| Stretching For People With Multiple Sclerosis |
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Stretching has many benefits for all people. Some of the benefits of stretching include:
- Reduction in muscle tension/promotion of relaxation
- Prevention of muscle strains
- Increase in range of motion at specific joints/increase flexibility
- Development of body awareness
- Promotion of circulation
- Improvement in posture secondary to muscle tightness
- Reduction in pain due to muscle or tendon tightness
Stretching can be even more important for people with MS who experience symptoms of
spasticity or increased muscle tone. The specific benefits may include:
- Decreased muscle tightness
- Decreased pain caused by muscle spasms or poor posture
- Prevention of contractures due to spasticity
- Improved posture for sitting and walking
- Improved mobility
Stretching for people with MS, who experience spasticity, may sometimes be sufficient in
reducing the muscle tension and managing spasticity. However, many times stretching in
combination with medications is the most effective means of managing spasticity.
Stretching can generally be accomplished without any equipment. However,
certain situations require use of equipment or assistance from a partner.
Equipment sometimes used includes a towel or belt to assist with the stretching.
Proper posture during stretching is important in order to gain the maximum benefit.
Stretching is separated into two general categories, Ballistic and Static.
Ballistic stretching is not recommended because it includes bouncing which can
cause injury. Static stretching is recommended and includes performing the
stretch in a relaxed, sustained manner. Each stretch should be held in a
position where a comfortable, pulling sensation is felt, but not pain.
Holding the stretch for 20-60 seconds is recommended. When stretching,
it is important to maintain a regular breathing pattern. DO NOT HOLD YOUR BREATH!
Stretching exercises are usually recommended on a daily basis, but it may be
appropriate to stretch more frequently if spasticity or “tightness” is a specific problem.
Some tips for success in your stretching program include:
- Take advantage of “peak medication effect” if taking anti-spasticity medications (consult your physician for this information).
- Perform stretching in a quiet, comfortable setting.
- Consult a physical therapist, occupational therapist, or exercise physiologist
with training in neurological conditions to help you identify the appropriate
stretching exercises based on your needs. In addition, they can provide you with
appropriate training on body position and partner stretching programs.
There are other activities which incorporate stretching techniques and may be
effective in promoting relaxation, body awareness, and flexibility. Activities such
as yoga, Tai Chi and Feldenkrais lessons are some alternatives.
The most important aspect about any stretching program is to develop a consistent
routine and enjoy!
Brian Hutchinson, PT
President, The Heuga Center
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| - reprinted with permision from- The Heuga Center. |
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