The difference between ‘regular’ and ‘functional’ exercise
Pre-recorded session
This session is for a recording from Dr Gretchen Hawley where we discuss the difference between ‘regular and ‘functional’ exercise and how to use functional exercise to improve mobility and function for people with MS. The recording is approximately 60 minutes with questions and answers at the end.
Dr Hawley says “functional exercises are activity-based whereas ‘regular’ exercises are weakness based. The difference is that exercises that are weakness based will likely increase the strength of that muscle, but the renewed strength often does not result in improved function with daily activities and movements, like walking”.
Functional exercises break down a specific activity that is challenging and strengthens the body in a specific way that will make that activity easier. For example, if someone has hip weakness which is making it difficult to walk, a ‘regular’ exercise may be a ‘straight leg raise’. However, a functional exercise requires the breakdown of that movement.
Continuing with this example, walking requires knee bending, toe lifting, knee lifting, balance, and weight shifting. Therefore, these five movements should be the exercises that are performed to achieve improved walking.
Replacing ‘regular exercise’ with ‘functional exercise’ can make a world of a difference for those with multiple sclerosis. It’s often the difference between remaining at your current ability level and improving your mobility and energy!”.
Current research trails for producing remyelination includes Bruton’s Tyrosine Kinase (BTK) Inhibitors which are a type DMT’s for MS currently being tested for relapsing, primary and secondary progressive MS. What makes BTK special is how it can target specific immune cells that attack the myelin while retaining the helpful immune cells, something not commonly seen with DMT’s currently available.
Please see our MS-UK’s Choices booklet on exercise which provides an understanding to the benefits of exercise and exercise can help in managing the symptoms of multiple sclerosis.
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A Doctor of Physical Therapy, with years of clinical practice experience, Gretchen is a Physical Therapist and Multiple Sclerosis Certified Specialist through the Consortium of Multiple Sclerosis Centres based in the USA.
She has a special interest in the management and wellness of MS patients, and presents as the Keynote Speaker at numerous MS events including Living Well with MS events sponsored by the MS Society in addition to MS Views & News. Other collaborations include national MS organisations, including the National MS Society, MS Association of America, and MS Foundation. Additionally, Dr Gretchen shares her expertise to MS support groups, podcasts, and on her own YouTube and social media channels.
If you would like to know more about Dr Hawley please visit our website to see Dr Hawley’s previous blog or visit Dr Hawley’s website The MSing Link https://www.doctorgretchenhawley.com
