Q: I’m a C6 quad and I can do easy transfers independently utilizing a sliding board. That’s high-quality at house, however I hate having to lug a board round after I go wherever. Equally, I drive a ramp-equipped van, however I’d love to have the ability to switch right into a automobile independently to make leases and transport simpler after I’m touring. What are some issues I can do to get stronger with my transfers?
A: As a C7 quadriplegic, I perceive how vital transfers are for independence, particularly when away from house. There may be a wide range of workout routines that may improve your higher physique power and make transfers simpler, or perhaps even scale back your want for a sliding board.
However earlier than I clarify workout routines and health methods, I feel it’s vital to make all of your transfers as straightforward as potential. There are not any medals for doing troublesome transfers, and we need to hold our muscle mass, joints and ligaments as wholesome as potential for so long as potential. If that entails utilizing a sliding board a number of the time, then I like to recommend utilizing one when you may.
For these occasions when a sliding board doesn’t make sense, studying to switch with out one would require new strategies, stability and use of your muscle mass. Whenever you’re prepared to start out working towards approach, please try “Mastering On a regular basis Wheelchair Transfers” on newmobility.com.
Writer Ben Clark, a C7 quad and founding father of the Adapt to Carry out YouTube channel, performs dumbbell shoulder shrugs. They’re an efficient approach to strengthen higher again muscle mass that may assist hold you steady throughout transfers.
Power Issues
Upon getting your approach down, there’s little doubt that elevated power is useful not simply to make transfers simpler but in addition to guard the shoulders. Let’s take a look at just a few workout routines that may assist.
• Mendacity shoulder squeezes are an train the place you lie face down and retract or squeeze your shoulder blades collectively. By partaking the muscle mass between your shoulder blades, this train helps enhance posture, enhances shoulder stability and may alleviate higher again and neck discomfort. It’s notably useful for holding your shoulders steady by means of your transfers and decreasing the danger of damage. If mendacity face down is just too troublesome, you may lean over your lap whereas seated in your wheelchair and even do shoulder squeezes whereas seated in an upright place. Do 20 squeezes every single day, holding every squeeze for 10-15 seconds or so long as you may.
• Dumbbell shoulder shrugs are a easy but efficient strength-training train that may be a step up from the earlier train. To carry out dumbbell shoulder shrugs, you sometimes sit upright with a dumbbell in every hand, then elevate your shoulders in a managed upward movement, as if attempting to the touch them to your ears. Shoulder shrugs are a wonderful approach to construct power in your higher again muscle mass and stabilize the shoulders. In case you have restricted grip, Energetic Palms gloves may help safe a dumbbell, and wrist weights work too. This train may also be accomplished with a resistance band tied below your footplate. Do that train thrice per week, performing the actions in three units of 10, with two minutes’ relaxation between every set.
• Straight arm rows assist transfers in various methods, together with working muscle mass of the higher again and offering static strength-building for the triceps. Even if you’re not actively extending your triceps in a switch, the muscle nonetheless retains the elbow steady. The stronger the triceps, the simpler the motion. To carry out a straight arm row, you safe a resistance band in entrance of you at shoulder top, holding onto the band — or wrapping it round your wrist —and increasing your arm in entrance of you. Then pull the band towards your hip whereas holding your arm straight. In case you have stability points, you are able to do one arm at a time. This train may also be accomplished with a cable machine if in case you have entry to at least one. Do that train thrice per week, performing the actions in three units of 10, with two minutes’ relaxation between every set.
You may simply discover dumbbells and resistance bands in most shops that provide health gear, on-line marketplaces and even secondhand shops. You don’t want heavy or costly gear to get began and make an enormous distinction.
Steadiness, Coordination and Flexibility
Steadiness, coordination and adaptability are important facets of profitable transfers. Strengthening these expertise can considerably improve your capacity to switch safely and independently. Listed below are some particular workout routines and practices that will help you enhance on this space.
• Steadiness Apply: Begin by sitting upright in your wheelchair with out utilizing the backrest, or on a flat floor like a mattress. Initially, you may want help or cushions for help. Progressively lower the help till you may comfortably sit unsupported.
• Weight Shifts: Whereas sitting with out a backrest, apply shifting your weight backward and forward and ahead and backward whereas sustaining your stability. This mimics the actions required throughout transfers.
• Yoga: Many yoga poses and stretches may be tailored for wheelchair customers. Yoga is a wonderful approach to enhance flexibility, stability and power whereas remaining seated in your wheelchair.
• Stretching: Carry out stretches that focus on the muscle mass in your arms and shoulders. Attain one arm throughout your chest and gently pull it with the alternative hand to stretch the again of the shoulder. Repeat on the opposite aspect. Put your arms in your wheels behind your hips and squeeze your elbows collectively. This may stretch the entrance of your shoulders and your chest.
Apply your stretching and stability every single day should you can. Yoga may be accomplished just a few occasions every week. You could find movies on my YouTube channel, Adapt To Carry out Yoga.
Exercise Movies
Resistance Band Shoulder Exercise for Wheelchair Customers
This video offers an efficient resistance band exercise particularly tailor-made to reinforce shoulder power, providing a sensible and accessible means so that you can enhance your switch skills.
Enjoyable Wheelchair Yoga
Discover the sensible advantages of yoga for wheelchair customers — together with extra vary of movement and decreased threat of damage whereas transferring — on this 10-minute video.
Proceed Studying
Match Into Your Routine
With all of those practices, consistency is vital. An incredible assist for consistency is linking workout routines with stuff you already do. For instance, do your mendacity shoulder squeezes earlier than getting off the bed within the morning; do your stretches whereas your espresso is brewing; do your dumbbell workout routines earlier than you have got lunch, and so forth. Linking workout routines along with your already-established routine helps you keep in mind that it’s time to do them and will increase your chance of being constant.
Bear in mind, progress takes time, so be affected person with your self. Gradual will increase in power and stability will provide help to develop into extra impartial in your transfers. All the time prioritize security, and should you expertise any discomfort or ache, seek the advice of with a well being care skilled. Your dedication and dedication will definitely repay, making journey and day by day life extra accessible and fulfilling. Hold pushing ahead!
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