Sport & exercise

Adapted exercise and sport help to preserve muscle strength, fitness and quality of life as much as possible.

🏃‍♀️ Exercise is Essential

Stay active, stay strong: Regular exercise is crucial for CMT patients to maintain muscle strength, improve balance, and enhance quality of life. The key is choosing the right activities and adapting them to your abilities.

Benefits of Exercise for CMT

💪 Muscle Strength

  • Maintains existing strength
  • Slows muscle deterioration
  • Improves functional capacity
  • Enhances endurance

⚖️ Balance & Coordination

  • Reduces fall risk
  • Improves proprioception
  • Better stability
  • Enhanced confidence

🫁 Cardiovascular Health

  • Heart health maintenance
  • Better circulation
  • Increased energy levels
  • Weight management

😊 Mental Wellbeing

  • Reduced depression risk
  • Better self-esteem
  • Social interaction
  • Stress relief

Recommended Sports and Activities

🏊‍♀️ Swimming - The Ideal Exercise

Perfect for CMT: Swimming is considered the best exercise for CMT patients. Water provides support, reduces joint stress, and allows full-body movement without fall risk.

  • Buoyancy support: Reduces body weight stress
  • Low impact: Gentle on joints
  • Full body workout: Strengthens all muscle groups
  • No fall risk: Safe environment
  • Cardiovascular benefits: Excellent heart workout

🚴‍♂️ Cycling

  • Stationary bikes: Safe, controlled environment
  • Recumbent bikes: Better back support
  • Outdoor cycling: With proper safety gear
  • Adaptive equipment: Special pedals if needed

🧘‍♀️ Yoga and Tai Chi

Yoga Benefits

  • Improved flexibility
  • Better balance
  • Stress reduction
  • Adaptable poses

Tai Chi Benefits

  • Gentle movements
  • Balance training
  • Mind-body connection
  • Fall prevention

Strength Training Guidelines

💪 Safe Strength Training

  • Light to moderate weights: Avoid overexertion
  • Progressive increase: Gradually build intensity
  • Focus on form: Proper technique over heavy weight
  • Include rest days: Allow muscle recovery
  • Full body approach: Work all muscle groups

🎯 Targeted Exercises

Lower Body

  • Seated leg extensions
  • Calf raises
  • Hip abduction
  • Ankle circles

Upper Body

  • Resistance bands
  • Light dumbbells
  • Wall push-ups
  • Shoulder exercises

Core Stability

  • Seated exercises
  • Modified planks
  • Balance training
  • Posture work

Hand/Wrist

  • Grip strengthening
  • Finger exercises
  • Stress balls
  • Hand putty

Sports to Approach with Caution

⚠️ Higher Risk Activities

Not necessarily forbidden: These activities carry higher risks but may be possible with proper precautions and adaptations. Consult your healthcare team.

  • Contact sports: Football, rugby, hockey
  • High-impact activities: Running, jumping sports
  • Balance-challenging sports: Skiing, surfing
  • Overhead activities: Tennis, volleyball
  • Activities requiring fine motor skills: Golf, archery

🛡️ Safety Modifications

  • Protective equipment: Helmets, padding, braces
  • Shorter durations: Frequent rest breaks
  • Modified rules: Adapt to your abilities
  • Partner support: Exercise with others
  • Safe environments: Avoid uneven surfaces

Adaptive Sports Programs

🏆 Paralympic Sports

  • Wheelchair racing: Competitive racing
  • Adaptive swimming: Modified techniques
  • Seated sports: Basketball, tennis
  • Boccia: Similar to bowls

🏅 Local Programs

  • Adaptive recreation centers: Specialized facilities
  • Disability sport clubs: Community groups
  • Therapeutic recreation: Hospital-based programs
  • Inclusive fitness centers: Accessible gyms

Exercise Safety Tips

⚡ Energy Management

  • Listen to your body: Stop when fatigued
  • Pace yourself: Gradual progression
  • Quality over quantity: Better form, less intensity
  • Cool-down period: Gradual recovery

🌡️ Temperature Considerations

Heat sensitivity: Many CMT patients are sensitive to heat, which can worsen symptoms temporarily. Exercise in cool environments when possible.

  • Avoid hot weather: Exercise indoors during heat waves
  • Stay hydrated: Drink plenty of water
  • Cool environments: Air-conditioned facilities
  • Early morning/evening: Cooler outdoor times

Creating Your Exercise Plan

👩‍⚕️ Professional Guidance

  • Physical therapist: Exercise prescription
  • Occupational therapist: Activity adaptations
  • Exercise physiologist: Fitness programming
  • Adaptive sports specialist: Sport modifications

📅 Weekly Schedule Example

Monday

Swimming (30 min) + Stretching (10 min)

Wednesday

Strength training (20 min) + Balance exercises (10 min)

Friday

Yoga class (45 min) or Tai Chi

Weekend

Recreational activity: Walking, cycling, or adaptive sport

Equipment and Adaptations

🏊‍♀️ Swimming Equipment

  • Pool noodles: Additional buoyancy
  • Kickboards: Upper body focus
  • Water weights: Resistance training
  • Pool stairs/lift: Safe entry/exit

🏋️‍♀️ Gym Adaptations

  • Seated machines: Better stability
  • Resistance bands: Variable resistance
  • Balance equipment: Wobble boards, foam pads
  • Hand grips: Improved equipment handling