Equipping People To Make Sense Of What They Are Told
Muscle weakness in MS -The primary cause of weakness in MS is poor transmission of
messages by damaged nerves, mainly within the spinal cord. This process can create
a cycle of decline, as an already weak muscle that is not used will become weakened
further(atrophy).
As muscle weakness in MS is due to problems with getting messages along the nerves
rather than within the muscle itself, expending a great deal of energy by exercising
to the point of exhaustion doesn't help and can make weakness worse.
For many years those with MS were advised to avoid exercise due to the impact it
could have on weakness and fatigue. It is now felt that exercise is beneficial if
it works on gently building up endurance and strength in muscles without increasing
fatigue.
Weakness can be a contributing factor in other MS symptoms:
Weakness in both legs - paraparesis
Weakness in one leg - monoparesis
Both can lead to problems with walking and balance.
A lack of strength can make bowel problems worse.
Weakness and fatigue are closely linked and the one often worsens the other.
For many years people with MS were advised to avoid exercise due to the impact it
has on weakness and fatigue. It is now considered that exercise is beneficial, however
only if it works on gently building up endurance and strength in muscles without
increasing fatigue.
Note -Exercising to the point of exhaustion doesn't help and can make the problem
worse.
You must discover the exercises that are best performed for your individual case.
This is best done with the aid of a physiotherapist who is experienced in dealing
with MS. The exercises should promote balance and coordination.
People who have muscle weakness or heat-related symptoms may find it more beneficial
to exercise in water. Water can ease difficulties in maintaining balance by providing
support and because water persistently cools the body it helps to reduce heat related
symptom problems that could arise due to the build up of body heat caused by exercise.
The treatment of muscle weakness cannot be separated from that of spasticity and
fatigue. When muscles are less stiff movement requires less energy.
Drugs that relieve spasticity may raise energy levels. However if the dosage is too
high muscle weakness may worsen.
Other techniques of fatigue management:
Prioritising activities.
Conserving energy.
A physiotherapist can help develop appropriate strengthening exercises.
An occupational therapist can advise on aids and adaptations that make the most of
available strength and ability.
Whole body vibration technology may assist in combating muscle atrophy by promoting:
