Multiple Sclerosis Community
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1936411 tn?1333835449

Stretches/Exercises To Improve Gait

Can we talk a bit about physical therapy and/or exercises intended to improve gait and build strength in the legs? Since my last flare, I have some very mild gait/balance issues that my neuro probably wouldn't assess as requiring physical therapy. But I would like to be proactive and begin building a repertoire of exercises which will help me improve my gait and leg strength now (rather than wait to see if things get worse later).

I know several of our members are attending PT and some have pieced together some routines on their own that have helped. I would love to hear about some of the specific stretches/exercises they feel have been beneficial. If anyone has any good websites or videos to share, that would be great as well. I'm hoping this topic will be useful to many of us.
14 Responses
198419 tn?1360245956
Yes! Lets! I'm not in PT, but feel so much better when my muscles are not all stiff and tight. I try to stretch regularly, but admit I could do a better job.

I do it random. Sitting on the couch, or leaning on a window sill, etc.

Would love to hear from those in a program, or those who know a routine. Because it does get worse :( if we don't do something
Avatar universal
For balance, my PT has me sit in a corner on an exercise ball. He sits in front of me to catch me, then I roll the ball out, put my feet together, hands on knees and close my eyes. we also do a similar thing standing on a piece of foam. Just make sure someone is with you!!  I can give you other exercises for leg weakness if you want them.

If you think you would benefit from PT, then I would push the neuro. I never thought I was bad enough for PT, but here I am, once a week, driving the PT guy nuts!!
1936411 tn?1333835449
Thank you, cuttersmom! That is great info. I would love to hear more if you have time to share.  I will definitely talk to my neuro about my issues. Thank you for the encouragement.

- Jane
738075 tn?1330579444
I have gait and balance issues, too.

My routine? I get out of bed every morning and stretch my calves (gastrocnemeus and soleus), quads and hamstrings.  Then I stretch my triceps and forearms, and do seated twists to loosen my back  If you're into Yoga (as I am), there are many asanas (poses) that stretch all muscle groups.  If you're not into Yoga, this page is a good place to start:

physicaltherapy dot about *******

Follow links on left side of page under Keep Your Balance.

There are some good ideas here. Do push your neuro, though - there's nothing like one-on-one therapy!

Good luck, Jane!
987762 tn?1331031553
What a good idea this is, i too would love to add some more strengthening exercises to my kit bag, i do seem to be loosing my legs more quickly and what i've been doing no long seems to be helping.

wii - exercise games, yoga, zoomba (balance isn't good enough for it, you?)
Resistance bands - stretchy elastic thingy thing - you maybe working your legs but your arms are getting a work out too.

Bench top stretching - I do semi yoga, i cant do most things anymore because i need various forms of support or i go over. To make sure i stay stretched out, i got my self into the habbit of using those few minutes whilst the kettle was boiling. Strange but for me true, 'holding' onto the kitchen bench gives me the most support, i stand at the middle. I stretch my calves walking backwards, upper body leaning forward (note i'm still holding onto the bench lol) heels on the ground. If you need your entire upper body can be supported by the bench if your chest is kept close, arms flat. When i want to include my arms i do the above but my chest is as far away from the bench as my arm length can go, my arm strength is holding me up.

I do knees together semi squatts, verticle to the bench, arm length away but 1 hand holding for support, and sometimes it helps to pull my self back up again, i fold and stand, repeat. I hold onto the bench with 2 hands doing normal sizzor squatts, knees wide apart, standing straight then slowly lower your trunk until its level with your bent knees, hold then straighten, repeat. Holding the squatt position, holding onto the bench, jump.

I can't hold my legs up anymore, so i use the bench to support my foot, stand facing the bench, put your foot on the bench, lean forward trying to get your face to your knee, change sides. Facing 90deg to the bench, put your foot up and slightly bend your supporting knee, stand and repeat, then change sides. Facing the bench, body close or touching, put your foot onto the bench, bend your supporting leg, stand, repeat, change sides.

Core strength- lay flat (i use the bed) keeping legs straight, lift them until they are suspeded approx a foot high, hold, rest, repeat. Annnd my mind just went blank lol! something about legs flat and pulling up into a sitting position.

I use to climb double steps, jog up 5 flights of stairs with out noticing but now i can't use a 2 inch stepper platform with out going over lol can you get them with hand rails? lol Almost every exercise i do, requires some form of solid support, something i can hold onto, even if its just a wall behind my back. Um ROFL when i tried using my exercise ball, my brain went on a holiday, fall much ouch lol OH oh if you drop with closing your eyes like I do, do the exercise but if your suppose to close your eyes, dont! I hope i gave you some ideas.



1760800 tn?1406757051
I do alot of quad and hip flexor strengthening exercises.

The number of reps and sets are what I am up to now.  Of course do what is comfortable.

lay flat one knee bent and lift opposite leg -  3 sets of ten then switch

Stand on a 2 inch box and lift knee up like I am marching do  2 sets of ten on each side

Wall squats -  take an exercise ball up against a wall and roll down into a squatting position and roll back up.  My pt has a band tied around my knees so I have to push them out while rolling up and down -  I would only do these with someone around especially in the beginning.

Lay on table and bend lower leg in at 45 degree angle roll forward on hip and do leg lifts with top leg 30 of them

I have found that doing planks also helps because a strong core helps to support legs.  

One other thing they have me do is stand on foam with my legs together and close my eyes.  stand there for 30 seconds 5 times.  this too is good with another person -  This has helped my balance tremendously.\

I hope this helps -  This is a sample of what I do every time at pt.  My PT sessions are around 2 hours long.  In addition I do other exercises and then walk on treadmill, walk the facility frontwards, back wards, sidewards, and then walk over hurdles.  Yes it is exhausting but it has helped so much.

The best part is when they stretch me I have really bad spatiscity.  But when I started my legs was at like a 30 or 45 degree angle now it is 90 degrees straight up so it is working.
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