Physiotherapy in multiple sclerosis (SM) remains the symptomatic treatment and deals with all the range of motor disturbances caused by this illness (form vegetative to smooth coordination problems). The mechanism of physiotherapy impact can be described as an intensive induction of the potentials of body systems with the compensation of behavior and also as a goal orientated stimulating of plastic changes in central nervous system. Goals of the therapy are to be defined by the patient and described as a particular function but not only as reduction of motor deficit. Methodology of the therapy should be constructed in the way which influents possibly most of pathological symptoms. Physiotherapy process should be a part of rehabilitation team work.