Note the comfortable, easy to put on garment, with side adjusters for individual fitting.

A procedure whereby those people with MS may obtain a reduction in core temperature under controlled conditions. If you are cooling responsive - and our work has shown that 80% of those with MS can expect to be so - a reduction in body core temperature can bring about improvements. Each individual responds in a different way and therefore it is important that you test yourself for heat lability. Only you will know how beneficial cooling can be for you.

All groups - Male; female; young; and not so young; recently diagnosed; long term sufferers; remissers; relapsers; progressives.

1. Simple; charge the cooling tank or reservoir with water and freeze (a second tank is supplied to allow a continuous cycle).
2. Top up the frozen tank with water and a teaspoon of household bleach (an active bacterial agent).
3. Put on the vest and connect to the cooling unit via automatic click-in connections and switch on.

Everybody is different. However, until you establish your own personal coolong programme we recommend; Cool 3 times a day for 40 to 50 minutes per session and spread these sessions over the normal-for-you, waking hours.

Try these simple tests before cooling.

1. Dexterity. Touch thumb to each finger in a sequence and note response times. Do both hands.
2. Either sitting or lying down, extend each leg in turn and gauge the extent to which you can raise each leg.
3. Read a passage from a newspaper or book and note any diffulties.
4. If you are able to stand upright, unaided, do so. Stretch out both arms and see how you balance. (Do not attempt this alone if you are known to have standing or balance diffculties).

Make notes of all responses and then cool. Repeat the above tests and look for differences.

Other useful comparisons are;

• Lifting a cup and saucer.
• Holding a newspaper and turning pages.
• Tying laces.
• Doing up buttons etc.

Fatigue/Tirdness.

One of the most common positive responses to cooling is best described by: "I never knew how bad I was until I felt good. My sense of fatigue and tiredness improved dramatically after cooling"

You should cool at the lowest comfortable level for you. If you feel too cold, you are not cooling, you are shutting down. Stop cooling and increase the temperature (this is dome by adding warm water to the top of the tank/reservoir and/or switching the pump to slow or simply switching off and then on after 5 or 10 minutes.