Never seen someone have ever explained/Teaching at this level.full of knowledge video. I am thankful to doctor and the whole team behind this channel, really appreciate guys you are doing a great job helping people around the Globe. My 10 years old son suffering from post strock side effects and these videos will help me alot to treat him in better shape. Lots of love from Pakistan 🙏
Your info has really helped me recover post stroke. From not being able to walk or use my arm at all to now playing pick up basketball with my 12 year old nephew. I wanted to give up and go to a nursing home in the beginning but I kept fighting after watching all your videos that gave me inspiration and hope. I work hard everyday. I appreciate everything you do for us stroke survivors and I'm always looking forward to your next video. I can't wait to share my recovery story with all the stroke survivors.
Please, how long did you have a stroke? And how long have been doing exercise ( which ones); so you can from no walking to pịck up a ball...my husband got a stroke 3 & a haft already, but he has walked back yet.. appreciate.
Pls tell us more about ur life with strobe Tyson I think like u nursing home ready to give up led hand no movement or can do anything bearly can walk help me out Tyson tepp lo l me more on ur recovery back to hand movements and walker great help god bless u hugs and blessings
Fantastic video...I put my AFO away years ago-thinking that it would not help because of my inability to walk (due to weakness). I am doing the exercises you have taught and will certainly use my AFO going forward. You are a true blessing! Merry Christmas to you and your family!
I agree with most everything you say here, but the Saebo glove is and has improved the function of my fingers drastically. The muscles that close the fingers worked fine, but the muscles to open the fingers didn’t move. Wearing the glove and repeatedly as you say picking up and releasing items is helping to get those muscle groups to fire together again. And I can put it on myself without issue. Scott Marsh
Thank you! I feel lost when it comes to bracing. Especially like hearing your opinion that OTC AFO’s do not help with a spastic ankle/foot. I can now say that with confidence! (I hate for someone to spend money on something that doesn’t benefit them.)
I have a brace similar to the Saebo stretching bracelet, I use it occasionally because it is difficult to put on because of the spasticity of the hand, but it helps me because of the position of the raised wrist because it reduces my spasticity. Thanks for the explanations. Merry Christmas.
I wear a ‘off the shelf’ AFO on my left lower leg; but for me the only reason now is to have something that I can grab onto with my right hand to be able to pull my lower leg backwards when sitting. It does nothing to help me with walking;I can flex the quads(straighten the left leg, but currently cannot bend the left leg backwards at the knee; unless I grab the AFO part just below my knee.
Billies footwear is an amazing company for prope who need to use AFO’s or can only use one hand/arm to put. They can accommodate getting to different sizes and they can look part spiffy too.
My ankle and leg spasticity decreases considerably when I wear insoles that support my high arch. I wish PTs would offer this tip to patients. A podriast finally brought it up 2 years after my stroke and it has made a world of difference. I use the pinnacle max support insole.
4yrs post hemorrhagic stroke, im 56yo, i never got back what alot of others did, it wasnt for lack of therapy either, its aweful to suffer with no independence
Your information has really helped my mother's recovery, I was able to get a customized afo brace for after going back and forth with her Physician. Thank you!
I have a stiff leg with knee not bending easily and is without good control. Using several gaits when walking with left foot swinging out. I have had a brain injury that I am aware of. I don't know whst happened except that I had an ankle break diagnoses incorrectly in 2004 and was given a boot and did not have surgery for 4 months for complete break in 2 places. Was put in cast then. I think I fall in foot drop, neuro damage symptoms. My orthopedic foot specialists does not have answer. My left foot was pronated slightly as a child but after break it became severe. What kind of doctor should use. Limited in Shreveport LA.
Dr. Tobias, I have a MS diagnosis. I have foot drop and a hyperextended knee, with a weak hamstring. I do swing my leg out because my hamstring is weak and my knee is straight. I use a AFO, can I also use the Swedish knee cage simultaneously?
This is an excellent question! Generally speaking, I would start with adjusting the AFO. There are certain adjustments including a different joint at the articulation can help prevent the knee hyperextension. If that does not work, than yes, I have several patients who need to use both.
I’ve been a full time grocery delivery driver for a while and my issue turned into something worse this month. My right leg will circumduct and toes point down due to spasticity and I can’t stop dragging and swinging out until I stop or sit down. I hope meds will help, because it sounds like the braces are supposed to stay on all day. I just wish I was walking how I was last month.😕😣
I have a lot of trouble putting on my AFO myself and getting it into my shoe. It also limits my foot movement. Maybe this is its intent but at times it’s a significant limitation.
I wear AFO's but I still have A LOT of valgus in my right knee, is their any type of AFO and is their a certain angle to put the AFO in? The KAFO would not be functional for me to put them on independently. When I was a kid I wore HKAFO braces. I have spastic CP. I live completely independently. I currently have an awesome PT and orthopedic surgeon. I am very motivated to stay as independent as long as possible!
I have just discovered the xtern AFO from turbomed. I tested on the other day and it felt pretty awesome. I’ve been wearing them for 36 yrs. Check them out
I’m having a problem with my AFO chafing my foot. It use to fit perfectly, I didn’t have a problems with it. But now, it’s rubbing on my foot. It rubbed the skin off making it bleed. Now my foot is sore to walk on. I did some research about it and it’s something to do with my tendons
Your videos are very helpful. I don’t have a problem with my foot dropping or pointing. I do have a problem with my ankle rotating in. Is my AFO helpful to correct this?
Question for you: my mom had a massive stroke in May of 2020. My question is she has a involuntary Co in down and to the side. Her left side is the week side. They're doing RNA therapy. Here's my true question what can my mom used on that feet to make it right again. Not involently droop to the side or have control have control of her feet. Right now she said it's still nursing and facility and I want to for her to speed it up a little bit and have usage of her feet and her left side. Would a a f o help her? Right now they have for her feet heel protectors the heavy one and keeps her feet up straight
will a custom brace break the skin or create pressure soars in the skin? My mother is currently not walking and the PT said the brace could do that so they won't get her a brace.
I have a give mohr sling I don'like it be cause it keeps my hand closed, I had a strap on shoulder brace I liked it because it allowed my arm to move, i no Longer use it I did'n't notice it wore some holes in my skin oops.
Has changed, become straight. However wear a brace . Not like the one you have briefed. Please guide me which brace to wear mam . Please thank you so much Dr .
I want to consult with you and start the treatment from you but I am not able to contact you and not getting response to your phone number on the website Also not getting response for my online submitted inquiry. How can I contact you please help me..!
i have a custom AFO but I am not comfortable with it. It wraps around my calf muscle and has a spring and goes inside my shoe. I don't like it anymore and want to try something new. What do you think of the Xtern AFO?
@@kathythompson8642 I just got the TurboMed Xtern AFO and love it six weeks ago. I still have foot drop I have a lot more spring to my step and even started driving again. The natural cantilever motion of the leg is based on the design of the xTern AFO. It is a little expensive. The retail price is around $900 but my physical therapist got it from the company for $600. They also recently updated it too to be made out of carbon fiber which is a superior to Thermoplastic. I have the Thermoplastic. Make sure you know all about the sizing and get the right one for the right size shoe based on your foot. But before you move ahead speak with your physical therapist. and Orthotists and Prosthetists.
I'm new to the foot drop situation. Peroneal nerve damage r leg due to being struck by a SUV. Back in November last year. Hanger that made my custom brace said turbomed is good from people that wear the brace. My PT doesn't know much about it. I'm getting home therapy. Waiting on insurance to see if they will pay for it
@@kathythompson8642 When I got foot drop I did not know anything about it or what to do. My first brace cost $3500 and my sneakers cost 200. They did not even mention I have a neurological issue. I researched all of the issues related to lifting my foot. The possibility is I will have foot drop for the rest of my life. They did electrical stimulation. Eighty visits to the physical therapist. Now I can walk across a room and also can climb the stairs. Also just recently driving. But the muscle damage is possibly too far gone with the nerve healing. This is the 14 month since I woke from a coma. My neurologist is doing a EMG test in June and hoping to see some improvement since the last one. But if I don't see any improvement I might have foot drop permanently. But I hope what I learned will help you. My neurologist showed me AFOs on Amazon and the internet which were like 20 to 80 dollars which made me really angry about how much I spent. The carbon fiber ones are a lot more expensive like around 900. Medical people use these situations to have patients and insurance spend lots of money.
Hi, Doctor I would like to request you to please answer this question, My 10 years old Son having ADEM and now he's going through the pos ADEM side effects, like he's not able to walk, he's not able to speak, even he can't sit by himself without any support. As we are doing treatment and he's taking medication, but still we need your assistance to understand which rehabilitation process or exercise can improve his walking possiblity and speaking issues. Your response will be appreciated. Thank you
Thank you for your response! ADEM is so different for each person and really requires an entire multidisciplinary team to create the best plan for your son. Generally speaking, it is best to make sure he is getting out of bed everyday and sitting in chair (with assistance), and passive range of motion exercises for all his joints (a parent or caregiver is moving his arms and legs). Also, that he has a good therapy team around him to make sure he is standing everyday (with a standing frame and/or other equipment) and working on improving his overall mobility, speech, and functional independence. I hope that helps!
@@rehabhqofficial Thank you so much dear, We will start this practice and I hope it will help. The one of most worried thing about him that he is not able to handle his Head. Appreciate your response 😊
Hi mam my name is yaseer I'm 28 and from India in 2016 I met with an accident in which my left hand was totally damaged after a major operation somehow by God grace doctors successfully saved my hand but there is no sense no action totally paralaise but Im suffering from severe pain even today can u plzzzz help me to get ride of this pain and to recover my hand nerve injury and one thing I forget to say my bones are perfect but nerves are damaged plllzz help me
I've tried the Saebo glove. I would not recommend it if you have opening hand issues. Fingers are hard to extend to put on the brace and rubber bands one-handed aren't easy to use unless you have consistent help, such as a therapist. hard to use at home on your own. May I ask, my hand is relaxed at night so I'm not bracing however I have challenges during the day with the index finger extension and thumb turning inward, both while I pick up coins or brush my teeth. Are the finger and thumb related in movement?
Thank you for your generosity in sharing with us! I have an appointment tomorrow with an Orthotist to try an AFO again, last time the calf spasticity wouldn’t allow it, my heel lifted right out of my shoe. Fingers crossed!
Thank you for this video! I’ve been using off the shelf foot drop straps as a stubborn attempt to avoid further limiting my choice of footwear. Your explanation of the type of movement patterns that would benefit from an articulated AFO fits me to a T. I’m slowly coming to terms with my MS and still hide it from many people but I realize I’m only inhibiting myself by not using the right assistive tool.
Thanks for sharing Veronica! Many of my patients with MS share a similar feeling regarding bracing. Generally speaking, bracing does not have to be black and white. Maybe you only wear it when you are walking longer distances and continue to use the foot drop strap at work and/or when you want to be more "discrete" 😊 Remember, this can just be one tool in an entire tool kit. I hope that helps!
Thank you very much for your help today as usual the info was most helpful Was considering a Swedish knee cage , only because my custom afo was creating a sore on the rear of my calf but after your excellent overview of afo, I realize now that I need to perhaps get a new afo and start wearing it again! I probably do not need the knee cage. Because of the rampant covid ,I do not leave the house for therapist and I am told that I do not qualify for therapy at home. I have purchased most of the items for home therapy that you have recommended, including the mat table that is very good. Your assessment of ssaebo complete at least for me, I have several items for my arm that I can not don myself and my last therapist was not familiar with this brace.I live in a small town In Illinois, and unfair the therapist are not very experienced. So thank you again for your help. Always excellent advice. You are the Wonder Woman of rehab.
I had a massive stroke three yesterday ago to my Right side of Brain. I guess a bleeder. This affected my left side. I learned to do many things on my own except walk. I depend on a Healthcare with a Rehab. I Only get therapy when Medicare let's me. I try to a lot of Therapy on my own, but it gets me nowhere. My knee still buckles and now my foot is pointing inward which making things worse. The facility has Resortive program, but the Nurses are always busy, so I get frustrated. I only have a AFO that works with my ankle. Would an AFO up to the knee be better?
Thank you for another fantastic and informative video. I really appreciate you sharing your thoughts on these aftermarket off the shelf braces. I have a custom as articulating AFO from Hanger clinic. It works well for me, I just wish I could get to the place I can walk without it.. I'm wondering if you have any thoughts on the products from Flint Rehab?
Hi Fred! Thanks for sharing more of your story related to this issue of bracing! Flint rehab has tons of products. Many of which I am not familiar with.
Dr. T, the device you mentioned at 18:01 is the SaeboReach (the upper arm piece) & the SaeboFlex (the forearm/hand piece). The SaeboStretch is a resting splint (shaped similarly to the SaeboFlex albeit, it's not dynamic (aka functional). After my second TBI, the Reach, Flex, & the Stretch were recommended for me, yet I had (and still have severe spasticity which has only been somewhat managed with Botox). The first few years of using the Reach & Flex in conjunction were semi-productive; I could feel the muscles of the arm being worked, yet not anymore after 12-13 years of trying to use them. The last time I used my Flex, (you're right it's hard to get on & not comfortable to wear anymore) only the index finger & thumb moved in a pinching motion instead of all 5 fingers & over the years, I was CONSTANTLY taking these in to address fitting issues as well as functionality issues. While Saebo adverts considerable recovery with these, in my experience, using just these alone won't cut it. The best that can be said of my recovery (so far) is that I can extend the elbow of my own volition, yet while I don't have a club fist anymore, I'd hardly consider my affected hand/arm functional. Perhaps using a bunch of the biofeedback devices (Saebo Stim mini, Saebo Mirror Box, etc.) will yield better results. So, I think I'd have to agree with your assessment. Caveat emptor.
I am very impressed with your presentation and information. I have CMT and am using a noodle on my right foot and after a hip fix I’m thinking I’m going to need a left one. I really appreciated your going through all the over the counter ones as I think you saved me a lot of money. I have bilateral drop foot ,knee and ankle pronation as well. Will be looking into orthotics and braces. Not looking forward to wearing them but no-choice if I want to keep walking.
I'm trying to find the brand you would recommend in a swedish knee cage? I'm currently using a walker, but hoping the knee cage can possibly help me walk without a walker possibly.
I wish I had old school Forrest Gump braces. I endure so much instability that it is hard for me to re-engage normal movement and proprioception av be muscle memory. But I'm in a constant state of fear and over compensating. I dream of forest gump polio braces - originally used to support weak bodies as they grew stronger after polio.
I have not seen much of your vidio s but I like the idea I had an mva where I lost anterior tibialis tendon so I had drop foot syndrome and then they did ttc fusion which left me with equinus deformity so have difficulty walking so can you help me thank you
Dr have you ever heard of the Turbo Med Extern AFO . I have used this afo for 4 years now and it works very well . This brace it sits out side the shoe which doesn't irritate the foot. The Turbo Med also has a strap to help with the foot rolling out. I may try this as I have a little bit of a roll out thank for your posts very informative
Hey Tara! Thank you so mich for all of your videos & information! You have givin me sooo many answers and UNDERSTAND of myself!! So Thank you for that!! My question would be could i have both drop foot and spasticity? I have ms had to re-learn to walk. I hyperextend both knees, worse in the left. Could i have both drop foot and spasticity?
I was on ecmo 5 weeks flat on my back. I was in the hospital for close to 100 days. Yes flat on my back. Rehab for 1 month. I cannot balance or walk. I have zero control over feet ankles I have foot drop. No one is helping me so I bought afo's off of Amazon. I had buckled knees but it's much much better. I'm going to start some of these exercises.
Can u combine custom and off the shelf?..... They made me a custom afo due to foot coming inward and combined it with a knee stabilizer to keep the knee from subluxation back and giving out forward. I love my afo definitely but I wish he would have given me the one that goes in front of the shin too instead of stabilizer. Is there a shin piece that I can combine to replace the bulky/hot knee stabilizer?
Your videos are excellent! I always hear foot drop and pointing down of the foot mine claws up don"t know if that fits in the same category. Have been to 12 doctors and each one points to spine and others point to foot. Seeing a nuro muscular doctor next but very frustrated and confused and in a lot of pain. Thanks
thats a lot of info and good on you too stand up to a few tools. I chatted to some people that got saebo gloves saying just that. There is probably a really small window where they would work, like a lot of tools. But often people probably try it too early and try to battle spasticity with it. Desperation and lack of info does make people easy targets, willing to buy anything that will magically solve things.
Is there a method of bracing or splinting for toes? I have severe spasticity in my left foot ( I’m almost 4 years post stroke) this causes my toes to curl very tightly and point down and in. I stretch but it doesn’t help for very long.
Hi- I went to see my orthotist today and the braces he recommended for me were the sprystep or turbomed extern. He also thinks I’m a good candidate for the walk aid device. I’m so confused on what to do..help!
Sigh because of you I wear my AFO a couple of days a week. But I'm scared to use on stairs, driving or walking long distances. It makes my left leg uninvolved leg hurt - overcompensation. I’ve had plantar fasciitis and seems to feel heavy at times. And they gave it to me 24 years later.
I'm at a point where my leg knee is strengthening greatly. I wear a swedish knee cage with a knee height AFO but knee has grown much stronger and I would like to lower the AFO for strengthening the weak ham string and quad. The AFO seems to push the knee in a hyperextened position inadvertently.
You're right about The Walking aid with spasticity it's bad. I used it for a year or bad foot drop and it cramped my muscles up even more in my calf. Watch all these videos tonight see if I can't figure something out that you're recommended. Thank you
Agreed, Saebo glove is extremely difficult to get it on. My wife can close her fingers but has no active movement to open them. Only wore this glove twice.
Never seen someone have ever explained/Teaching at this level.full of knowledge video.
I am thankful to doctor and the whole team behind this channel, really appreciate guys you are doing a great job helping people around the Globe.
My 10 years old son suffering from post strock side effects and these videos will help me alot to treat him in better shape.
Lots of love from Pakistan 🙏
Your info has really helped me recover post stroke. From not being able to walk or use my arm at all to now playing pick up basketball with my 12 year old nephew. I wanted to give up and go to a nursing home in the beginning but I kept fighting after watching all your videos that gave me inspiration and hope. I work hard everyday. I appreciate everything you do for us stroke survivors and I'm always looking forward to your next video. I can't wait to share my recovery story with all the stroke survivors.
Hi Tyson! Thank you for sharing your story! I am so glad you are continuing to fight and win!!! I know that others will be inspired by this!
Please, how long did you have a stroke? And how long have been doing exercise ( which ones); so you can from no walking to pịck up a ball...my husband got a stroke 3 & a haft already, but he has walked back yet.. appreciate.
Inspirng😅
Thank you for this inspiration!!!💞
Pls tell us more about ur life with strobe Tyson I think like u nursing home ready to give up led hand no movement or can do anything bearly can walk help me out Tyson tepp lo l me more on ur recovery back to hand movements and walker great help god bless u hugs and blessings
Fantastic video...I put my AFO away years ago-thinking that it would not help because of my inability to walk (due to weakness).
I am doing the exercises you have taught and will certainly use my AFO going forward.
You are a true blessing!
Merry Christmas to you and your family!
Hi Kathy! Thanks for watching and for sharing your story. Merry Christmas to you as well!!
Your videos are really motivating . Also , give us hope that yes , we can improve. We will get fit and fine soon .
I agree with most everything you say here, but the Saebo glove is and has improved the function of my fingers drastically. The muscles that close the fingers worked fine, but the muscles to open the fingers didn’t move. Wearing the glove and repeatedly as you say picking up and releasing items is helping to get those muscle groups to fire together again. And I can put it on myself without issue.
Scott Marsh
Thank you! I feel lost when it comes to bracing. Especially like hearing your opinion that OTC AFO’s do not help with a spastic ankle/foot. I can now say that with confidence! (I hate for someone to spend money on something that doesn’t benefit them.)
I have a brace similar to the Saebo stretching bracelet, I use it occasionally because it is difficult to put on because of the spasticity of the hand, but it helps me because of the position of the raised wrist because it reduces my spasticity. Thanks for the explanations. Merry Christmas.
I wear a ‘off the shelf’ AFO on my left lower leg; but for me the only reason now is to have something that I can grab onto with my right hand to be able to pull my lower leg backwards when sitting. It does nothing to help me with walking;I can flex the quads(straighten the left leg, but currently cannot bend the left leg backwards at the knee; unless I grab the AFO part just below my knee.
Billies footwear is an amazing company for prope who need to use AFO’s or can only use one hand/arm to put. They can accommodate getting to different sizes and they can look part spiffy too.
My ankle and leg spasticity decreases considerably when I wear insoles that support my high arch. I wish PTs would offer this tip to patients. A podriast finally brought it up 2 years after my stroke and it has made a world of difference. I use the pinnacle max support insole.
Loved your energy in this video!!!! I`m excited going forward!!!
4yrs post hemorrhagic stroke, im 56yo, i never got back what alot of others did, it wasnt for lack of therapy either, its aweful to suffer with no independence
Thank you Tara Tobias for all videoes helping us all hope you have a good Christmas with family and friends
Hi Carol! Same to you 😊
Thanks for sharing this video, 👍. Very true
Very timely video for me. My left leg foot drop needs mechanical help!
Your information has really helped my mother's recovery, I was able to get a customized afo brace for after going back and forth with her Physician. Thank you!
I have flop foot, I've had nerve conduction test and a brain/spine scan. All normal so no known cause!
great informations, thank you !
Merry Christmas ! And thank you
GREAT TOPIC DR. TOBIAS but can you explain to us the difference between, NEURO FATIGUE, and regular fatigue?
Hello Doc Tibia. Happy Christmas and a happy new year
Thank you. Very informative.
I have a stiff leg with knee not bending easily and is without good control. Using several gaits when walking with left foot swinging out. I have had a brain injury that I am aware of. I don't know whst happened except that I had an ankle break diagnoses incorrectly in 2004 and was given a boot and did not have surgery for 4 months for complete break in 2 places. Was put in cast then. I think I fall in foot drop, neuro damage symptoms. My orthopedic foot specialists does not have answer. My left foot was pronated slightly as a child but after break it became severe. What kind of doctor should use. Limited in Shreveport LA.
Dr. Tobias, I have a MS diagnosis. I have foot drop and a hyperextended knee, with a weak hamstring. I do swing my leg out because my hamstring is weak and my knee is straight. I use a AFO, can I also use the Swedish knee cage simultaneously?
This is an excellent question! Generally speaking, I would start with adjusting the AFO. There are certain adjustments including a different joint at the articulation can help prevent the knee hyperextension. If that does not work, than yes, I have several patients who need to use both.
@@rehabhqofficial thank you for responding.
I’ve been a full time grocery delivery driver for a while and my issue turned into something worse this month. My right leg will circumduct and toes point down due to spasticity and I can’t stop dragging and swinging out until I stop or sit down. I hope meds will help, because it sounds like the braces are supposed to stay on all day. I just wish I was walking how I was last month.😕😣
How do I stop limping and walk normally after wearing a Swedish knee brace for months after a stroke and covid? Please help me with this. Thank you
I can take un assisted steps, but its not consistent yet
you haven't talked about the xturn afo??
I have a lot of trouble putting on my AFO myself and getting it into my shoe. It also limits my foot movement. Maybe this is its intent but at times it’s a significant limitation.
I wear AFO's but I still have A LOT of valgus in my right knee, is their any type of AFO and is their a certain angle to put the AFO in? The KAFO would not be functional for me to put them on independently. When I was a kid I wore HKAFO braces. I have spastic CP. I live completely independently. I currently have an awesome PT and orthopedic surgeon. I am very motivated to stay as independent as long as possible!
I have just discovered the xtern AFO from turbomed. I tested on the other day and it felt pretty awesome. I’ve been wearing them for 36 yrs. Check them out
Where can I get an AFO?
Ration e stem devices, what are some good exercises using testem for spastic hand/anrm and foot?
What do you think is best brace for the spasticity arm and wrist. Please help!!
I’m having a problem with my AFO chafing my foot. It use to fit perfectly, I didn’t have a problems with it. But now, it’s rubbing on my foot. It rubbed the skin off making it bleed. Now my foot is sore to walk on. I did some research about it and it’s something to do with my tendons
I use neuro ifrah😊
my foot would point down and heel would not flatten out.
Your videos are very helpful. I don’t have a problem with my foot dropping or pointing. I do have a problem with my ankle rotating in. Is my AFO helpful to correct this?
My fingers are curl in after a stroke
Will braces help with late onset hereditary spastic paraplegia?
i have tried googling where to buy articulated AFO. any suggestions. have spastic ankle
Question for you: my mom had a massive stroke in May of 2020. My question is she has a involuntary Co in down and to the side. Her left side is the week side. They're doing RNA therapy. Here's my true question what can my mom used on that feet to make it right again. Not involently droop to the side or have control have control of her feet. Right now she said it's still nursing and facility and I want to for her to speed it up a little bit and have usage of her feet and her left side. Would a a f o help her? Right now they have for her feet heel protectors the heavy one and keeps her feet up straight
Hello Dr, I want to consult for one of my family member. Please suggest the way forward. I am from India.
will a custom brace break the skin or create pressure soars in the skin? My mother is currently not walking and the PT said the brace could do that so they won't get her a brace.
Would an articulated AFO be suitable for foot that rolls. I am hoping to progress to an articulated AFO . Your views would be appreciated
I have a give mohr sling I don'like it be cause it keeps my hand closed, I had a strap on shoulder brace I liked it because it allowed my arm to move, i no Longer use it I did'n't notice it wore some holes in my skin oops.
do you know any physio therapist like you in toronto
Dr i have been diagnosed ms . After relapse . My left side of leg of
Has changed, become straight. However wear a brace . Not like the one you have briefed. Please guide me which brace to wear mam . Please thank you so much Dr .
How are Motor recovery after stroke
I want to consult with you and start the treatment from you but I am not able to contact you and not getting response to your phone number on the website
Also not getting response for my online submitted inquiry.
How can I contact you please help me..!
when would an articulated AFO be unsuitable if at all?
There are some situations where a solid AFO is better. It is best to work with a PT and an orthotist together.
i have a custom AFO but I am not comfortable with it. It wraps around my calf muscle and has a spring and goes inside my shoe. I don't like it anymore and want to try something new. What do you think of the Xtern AFO?
I'm wondering the same
@@kathythompson8642 I just got the TurboMed Xtern AFO and love it six weeks ago. I still have foot drop I have a lot more spring to my step and even started driving again. The natural cantilever motion of the leg is based on the design of the xTern AFO. It is a little expensive. The retail price is around $900 but my physical therapist got it from the company for $600. They also recently updated it too to be made out of carbon fiber which is a superior to Thermoplastic. I have the Thermoplastic. Make sure you know all about the sizing and get the right one for the right size shoe based on your foot. But before you move ahead speak with your physical therapist. and Orthotists and Prosthetists.
I'm new to the foot drop situation. Peroneal nerve damage r leg due to being struck by a SUV. Back in November last year. Hanger that made my custom brace said turbomed is good from people that wear the brace. My PT doesn't know much about it. I'm getting home therapy. Waiting on insurance to see if they will pay for it
@@justusgeorge4080 thanks for your information. Appreciate it
@@kathythompson8642 When I got foot drop I did not know anything about it or what to do. My first brace cost $3500 and my sneakers cost 200. They did not even mention I have a neurological issue. I researched all of the issues related to lifting my foot. The possibility is I will have foot drop for the rest of my life. They did electrical stimulation. Eighty visits to the physical therapist. Now I can walk across a room and also can climb the stairs. Also just recently driving. But the muscle damage is possibly too far gone with the nerve healing. This is the 14 month since I woke from a coma. My neurologist is doing a EMG test in June and hoping to see some improvement since the last one. But if I don't see any improvement I might have foot drop permanently. But I hope what I learned will help you. My neurologist showed me AFOs on Amazon and the internet which were like 20 to 80 dollars which made me really angry about how much I spent. The carbon fiber ones are a lot more expensive like around 900. Medical people use these situations to have patients and insurance spend lots of money.
Hi, Doctor
I would like to request you to please answer this question,
My 10 years old Son having ADEM and now he's going through the pos ADEM side effects, like he's not able to walk, he's not able to speak, even he can't sit by himself without any support.
As we are doing treatment and he's taking medication, but still we need your assistance to understand which rehabilitation process or exercise can improve his walking possiblity and speaking issues.
Your response will be appreciated.
Thank you
Thank you for your response! ADEM is so different for each person and really requires an entire multidisciplinary team to create the best plan for your son. Generally speaking, it is best to make sure he is getting out of bed everyday and sitting in chair (with assistance), and passive range of motion exercises for all his joints (a parent or caregiver is moving his arms and legs). Also, that he has a good therapy team around him to make sure he is standing everyday (with a standing frame and/or other equipment) and working on improving his overall mobility, speech, and functional independence. I hope that helps!
@@rehabhqofficial Thank you so much dear,
We will start this practice and I hope it will help.
The one of most worried thing about him that he is not able to handle his Head.
Appreciate your response 😊
What about smart step foot brance.. can I use for feet tendon stifnees??
I do not think that brace is rigid enough if you have spasticity. I hope that helps!
Hi mam my name is yaseer I'm 28 and from India in 2016 I met with an accident in which my left hand was totally damaged after a major operation somehow by God grace doctors successfully saved my hand but there is no sense no action totally paralaise but Im suffering from severe pain even today can u plzzzz help me to get ride of this pain and to recover my hand nerve injury and one thing I forget to say my bones are perfect but nerves are damaged plllzz help me
I wish I could afford to see you but I’m not
I've tried the Saebo glove. I would not recommend it if you have opening hand issues. Fingers are hard to extend to put on the brace and rubber bands one-handed aren't easy to use unless you have consistent help, such as a therapist. hard to use at home on your own. May I ask, my hand is relaxed at night so I'm not bracing however I have challenges during the day with the index finger extension and thumb turning inward, both while I pick up coins or brush my teeth. Are the finger and thumb related in movement?
Thanks for sharing your experience! This will help others in making their decision :)
My neurologist and therapist told me not to waste my money on these "gadgets".
Really to pick up ball. A bleed or a clot , wow still exercising .. slow slow
Thank you for your generosity in sharing with us!
I have an appointment tomorrow with an Orthotist to try an AFO again, last time the calf spasticity wouldn’t allow it, my heel lifted right out of my shoe. Fingers crossed!
Thank you for this video! I’ve been using off the shelf foot drop straps as a stubborn attempt to avoid further limiting my choice of footwear. Your explanation of the type of movement patterns that would benefit from an articulated AFO fits me to a T. I’m slowly coming to terms with my MS and still hide it from many people but I realize I’m only inhibiting myself by not using the right assistive tool.
Thanks for sharing Veronica! Many of my patients with MS share a similar feeling regarding bracing. Generally speaking, bracing does not have to be black and white. Maybe you only wear it when you are walking longer distances and continue to use the foot drop strap at work and/or when you want to be more "discrete" 😊 Remember, this can just be one tool in an entire tool kit. I hope that helps!
I find that toe spacers have helped my toe spacisity greatly. It helps keep my toes from tightening when I step
I appreciate the info and the series on braces. I know you often mention braces in videos, so it’s good to hear a more in-depth discussion. Thanks!
Thank you very much for your help today as usual the info was most helpful Was considering a Swedish knee cage , only because my custom afo was creating a sore on the rear of my calf but after your excellent overview of afo, I realize now that I need to perhaps get a new afo and start wearing it again! I probably do not need the knee cage. Because of the rampant covid ,I do not leave the house for therapist and I am told that I do not qualify for therapy at home. I have purchased most of the items for home therapy that you have recommended, including the mat table that is very good. Your assessment of ssaebo complete at least for me, I have several items for my arm that I can not don myself and my last therapist was not familiar with this brace.I live in a small town In Illinois, and unfair the therapist are not very experienced. So thank you again for your help. Always excellent advice. You are the Wonder Woman of rehab.
I had a massive stroke three yesterday ago to my Right side of Brain. I guess a bleeder. This affected my left side. I learned to do many things on my own except walk. I depend on a Healthcare with a Rehab. I Only get therapy when Medicare let's me. I try to a lot of Therapy on my own, but it gets me nowhere. My knee still buckles and now my foot is pointing inward which making things worse. The facility has Resortive program, but the Nurses are always busy, so I get frustrated. I only have a AFO that works with my ankle. Would an AFO up to the knee be better?
Thank you for another fantastic and informative video. I really appreciate you sharing your thoughts on these aftermarket off the shelf braces. I have a custom as articulating AFO from Hanger clinic. It works well for me, I just wish I could get to the place I can walk without it.. I'm wondering if you have any thoughts on the products from Flint Rehab?
Hi Fred! Thanks for sharing more of your story related to this issue of bracing! Flint rehab has tons of products. Many of which I am not familiar with.
Merry Christmas to you snd your family doc
Dr. T, the device you mentioned at 18:01 is the SaeboReach (the upper arm piece) & the SaeboFlex (the forearm/hand piece). The SaeboStretch is a resting splint (shaped similarly to the SaeboFlex albeit, it's not dynamic (aka functional). After my second TBI, the Reach, Flex, & the Stretch were recommended for me, yet I had (and still have severe spasticity which has only been somewhat managed with Botox). The first few years of using the Reach & Flex in conjunction were semi-productive; I could feel the muscles of the arm being worked, yet not anymore after 12-13 years of trying to use them. The last time I used my Flex, (you're right it's hard to get on & not comfortable to wear anymore) only the index finger & thumb moved in a pinching motion instead of all 5 fingers & over the years, I was CONSTANTLY taking these in to address fitting issues as well as functionality issues. While Saebo adverts considerable recovery with these, in my experience, using just these alone won't cut it. The best that can be said of my recovery (so far) is that I can extend the elbow of my own volition, yet while I don't have a club fist anymore, I'd hardly consider my affected hand/arm functional. Perhaps using a bunch of the biofeedback devices (Saebo Stim mini, Saebo Mirror Box, etc.) will yield better results. So, I think I'd have to agree with your assessment. Caveat emptor.
I am very impressed with your presentation and information.
I have CMT and am using a noodle on my right foot and after a hip fix I’m thinking I’m going to need a left one. I really appreciated your going through all the over the counter ones as I think you saved me a lot of money. I have bilateral drop foot ,knee and ankle pronation as well. Will be looking into orthotics and braces. Not looking forward to wearing them but no-choice if I want to keep walking.
Happy Holidays Dr. Tobias to you and Family. And thanks for all you do. God bless
I'm trying to find the brand you would recommend in a swedish knee cage? I'm currently using a walker, but hoping the knee cage can possibly help me walk without a walker possibly.
I wish I had old school Forrest Gump braces. I endure so much instability that it is hard for me to re-engage normal movement and proprioception av be muscle memory.
But I'm in a constant state of fear and over compensating.
I dream of forest gump polio braces - originally used to support weak bodies as they grew stronger after polio.
🏆🏆🏆👍🇺🇲🙏
Merry Christmas
🎅🤶❄️🎁⛄🎄
Thank you for sharing
Good..Thank you mam 💞
I just posted a few of your videos on a group I'm involved with sohopefully you'll have a lot of new visitors coming
Dr, my left leg is going straight. Shape of my leg is changing. Please suggest what kind of brace i should go in for
I have not seen much of your vidio s but I like the idea I had an mva where I lost anterior tibialis tendon so I had drop foot syndrome and then they did ttc fusion which left me with equinus deformity so have difficulty walking so can you help me thank you
Hi,I got stroke my right body in month I can walk slowly but still week vain is alive but still shaking when I walk and my foot also
Dr have you ever heard of the Turbo Med Extern
AFO . I have used this afo for 4 years now and it works very well . This brace it sits out side the shoe which doesn't irritate the foot. The Turbo Med also has a strap to help with the foot rolling out. I may try this as I have a little bit of a roll out thank for your posts very informative
I'm thinking about getting turbomed classic. How happy are you with the brace?
Yep good but a KAFO with a C-Brace works for SCI patients!
Helo Tara! I really appreciate ur videos are so informative
Saebo Reach is a waste of money! Bought for my daughter and her therapist never got it to work
i was taken off my custom AFO. because of calf muscle atrophy.
is something like a knee cage permanent? or are there exercises to get rid of that need?
My AFO is something like medal
Electronic stimulation?
Address... Please
#footdrop
Hey Tara! Thank you so mich for all of your videos & information! You have givin me sooo many answers and UNDERSTAND of myself!! So Thank you for that!!
My question would be could i have both drop foot and spasticity? I have ms had to re-learn to walk. I hyperextend both knees, worse in the left. Could i have both drop foot and spasticity?
I was on ecmo 5 weeks flat on my back. I was in the hospital for close to 100 days. Yes flat on my back. Rehab for 1 month. I cannot balance or walk. I have zero control over feet ankles I have foot drop. No one is helping me so I bought afo's off of Amazon. I had buckled knees but it's much much better. I'm going to start some of these exercises.
Can u combine custom and off the shelf?.....
They made me a custom afo due to foot coming inward and combined it with a knee stabilizer to keep the knee from subluxation back and giving out forward.
I love my afo definitely but I wish he would have given me the one that goes in front of the shin too instead of stabilizer. Is there a shin piece that I can combine to replace the bulky/hot knee stabilizer?
Your videos are excellent! I always hear foot drop and pointing down of the foot mine claws up don"t know if that fits in the same category. Have been to 12 doctors and each one points to spine and others point to foot. Seeing a nuro muscular doctor next but very frustrated and confused and in a lot of pain. Thanks
thats a lot of info and good on you too stand up to a few tools. I chatted to some people that got saebo gloves saying just that. There is probably a really small window where they would work, like a lot of tools. But often people probably try it too early and try to battle spasticity with it. Desperation and lack of info does make people easy targets, willing to buy anything that will magically solve things.
Is there a method of bracing or splinting for toes? I have severe spasticity in my left foot ( I’m almost 4 years post stroke) this causes my toes to curl very tightly and point down and in. I stretch but it doesn’t help for very long.
Hi- I went to see my orthotist today and the braces he recommended for me were the sprystep or turbomed extern. He also thinks I’m a good candidate for the walk aid device. I’m so confused on what to do..help!
Sigh because of you I wear my AFO a couple of days a week. But I'm scared to use on stairs, driving or walking long distances. It makes my left leg uninvolved leg hurt - overcompensation.
I’ve had plantar fasciitis and seems to feel heavy at times. And they gave it to me 24 years later.
I'm at a point where my leg knee is strengthening greatly. I wear a swedish knee cage with a knee height AFO but knee has grown much stronger and I would like to lower the AFO for strengthening the weak ham string and quad. The AFO seems to push the knee in a hyperextened position inadvertently.
You're right about The Walking aid with spasticity it's bad. I used it for a year or bad foot drop and it cramped my muscles up even more in my calf. Watch all these videos tonight see if I can't figure something out that you're recommended. Thank you
Agreed, Saebo glove is extremely difficult to get it on. My wife can close her fingers but has no active movement to open them. Only wore this glove twice.
Just dropping a note you are real awesome Dr. Tara Tobias! Thank you so much.❤