A physical therapist can design a regimen that is appropriate for each individual's needs. It may include both passive and independent stretching. For passive stretching, an affected joint is slowly moved by a therapist or helper into a position that stretches the spastic muscles, and held there for about a minute, allowing it to slowly relax and release tension. Independent stretching may include standing or even yoga and swimming. Some local chapters of the National Multiple Sclerosis Society sponsor yoga and other exercise classes that have been modified for people with MS, including those in wheelchairs.
Relaxation exercises accompanied by deep breathing techniques and imagery can help, too.
They are often included in yoga classes or can be learned from books on yoga or stress. 733 Third Ave., New York, NY 10017-3288. Ask for Catalog No. DR5153. The NMSS also has booklets on stretching and exercise which are available on request. Mechanical aids and medications Custom-made devices such as toe spreaders and finger spreaders can relax tightness in the feet and aid mobility.