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Moving Beyond Barriers to ActivityMoving Beyond Barriers to Activity Hurdle 1 My symptoms affect my ability to exercise and stay active. The first step is to examine what factors or combinations of factors are preventing you from engaging in physical and recreational activities. Once identified you can either work through the problem treating it with the help of your medical team or rehabilitative specialists or work around the problem engaging in adaptive exercise and sports programs or choosing other types of recreation that give you similar enjoyment or benefits. Very often the best success comes from combining medical and adaptive strategies. The following chart gives an idea of how you can put this approach into practice 17 Symptom How it affects me The medical The adaptive approach approach Fatigue I used to go to the Medication energy Exercise when I have gym after work but conservation training energy on my days now I have barely from an occupational off and on weekends enough energy to therapist exercise for shorter get through the day. periods more frequently. Balance I dont feel safe Physical therapy to Do seated and reclining Issue doing yoga anymore. improve balance. poses rather than Im afraid I might standing and balancing fall and get hurt. poses.Try chair yoga or ask my instructor to adapt poses for my safety. Weakness I love riding my bike Evaluate whether Try a recumbent but after my last caused by MS electric-assisted or relapse I no longer progression or hand-pedaled bike. have the strength. deconditioning. Physical therapy. Paralysis I can no longer ski Occupational Look into adaptive or run since I lost physical or seated skiing or the use of my legs. recreational therapy. wheelchair sports. Use the chart on the next page to list the factors that interfere with your exercise and recreation then ask your healthcare team and fitness professional to help you fill in the possible solutions