Each choice must involve duration, intensity and frequency in the execution. It is essential to warm up prior to the aerobic program and is of equal importance to cool down following the session. Often this is ignored with resultant discomfort or injury. Stretching and range of motion exercises are very helpful in the development of a spasticity management program. The stretches may be determined by which muscles are tight.
Range of motion exercises loosen joints while stretching also loosens the muscles.
The stretch should be held for 3-5 minutes allowing the muscle fibers to stretch. They should be done slowly to prevent tearing of the fibers. Stretching prior to aerobic exercise decreases the likelihood of injury. This is because there are no medications which enhance balance and coordination. Balance and coordination exercise are equally frustrating but they do give the person some control over their problems.