AN ILLUSTRATED MANUAL National Multiple （一个国家多个说明手册）.pdf

Stretching for People with MS AN ILLUS T R AT ED M AN UAL MICHELLE DIAGNOSED IN 2001 Stretching for People with MS AN ILLUS T R AT ED M AN UAL BY: BETH GIBSON, PT Beth Gibson, PT, graduated from the Mayo School of Health Related Sciences in Rochester, Minnesota, and had been working with people living with MS for 20 years. Special thanks to Susan Kushner, MS, PT; Cindy Hugos, MS, PT; Cindy Gackle, OTR/L, MSCS; and Brian Hutchinson, PT, MSCS; for their valuable assistance. Drawings by iMageWorx. Some of these drawings originally appeared in Multiple Sclerosis: A Self-Care Guide to Wellness, published in 1998 by Paralyzed Veterans of America, Inc. They are reproduced here with the kind permission of PVA, Inc. Additional images produced by Nicola Fester, 2011. © 2016 NATIONAL MS SOCIET Y. ALL RIGHTS RESERVED. Contents General Introduction 1 Summary of Special Terms 2 Positioning for Managing Spasticity 4 Some Precautions, Both Obvious Not So Obvious 8 Head Neck Exercises 9 Shoulder Exercises 11 Shoulder Range of Motion Exercises13 Elbow Forearm Exercises 14 Hand Wrist Exercises15 Trunk Hip Exercises 18 Ankle Foot Exercises 22 Sitting Coordination Balance Exercises 24 General With decreased flexibility, contractures may occur that can be painful and significantly Introduction limit range of motion to a joint. The lack of flexibility and normal range of motion can Everyone with MS, regardless of his or her contribute to muscle imbalances, postural degree of ability or disability, needs regular problems and asymmetries, and falls. physical activity. Lack of exercise has serious health consequences, ranging from joint Strengthening contractures, to heart