For spastic muscles in multiple sclerosis, what is recommended?

For spastic muscles in multiple sclerosis, what is recommended?

• A. Increased frequency and duration of stretching
• B. Short, infrequent stretching sessions
• C. No stretching is beneficial
• D. Only passive range of motion exercises

Answer: (A)

Regular, sustained stretching is important for spastic muscles in MS. When stretches are performed more often and held longer, they help lengthen tight muscle fibers and connective tissue, reduce resistance to movement, and preserve joint range of motion. This ongoing practice counteracts the gradual stiffening that can lead to contractures and functional limitations, making daily activities easier and safer. Short, infrequent stretching sessions don’t provide enough time or consistency to counteract muscle shortening and hypertonia, so they’re less effective. While passive movements have some value, incorporating longer, regular stretches (and the option for active or active-assisted movements when possible) yields better long-term flexibility and function.

Regular, sustained stretching is important for spastic muscles in MS. When stretches are performed more often and held longer, they help lengthen tight muscle fibers and connective tissue, reduce resistance to movement, and preserve joint range of motion. This ongoing practice counteracts the gradual stiffening that can lead to contractures and functional limitations, making daily activities easier and safer.

Short, infrequent stretching sessions don’t provide enough time or consistency to counteract muscle shortening and hypertonia, so they’re less effective. While passive movements have some value, incorporating longer, regular stretches (and the option for active or active-assisted movements when possible) yields better long-term flexibility and function.