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Taming Stress in Multiple Sclerosis - National Multiple Sclerosis ...

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Progressive muscle relaxation<br />

Progressive muscle relaxation is often used as an aid to<br />

stress management. And, done <strong>in</strong> bed before you go to<br />

sleep, it can be an aid to a sound night’s sleep.<br />

Go<strong>in</strong>g through your body’s entire group of muscles—<br />

tens<strong>in</strong>g, relax<strong>in</strong>g, and focus<strong>in</strong>g on the changes—will take<br />

about 12 to 15 m<strong>in</strong>utes. If it takes less than that, you<br />

are mov<strong>in</strong>g at a non-relax<strong>in</strong>g speed. These exercises will<br />

provide the most benefit if you do them twice a day. If<br />

there are some muscle groups that you cannot work with<br />

comfortably, skip them.<br />

If you have significant spasticity <strong>in</strong> some muscles,<br />

strongly tens<strong>in</strong>g those muscle groups could trigger<br />

a spasm. You may want to speak with a physical<br />

therapist or other MS health professional about ways<br />

to work <strong>in</strong> a more comfortable way.<br />

Many people, especially those with cognitive problems,<br />

f<strong>in</strong>d that the exercises are easier to do along with a<br />

prerecorded tape. You can prepare the tape yourself or ask<br />

someone with a relax<strong>in</strong>g voice to do it for you.<br />

You will work with each of 17 muscle groups <strong>in</strong> a<br />

specific order. Tense, but don’t stra<strong>in</strong> each muscle<br />

group. Hold the tense position for the slow count of five,<br />

pay<strong>in</strong>g attention to the way those muscles feel. Relax the<br />

muscles—lett<strong>in</strong>g them go totally limp. Focus for a count<br />

of five on how the muscles feel when relaxed.<br />

STAYING WELL<br />

25

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