Stroke Rehabilitation: What is Neuroplasticity?
ฝัง
- เผยแพร่เมื่อ 26 มิ.ย. 2024
- Neuroplasticity is the capacity of the brain to re-organize following injury. It is well known that we continue to learn thoughout life. This is the basis for which we can say that the brain has the ability to learn (or learn) movement after an injury. In rehab we rely heavily on activity dependent neuroplasticity. In short, this means that with new experience (for example picking up a cup with the weak arm) the brain has the capacity to learn this skill. This is much different than how we think about "muscle strengthening".
It is extremely important to understand the difference when approaching your rehabilitation program. This is the same mechanism for rehabilitation for multiple sclerosis, parkinsons disease, guillain barre syndrome, and many other neurologic conditions. Stop thinking about "strengthening" and start thinking about "learning". This will enable you to really take your rehab to the next level.
Product link for mat table: amzn.to/2my3yhM
Sign up for our newsletter and get motivational emails and exercise tips: forms.aweber.com/form/02/1463...
Learn more about spasticity here: www.orlandoneurotherapy.com/s...
Learn more leg exercises here: www.orlandoneurotherapy.com/s...
Learn more about our stroke program: www.orlandoneurotherapy.com/s...
NOTE: This channel is part of the amazon associate program. This description contains amazon affiliate links that allow you to find the items mentioned in this video and support the channel at no cost to you. While this channel may earn minimal sums when the viewer uses the links, the viewer is in NO WAY obligated to use these links. Thank you for your support!
This is important,"Stop thinking about "strengthening" and start thinking about "learning"". I'm s 16 years post stroke. This is hope, Thank you!
Yes Yes Yes! You captured the main point of this entire video :)
@@rehabhqofficial yes really helps talking about it. if you don't mind it's been a year since the stroke I had. Is the stroke process healing for you? I seem to have problems with my speech and thinking.
Great information. My mindset is derived from the football arena, the development of strength and power. I am struggling after my stroke with balance and the ability to walk. All I know is heavy lifting moves. How can I properly understand and use neuroplasticity to help regain my ambulatory freedom?
I just love you!!!
My mom had a massive brain stem stroke.. locked in syndrome. 9 months ago..
She's now learning to walk.. is on a regular diet and continues to make progress..
Blessings..
You are a great inspiration for me!! Thank so much for being a great professional and most important - a great human being! It brings me hope to see that there are still people who care about doing a great job and helping others without having money as their main goal. Thank you!
I am happy to know that the videos are helping you. I feel blessed to be able to do what I do.
Wow. It makes sense now. Thank YOU!!!
we are so blessed to have your vast expertise
Strongly Agreed
Thank you for the video. I totally agree that changing habits is what makes the difference.
Dr. Tara, thank you for your deep explanations. They really help to bring sense into the exercises and all the new clinical information on the road to recovery. 🤗🙋♀️🙏
I am so glad to hear this 😊
Hi i am 4 years post stroke, hemmoraghic stroke I stopped therapy and im planning to go back this january its great to see this video for me to do it at home.
Thanks for explaining, I'm beginning to get it.
Loved this video understood somuch more from this
Thank you for this information. This is very helpful!
Thank you your insight and knowledge is much appreciated and well presented
Strength training helps in my recovery..
Thankyou for these videos!! X
Nice thank you so much for your explanation.
Strength training can also be combined with relearning. I had a relearning experience during pulling snd pushing weights holding onto a grab bar with both hands. While I was performing this activity my paralyzed hand relearned how to hold onto the the grab bar along with pulling and pushing to move the weight.
exactly, using both hands can indeed help you learn new movements with the affected hand. When you engage both hands in an activity, it promotes coordination and stimulates the brain’s neural connections, which can enhance learning and motor skills development. By actively involving the affected hand alongside the dominant hand, you can facilitate its progress and improve its dexterity over time.
Thanks dr tara
Thanks for sharing...
Very good video !
Great & informative video. Well explained. Thanks a lot. Merry Christmas & Happy New Year
Merry Christmas to you as well. 😊
Hi Dr Tart! Thank you for your great explanation on spasticity. ❤️
Hey Cecilia. I haven't seen you in the comments in awhile. Glad you are back! Glad you like the video, I hope it helps. :)
Orlando Neuro Therapy, Dr Tart , I lways watch your videos, very, very helpful. More power to you👍🏼.
Tara thanks for being a great guide in our process I used strength to learn new movements for instance I use theraband to teach my arm how to raise up above my head and it's working for me I will say a get and upgrade my range of motion every month doing the exercises 1 time a week for 1.5 hours in series of 4 with 15 repetition same thing for my leg and ankle dorsiflexion
EXCELLENT EXPLANATION Dr. TOBIAS , THANK YOU FOR GIVING ME HOPE THAT I'll be able to walk without a cane again...
Very interesting. I will follow in order. Ater i will narrate my story
I have learned regardless motor, memory, abstract, if it is not repeated it will wither and go away.
Thank you so much ma'am ! You are a treasure
Thankyou
your very welcome. I hope it helps you
Thanks, I had a stroke on my left and right frontal lobes from covid. It's a year now. I'm strong, working hard keeping my head intact, don't drink, fully recovered, however I'm still slurring in my speech. I'm new, could you refer to one of your link videos? thank you ❤️
Thank you, ❤️🩹💪😎
We all have one thing in common we survived and we can be thankful to God that we survived and our healing inside and out
Thank you for this video; I'm learning about this now in relation to my neurorehabilitation module for my degree. Your method of explanation is very engaging and insightful!
Thanks for the video.
on the 28thJune,2017 I was involved in a motor car accident.I suffered a CERVICAL SPINAL CORD INJURY.
I admited in hospital for 3 months as a QUADRIPLEGIC.
rehabilitation was started and I regained strength on my left side.I was encouraged to join a GYM.
I did and guess what I am now paying for that advice with what you call SPASCISTY increased tone. my right foot is still weak and the knee pops behind.my right arm is also still weak.
Your videos are helping me undo the damage of Gym strength training.You are a wonderful doctor.
ndalahwa kulwa thanks for watching!
I find this video very informative thank you, had a minor stroke one month ago and am still trying to process everything these videos are very helpful and insightful.
Thanks for watching Keren! I am glad to hear that it was helpful 😊
as a 30 yr old who suffered with a hemmoragic stroke and obtained ABI this videos gives me ideas to try stuffs out of the box
Thank you for watching, I am so glad that you are getting some fresh ideas :)
Dr Tara please tell me the title of the 2nd video after this, what is neuroplasticity. so that it is easier to search for it. thank you.
Hi Tara been following you for a long time… had to go look after my mum who has developed dementia!! Absolute nightmare as she is articulate and I’m not really and she talks a good talk had a stop my rehab to help her!!! I wanted to ask about having a bit of my cerebellum removed to reduce swelling on the brain… is it possible to get my brain to do what it does?? I realise how much it does.. I can’t jump or clap as my body does not compensate… I broke my hip a few years ago because I thought I could cycle and the balance wasn’t the issue but getting off the bike was an issue
I had to tell u I was watching u on time d u where talking about bringing the knee up level to the hip I was doing this and last night. I was able to feel my go loose r the ankle it was very stiff I is giving me great 👍 hope if only I could get my hand back keep up the great work u r doingthank u Anthony xx
oh my gosh, this is awesome!! Thank you so much for sharing. These are the stories I love reading.
which video does this refer to
Wow!!! Very clear!! How long is a piece of string ❤❤
Great explanation. Does the lack of ability to do certain movements have anything to do with myelin?
That is an excellent question! Probably not as myelin has to do more with the "electrical wire" that connects the "brain neuron" to the muscle". That has more to do with how quickly a message can get from the brain to the body. I hope this makes sense but this might need to be an entire video "explanation" 😉
So I guess it is just about not saying how many times should I do that movement but just do it and keep doing it !
yes :)
Do you have any helpful information on how to get sensation back ?
Stretching my spastic arm tends to make it tighter, is there a trick to this? a formula or less stretching?
dr tara i need some tips from you i had spinal operation c1 c6 then L2L3 it's been a year already but still i have problem of balance and walking i feel like i could not lift up my legs it's like heavy my legs and my neck . i feel like i could not carry my legs and my head what should i do. i keep trying to walk but sometimes i am scared of fall .
The problem is getting started so the action can be repeated 😬 I have limited movement of weak arm/shoulder by keeping at it while in bed I have some active movement in the affected leg although the foot is supinated ( fortunately there is a Dr. T video on that issue so I have some specific things to work on😬
So if my PT tells me that I have very weak hip flexors on my affected leg, how is that addressed in my daily routine so I can learn to lift my leg to walk?
I do strength training at a local gym 3-4 times per week. I always try to do reps with my impacted side only. Will this give me the benefit of neuroplasticity and increasing strength?
I have PD, at 84, so I could not play golf or pickleball.
I was single digit handicap.
In Florida I was going for a 4.0 player in pickleball.
I also have.RA . I was gym rat for more 35 years.
Had a TKR on right knee.
My right toe nail cut though my slippers.
I was a national ranked tennis in my late 30’s into my 40’s.
So, finally I went to see a neurologist at Stony Brook University on the North Shore of Long Island,
.
Will I ever be just to play lousy golf.
I .can not find your you tube video with the black slant board exercises,
because I walk on outside edge of right foot. Thanks. MPG
.
My mother had 2 strokes in 2021. Her stoke affected her left side. Since her stroke she won't do anything. She did walk when she first came to live with us but last year she stopped even walking with the walker. Her mindset is always I can't.
I have tried out patient PT/OT 3 times with no success. She sleeps in a lift chair and won't even get out of it except doe when I get her up to change her.
Her left arm is getting so week all she does is lay it to her side, she also refuses to even try to move it and it is getting so much weaker..
Mom is 77, what can I do with her refusal?
awesome explanation!
Thank you for another great video. Just one thing are you saying we should not strength train or is it just the way of thinking of exercise as strength training? Happy Christmas!
Great question! you are correct
Orlando Neuro Therapy thank you.
How much time does it take to regain normal movements after stroke...?
There's mental training, and physical retraining. Both help, but family doesn't always understand that you're doing work for it even when it doesn't seem like it.
I'm 79. Had a stroke 2 yrs ago. I lost 3 months of memory after. Dr said I had no paralysis, but I believe I did. My legs do not perform properly. I play senior softball, not very well; I weight train. When I, walk I feel awkward; running is difficult. I'm not satisfied.
Hi I had Stroke in December 19 since then have been to rehab and physio therapy I can manage to walk with stick but my hand and arm still not working I am 40 just a question will I be able to come back to normal life like driving and work?
Thanks gagan
Hello I am a hemiplegic patient. My problem is my upper limb and lower limb tension increases in awkward situation like barber shaving my beard or some on comes to close to me or I am in awkward situation. What is this syndrome and how to manage it (sorry for same comment on multiple videos)
How do you get my eyes looking on the same thing I see too often? Typically every day at the same time I wake up and get double and then eventually I’ll get one. How do I get one all the time?
Madam please tell about awake bruxism ( AB) , excersice
What kind of game can my husband use to help with is sight after stroke.. Does large puzzle and color game that children uses would help?.
Thank you Dr.Tara. is this exercise and concept applied for ALS?
Thanks for watching. Many of the exercises will also help to maintain movement with ALS :)
does neuroplasticity apple to the hipocampos being damage, ,,i had stroke back in febuary. 2020.. MRI SHOws impact on brain. does the impact area if have MRI again .. will it be different after 6 months.
I need help my father get stroke in posterior circulation infarct involving cerebellum , brain stem and occipital loves BA to thrombosis ,k/c/o hypertension on 5 July 2020 so till now he his unconscious doc said it totally depend on my father and they are giving totally negative statements so I want to know how much time it will take I love my father I can go beyond the limit for him just want to know how much time it will take plz share your experience it's request from a son
neuroplasticity is the ability for the brain to adapt or change over time, by creating new neurons and building new networks.the brain is able to continue growing and changing throughout the lifespan, refining its architecture or shifting functions to different regions of the brain.
Do you have any advise on how to safely get in and out of the tub after a stroke? I really miss my baths! Thank you, I have learned a lot since I've found you videos.❤
Thanks for the comment! I will think about this as a possible future video. My concern with making a video is that getting in and out of the tub is very dangerous and my recommendation is that you try and get a script for home health physical therapy so that a professional can do this with you
Dr please talk about overcoming flexor patterns in ue
And foot inversion
Hello,I am 1 year post stroke and your videos have helped me immensely in my journey of recovery.I was wondering if you have any videos for the wrist and fingers?Thanks for all that you do!!
Hey @ Julianna rabanal how’s your recovery coming doing I am in the same I’m stuck on that part of my recovery
What is the best antyfamatry to take Please
What percentage of rehab is physical verses mental? YMMV
Hi mam, i have foot drop bilateral....i sont have static balance... please let me.know how can improve my balance....there is no.movemnt in ankel
Do you have any views on, diet(🐠 oil) etc to help the brain recovery, or intermittent fasting to help reduce inflammation in damage areas?
Hi Ryan, these are excellent questions. I recommend the book the wahls protocol. It is a diet designed by a doctor who has MS however, the first few chapters she talks about how to achieve "optimal brain health"
Hi! I'd give Coconut oil( Unrefined) a try. Omega 3's, etc.
I use Cod Liver oil capsules, Coconut Oil, Flax/Chia/Sunflower/Pumpkin seeds.
Saw/felt improvements
Used fresh Rosemary (tea), great for the brain. And ofcourse; exercise.
Hope something vhere helps. I wish/pray for your healing & recovery.
Hello Tara, I have arthritis which restricts my repetitive movements. That is in my knee!! I do not really want a knee replacement. Should I still try as much as I can until pain too much. I really want to try to do some walking without a stick. Please advise me. I do try just a few steps a few times a day in the house. My balance is also affected. I had a Spinal Chord injury. Have Brown- Sequard syndrome at T8/9.
Joan Banerjee it is tough to say without evaluating you. What I usually do when I have a patient with comorbidities (example: arthritis), I spend a TON of time teaching proper form and modifying activities when necessary without compromising the “purpose” of the activity
@@rehabhqofficial thank you for your quick reply. It's a case of doing what I can, but I do feel it holds me back. I do swim twice a week and do some physio exercises. Don't seem to make much progress especially with balance. Thank you for your videos though. J B
What is CIMT?
My physiotherapist said “More repetitions, less weight”. I joined a gym and go twice a week. The first thing I do when I go to the gym is change the weight bars to minimum.
I am going to give my stroke rehab group your name and site as our goal as a group is to pass on new information to the group
More on losing the cane please
mirror therapy ,bilateral training ,electrical stimulation are good for neuroplasticity ?? I read that there are some requirement for appliying CIMT therapy ??
Malisd Perera yes, all great ideas. I did not intend to communicate that I endorse entering a CIMT program. Just that it works in part because patients are repeating movements for several hours a day. They are tapping into the idea of “learning” (new behaviors)versus “performing”
I would really love it if you could do some exercises on facial exercises for faces that during the stroke have dropped a little and maybe the corner of your mouth has come down a tiny bit and we would love to see you do some facial exercises to please thank you
Dr Tobias, I second this request! Please make such a video.
Neuroplasticity treatment work for patient or not after 2 years of ischemic stroke patient
Neuroplasticity and spasticity.... If feel I can do the movement in my mind, BUT spasticity prevents me from performing the movement. how to overcome spasticity? (I live alone)
What can be done when there is subluxation
l loved the video g stop using a acan, i must admit it was ver illuminating thr only problem I had was thethe lavk ospace in my house the lavk ogf space i gound the exercise esdy to do and i gave me a lot moreconifrdenve
I wish I could read this. Do you think you could have someone help you type your comment so that I can understand? I would love to respond appropriately to you comment and sometimes after stroke speaking is easier than writing :)
I'll try to crochet
Is the 6 hours consecutive or can I break it up like 2 hours in the morning 2 hours in the afternoon and 2 hours in the evening?
That is an excellent question! It depends. In the beginning, your body might "lose" what you "gain" and therefore each session might mean you will have to repeat exercises from the previous session. I think it will be more efficient use of your time to do it in one session. I hope that makes sense!
@@rehabhqofficial Yes it does make sense Thank you very much that was more helpful than you think ♥️
I tend to see the brain will assign another area of the brain to assume the workload of the area that was lost.
I had a stroke 2 years ago on right side of brain which left me with left sided weakness to be honest I didn't know I was having a stroke n I sat at the house injecting meth for 6 hours n by time I got to hospital I collapsed n had to be airlifted to San Jose stroke unite from Fresno CA I couldn't move left arm n left leg for 10 days spent 14 days in ICU spent another week in hospital girlfriend brought me drugs I got high in hospital n left hospital with gf n kept getting high n had 3 more tias from getting high n had tpa twice n I had learn to walk again sorry for the story just want to be honest with you to get the right help. N yes I am sober now forever a year now . N I just barely got into physical therapy for first time since first stroke 2 years ago n I' know it's gonna be an uphill battle but is it realistic that I can get useout of my left hand n arm ?
You really look good in white attire😊
Multiple hours a day ?
Hello Dr I am on post recovery stroke patient I am also going to rehabilitation but I have a heavyness on one side of my body like biceps forearm hamstrings calf and love handel how I ll treat that parts to normalize heavyness
It right side of my body
Does heat and/or massage help spastic muscles to relax?
That is an excellent question! Yes, but I would have this done by a therapist who can monitor your response. Heat can be very dangerous after a stroke and massage (if not done correctly) can make spasticity worse.
My right leg and arm are affected by stroke on Jan. 22. I’m watching your videos and they are helpful. My calf muscles feel very tight affecting the way I walk. I don’t want to use muscle relaxers. Any suggestion on how I can get these muscles to relax? I’m walking without an assistive device most of the time but the tight calf muscles are slowing things down.
I keep trying to sign up for gold and cannot
🌷🌼
After a stroke 2 yrs, my left hand is closed very tight like a fist. Can someone help me to know what to do or where to go or who to talk to. I’ve tried working my hand but it want release any. I continue to pray about it believing God will put someone in my path for directions. I appreciate your help and appreciate your videos your awesome.
Search “rehab hq hand” videos of hers should come up. She has some great ones on this.
I had Botox it helps a bit.
But how can I learn new things if that part of my brain is damaged. Thank you for explaining this
There is still so much we don't understand about neuroplasticity after a stroke. But as I talk about in the video, the brain has the ability to learn NEW skills so with this understanding, the mechanism by which you can regain movement (if the part of the brain responsible for that movement was damaged) is the same way that we are able to learn new information and form new connections with some of the examples I talk about in this video.
how is someone without the basic movement to complete a task supposed to build new pathways?
1200 reps to initiate regrowth
Nut if you have ve hemiparesis weakness on one side "ofthe body don't you need to strength en that side?
I totally understand this thought process. Please watch the video again. :) This is what I attempted to explain in the video :) It is a lot of information so watching it a second time might help you to understand.
I lost my job
THIS IS ALL THEORY
Terima kasih dr T. Tobias, saya penderita stroke sangat terbantu dengan adanya video ini. Ini salah satu video saya th-cam.com/video/ol2hWmp-EL8/w-d-xo.html