通过这些PT练习来缓解小儿MS疼痛

纽约州纽约市特殊外科医院的儿科康复物理治疗师杰克琳·格拉夫说：“绝大多数儿科MS病例都在复发缓解，症状持续几天或几周恶化，然后在一段时间内部分或完全缓解。”。“虽然孩子在缓解期可能没有症状，但仍可能发生神经损伤。”这就是为什么让运动成为日常习惯很重要。专注于保持乐趣，停止做任何会导致疼痛的事情，在开始新的锻炼程序之前，一定要和孩子的医生谈谈。准备好的我们走吧。

For kids with MS, tight hamstrings can trigger back pain and, according to Graff, make standing and lying with straight legs uncomfortable. To relax the hamstrings, have your kid lie on his or her back. Wrap a long sheet or belt around one foot, with the child holding the ends. Ask your child to raise a foot toward the ceiling, keeping the knee as straight as possible, to feel a gentle stretch in the back of the leg. If your child needs help, hold and raise the leg for her or him. Do three to five 30 to 45-second holds per leg.

伸展小腿可以使孩子们更容易to stand with their feet flat on the floor without pain, Graff says. Have your child sit down with one leg extended, the other relaxed and bent. Wrap a long sheet or belt around the extended foot, with your kid holding the ends. Your child will then pull at the sheet or belt, drawing back the toes for a gentle stretch in the calf. If the child has trouble holding the sheet or belt, gently press back his or her extended foot yourself. Do three to five 30- to 45-second holds per leg.

MS的常见症状包括胸部和肋骨紧绷。根据多发性硬化信托基金会的说法，这种拥抱通常被称为MS拥抱，它能让人感觉到你的胸口戴着一条紧箍带。在某些情况下，它会让人感觉难以进行充分的深吸气。为了帮助放松收紧的胸肌，让孩子站在门口，将手和前臂放在门框两侧。现在，训练孩子身体前倾，轻轻伸展肩膀和胸部前部。做三到五次30到45秒的保持。

格拉夫说，在发作期间，你的孩子可能会比平时花更多的时间坐着，这会导致臀部紧绷，还会增加背部和臀部的压力，刺激疼痛。为了帮助缓解过度的压力和放松髋屈肌，让孩子一整天都趴在肚子上一个小时。胃部活动的选项包括绘画、阅读、猜谜和玩棋盘游戏。

Trochanteric bursitis, in which the fluid-filled sacs that pad the hip joint get inflamed, is a common cause of pain with MS, according to research published inPractical Neurology.为了减少对该区域的压力，格拉夫建议在一天中间歇性地用儿童的桌椅替换稳定性球。让你的孩子站起来，脚跟直接放在球的前面，然后坐下来，两脚始终放在地板上。如果你的孩子在球的位置上有困难，当他或她坐着并找到平衡时，将球保持在原位。

根据发表在《纽约时报》上的研究，在多发性硬化症中，股四头肌经常失去肌肉质量和力量，导致膝盖疼痛和行走力学疼痛Journal of Physical Therapy Science. Strengthening the quadriceps, especially at their end range of motion, can help, Graff says. Have the child sit down with one leg extended on the surface in front of them. Place a rolled-up towel under that knee. Have the child push the back of their knee down into the towel to contract the muscles in the front of the thigh. Do two sets of 10 five-second holds per leg.

The less strength your kid has through the lower body, the greater chance of painful falls, per a 2020 study in足踝研究杂志.为了减少受伤导致摔倒的风险，让孩子站着，脚后跟直接放在椅子前面，手臂伸直向前。告诉你的孩子坐在椅子上，然后站起来，不要用手。（让它变得有趣，就像游戏一样！）如果他或她平衡有困难，握住孩子的手寻求帮助。做三组10次重复。或者，每顿饭坐在桌旁试着重复五次。

格拉夫说，多发性硬化症儿童跌倒的另一个原因是神经系统疾病，该疾病侵袭大脑和内耳前庭系统。当系统出现问题时，孩子们会感到失去平衡、头晕或像在旋转。为了训练这个系统，让你的孩子站在几英尺远的地方，双脚并拢，面向你。拿着一个柔软、轻盈的球，轻轻地朝孩子扔过去接球。然后让你的孩子把它扔给你。一旦感觉轻松，让孩子单脚保持平衡，然后throw and catch. Do three sets of 10 passes back and forth.