MS relapse within the previous 3 months.

Severe cognitive impairment or cognitive problems that may interfere with communication or participation.

History of orthopedic surgery involving the lower extremity or presence of a severe orthopedic condition affecting lower-extremity function.

Vestibular system disorder or another neurological condition that may affect balance.

Any medical condition contraindicating local vibration or manual therapy.

Inability to participate regularly throughout the study period.

Local Vibration and Ankle Mobilization in Multiple Sclerosis