Exercise 1: Ankle Stretches
Purpose: Warm up the ankles and lower legs, bring attention to the body.
Standing on one leg, rotating ankle
Instructions
- Stand with your feet hip-width apart, near a wall or chair if you need balance support.
- Lift your right foot slightly off the ground.
- Slowly rotate your right ankle in circles - five times clockwise, then five times anti-clockwise.
- Point and flex the foot several times, feeling the stretch in the ankle and calf.
- Return to standing on both feet.
- Repeat with the left ankle.
Duration: Approximately 1-2 minutes total.
Sensations to notice: Warming in the ankles and lower legs, perhaps some wobbling as you balance, the feeling of your feet making contact with the ground.
Modifications
Use Balance Support: Place one or both hands on a wall, chair back, or countertop for stability. There is no requirement to balance freely - support is encouraged!
- Seated Variations
- Reduced Intensity
- Enhanced Support
Chair-seated: Sit in a chair and lift one foot off the ground to rotate the ankle. This provides the same ankle movement without any balance challenges.
Wheelchair adaptation: Perform this exercise seated in your chair. Lift one foot slightly if possible, or simply rotate the ankle while keeping the foot on the footrest.
Smaller movements: If full ankle circles are uncomfortable, make smaller circles or simply point and flex the foot without rotation.
Skip if needed: If you have ankle pain, recent ankle injury, or extreme stiffness, you may skip this exercise entirely. The ankle exercise is preparatory; it's not essential for tremor activation.
Elevated heel: Place a cushion or folded blanket under the ball of your standing foot to slightly elevate the heel. This can make balance easier and provides a gentle calf stretch simultaneously.
Corner support: Stand in a corner where you can place a hand on each wall for maximum stability.