If the decrease in limb sensation and muscle strength is due to problems in the nervous system, the patient can do more stretching exercises and active exercises to maintain a certain level of muscle strength and sensation.

1. Stretching exercise
   • Purpose: Relieve the tense muscles and increase joint flexibility, thereby increasing blood circulation and improving muscle pain
   • Method: Do some stretching exercises slowly until you feel a slightly tight sensation; stay in that position for 10 to 15 seconds
   1. Tilt your head
      
   2. Shrug your shoulders
      
   3. Raise your hands
      
   4. Stretch your arms to the front
      
   5. Raise one arm up and keep the other down
      
   6. twist your waist
      
   7. Put your palms together, point your fingertips upwards
      
   8. Put your palms together, point your fingertips upwards
      
   9. Push your waist towards the front
      
   10. Tilt your waist
       
2. Active exercise
   • Do some simple exercises for 10 to 15 minutes every day
   • Try to do it step by step; start with a shorter exercise time and gradually increase up to 15 minutes
   • If you feel too exhausted or your heatbeat is too fast or too slow (over 100 or below 60), you should take a break. If the situation does not improve, consult your medical team
   

• Purpose: Maintain muscle strength and mobility
• If the patient is weak, support him/her with a walking aid. Browse Caring tips >Use of wheel chair and walking aids

Key points of walking exercise: After the patients have learnt to use a walking aid, they can gradually try to do walking exercise.

1. Walk by the bed/chair
2. Walk from the side of the chair to about 10 meters away
3. Increase the walking distance indoors
4. Take a walk outdoor

Consult the physiotherapist if the patient feels unwell (such as rapid heartbeat, shortness of breath, pale face).

Breathing techniques can also help relieve the symptoms. Browse Symptom management> Difficulty breathing/Shortness of breath for more details.