Objectives Objective 1: To determine the effects of a 16-week remotely delivered Pilates intervention on walking endurance, walking speed, balance, fatigue, and pain compared to a waitlist control group in individuals with MS. Objective 2: To examine the impact of a 16-week remotely delivered Pilates intervention on depression \& anxiety, cognitive function, and QOL compared to a waitlist control group in individuals with MS. Aim Aim 1: To assess whether the 16-week remotely delivered Pilates intervention significantly improves walking endurance, walking speed, balance, fatigue, and pain compared to a waitlist control group in individuals with MS Aim 2: To investigate whether the 16-week remotely delivered Pilates intervention significantly improves depression \& anxiety, cognitive function, and QOL compared to a waitlist control group in individuals with MS. Hypothesis Hypothesis 1: The 16-week remotely delivered Pilates intervention will significantly improve walking endurance, walking speed, balance, fatigue, and pain compared to a waitlist control group in individuals with MS. Hypothesis 2: Participants receiving the 16-week remotely delivered Pilates intervention will demonstrate significantly greater improvements in depression \& anxiety, cognitive function, and QOL compared to a waitlist control group in individuals with MS.
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Change from baseline in walking endurance (Six-Minute Walk Test distance)
Timeframe: Baseline and 16 weeks (end of treatment)
Change from baseline in walking speed (Timed 25-Foot Walk)
Timeframe: Baseline and 16 weeks (end of treatment)
Change from baseline in balance (Berg Balance Scale)
Timeframe: Baseline and 16 weeks (end of treatment)
Change from baseline in fatigue (Fatigue Severity Scale)
Timeframe: Baseline and 16 weeks (end of treatment)
Change from baseline in pain (Short-form McGill Pain Questionnaire)
Timeframe: Baseline and 16 weeks (end of treatment)