The aim of this study is to investigate the effect of cognitive rehabilitation in group with physical exercise in patients with Multiple Sclerosis. We assume that cognitive therapy is an effective treatment for multiple sclerosis.

The aim of this study is to investigate the effect of cognitive rehabilitation in group with physical exercise in patients with Multiple Sclerosis.

Inclusion Criteria:

• Patients with an Mini Mental State Test score less than 24
• Patients with an Extended Disability Status Scale score less than 4
• Patients trained for at least 5 years
• Patients who have not received steroid therapy in the last 1 month

Exclusion Criteria:

• Patients who have not passed at least 3 months from the last Multiple Sclerosis attack
• Patients with hearing and vision problems that may interfere with communication
• The patients who Have other neurological and psychiatric disorder that will cause cognitive impairment
• Patients receiving medical treatment for spasticity, tremor, bladder disorder and fatigue

Patients diagnosed with definitive Multiple Sclerosis between 20-65 years, with an Mini Mental State Test score less than 24, with an Extended Disability Status Scale score less than 4, trained for at least 5 years, have not received steroid therapy in the last 1 month