Self-help
After stroke many individuals find it difficult to exercise and this can lead to feelings of helplessness and depression. It is easier to carry out exercises whilst having regular physical therapy. However, when therapy stops, it maybe difficult to know exactly how best to continue.
Increasing activity levels through any sort of exercise is very worthwhile, not only to improve lifestyle factors but also to help reduce feelings of helplessness. It should be possible to find an exercise programme appropriate to an individual’s specific limitations. Crucially, this can engender a sense of personal success. Usually this is undertaken in collaboration with a chartered physiotherapist who will be responsible for guiding your rehabilitation. It is essential however, that you fully understand exactly what it is you are practicing and why. Therapy is more successful when there is cooperation and communication with the physiotherapist. It is important you make suggestions and ask questions if you do not know what they are doing or why. Ask for ideas about exercises that you can practice on your own. Also, try choosing those tasks you most want to practice.
Any sort of physical activity is beneficial, whether it be trying some of the specific exercises suggested by a physiotherapist or simply attempting to walk more each day.
Here are some ideas for increasing your strength and fitness:
- Challenge yourself to try and do more of what you are doing already. For example, stand for longer, walk a bit further, climb the stairs more than once a day.
- Try not to do everything with your stronger side. Even if it takes a bit longer, attempt activities like putting weight through your weaker leg when standing, or try to use your weaker hand whenever possible.
- Keep your muscles flexible by stretching and moving regularly. Stretch and move your fingers, make sure your foot is fully flat on the floor, stretch your back (arching and turning), and avoid a slumped sitting posture.
- Think of ways to incorporate exercise into your day or have a specific time which you allocate to completing your exercises. Set yourself specific targets, such as increasing the number of exercises you attempt, or set a specific goal such as starting to walk out in the garden again.
