Stages of Motor Recovery: What are the best arm and leg exercises?
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- เผยแพร่เมื่อ 5 ก.ย. 2020
- Video Description:
Learn the stages of motor recovery and how to select the best exercises for you.
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The trouble for me seems to be family members who have a lack of understanding the details and nuances of what has happened to my brain.I think video feedback mahowt ;unfortunately.Regardless, thank you Tara, you are very inspiring!
Oh my goodness- glad I was still listening- “ reframe your thinking when family points out where your movement is off- hunched over, etc.”. Consider it feedback” Haha- marriage therapy! My husband seems to be the only one courageous enough to point out “ learned non movement to me. Which until seeing this video- could not identify what the root cause of was happening to me- following recovery from a brain tumor and the conventional interventions necessary to put me in remission
Thank you Dr . Your videos has been a great source of information for many people. 👍👍👍
Well said!
Thanks for watching!! I am glad you find them helpful. :)
Thankyou again. You've been a rock for me these last 3 years. I had a lot of synergy patterns and now have some non synergy but quite a few synergistic ones to work through a one that's been bothering me is lifting my arm out up front extended against clarity where the shoulder wants to retract itself back I have got partial movement up but the rest of it to get to eye level is still a goal I need to get to. My name is Anthony and just a thousand thank yous for staying the course and helping all of us out here that are trying to help ourselves and your advice is totally invaluable thank you thank you
Do you think your therapy would help somebody with multiple sclerosis recover? You're one of the best therapists I have ever seen
Thank you for watching!! This is an excellent question!! To answer your question......Absolutely! Whether you have had an acute exacerbation that has resulted in loss of movement, or a stroke, these principles would apply :)
Thank you so much I'll keep watching. Where are you located doctor?
Long life to Dr.Tara Tabias!!!!!!!!!
Thank you for the amazing explanations
So many exercises that apply to my current state of post-stroke recovery and so little energy/hours in the day. My walking is poor so I’ll start with that. Thanks Tara, you’re very knowledgeable and thorough.
I had a stroke in 2016 and I have weakness on my left side and
muscle spasticity in my arm, leg I used to received Botox to regain use in those areas of my affected side of my body and I no longer have physical therapy so I really need your help
Thank you
Thanks for watching! Lots of videos on this channel that will help you :)
I loved your videos so much .. it helps me a lot. It added a lot of knowledge how my fist work.
Thank you doctor my OT just ended and you keep me motivated to keep trying
Well another one i found out was VERY helpful. Keep up the good work. I cant wait for the next one.
Thanks for watching Tim!! Glad you found it helpful. :) Have a beautiful day
Thank you Doc. this exercises really helps a lot.
Thanks for watching! I am so glad it was helpful.
Thank you Dr. Tobias, for your continued time and support. Again this video is great at explaining the over all big picture of things, I so appreciate your help. Sometimes when we say things we really don't appreciate or comprehend the magnitude of our words, case in point. Last week you responded to my comment, and in that response you made a very simple but to me a very profound statement,the jest of which is " I'm sure that you are not where you first started ", you have no idea how many times I've had to lean on that this week, realizing that I have indeed come a long ways, still a long way to go but I'm better today than I was yesterday. May the Lord bless you and keep you safe.
Fred, this made my day. I am so happy that you were able to persevere throughout the week. You can do this. keep focused on that 1% improvement every day. :)
Love this video again you have enlightened me on how to progress forward using the equipments I have. Thank you Dr.T
Hi Nathalie!! I am so glad it helped!!! I am sure you can come up with some creative ideas with the equipment your have. :)
It requires about 20% more force to move a joint. So, it's hard to work on a joint to get full range of motion without pushing through hard.
I still have some synergy movements I am just 3 years post major brain bleed and stroke double whammy but with a 20% chance of living to being here doing everything as before I give God the glory however im struggling with severe spastcity in the hand/arm so thank you for these so very helpful videos you are a God send
🙏 another good one and in line what I think I have been doing. Always nice to see it confirmed as you can feel you are walking in the dark.
Thanks for watching! Yes, based on what you post, you are definitely on the right track :).
Great work Dr
Yes, I agree- this correlates with an article that I found early on- The gift of Neuroplasticty- which literally saved my life!
Great topic to explain.👍
Thanks for watching!! I hope it was helpful.
Excellent TH-cam video thank you so much Dr. Tara Tobias PT, DPT, NCS
Thank you Dr Tobias for yet another information packed video. I really appreciate you. One question: what is that block called at 12:17 that you used to demonstrate gravity assisted movement? I need one! Thank you!
As always, many thanks for the great content. I suffered a SCI(c4-c5) 7yrs ago. Though I'm functionally independent to some extent, for most of my movements I used the compensating muscles..which made them stronger and stronger.. and the actual muscles weaker. Your videos are really helping me a lot to correct those fundamentals. Special thanks for your kind words of motivation.. I'm a big fan of the way you use pauses to emphasize on a word while explaining a topic 🙂
Can you please make a video on cardio exercises as well.
Thank you for watching and for sharing your story! I am glad the videos are helping and I will add your suggestion to the list of future videos. Stay tuned!
Godspeed, and God bless you Shiva!
Dr .t a needed video ..
May you please put the videos of same concept for upper limb ( wrist fingers, elbow joint - extension and flexion) shoulder rotator cuff issues, lower limb knee ankle extension dorsiflexion and flexion and toes flexion and extension what exercise can we do in various stages... Actually your videos are very helpful am doing everything in assisted with the uninvolved parts as you show in your videos yeah it's a kind of progression am feeling it .. with lot of love jv...
Very Nice Explanation..
Thanks for watching!! I hope it was helpful.
Hi Dr Tobias, need advice on where to start in recovering my walking/balance diffeculity due to MS. I've got an involved right foot and leg and can not lift the leg/foot. Very weak in that leg and when I walk the right hip will not stay strong and my whole side sways down, if I walk down the hall way and hold both ides of the walls I can walk normal. It's gotten harder lifting my right leg to get into the car and have to have someone lift and place the right foot into the car then from the other side pull my pant leg to pull leg over. I drive using hand controls because of the weakness and fatigue in the right foot.
When I sleep my right foot points down about 10 years now.
The last year and a half my ability to walk has gotten much worse, now I lean and reach for things to hold or touch when I walk and use a cane inside about 2 years now. I use a walker some for support and balance mostly to walk out of doors.
My right foot has foot drag and has became a real problem and causes me to walk very slowly and can not lift that right leg...both legs hard to lift but the right is MUCH worse.
My right arm has become very eaily to fatigue, writing is hard / hand work of any kind tires my hand and my arm feels weak like it needs to be stretched a lot.
My right ankle has become thick and deformed looking but is not painful, I do not think it would ever return to normal either. I've asked several doctors what was wrong with the ankle but no one says a thing. I would like to know if this is MS or something else.
I was declaired secondary progressive mutiple sclerosis five years ago by mayo clinic.
I can not stand with my shoulders back they tend to roll frontwards and now a small hunp is there, not sure if this is from MS or a van roll over wreck at 16.
I've been treated for long term lyme dieae around 2010 as well, that Dr. said that Lyme can caue all kinds of problems very simular to MS.
I watch your videos, they are very informative and hope to get help learning to walk somewhat normal again following your instructions on the exercises to do to help. Going to be a lot of work and with your videos hope to turn things around. Thank you again, Janet
I' ve been ale to walk without using a cane for about two years and have figured out what has been giving me pain in my upper glute; the problem is actually related to my foot orientation foot:forward limited pain, which is what i'm focused on when I'm trying to walk pointing my foot forward my AFO allows for limited movement, i have not had my AFO adjusted for over two years,I'm wondering, ifi t's time, I have good control of my leg movement when I'mlying down, i'm in a pretty good place mentally, yesterday morningmy wife came down the stairs around the corner my face automatically smiled, though I couldn't see her, it's great to love some one for over forty years,I wish most people were as fortunate as I have beeni've found the positive in my stroke, I worked on the road most of my life, this stroke forced me to stay home, i've gotten to know my grand daughter, who is a hoot, my mom and I hadn't been speaking muchI used this stroke to open communication with her it gave us some thingi n common, she died in 2021during a time period when I would have been most likely working in louisiana, she had another strokeand her heart couldn't take therapy, too many years of smoking, the last words she heard me say were, I love you, at least they were not angry, as endings go ours could have been worse, she died the evening of my visit.
Great content! My dad currently has a 2-time stroke and it's quite severe. No movement in the left arm and left leg. Can't stand upright neither can he move. Poor speech and eyesight too. Please how do we help him regain movement in his arm and leg again. Thank you!
Dear Dr Tara first off just wanted to tell you that I highly enjoy your you tube videos there chalk full of great information. My name is Trisha and had a stroke at birth fourty years ago and that being said I was wondering what recommendations you have for a high functioning woman with CP who just entered middle age what exercises equipment you recommend so that might transition at my age too doing low impact cardio and also what strength training exercises should I be adding to my routine at my age?
Can you pls post videos on stroke patients from lying on the bed to sitting posture and achieve sitting balance and other exercises which will encourage sitting activity
Hi Tara. I gave MS. What is your opinion about the HFAD(hip flexor assistive device by Becker) for learning to walk better without circunduction and vaulting? When I walk with it on my walking is more smooth but I don’t want to weaken my hip flexor by depending on the device. Thank you.
Doc. Tobias, it is the arm, that is very difficult to turn backwards.
Where in or near Edmonton can you get therapy like Dr. Tara does. Need help walking without canes after TBI
Hello dr. Huge love and respect from india... I have a question my father had brain hemmorage ( Basel ganglia) it has been twelve months he can walk but he has no movement in left leg and arm ...is there any techniques to get his movements back...
Do you recommend a calf stretching brace to be worn while sleeping? My massage therapist suggest it but I gave my doubts plus it is so uncomfortable. But, if it does the job I would suffer😩
Hallo, Dr tobias, I have left side hemiplegia. So I need to help how to cure it.
Thank you for ur help 💛 can you do a video on weak legs and hips ?
Hi Binaaa Thanks for watching and for commenting! I have several videos on arm and leg weakness. Check out the playlists. Anything specific? Maybe something I have not covered yet?
Thank you for your videos, how can I get my foot to go flat when it's shaped like an apostrophe please?
I go to a big hospital rehabilitation in Atlanta. The thing I like about your videos is you combined walking with upper body. I get frustrated at Emory because they want to spend an hour working on your walking then an hour with your arm. When in the back of my mind I can tell that my walk patterned would better if my arm being addressed at the same time. I love my time in hospital and the people. But it can be frustrating. They get tired of me bring you up! I finally convinced my pt to air splint my arm while I walk. Lastly, do you have any options on cryotherapy?
Do you make paralysis of the fingers....
Dr. Hi. Just lately I have been having server nerves pain. Right now anything I drink like any Herb medicine or herb tea aggravates my nerves. What can you help me with to ease the plan. Please help me.
My stroke was in 2015 (left side) now I can do 70lb incline bench press with a bowflex. When I grab a 10# dumbell my left arm starts oscillating involuntarily. Should I embrace this as part of my workout ? I can only put 5# over my head.
What do you call that when you put around your arm dr.tobias?
Orlando
How much work have you done for serious peripheral neuropathy and spinal stroke patients?
Mild superior position of humeral head is it fix by physiotherapy?if yes than how?
Is their a corection for my arm contracting when i start walking hand also starts to curl only when i walk
Hi Dr. Am an physiotherapist.do u have any idea about pontine haemmoragic stroke.d patient develop quadriparesis.and rt ul n LL have 3+power.but left have developing power1. Trying to give bed mobility.make her to stand with lt knee immobiliser with support.do u have any exercise programme for these?waiting for ur reply
Thank you verymuch, Dr Tobias you are fantastic too bad you don’t speak french because you would get a lot more a viewers !
Do you have a book with the different exercises or sheet
Is it still possible to to regain active movement by doing passive ROM exercise after 20 years of stroke?
Dr. T How long should i exercIᔕE ᖴOᖇ ᒪEG ᗩᑎᗪ ᗩᖇᗰ
I have hip pain and som time backacheplz guid me my range I have been doing yoga from last ten years⁰but now I want to precousion due to have⁰sciatica. I can't stand and walk continue for 8minut some time 5miniut I have to sit some where during walk or work in kichen. Plz tell me or guid me how much time or how rang of stretching. Thanks 🌹👍
How do I sign for newsletter?
My stroke knee is stiff and locks up. What should I do to help make my knee bend
Please do a video trendelenburg..
Pl tell hand exercises
Hi can I ask you a question probably the wrong place but why do some people can move there thumb and first finger and can't move the other fingers or Visa versa would be grateful if would help me
Hi Brenda! That is an excellent question! Generally speaking there are probably a variety of factors that go into how anyone regains movement. Probably a combination of spasticity, what type of splinting they wear, how the arm is positioned throughout the day, what part of the brain is damaged and how severe the brain damage. Long story short, I don't have a good "one size fits all answer" 😊
Hello, what exercises do u recommend, Ican doxiflex my ankle but when I walk, I drag my feet instead if lifting it
You have foot drop. She has a video about foot drop
What are the best exercises to do for hyper extended knee exercises ????
Thanks for watching! This video:th-cam.com/video/yKEv2YKl338/w-d-xo.html (part one); th-cam.com/video/M5EwJHukiqg/w-d-xo.html (part two)
I just got the riche brace and it feels very good I ask for 5years and I was told it wouldn’t work on me but now I have a problem how do learn to get away from the walking sticki had a motor stroke they took out my fore head and put it in my belly for safety I will never give up if u can help I would love I loser must of my left side I hope u can help me I think u r geart xx Anthony
Thanks for watching! The Ritchie brace is great for someone who does not have any ankle spasticity. Anytime someone changes a brace (preferably before changing braces) I recommend working with a therapist.
Hi Tara, I saw in the thumbnail you were using an inflatable sleeve on a gentleman. Would you know where I could get one?
Here is a direct product link: amzn.to/3lP4Les (I prefer the longer airsplint because it holds the hand open however, you can not do any hand exercises with the long air splint on). [Disclosure: Orlando Neuro Therapy is part of the amazon affiliate partner program. By clicking on this link we do receive a small commission at no extra cost to you. I appreciate your support 😊]
I have suplination in my foot and experience 6lot of foot pain making it difficult to walk we do stretches and I have had botox a couple of times with no help I am now having acupuncture and have noticed a slight less pain I wear an afo and have been wearing this type of brace for 4 years
Thank for watching Linda and for sharing your story!
Like it
Dr. T, My left leg is still not 100 percent and my brain doesn't trust it so it's hard to fully send all of my strength to my left leg and put my full weight on it. I fell this morning because my leg wouldn't activate strong and quickly. Is there something I can do to learn to trust this leg and fully activate the muscles?
Yikes! I am so sorry to hear about your fall. I do not recommend you do any therapy exercises without a therapist.
@@rehabhqofficial, i was doing a woodworking project in my garage and fell over some things on the floor. I don't want the tone and stiffness to come back but I do want to strengthen my left, involved side. I have quite a bit of muscle atrophy from my glutes to my ankle. My calf muscles are finally beginning to soften after years of every day intensive stretching them and wearing AFO. I can walk unassisted and completely normal now. I can't jog or run yet. I'm so ready to run. At first I had my house made fully wheelchair accessible. Now I am having everything put back as it was.
Can you help me run?
Matt- what a wonderful post! I too hope to run again! Even though the source of my injury is different than yours- I am going to try to gain momentum and commitment to daily stretching. Your post has inspired me!
🌺🌸🌺 Dear Dr. Tara, that is such a helpful video again, thank you. 💞💜💞 Love your overall explanations which really set the situation, the past and the future possibilities into perspective and relation. 🏵💝🏵 And please say hello to your sweet doggy helper 🐶💖🐶 All the best to you from rainy Germany 😄💛😄
Hi Nina! Glad to see you back in the comments!! :) I hope this one gave you some new ideas. I will give Chico a kiss from Germany 🐶😚
What are some exercises to build up the quad in addition to squats? It's been 5 years, affected on the left side and received a quarterly botox injection 3 weeks ago.
Earlier in the week after using the bathroom (#1), my quad started burning, felt like it snapped, and I fell. Used my cane for 2 days to get around and things feel somewhat normal, but that fear is in the back of my mind again. Wondering if it was the shot or general fatigue. In any case, I would like to strengthen both my quad and ham with chair assistance.
Thank you so much for watching and for sharing your story! I am so sorry to hear about your fall. I do not recommend anyone do exercises unsupervised if you have fallen. Also, it is strongly recommended that you seek medical attention.
@@rehabhqofficial Thank You.
Sorry, but what to do with Gravity Elimination, if we don’t have access to Suspension Bands and those sophisticated devices?
Thanks for watching! Most of the "equipment" I use is extremely "low sophistication". But the bigger picture in this video is meant to just give you ideas on how you need to position your body to perform gravity eliminated exercise. I have had patients come up with a variety of things to recreate this basic idea.
Where would you start with no movement ? Flaccid upper extremity
My neurologist told me my arm is going to be the last thing to recover because of where it is in the brain. Because of this I kind of put my arm on the back burner . Why should I work on my arm if it’s not going to recover, is this true
I would also work on flexing wrist IF I want to flex ankle.....connect "flexing" of different joints in brain. Renate #feldenkrais
What do use, when don’t have money?
Circumduction is my problem
Love from beautiful himalayan kingdom Nepal 🇳🇵🇳🇵🇳🇵
Thank you so much for watching! I hope it was helpful.
Is it true that i got stroke because i had covid?
😀😀😀
Jabber, jabber! Tired of the talk...just go to the at home exercises!
Only lecture not demonstration no use