Abstract Introduction: Many individuals with multiple sclerosis (MS) experience fear of falling, which poses challenges to their daily activities. Recent studies have emphasized the use of TRX exercises for the rehabilitation of MS patients. Therefore, this study aimed to investigate the effect of TRX exercises on fear of falling in women with MS. Method: A total of 30 women with MS, aged 40–45 years and with an Expanded Disability Status Scale (EDSS) score of 1–4, were purposefully selected from those referred to the MS Society. They were divided into control (15 participants) and experimental (15 participants) groups. The exercise protocol consisted of 6 weeks of TRX training with four levels of difficulty (from simple to complex), conducted 3 sessions per week, with each session lasting approximately 30 minutes. Fear of falling was assessed using the Falls Efficacy Scale questionnaire before and after the training period in both groups. Data were analyzed using analysis of covariance (ANCOVA). Results: The results showed a significant difference in fear of falling between the experimental and control groups (p < 0.05). Additionally, the difference in fear of falling scores before and after TRX exercises in the experimental group was significant (p < 0.05). The findings indicate that TRX exercises improve balance and reduce fear of falling in women with MS Conclusion: Therefore, it is recommended that TRX exercises be used as a complementary treatment alongside pharmacological interventions for MS patients. Keywords: Multiple Sclerosis, Suspension Stability Exercises, Functional Ability, Balance, Fear of Falling
