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    Outstanding webinar! Dr. Shapiro’s lecture was the most informative one hour in the subsequent 19 years. The stuff Can Do MS is putting up is cutting edge communication use of the Internet. I went to the CAN DO Program 19 years ago. It was the most rewarding 5 days of my 25 years with MS. There I learned to accept the disease I had. Thank you to all involved.

    Anonymous, Webinar & CAN DO Program Participant

    by Can Do Multiple Sclerosis

    Stretching has many benefits for all people.  It is an activity which we can all participate in to one degree or another. 

    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 many ways to participate in a stretching program and many ways to stretch the same muscle.  Therefore, if you have difficulty stretching in one way, there are other ways you can stretch the same muscle or muscle group. With your physical therapist, occupational therapist or exercise specialist determine the most appropriate stretching program for you and do what you CAN DO! Some stretching resources: 

    The National Multiple Sclerosis Society publications: Stretching for People with MS and Stretching with a Helper for People with MS

    Multiple Sclerosis Association of America 

    Stretching, Inc.

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