Over the past year I’ve been experimenting with improving
my leg strength during which I gained back a lost skill. I share the surprising
results below.
Since my ALS diagnosis in 2010, I’ve followed a
daily practice of range-of-motion exercises based on fundamental movements
taught by the strength and movement specialist company Original Strength. I
also do a series of modified yoga, Pilates, and gymnastics moves.
But, somewhere along my ALS journey, I lost the ability
to sit down and get up again without needing someone’s help. My sitting was
more of a free-fall “plopping” onto the chair. Getting up required great
effort. I’d take a heave-ho push and then lean onto a nearby side table or have
someone grab my hands to pull me onto my feet — not a pleasant experience.
One day, I got fed up with all my plopping and pulling
and worried that I was losing my leg strength for-ever. So, I designed a mini
program to improve my failing leg strength.
In general, exercise for ALS patients is meant
to maintain joint mobility and muscle strength. Studies rarely
mention the word improvement.
But, I wondered, What’s the worst that could
happen? If nothing improves, then I’ll just be right where I started. At
least, I wanted to know I tried.
My plan of attack
In gyms worldwide, the tried and true leg strengthening
exercise is a full squat.
Yikes! A full squat would have me calling 911. I
better look up a modification!
I remembered that the easiest, bottom-rung version of a
full squat is an air squat: From a stand, bend the knees a little, then return
to a stand. Don’t laugh; it’s an accepted fitness exercise.
I wasn’t laughing. All I could manage was a
drop of about 4 inches before my leg muscles began tremoring. However, I
managed 10 in a row. So, I added air squats to my daily routine.
I also knew that to make any real progress, I would have
to practice with a real chair.
Down, up, and down again
Positioned with a chair behind me and a rollator in
front, I lowered my hips down toward the chair as slowly as I could, resisting
all the way.
Once safely seated, I counted “one!”
Frankly, that’s all I could do! It was a “humble-pie
moment,” as my grand visions of easily knocking off 10 quickly faded
away. Be willing to do just one, I firmly told myself as I set
a new goal to do one very slow “sit-down” every day for a week.
Turns out I didn’t have to wait a week! Within four days
I figured out that one slow “sit-down” in the morning and another in the
afternoon would double my progress. By week’s end, I doubled it again.
Within another week I was able to sit down and rock
myself back up to a stand by leaning on my rollator handles. The revised goal
became two down-and-ups twice a day — adding one more every week.
At the end of one month, I was doing 10! Slowly, yes, but
10 twice a day … 20 a day! I was smiling!
My new goal was 40 a day!
Here's a great review of how to do a chair squat. Note the body position (no slumping!) and, I do these holding onto a rollator that's directly in front of me.
Slow progress
At some point I switched from air squats to legitimate
chair squats, actually touching down onto the chair before standing up. I
finally hit my goal of 40 a day, divided up as 10 repetitions four times a day.
I even felt guilty when backing up to sit down if I didn’t do one or two chair
squats just for the heck of it before finally sitting.
Mind you, this endeavor takes time, especially when living with ALS. I had
good-feeling days, low-energy days, and “I’m just too busy” days. But whenever
I felt like giving up, I’d chant my mantra: Be willing to do just one!
The results?
I’m still at 40 chair squats per day. I still hold onto
my rollator for balance while doing them. It still takes effort to get up from
a chair. However, I don’t need anyone to help me and I don’t feel shaky
anymore.
My posture has improved and when I walk with my rollator,
I walk a little taller.
At my last visit to the ALS
Clinic, the physical therapist commented that my leg muscles tested
stronger.
“Forty chair squats a day!” I blurted out.
Raising an eyebrow, he replied, “Whatever you’re doing,
keep on doing it.”
UPDATE: It’s been almost a year since I began doing
chair squats - - and I continue to do them e-v-e-r-y-d-a-y. Now, I can sit onto
my chair, wait a few seconds, then stand up without rocking or great effort. I
still hold onto my rollator, but I have renewed confidence in my leg and hip
muscles.
And continued confidence in the power of: “be willing to do just one!”
A version of this post first appeared as my column on
the ALS News
Today website.
Dagmar Munn ALS and Wellness Blogger |
If you never try,
you'll never know.
That's great! Before my diagnosis I went to a physio and that was one of the exercises prescribed;along with rising up on your toes, 3 sets of ten. And others.
ReplyDeleteThank you for this! I’m gonna give it a try! I have some bad “pity party” days- this may help encourage me.
ReplyDeleteI am gonna give this a try too! Thanks
ReplyDeleteI love this idea !! Thank you . I will start with just one squat tomorrow at work with my cane nearby.
ReplyDelete