By Michal Sakal, certified occupational therapist.
Fear of falling during exercise is a common and reasonable concern for many people with MS.
If there is a risk of falling, you can use assistive devices such as a walking stick, a walker and Nordic poles that will not only give security, but also allow you to do more. For example, a person with multiple sclerosis walking without mobility aids may be able to walk for ten minutes before experiencing fatigue and a sensation of foot drop. But if that person uses an assistive device, they may be able to walk fifteen or twenty minutes before the onset of limiting symptoms. To adjust the exact accessory for you personally, consult a physiotherapist.
In addition, you should consider exercises while sitting or with support. Contrary to the misconception that seated exercises are not as effective as standing exercises, seated exercise or exercises that use more of the arms, such as arm bikes or rowing machines, can be a safe and effective alternative.
There are a variety of options to deal with these concerns and practice in a safe, challenging, preserving and restorative way.
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