ALS Physical Therapy: Practical Tips to Keep Moving and Breathe Easy

If you or a loved one is dealing with ALS, staying active can feel overwhelming. But small, consistent moves make a big difference in comfort, breathing, and independence. Below are straightforward exercises and daily habits that fit right into life at home.

Core Exercises for Strength & Flexibility

Start with gentle range‑of‑motion stretches while sitting on a sturdy chair. Reach both arms overhead, then open them wide to the sides—hold each stretch for 5 seconds and repeat three times. This keeps shoulder joints from locking up.

Legs benefit from seated marches: lift one knee, lower it, then lift the other. Do this slowly for a minute, aiming for 10‑15 reps per side. If balance is an issue, hold onto the chair back for support.

For core stability, try diaphragmatic breathing combined with a light abdominal draw‑in. Inhale deeply through the nose, let the belly rise, then exhale while gently pulling the belly button toward the spine. Repeat 8‑10 breaths; this improves breath control and reduces fatigue during daily tasks.

Everyday Strategies and Safety

Assistive devices aren’t just for big moves—they help with tiny actions like getting out of bed. A bedside rail or a reacher tool lets you pull on blankets without straining your arms.

Keep pathways clear: remove loose rugs, place non‑slip mats in the bathroom, and use nightlights to avoid trips. Small changes cut down on falls, which can set back progress quickly.

Hydration matters a lot for muscle function. Sip water throughout the day instead of chugging large amounts at once. If swallowing becomes difficult, talk to a speech‑language pathologist about thickened liquids that are safer to drink.

Schedule short therapy sessions—10 minutes, two or three times daily—rather than one long workout. Consistency beats intensity for ALS because muscles fatigue fast.

Listen to your body. If a movement causes sharp pain or excessive breathlessness, stop and adjust. Pain is a sign that the joint may need extra support or a different angle.

Finally, involve family members in the routine. Show them how to help with gentle stretches or safe transfers. When everyone knows the plan, the day runs smoother and motivation stays high.

Staying active with ALS doesn’t require fancy equipment—just a chair, some patience, and these easy steps. Keep moving, breathe deep, and adjust as you go; those small wins add up to better comfort and quality of life.