I think this is a real important issue with Spinal Cord Injury..especially as i know personally that strength and improvements can continue after rehab and long after the nerves have gone beyond the 'expected' regeneration time frame.
Are the improvements due to healing? To be honest i agree that some of the initial improvements will occur within the time of regeneration but i strongly believe that strength..muscle power can improve beyond this providing we are actively exercise on a regular basis.
I wonder if some people just accept their loss of function and focus at rehab and then don't work at making further progress as they feel it may be pointless? This would be a shame because so many people who continue exercise, do improve...in different degrees...
I thought it would be good to look at a poll to see how many people actually do continue with their own exercise after their rehab ended and if improvements were made...please feel free to add any comments...
I will continue to go to physical therapy until Medicaid won't pay for it anymore. I haven't been to PT for over a month because my truck was broken down in the shop, but I will be going again regularly starting next Monday.
I attend PT three times a week and have deffinetly made huge improvements, it was a real struggle to transfer from bed to wheelchair and vic a versa on my release from hospital, now I can walk about forty metres with the aid of a walking frame.
Post by kilg0retr0ut on Apr 1, 2014 4:12:42 GMT -8
I still exercise twice a week but have had lulls, while remodeling house, when life gets to busy. Thats the hardest part of working out for me, is staying on top of it. I was working out three times a week. What I found was I was sore pretty much all the time, don't get me wrong the good kind of sore, the problem then was I was weak and had to be real careful not to injure myself while recovering. Life has slowed a bit for me so I need to spend more time than I do now. The safety issue bothered me also Butiki, I had to buy a lifting cage so I could crash my weights without getting hurt.
Ah definitely kilg0retr0ut its very important to consider safety...i think it can be said for many of us that we can do a little more. Im stepping up my fitness right now..the spring has motivated me but ive seen such a difference since i left rehab and worked harder and i want to see what further progress i can make now
The poll said something like and still getting stronger. So I just want to add that you can reach a plateau, and don't be discouraged if you do. Stay at it and you will move past it in time.
True and excellent advice!...... so many people give up when they can improve still...its not all about nerve regeneration....of course its important but working hard with what you have to get the best from it and the best independence is what counts
Post by offroaderswife on Apr 1, 2014 6:15:47 GMT -8
After I returned home from rehab in June of 1994 I did about 3 weeks of out patient PT. I went back to work soon after and never went to PT again. I'm very active and workout M-F with cardio on a stationary arm bike and do strength toning with weights. The only thing I wish I would have continued was the range of motion exercises in my legs. After 20 years they are tight behind my knee caps and do not straighten out. It doesn't cause any problems but I wish I could lay flat on my back and have my legs stretched out sometimes. I love riding my hand bike for exercise too.
offroaderswife...its great how you keep up your exercise and how you love riding out on your hand bike...
And thankyou for sharing your opinion/experience on how you feel you would have benefited on keeping up with exercises to help prevent that tightness at the back of your knees. Thats actually very helpful advice for those with newer injuries
I have to admit I haven't done range of motion exercises for awhile.(long time) Good post!
For me, the range of motion exercises have been very important as I have also had to deal with Piriformis Syndrome while I've had CES. I had Piriformis Syndrome for a long time before CES but everyone thought it was arthritis. It wasn't until in Physical Therapy for CES that my therapist identified the issue. She gave me some more (in additions to CES items) stretches and strengthening exercises to do and as long as I do them regularly, I have no problems from my piriformis muscle anymore. Before the piriformis, I couldn't bring my right foot up to rest on my left leg in order to tie it - too much pain. Now I can with no problem. So that was something good that came of my CES.
The point is, though, even with 14 months of strengthening, I still only have about 65% of my pre-CES strength in my right leg, 80% in the left. I believe that the exercise will improve that, albeit slowly.