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Thread: Article on stretching and MSers from Active MS site, Dave Bexfield’s site

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    Distinguished Community Member Lazarus's Avatar
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    Default Article on stretching and MSers from Active MS site, Dave Bexfield’s site

    By Dr. Ken Seaman, PT, MA, DPT

    Based on decades of experience working with people with multiple sclerosis, in my professional opinion stretching is the most important part of an MSer’s exercise regime. Why?

    You can lose muscle mass for long periods of time, yet still regain strength years later. You can lose aerobic capacity for long periods of time, yet regain heart fitness within months. However, should you truly lose range of motion in your joints for an extended period of time—a condition that can be caused by spasticity, poor positioning, ill fitted equipment, etc.—it may be impossible to regain full movement without some form of drastic intervention, which often times means surgery for either tendon release or to sever the nerve-muscle pathway.

    Spasticity is Bad, M’kay? What exactly is spasticity? As defined by the National Institute of Neurological Disorders and Stroke (part of the National Institutes of Health), spasticity is a condition in which certain muscles are more easily contractible than normal. This contraction causes stiffness or tightness of the muscles and may interfere with movement, speech, and manner of walking. Spasticity is usually caused by damage to the portion of the brain or spinal cord that controls voluntary movement and often occurs in association with multiple sclerosis.

    Symptoms may include hypertonicity (increased muscle tone), clonus (a series of rapid muscle contractions, usually in the ankle or wrist), exaggerated deep tendon reflexes, muscle spasms, scissoring (involuntary crossing of the legs), and fixed joints. The degree of spasticity varies from mild muscle stiffness to severe, painful, and uncontrollable muscle spasms. Spasticity can interfere with rehabilitation in patients with certain disorders, and often interferes with daily activities. Treatment may include such medications as baclofen, Zanaflex, diazepam, tizanidine or clonazepam.

    But from my vantage point, a solid physical therapy regimen should be your first line of defense.

    Stretch Thrice a Day Flexibility exercises—muscle stretching and range of motion exercises (ROM)—can help prevent shrinkage or shortening of muscles and can help reduce the severity of spasticity symptoms.

    Stretching should be performed daily on parts of the body that are most effected by spasticity. Typically those muscles most at risk for tightness include the hamstring, lower back, hip flexor (muscles on the front of the thigh closest to the trunk) and muscles on the inside of the thigh. If nothing else is done throughout the day, it is good practice to lengthen these muscles by stretching them at least two or three times per day.

    You don’t need to stretch for long periods of time—usually one to three repetitions of 15-30 seconds on each of the aforementioned muscle groups, ideally three times per day, is sufficient.

    Proper form is essential. For instance, in stretching the hamstring muscles it is very important to keep the knee of the leg you are stretching straight and attempt to bring the chin toward the toes rather than the forehead to the knee. One item that cannot be emphasized enough: never bounce! This may actually cause your muscles to tighten even more.

    A book I highly recommend for stretching is Bob Anderson’s Stretching (many versions available on Amazon).

    Dr. Ken Seaman began working with individuals diagnosed with multiple sclerosis in 1983 and has since become one of the country’s groundbreaking physical therapists in MS, earning an induction into the National MS Society’s Volunteer Hall of Fame in 2003. Click here to read his full bio.
    Linda~~~~

    Be the kind of woman that when your feet hit the floor each morning the devil says:"Oh Crap, She's up!"

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    Distinguished Community Member SuzE-Q's Avatar
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    Thanks, Linda! Very good, helpful info there!

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    Wish he gave the whole regimen, not just the hamstring! I will try that one. Gotta be careful with SPS!

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    Distinguished Community Member SuzE-Q's Avatar
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    Quote Originally Posted by Sunshine View Post
    This quote is hidden because you are ignoring this member. Show Quote
    Wish he gave the whole regimen, not just the hamstring! I will try that one. Gotta be careful with SPS!
    I tried to find any videos of his on youtube, but, no luck.
    Please Note that my posts may have been arbitrarily altered by a Moderator and may not reflect my original content.

    Per Mike Weins: "...the admin/mod team doesn't have to provide a forewarning/warning/mention about altering a members post. It doesn't matter if they fix a link, remove a link, fix a typo, or whatever...."

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    I did the hamstring several times daily I’ve the past several days and def noticed improvement. In fact when I started, I was surprised at how I stretched it had become. Thank you!

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    I have also renewed my practice of stretching daily...throughout the day. If I stretch before I get out of bed it is amazing how much more energy I have to start the day.
    Linda~~~~

    Be the kind of woman that when your feet hit the floor each morning the devil says:"Oh Crap, She's up!"

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    I will buy the book.thanks

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