See the EDITH collection \u2192<\/span><\/a><\/div><\/section>[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_code admin_label=\"HTML import\u00e9\" _builder_version=\"4.16\" global_colors_info=\"{}\"]<style type=\"text\/css\">\n.dbi-art-2f973b .dyn-article {\n  --dyn-bleu:#5e5ed7;\n  --dyn-bleu-fonce:#5268c9;\n  --dyn-vert:#a9e2e4;\n  --dyn-jaune:#ffeca7;\n  --dyn-rose:#e73469;\n  --dyn-encre:#1d1d2e;\n  --dyn-gris:#5c5c72;\n  --dyn-fond:#f6f6fd;\n  --dyn-ombre:0 6px 24px rgba(29,29,46,.08);\n  --dyn-ombre-forte:0 12px 34px rgba(94,94,215,.22);\n  --dyn-radius:18px;\n  font-family:\"Inter\",\"Segoe UI\",system-ui,-apple-system,\"Helvetica Neue\",Arial,sans-serif;\n  color:var(--dyn-encre);\n  line-height:1.68;\n  font-size:clamp(16px,1.05vw + 13px,18px);\n  max-width:860px;\n  margin:0 auto;\n  padding:0 4px;\n  -webkit-font-smoothing:antialiased;\n}\n.dbi-art-2f973b .dyn-article * {box-sizing:border-box;}\n.dbi-art-2f973b .dyn-article h1, .dbi-art-2f973b .dyn-article h2, .dbi-art-2f973b .dyn-article h3, 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en \u00e9tablissement : activit\u00e9s, supports et am\u00e9nagements concrets \u00e0 mettre en place\",\n      \"inLanguage\": \"fr\",\n      \"author\": {\n        \"@type\": \"Organization\",\n        \"name\": \"DYNSEO\",\n        \"url\": \"https:\/\/www.dynseo.com\/\"\n      },\n      \"publisher\": {\n        \"@type\": \"Organization\",\n        \"name\": \"DYNSEO\",\n        \"url\": \"https:\/\/www.dynseo.com\/\"\n      },\n      \"image\": \"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Sclerose-en-plaques-en-etablissement.png\"\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"mainEntity\": [\n        {\n          \"@type\": \"Question\",\n          \"name\": \"\u00c0 quelle fr\u00e9quence proposer ces activit\u00e9s ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Chaque jour, mais peu \u00e0 la fois. Une seule activit\u00e9 par domaine et par jour suffit, \u00e0 condition qu'elle ait vraiment lieu et qu'elle respecte l'\u00e9nergie disponible. La r\u00e9gularit\u00e9 compte davantage que l'intensit\u00e9 : quinze minutes tous les jours nourrissent mieux les capacit\u00e9s qu'une longue s\u00e9ance hebdomadaire. Les jours de grande fatigue, on ne supprime pas tout : on garde une activit\u00e9 plaisir, tr\u00e8s courte, pour prot\u00e9ger le rituel lui-m\u00eame. Et l'on pr\u00e9voit au moins un jour vraiment libre par semaine, car le repos fait partie du soin dans la scl\u00e9rose en plaques.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Combien de temps doit durer une s\u00e9ance ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Entre dix et vingt minutes pour une activit\u00e9 donn\u00e9e, et rarement plus d'une heure au total sur la journ\u00e9e, en s\u00e9quences fractionn\u00e9es. Au-del\u00e0, la fatigue caract\u00e9ristique de la SEP prend le dessus et l'activit\u00e9 devient contre-productive. La r\u00e8gle d'or : on s'arr\u00eate avant que la fatigue s'installe, pas quand elle est d\u00e9j\u00e0 l\u00e0. Observez les signes discrets \u2014 mots plus lents, gestes moins pr\u00e9cis, vision qui se trouble \u2014 et concluez la s\u00e9ance sur une r\u00e9ussite. Une activit\u00e9 qui finit bien donne envie de recommencer ; une activit\u00e9 pouss\u00e9e trop loin d\u00e9courage la suivante.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Comment motiver une personne qui refuse ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Trois leviers fonctionnent mieux que l'insistance. D'abord, baisser la difficult\u00e9 jusqu'\u00e0 obtenir des r\u00e9ussites, car c'est souvent la peur de l'\u00e9chec qui bloque. Ensuite, remplacer l'exercice par une activit\u00e9 qui a du sens pour la personne : cuisiner, \u00e9couter sa musique, appeler un proche. Enfin, rendre le progr\u00e8s visible avec un tableau de suivi affich\u00e9. N\u00e9gociez la dur\u00e9e plut\u00f4t que le principe : \u00ab on essaie cinq minutes et on arr\u00eate si vous voulez \u00bb obtient presque toujours plus. Et respectez le refus du jour : il peut simplement signaler une fatigue qu'il vaut mieux \u00e9couter.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Quel mat\u00e9riel faut-il vraiment ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Presque rien de sp\u00e9cialis\u00e9. La plupart des activit\u00e9s reposent sur ce dont dispose d\u00e9j\u00e0 l'\u00e9tablissement : du linge, des ustensiles de cuisine, des cartes, des photos, de la musique, un agenda. Trois investissements utiles font la diff\u00e9rence : des supports antid\u00e9rapants et des ustensiles \u00e0 poign\u00e9e large pour la pr\u00e9hension, des documents en gros caract\u00e8res tr\u00e8s contrast\u00e9s pour la vision, et une tablette pour les jeux qui ajustent seuls la difficult\u00e9. Les supports de suivi DYNSEO sont gratuits \u00e0 imprimer. Pour les am\u00e9nagements de s\u00e9curit\u00e9 (barres d'appui, si\u00e8ge de douche), c'est l'ergoth\u00e9rapeute qui indique le mat\u00e9riel adapt\u00e9 \u00e0 chaque personne.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Ces activit\u00e9s conviennent-elles \u00e0 tous les \u00e2ges ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"La scl\u00e9rose en plaques d\u00e9bute souvent chez l'adulte jeune, mais elle concerne des personnes de tous \u00e2ges en \u00e9tablissement. Les activit\u00e9s pr\u00e9sent\u00e9es ici s'adaptent en modulant la difficult\u00e9, la dur\u00e9e et le th\u00e8me, jamais l'exigence de respect de la personne. Pour un adulte jeune, on privil\u00e9gie des supports en phase avec ses centres d'int\u00e9r\u00eat et son histoire ; pour une personne plus \u00e2g\u00e9e, on peut simplifier l'interface num\u00e9rique avec une application comme EDITH. Dans tous les cas, on part de ce qui a du sens pour la personne. Pour toute question sur l'\u00e9volution ou les capacit\u00e9s, r\u00e9f\u00e9rez-vous au m\u00e9decin qui la suit.\"\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n<div class=\"dbi-art-2f973b\"><!--\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\nDYNSEO \u2014 GABARIT ARTICLE SEO\/GEO  \u00b7  v1.0\nNe pas modifier les noms de classes : le script generer-articles.py\net tous les articles d\u00e9j\u00e0 publi\u00e9s en d\u00e9pendent.\n\nLe script generer-articles.py injecte, dans l'ordre : le header color\u00e9,\nl'encadr\u00e9 formation ou outil, le corps r\u00e9dig\u00e9, puis les donn\u00e9es structur\u00e9es.\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n--><div class=\"dyn-article\"><header class=\"dyn-pagehead dyn-pagehead--bleu\">\n  <span class=\"dyn-pagehead__cat\">Families &amp; caregivers \u00b7 Multiple sclerosis (MS)<\/span>\n  <h1>Multiple sclerosis in care facilities: activities, resources, and concrete arrangements to implement<\/h1>\n  <p class=\"dyn-pagehead__lead\">In care facilities, multiple sclerosis is not only addressed during rehabilitation times. It plays out in the gaps of the day: the moment when one waits for a meal, the quiet hour of the afternoon, the journey to the activity room. It is precisely in these intervals that autonomy is built \u2014 or lost. This article brings together <strong>activities, resources, and concrete arrangements for multiple sclerosis in care facilities<\/strong>, designed to be implemented starting tomorrow, with the materials already available and without turning every moment into a work session.<\/p>\n  <ul class=\"dyn-pagehead__meta\">\n    <li>\u23f1\ufe0f 19 min read<\/li>\n    <li>\ud83d\udc65 For families and caregivers<\/li>\n    <li>\ud83d\udd04 Updated in August 2026<\/li>\n  <\/ul>\n<\/header>\n\n<aside class=\"dyn-hero\" aria-label=\"Training presented in this article\">\n  <div class=\"dyn-hero__grid\">\n    <div class=\"dyn-hero__media\"><a href=\"https:\/\/www.dynseo.com\/courses\/sclerose-en-plaques-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\"><img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Sclerose-en-plaques-en-etablissement.png\" alt=\"DYNSEO Training 'Multiple sclerosis in care facilities: understanding the disease and adapting professional practice'\" width=\"1920\" height=\"1080\" loading=\"lazy\"><\/a><\/div>\n    <div class=\"dyn-hero__body\">\n      <span class=\"dyn-hero__eyebrow\">The training related to this article<\/span>\n      <p class=\"dyn-hero__title\"><a href=\"https:\/\/www.dynseo.com\/courses\/sclerose-en-plaques-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\">Multiple sclerosis in care facilities: understanding the disease and adapting professional practice<\/a><\/p>\n      <p class=\"dyn-hero__pitch\">Everything this article explains, put into practice.<\/p>\n      <ul class=\"dyn-badges\">\n        <li>\ud83c\udfa5 8 modules \u00b7 32 lessons<\/li>\n        <li>\ud83d\udcbb 100% online<\/li>\n        <li>\u23f1\ufe0f At your own pace<\/li>\n        <li>\ud83c\udfc5 Qualiopi organization<\/li>\n        <li>\ud83c\udf0d 9 languages<\/li>\n      <\/ul>\n      <div class=\"dyn-hero__actions\">\n        <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/sclerose-en-plaques-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\">See the training<\/a>\n        <span class=\"dyn-hero__price\">20.0 \u20ac<\/span>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/aside>\n\n<p>This is not a theoretical course. It is a toolbox: fourteen precisely described activities, a daily and weekly organization, the arrangement of spaces room by room, free tools to print, and the role of digital technology. Whether you are a caregiver, an activity leader, or a relative of a resident, you will find ways to take action immediately, taking into account the two realities that govern everything in MS: fatigue and heat sensitivity.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 SHORT RESPONSE (GEO) \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<section class=\"dyn-tldr\">\n  <h2>The essentials in 30 seconds<\/h2>\n  <p>A useful stimulation in multiple sclerosis relies on four principles: <strong>short, regular, at the right difficulty, and respectful of fatigue<\/strong>. We build around the day's capacities, not around a fixed program.<\/p>\n  <ul>\n    <li><strong>Fatigue commands<\/strong> \u2014 we plan demanding activities when energy is at its peak, often late in the morning, and we stop before exhaustion, not after.<\/li>\n    <li><strong>Heat limits<\/strong> \u2014 a cool environment protects capacities; heat can temporarily bring back symptoms.<\/li>\n    <li><strong>The right level<\/strong> \u2014 the person must succeed in most attempts; repeated failure leads to abandonment.<\/li>\n    <li><strong>Written record<\/strong> \u2014 noting each day makes visible evolutions that team memory erases, and facilitates transmission.<\/li>\n    <li><strong>The environment<\/strong> \u2014 a few simple adjustments to common areas and the room facilitate participation and prevent falls.<\/li>\n  <\/ul>\n<\/section>\n\n<nav class=\"dyn-toc\" aria-label=\"Table of contents\">\n  <p>In the table of contents<\/p>\n  <ol>\n    <li><a href=\"#dyn-reperes\">Multiple sclerosis in care facilities: guidelines before any activity<\/a><\/li>\n    <li><a href=\"#dyn-fatigue\">Fatigue and heat: the framework to respect<\/a><\/li>\n    <li><a href=\"#dyn-motricite\">Motor skills, balance, and daily gestures<\/a><\/li>\n    <li><a href=\"#dyn-cognition\">Memory, attention, and processing speed<\/a><\/li>\n    <li><a href=\"#dyn-communication\">Language, communication, and social connection<\/a><\/li>\n    <li><a href=\"#dyn-bienetre\">Well-being, mood, and sensory stimulation<\/a><\/li>\n    <li><a href=\"#dyn-journee\">A typical day and a typical week<\/a><\/li>\n    <li><a href=\"#dyn-environnement\">Arranging the spaces of the facility<\/a><\/li>\n    <li><a href=\"#dyn-supports\">Free resources to print<\/a><\/li>\n    <li><a href=\"#dyn-numerique\">The role of digital technology and the JOE application<\/a><\/li>\n    <li><a href=\"#dyn-erreurs\">The 5 mistakes to avoid<\/a><\/li>\n    <li><a href=\"#dyn-faq\">Frequently asked questions<\/a><\/li>\n  <\/ol>\n<\/nav>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 GUIDELINES \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-reperes\">Multiple sclerosis in care facilities: guidelines before any activity<\/h2>\n<p>Multiple sclerosis is a neurological disease whose progression and symptoms vary greatly from one person to another, and sometimes from one day to the next in the same person. In a facility, this imposes a simple rule: we do not follow a program, we follow a person. The guidelines below apply before each activity, whatever it may be.<\/p>\n\n<div class=\"dyn-cards\">\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udd0b<\/span>\n    <h3>Start from the day's abilities<\/h3>\n    <p>A person capable of an exercise on Monday may not be on Thursday, without anything having worsened. We ask, we observe, and we adjust without comment.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83c\udfaf<\/span>\n    <h3>Aim for success<\/h3>\n    <p>The person should succeed in most of their attempts. If everything is too easy, we increase the difficulty; if failure repeats, we decrease it immediately.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\u23f1\ufe0f<\/span>\n    <h3>Short rather than long<\/h3>\n    <p>Ten to twenty minutes is enough. We stop before fatigue, never when it has set in: a session that ends poorly discourages the next one.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\u270d\ufe0f<\/span>\n    <h3>Note down every time<\/h3>\n    <p>One line is enough: what was done, what caused fatigue, what worked well. This makes progress visible and smooths the transmission between teams.<\/p>\n  <\/div>\n<\/div>\n\n<div class=\"dyn-alerte\">\n  <strong>\u26a0\ufe0f Above all: rely on the care plan<\/strong>\n  <p>The following activities are daily activities, not medical protocols. Some may be discouraged depending on the impairments: swallowing disorders, significant spasticity, balance disorders, major fatigue, cognitive disorders. Refer to the personalized project and consult the doctor, physiotherapist, occupational therapist, or speech therapist who follows the person: they are the ones who indicate what is appropriate. Observe, report, apply the instructions, and refer to the healthcare professional for any diagnosis or prognosis.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 FATIGUE \/ HEAT \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-fatigue\">Fatigue and heat: the framework to respect<\/h2>\n\n<p>Two realities condition everything else. Ignoring them means proposing activities that fail and discourage; respecting them multiplies the chances that participation becomes a pleasure.<\/p>\n\n<p>Fatigue is one of the most frequently reported symptoms in multiple sclerosis: the ARSEP Foundation and patient associations describe it as an exhaustion that is not proportional to the effort made and that rest does not always suffice to erase. Concretely, in a facility, this means three things. We schedule the most demanding activity when energy is highest \u2014 often late morning, sometimes otherwise depending on the person. We break it down: three ten-minute sessions are better than one thirty-minute session. And we ensure a real quiet time in the afternoon, without screens or stimulation, which is part of the program just like the activities.<\/p>\n\n<p>Heat sensitivity is the other point of vigilance: in many people, an increase in body or environmental temperature can temporarily cause symptoms to reappear (blurred vision, heavy legs, increased fatigue). This phenomenon is reversible, but it hinders activity. Therefore, we ensure a temperate environment, avoid the hottest times of the day in summer, offer cool water, and do not hesitate to postpone or shorten when it is heavy.<\/p>\n\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 The right reflex before each session<\/strong>\n  <p>Three questions in ten seconds: has the person slept well and recovered? Is the room cool? Do they want to, right now? If the answer is no, we lighten or reschedule. An activity canceled for good reasons is better than an activity endured.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 MOTOR SKILLS \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-motricite\">Motor skills, balance and daily gestures<\/h2>\n\n<p>These activities maintain mobility, coordination and confidence. They complement physiotherapy and occupational therapy, they never replace them. Ask the rehabilitation team which ones best serve the current objectives, and always adapt to the day's fatigue level.<\/p>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">1<\/div>\n    <h3 class=\"dyn-module__title\">Folding and sorting laundry<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 coordination of both hands, fine motor skills, sitting posture, participation in a useful task.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 a basket of clean and light laundry, 10 minutes, sitting at a stable table.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 start with large pieces that are easy to grasp: towels, dishcloths. The less skilled hand holds, the more skilled hand folds. Let the person do it, do not do it for them.<\/li>\n    <li><strong>Easier<\/strong> \u2014 fold in half only, with thick towels that slip less.<\/li>\n    <li><strong>Harder<\/strong> \u2014 pairing socks, folding clothes into quarters, sorting by color.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 the less skilled hand participates spontaneously, without being asked.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">2<\/div>\n    <h3 class=\"dyn-module__title\">Seated cooking workshop<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 grip strength, hand-eye coordination, planning a task in steps.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 a non-slip board (or a damp cloth underneath), wide-handled utensils, simple ingredients, 15 minutes, always seated.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 wash, mix, garnish: prepare a fruit salad, assemble jars, decorate a cake. The person performs; the companion prepares and secures the station.<\/li>\n    <li><strong>Easier<\/strong> \u2014 a single step, broad movements (mixing, pouring).<\/li>\n    <li><strong>Harder<\/strong> \u2014 follow a recipe displayed in four steps, without oral reminders.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 movements become more precise, fatigue sets in later than at the beginning.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">3<\/div>\n    <h3 class=\"dyn-module__title\">Secure balance course<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 balance, weight transfer, confidence in movement.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 a clear corridor, a support bar or handrail, usual technical aid, 5 to 10 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 same route every day, with a support point identified halfway. Move slowly, keeping the gaze on the horizon rather than on the feet. A companion always stays within reach.<\/li>\n    <li><strong>Easier<\/strong> \u2014 a short round trip with support possible all the way, several times a day.<\/li>\n    <li><strong>Harder<\/strong> \u2014 navigate around a light obstacle, or walk while holding a short conversation, which increases the load.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 the same route requires fewer breaks, the gaze is lifted.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">4<\/div>\n    <h3 class=\"dyn-module__title\">Gentle exercise in a chair<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 joint range, muscle awakening, body awareness, without putting oneself in danger.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 a stable chair, possibly a small lightweight ball or a scarf, 10 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 slow and broad movements of the arms, hands, ankles, following a simple instruction and a regular rhythm. Strictly respect the ranges indicated by the physiotherapist and never force.<\/li>\n    <li><strong>Easier<\/strong> \u2014 movements of the upper body only, by imitation.<\/li>\n    <li><strong>Harder<\/strong> \u2014 chaining a small memorized sequence of three movements.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 movements become broader and more fluid over the days.<\/li>\n  <\/ul>\n<\/div>\n<p><strong>\u274c To avoid&nbsp;:<\/strong> pushing \u201c&nbsp;to progress&nbsp;\u201d when the person shows signs of fatigue (slower words, less precise gestures, blurred vision). In MS, too much effort does not gain ground, it loses it for the rest of the day.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 COGNITION \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-cognition\">Memory, attention and processing speed<\/h2>\n\n<p>Multiple sclerosis can be accompanied by cognitive disorders, particularly attention, working memory, and a slowdown in information processing. This does not mean giving up&nbsp;: it means allowing more time, reducing distractions, and valuing every success.<\/p>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">5<\/div>\n    <h3 class=\"dyn-module__title\">The reconstructed list<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 working memory, categorization, memorization strategies.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 paper, pencil, 10 minutes, in a quiet space.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 state a shopping list of five or six items, talk about something else for a minute, then the person recalls. Allow as much time as needed, without prompting the answer too quickly.<\/li>\n    <li><strong>Easier<\/strong> \u2014 three items, immediate recall.<\/li>\n    <li><strong>Harder<\/strong> \u2014 ten items to group by section before recalling.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 the person invents their own tricks (grouping, associating, visualizing).<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">6<\/div>\n    <h3 class=\"dyn-module__title\">The adapted pairs game<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 visual attention, memory, spatial scanning.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 a deck of cards or large printed images, 10 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 lay the cards face down, turn over two cards at a time to find pairs. Limit the number of cards according to fatigue and maintain a pace without time pressure.<\/li>\n    <li><strong>Easier<\/strong> \u2014 six cards, in a single row, well contrasted.<\/li>\n    <li><strong>Harder<\/strong> \u2014 twenty cards, spread widely on the table.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 the number of attempts needed decreases from week to week.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">7<\/div>\n    <h3 class=\"dyn-module__title\">The agenda for the next day<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 prospective memory, temporal markers, sense of control over one's day.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 a large box agenda or a whiteboard in the room, 5 minutes each evening.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 write down together the two or three appointments or activities for the next day, then check off the next evening what took place.<\/li>\n    <li><strong>Easier<\/strong> \u2014 the caregiver writes, the person reads aloud.<\/li>\n    <li><strong>Harder<\/strong> \u2014 the person writes alone and anticipates the week.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 they consult their agenda spontaneously during the day.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">8<\/div>\n    <h3 class=\"dyn-module__title\">The sorting by themes<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 sustained attention, mental flexibility, reasoning, with a concrete support.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 a set of image cards (food, animals, objects), or magazine photos, 10 to 15 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 sort the images according to an announced criterion (what can be eaten \/ what cannot be eaten), then change the criterion (by color, by size) to work on flexibility.<\/li>\n    <li><strong>Easier<\/strong> \u2014 two very different categories, few cards.<\/li>\n    <li><strong>Harder<\/strong> \u2014 three categories, or find the common criterion oneself.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 the change of instruction is followed without confusion.<\/li>\n  <\/ul>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA MILIEU \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<div class=\"dyn-cta\">\n  <h3>Understanding MS to adjust each activity at the right time<\/h3>\n  <p>Knowing why fatigue and heat weigh so heavily, spotting the signs of a bad day, adapting one's posture&nbsp;: the DYNSEO training \u201c&nbsp;Multiple Sclerosis in institutions&nbsp;\u201d dedicates short and concrete lessons to this. 32 lessons, 100&nbsp;% online, unlimited access, at your own pace. Certified organization Qualiopi (N\u00b0&nbsp;11757351875), certificate of completion.<\/p>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/sclerose-en-plaques-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\">Discover the training \u2014 20&nbsp;\u20ac<\/a>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 COMMUNICATION \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-communication\">Language, communication and social connection<\/h2>\n\n<p>Depending on the impairments, MS can affect the articulation, breath, or rhythm of speech. These activities maintain communication and connection; they complement speech therapy when it exists, without replacing it. Ask the speech therapist what best serves the current objectives.<\/p>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">9<\/div>\n    <h3 class=\"dyn-module__title\">Reading in two voices<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 articulation, breath, comprehension, and pleasure of reading.<\/li>\n    <li><strong>Material and duration<\/strong> \u2014 a short article or a text in large print, 10 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 the companion reads a sentence, the person reads the next one. We stop at the end of a paragraph, never in the middle of an effort. We do not correct every mistake.<\/li>\n    <li><strong>Easier<\/strong> \u2014 the person only reads the last word of each sentence.<\/li>\n    <li><strong>Harder<\/strong> \u2014 summarize the paragraph in one sentence after reading.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 the read sentences get longer, the pace becomes regular.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">10<\/div>\n    <h3 class=\"dyn-module__title\">Guided memory workshop<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 old memory, spontaneous speech, valuing life history.<\/li>\n    <li><strong>Material and duration<\/strong> \u2014 objects, photos, or period music, 15 minutes, in a small group or individually.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 we present a trigger (a song, a photo, an everyday object from the past) and let whatever comes come, without correcting or questioning in rapid succession. An open question is enough: \u201cWhat does this remind you of?\u201d<\/li>\n    <li><strong>Easier<\/strong> \u2014 a single very familiar trigger, short time.<\/li>\n    <li><strong>Harder<\/strong> \u2014 build a small chronological narrative from several memories.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 speech becomes more fluid, the exchange turns into a conversation.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">11<\/div>\n    <h3 class=\"dyn-module__title\">Prepared connection with loved ones<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 maintain family connection and regain confidence in remote exchange.<\/li>\n    <li><strong>Material and duration<\/strong> \u2014 a phone or tablet, a sheet with two or three prepared sentences, 5 to 10 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 we choose a kind and informed interlocutor, we write together what we want to say to them, then we call on speakerphone with the companion next to us, without intervening.<\/li>\n    <li><strong>Easier<\/strong> \u2014 a recorded voice message, which can be replayed and redone.<\/li>\n    <li><strong>Harder<\/strong> \u2014 a call without a sheet, then a video call.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 the person themselves asks to contact a loved one.<\/li>\n  <\/ul>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 WELL-BEING \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-bienetre\">Well-being, mood, and sensory stimulation<\/h2>\n\n<p>MS can weigh on mood, and mood conditions adherence to everything else. These three activities do not aim for any performance: they maintain pleasure, calm, and the feeling of existing as a person, not as a patient. For any lasting sadness, withdrawal, or loss of momentum, we talk to the doctor or psychologist: moral suffering can be treated.<\/p>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">12<\/div>\n    <h3 class=\"dyn-module__title\">Personal playlist<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 mood, evocation of memories, relaxation. Familiar melodies often remain very accessible.<\/li>\n    <li><strong>Material and duration<\/strong> \u2014 a speaker or headphones, a selection of music from the person's 15-30 years, 15 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 listen together, then let the speech or silence come. Many people hum, keep the beat, share a memory.<\/li>\n    <li><strong>Variant<\/strong> \u2014 associate a photo from the same era with each piece.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 the face relaxes, the person requests \u201ctheir\u201d music.<\/li>\n  <\/ul>\n<\/div>\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">13<\/div>\n    <h3 class=\"dyn-module__title\">The calming sensory time<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 relaxation, grounding in the moment, reduction of tension and mental fatigue.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 soft materials to touch, scents to smell (with the team's agreement), dim light, 10 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 offer, without imposing, a slow exploration: touch a fabric, smell a familiar scent, listen to soft sounds. Respect refusals, which are also a form of choice.<\/li>\n    <li><strong>Easier<\/strong> \u2014 only one sense engaged at a time.<\/li>\n    <li><strong>More difficult<\/strong> \u2014 associate an emotion or a memory with each sensation and name it.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 breathing slows down, the person extends the moment on their own.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">14<\/div>\n    <h3 class=\"dyn-module__title\">The adapted creative workshop<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 expression, pleasure of doing, pride in a visible result, fine coordination.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 simple materials to handle (large markers, gluing, modeling clay, indoor gardening), 15 to 20 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 a short project with a concrete result on the same day. Adapt tools to grip (thick handles, non-slip supports) and value the gesture more than perfection.<\/li>\n    <li><strong>Easier<\/strong> \u2014 participate in only one step of the collective project.<\/li>\n    <li><strong>More difficult<\/strong> \u2014 carry out a small project from start to finish over several sessions.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 the person shows their work, talks about it, wants to do it again.<\/li>\n  <\/ul>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 DAY \/ WEEK \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-journee\">A typical day and a typical week<\/h2>\n\n<p>The classic trap: wanting to offer everything every day. One activity per domain and per day is more than enough, as long as it takes place and respects the available energy. Here is a framework that places demands when energy is high and protects the calm time of the afternoon.<\/p>\n\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Moment<\/th><th>What we put in<\/th><th>Duration<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>End of morning<\/td><td>The most demanding activity of the day \u2014 motor skills or cognition<\/td><td>15-20 min<\/td><\/tr>\n    <tr><td>Before the meal<\/td><td>A time for connection: reading aloud, exchange, prepared call<\/td><td>10 min<\/td><\/tr>\n    <tr><td>Beginning of afternoon<\/td><td>Mandatory calm time, without screens or stimulation<\/td><td>45-60 min<\/td><\/tr>\n    <tr><td>Mid-afternoon<\/td><td>Gentle digital session or board game<\/td><td>15 min<\/td><\/tr>\n    <tr><td>End of afternoon<\/td><td>A pleasure activity \u2014 music, creative workshop, sensory<\/td><td>15-20 min<\/td><\/tr>\n    <tr><td>Evening<\/td><td>Agenda for the next day, in the room<\/td><td>5 min<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<p>Throughout the week, we rotate the main focuses to vary the stimuli without overloading, and we keep one truly free day. Rest is not an absence of program: it is part of the program.<\/p>\n\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Day<\/th><th>Main focus of the day<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>Monday<\/td><td>Motor skills \u2014 laundry, gentle gymnastics<\/td><\/tr>\n    <tr><td>Tuesday<\/td><td>Cognition \u2014 reconstructed list, pairs game<\/td><\/tr>\n    <tr><td>Wednesday<\/td><td>Communication \u2014 reading aloud, memory workshop<\/td><\/tr>\n    <tr><td>Thursday<\/td><td>Independence \u2014 cooking workshop from start to finish<\/td><\/tr>\n    <tr><td>Friday<\/td><td>Social connection \u2014 prepared call or visit, group game<\/td><\/tr>\n    <tr><td>Saturday<\/td><td>Pleasure \u2014 music, creative workshop, short outing<\/td><\/tr>\n    <tr><td>Sunday<\/td><td>Nothing imposed. Rest is part of care.<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Adapt the framework to fatigue<\/strong>\n  <p>This typical week is a base, not an obligation. On a day of great fatigue, we keep only the pleasure activity at the end of the day and the evening agenda. We never catch up: we simply resume the next day where we left off.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 ENVIRONMENT \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-environnement\">Arrange the spaces of the establishment<\/h2>\n\n<p>A well-thought-out environment does half the work: it reduces unnecessary fatigue, secures movements, and makes participation possible. Many adjustments cost almost nothing. For others, an assessment by the occupational therapist is the best investment.<\/p>\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Space<\/th><th>What is problematic<\/th><th>What we change<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>Room<\/td><td>Bed too low, switch far away, nighttime getting up<\/td><td>Adjusted bed height, switch accessible from the bed, illuminated path to the toilet<\/td><\/tr>\n    <tr><td>Bathroom<\/td><td>Wet floor, prolonged standing, transfers<\/td><td>Grab bars fixed to the wall, non-slip mat, shower seat, equipment approved by the occupational therapist<\/td><\/tr>\n    <tr><td>Activity room<\/td><td>Heat, background noise, insufficient light<\/td><td>Temperature-controlled and ventilated room, noise sources turned off during the activity, enhanced lighting without glare<\/td><\/tr>\n    <tr><td>Dining room<\/td><td>Heavy dishes, table unsuitable for wheelchair<\/td><td>Lightweight dishes and ergonomic cutlery, table at the right height, quiet place for fatigable individuals<\/td><\/tr>\n    <tr><td>Hallways and circulation<\/td><td>Carpets, clutter, long distances<\/td><td>Clear and non-slip floor, continuous handrails, regular resting benches along the routes<\/td><\/tr>\n    <tr><td>All spaces<\/td><td>Fatigue related to movement, disorientation<\/td><td>Bring activities closer to the rooms when possible, clear and contrasting visual markers<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 In case of visual impairments or reading fatigue<\/strong>\n  <p>Prefer materials in large print, with high contrast (dark text on light background), without information overload on the same page. Space out the lines, limit the number of items per exercise, and always allow the person to take a break as soon as their vision blurs: this is often a sign of fatigue, not disinterest.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 SUPPORTS \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-supports\">Free printable materials<\/h2>\n\n<p>These DYNSEO tools are freely downloadable and printable from the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/\">catalog of free tools<\/a>. Three of them are enough to structure the entire routine described here and to facilitate communication between the team and the family.<\/p>\n\n<ul>\n  <li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/tableau-suivi-progres\/\">Progress tracking chart (visual)<\/a> \u2014 one mark per day, one line per activity. This is the tool that makes progress visible and reignites motivation when it wanes. Displayed in the room, it also becomes a useful time marker.<\/li>\n  <li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/fiche-suivi-seance\/\">Session tracking sheet<\/a> \u2014 what was worked on, what was tiring, what worked well. To be filled out in one minute after each activity, it ensures continuity between caregivers and days.<\/li>\n  <li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/carnet-de-liaison\/\">Communication notebook<\/a> \u2014 to relay your observations to the care team, the doctor, or the family without forgetting anything. It links what is seen daily to care decisions.<\/li>\n  <li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/tableau-suivi-competences\/\">Skills tracking chart<\/a> \u2014 to visualize over several weeks what is maintained, what progresses, and what needs to be adapted.<\/li>\n  <li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/carnet-de-mots\/\">Word notebook<\/a> \u2014 a communication tool to personalize with familiar photos, useful as soon as speech becomes fatigued.<\/li>\n<\/ul>\n\n<p>The principle is always the same: write little, but write every day. A one-line observation, noted at the moment, is better than a long summary reconstructed from memory a week later.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 NUM\u00c9RIQUE \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-numerique\">The role of digital technology and the application JOE<\/h2>\n\n<p>A tablet does not replace rehabilitation or real activities. It provides two things that paper does not: automatic adjustment of the level of difficulty, which avoids failure as well as boredom, and a record of results that objectively tracks progress without discussion.<\/p>\n\n<p>For the adult affected by multiple sclerosis, the <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">JOE<\/a> application is the reference tool: short games of memory, attention, logic, and language, with an adaptable level. It is used in brief sequences, at a fixed time, like a ritual.<\/p>\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Application<\/th><th>For whom<\/th><th>Usage type<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td><a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">CLINT<\/a><\/td><td>Adult concerned with MS<\/td><td>15 minutes a day, 2 to 3 memory, attention, and logic games<\/td><\/tr>\n    <tr><td><a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">SCARLETT<\/a><\/td><td>Senior, simplified interface<\/td><td>Same principle, with navigation designed for seniors<\/td><\/tr>\n    <tr><td><a href=\"https:\/\/www.dynseo.com\/mon-dico-une-application-pour-favoriser-la-communication\/\">MY DICTIONARY<\/a><\/td><td>Difficult communication, visual support<\/td><td>Helps with daily communication<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<p>The right dosage: about fifteen minutes a day, at a fixed time, rather than a long weekly session. Keep the screen away from late evening, which disrupts sometimes already fragile sleep, and stop at the end of the scheduled time, even when everything is going well. To complement, the <a href=\"https:\/\/www.dynseo.com\/nos-tests\/\">cognitive tests catalog<\/a> helps to establish a starting point, always to be interpreted with a professional.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 ERRORS \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-erreurs\">The 5 mistakes to avoid<\/h2>\n\n<ol class=\"dyn-steps\">\n  <li><strong>Ignoring fatigue.<\/strong> Continuing \"to finish\" when signs of fatigue appear wastes the session and compromises the rest of the day. In MS, we stop before, never after.<\/li>\n  <li><strong>Neglecting heat.<\/strong> An overheated room, a time slot in the summer heat: and symptoms reappear, completely skewing the activity. A cool environment is part of the setup.<\/li>\n  <li><strong>Doing instead.<\/strong> Out of kindness or to save time, we deprive the person of what they can still do. This is a major cause of avoidable loss of autonomy.<\/li>\n  <li><strong>Choosing a level that is too difficult.<\/strong> Repeated failure discourages and leads to giving up. Better too easy for a week than too hard for two days.<\/li>\n  <li><strong>Not taking notes.<\/strong> Without written records, slow developments become invisible, communication is lost between teams, and one wrongly concludes that nothing is changing.<\/li>\n<\/ol>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 SERIES \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2>To go further<\/h2>\n\n<div class=\"dyn-serie\">\n  <a href=\"#situations-quotidien\"><span>Everyday situations<\/span>Multiple sclerosis in institutions: 10 difficult situations and how to respond<\/a>\n  <a href=\"#guide-complet\"><span>In-depth guide<\/span>Multiple sclerosis in institutions: the complete guide to understanding what is at stake<\/a>\n  <a href=\"#aides-interlocuteurs\"><span>Support &amp; contacts<\/span>Who to contact, what support is available, and how to sustain over time<\/a>\n  <a href=\"#presentation-formation\"><span>Training<\/span>Program, content, and who the DYNSEO MS training is for<\/a>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 FAQ \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-faq\">Frequently asked questions<\/h2>\n\n<div class=\"dyn-faq\">\n\n  <h3>How often should these activities be offered?<\/h3>\n  <p>Every day, but little by little. One activity per domain and per day is enough, provided it really takes place and respects the available energy. Regularity matters more than intensity: fifteen minutes every day nourish abilities better than a long weekly session. On days of great fatigue, we do not eliminate everything: we keep a short, enjoyable activity to protect the ritual itself. And we plan at least one truly free day per week, as rest is part of care in multiple sclerosis.<\/p>\n\n  <h3>How long should a session last?<\/h3>\n  <p>Between ten and twenty minutes for a given activity, and rarely more than an hour in total throughout the day, in split sequences. Beyond that, the characteristic fatigue of MS takes over and the activity becomes counterproductive. The golden rule: we stop before fatigue sets in, not when it is already there. Observe the subtle signs \u2014 slower words, less precise gestures, blurred vision \u2014 and conclude the session on a success. An activity that ends well encourages wanting to start again; an activity pushed too far discourages the next one.<\/p>\n\n  <h3>How to motivate a person who refuses?<\/h3>\n  <p>Three levers work better than insistence. First, lower the difficulty until successes are achieved, as it is often the fear of failure that blocks. Next, replace the exercise with an activity that makes sense to the person: cooking, listening to their music, calling a loved one. Finally, make progress visible with a displayed tracking chart. Negotiate the duration rather than the principle: \"let's try for five minutes and stop if you want\" almost always yields more. And respect the refusal of the day: it may simply signal fatigue that is better to heed.<\/p>\n\n  <h3>What equipment is really needed?<\/h3>\n  <p>Almost nothing specialized. Most activities rely on what the institution already has: linen, kitchen utensils, cards, photos, music, a calendar. Three useful investments make a difference: non-slip supports and wide-handled utensils for gripping, documents in large, highly contrasted fonts for vision, and a tablet for games that automatically adjust difficulty. DYNSEO tracking supports are free to print. For safety adaptations (grab bars, shower seats), it is the occupational therapist who indicates the appropriate equipment for each person.<\/p>\n\n  <h3>Are these activities suitable for all ages?<\/h3>\n  <p>Multiple sclerosis often begins in young adults, but it affects people of all ages in institutions. The activities presented here can be adapted by modulating difficulty, duration, and theme, but never the requirement to respect the person. For a young adult, we prioritize supports in line with their interests and history; for an older person, we can simplify the digital interface with an application like SCARLETT. In all cases, we start from what makes sense for the person. For any questions about evolution or abilities, refer to the doctor who follows them.<\/p>\n\n<\/div>\n<div class=\"dyn-note\">\n  <strong>\u2139\ufe0f Information and not medical advice<\/strong>\n  <p>These activities are general everyday suggestions. They do not replace prescribed rehabilitation or medical advice. Have what is suitable for each person validated by the doctor and the rehabilitation team (physiotherapist, occupational therapist, speech therapist) who are following them. In case of new symptoms or emergencies, contact the emergency services in your country.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 FINAL CTA \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<div class=\"dyn-cta\">\n  <h3>Implement these activities, supports, and arrangements for multiple sclerosis in a facility<\/h3>\n  <p>The DYNSEO training \u201cMultiple Sclerosis in a Facility: Understanding the Disease and Adapting Professional Practice\u201d covers all of this step by step: understanding the disease, adjusting activities to fatigue, arranging the environment, supporting over time. 32 lessons, 100% online, unlimited access, at your own pace. Certified organization Qualiopi (No. 11757351875), certificate of completion.<\/p>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/sclerose-en-plaques-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\">Discover the training \u2014 20 \u20ac<\/a>\n<\/div><\/div><\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]","_et_gb_content_width":"","footnotes":""},"categories":[3582,2915],"tags":[],"class_list":["post-770870","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-advice-from-our-coaches","category-les-conseils-des-coachs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Multiple Sclerosis in Institutions: Activities, Resources, and Concrete Adjustments to Implement - DYNSEO - Educational apps &amp; brain training apps for all<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dynseo.com\/en\/multiple-sclerosis-in-institutions-activities-resources-and-concrete-adjustments-to-implement\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Multiple Sclerosis in Institutions: Activities, Resources, and Concrete Adjustments to Implement - DYNSEO - Educational apps &amp; 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