Regaining hand movement after brain damage
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- เผยแพร่เมื่อ 14 พ.ย. 2020
- Raising the arm can be difficult to relearn after damage to the brain or the spinal cord. However, most people do not want to start there. Most people would prefer to start with the hand in an effort to get back to doing all the necessary skills (activities of daily living) without assistance.
In this video I will explain the best way to regain arm and hand movement
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I'm 4 years post stroke. Left side affected. Fingers are just starting to open. I use a resting splint at night to keep the wrist in a neutral position and fingers open. Weekly hand therapy, botox and mental imagery. I'm now using a home robotics program endorsed by my neurologist as hopefully the last tool to get my hand to function again. Never give up and work hard. Great video.😊
How did you get your fingers to open?
@@themartyd please read my comments above.
can ?I ask what night splint you use? I cant find one that will keep fingers from curling up
@@bwalk1963 check out saebo stretch
@@johnnyphaze thanks but why is it so expensive? That’s highway robbery
Thank you so very much I'll start today and focus on my shoulder and work my way through your videos!!!!!
Thank you so much for this video. In all the years I've gone to therapy for my stroke. Never had this told to me, they just put a heat pad on, and stretch arm then send me home.
After 1 year of homecare for a stroke victim/loved one & healed from pressure wounds finally about to start with physical therapy.. videos like this is definitely appreciated & valuable for success! Thank you for your knowledge & experience
May GOD BLESS YOU!
Jan 2016 hubby CVA right side affected. Just 2 months ago we found a Neuro Physio after watching your fab videos.
Always had good shoulder condition but no arm hand function. Now he can move and rotate his wrist. We'll add your exercises to improve shoulder strength. He's wearing a dictus Splint now and this has improved his walk and stature, and reduced fatigue. It's so important to have the professionalism and your videos encouraged us to achieve this. Thank You from Ireland. Of course, we'll keep watching and learning..
Thank you so much for sharing your husbands story! I am so glad you found a neuro Physio. I am not familiar with that hand splint but I will look it up. I am glad the videos are helping but nothing can replace that 1:1 therapy. 😊 Oh, and btw, your husband is lucky to have you. keep up the great work!
@@rehabhqofficial sorry for confusion. Dictus Splint is for his foot drop.
www.sportsmedbracing.com/foot-drop-dorsiflexion-foot-support/?sku=9040-L&gclid=Cj0KCQiAwMP9BRCzARIsAPWTJ_Ej7qhHsDNqqS13mXDg4KfKtqd-2CtL2cDs9gIB7NOWPgV_-XSrRQ8aAhx5EALw_wcB
Where's your notification bell dr. Tobias?
I love this hand/arm exercise.
THANK YOU! More please; very informative.
Namaste. Beautiful way to show how to do practice. Thank you 🙏
So helpful. My daughter has right lobe diffused axonal brain injury from a truck hitting her car Oct 2,2023.
She is minimally conscious at the moment. This video helped me understand the order of regaining usage. Thank you.
Hello my husband was diagnosed with the same injury best wishes to you
Good one 👍 . Do think it’s tempting for people to focus on the hand and why it’s important to understand the stages of recovery
thanks for the reminder,start with the shouklder, then elbow, thanks for sharing.
Thank you so much for the videos.it really helps me a lot for my recovery.
Hi Edgar! Thank you for much for watching. I am so glad that the videos are helping you 😊
Thanks for this. This is just what I needed.
this is so helpful!!! thank you
I gave you a thumbs up just for the brilliant on target video title!
Thank you for this video and the work you do. This is my first video of yours and I am super impressed with how clearly you explain things.
This just amazing, it’s like I asked you the question and you answered me. Thanks so much for your kindness in sharing knowledge. Thank you Dr. Tobias. I will be joining your monthly membership.
Hi Anastasia, if my videos resinate with you, it means that you are not alone in what your are feeling 😊 I am so glad that you are finding answers to your specific problem areas. I appreciate your willingness to support me and this channel.
@@rehabhqofficial love you
Again, as a foreign educated PT/students.....You are the interpreter of thick but concise and confusing PT textbooks written in the therapists/scholar language. Thank you for showing me the true meanings and the clinical applications underneath the each lines in the book that I couldn’t fully understand from just reading.
I am so glad the videos are helping you to be of greater service to your patients 😊
🌺🌺 Yeeees Dr. Tara, suuuuper right!! The thumb spastics is the worst and most dominant of all of them. Getting the thumb stretched out is the basis for relaxing the hand and for getting the arm down, in my experience. My quick fix is that I run around the whole day with my mobile phone in the hand. Instantly the arm goes down, even while walking. 🌺🌺 Sure your splints are better for serious exercises, but the quick fix works in all other daily situations. 🌺🌺
I loved to hear Chicos little doggy paws running around you while videoing 🥰🥰 such an adorable little helper 😍😍🐶🐶🐶
Hi Nina! Thanks for the cell phone idea! That is great. Especially with these mini tablets we now carry in our hand 🙃. Oh, and about Chico, I am so used to it I sometimes don't hear it until I edit the video 🤦🏻♀️ Most of the time, I pause until he finishes "helping" 🙃 I am glad it was not to distracting.
@@rehabhqofficial 😁😁😁🤣🤣🤣 Chico is the best 🥰🥰🥰
Greetings,
I'm 10+ months into recovery. As you said everything is connected . . . I believe I had spasticity in the muscles along my spine. I found relief from my acupuncture/massage therapist. Improved my neck/face/sinus issues. As well as the shoulder/arm/hand/fingers. You, as well as she are a Godsend.
@@dpaul5457
4:07
Dr. Tara, you are a Godsend! I am a personal trainer with a new client who is 7 years post-TBI and she has so many things we need to address. in addition to PT Progress Notes and conversations with her previous trainer, I am using your channel to learn how to help her. Thank you, thank you, thank you!
Please can you help? I have a friend she had accident and she had tbi. After 2 months she started walking and moving. But then all on sudden she cant walk. Cant bend her leg. Its like its stuck. Why is it like that??
Thank you for making these videos ❤
Super perfect explanation Thank you so much ❤
Suffered CVA, left side affected. Feels like a torn rotator cuff or bicep fascia, has limited my range of motion by excruciating pain. Slowly recovering some movement shoulder then elbow no hand feels ice cold and tingling very limited movement but I am working to curl fingers and pinch. I feel blessed to have found your video and I will try these exercises. Thank you
Never give up refuse to give up you can and will recover ❤
Thank you so much. God richly bless you
Good to know about the preferrable thumb position in splint..
I Love you and your videos thank you for all you do
Hey , I am getting better with the my shoulder, arm , wrist.. still having trouble with my fingers, yes I have involuntary movement, your right ,I have a splint and use it. Thanks for being here.. my Thumb is out . My. Little finger having trouble wants to curl up.
Good morning madam am from Nigeria an OT assistant I love your works all the best
Could not agree more about the thumb abduction on a hand splint. When I bought a splint that placed my thumb out, it helped relieve spacticity in my thumb and fingers tremendously. It was like taking a huge leap forward in my recovery when I started wearing my splint a few hours a day.
Yes Janae! I am sure it was not easy to get to the point of being able to tolerate the brace for a few hrs, but I am glad. you stuck it out and that it helped you. Keep it up! And thanks for sharing this!!
I used to use a hand splint too for my elbow and hand until my physiotherapist told me to stop using it. He suggested I tried controlling the elbow myself because it jumps up involuntarily when I walk. The splint did immobilize the plastic arm but everything returns back after I remove it so, there was no use wearing it.
Dr above shared is very true, , i on medication to overcome the spasticity. It's become like a claw hand. You are god sent angel
Dr. Tara, thank you, again for a an eye opener. I am 2 years post stroke, still no hand recovery. Can you tell us what to do about plateaus. I have nnever gotten a good explanation. I get frustrated sometimes.
question about splints, I have had 3 different splints made for me and have purchased 2 others myself, and none of them do what you say a good splint should do for you hand. what splint do you use or recommend? or should I just duct tape my hand?
❤❤❤❤ thank you so much I couldn’t find the topic exactly what my husband needed but you are rite on topic so much great information
I am so glad! Thanks for sharing!
OK apart from stretching and splinting given that I have elbow and shoulder movement can you advise on finger extension I have flexion that's.not tone
Hi I came across this video a real eye opener unlike other videos clear and concise for the last 6 - 7 years i have starting severe unbearable pain in my wrist, fingers, shoulder, wrist and my eye over the years my wrist, i have tried many pain killers splints but nothing has worked, my question is I had my stroke in 2011 I did not do much physio if I start the hand and shoulder excerises will the brain rewiring work after so many years of my stroke, thank you in advance.
Amazing explanation
So I'm a survivor of four brain injuries and woke up from coma with left arm stuck to my chest. It took alot of work. To even regain use. I found guitar practicing helped me alot. I've actually got a q for you. So my doctor told me I'd have minor pain from partial paralysis. That was an understatement. I get brutal pains that bring me to the ground and pain is insanely brutal even sometimes feels like I'm gonna die from it as it makes my chest tight. I myself like to use cannabis to deal with it after it happens. Would you have any suggestions how to stop the spells from happening? I call them spells cause happens few times a day rarely I go a full day without it happening. Are there any techniques that I can practice to stop these spells. I got movement back I can even play guitar again very crassly but can slightly play Atleast I suck horribly compared to how good I use to be able to play but I thank God I can even play a little still. But I just don't get many suggestions on these spells. Is there anything I can do to prevent or even maybe shorten the spells from minutes long to alot shorter? It's not a minor discomfort like doctor said it would be. It's insane and has caused me to kinda become a shutin cause when it happens infront of ppl that don't know me they freak out and think I'm having a heart attack. So I try not to let it happen around others.
Are there other splints that you would recommend? Should the splint be worn 24/7? My OT had me wearing a "dynamic" splint at night, but it never seemed to work correctly. My fingers could still find a way out and I felt like the circulation to my thumb was cut off. My Botox treatments seem to keep my fingers fairly relaxed. But I still get involuntary clenching with exertion, especially when performing things like a plank.
hello dra. i would like to say thank u for your video/ advise presentation.. all your topics are valuable to me especially to address the need of my husband who suffered stroke 10 months ago..
i would like to avail the hand splint for his hand. where can i buy it dra? thank u.. GID bless you more dra.b
4 years post stroke.I have spasticity in my tricep, and hand extensors,Also a tight pectoral tendon which makes shoulder lifting hard.
Hello,
I want to thank you immensely for the helpful videos. I really enjoy watching them and practicing the exercises.
I'm have been on physiotherapy for about a year and 6 months after a basal ganglia CVA that affected by left side. I have made some recovery but I'm worried that recovery has slowed down although I do lots of exercises. My major problem is that I can't straighten up my upper limb without my elbow bending and elbow jumps up while I walk. The Plasticity was very severe before but it's reducing now. Is there anything I can add to weight bearing, stretching and use of reciprocal pulley to facilitate quick recovery of my arm? Thanks.
How is your condition now
My left side affected ( fingers curl up involuntarily) . Above shared excersise is both promising and help ful . Will try for sure .
I just joined your monthly membership for $4.99 and look forward to the monthly live feed scheduled the first week of November.
Thank you so much! I can't wait to offer the live for you :)
Where is the link,? It might be an affect of the stroke, but I can’t find it . 🙃
subbed and binging videos now. two strokes in 2021. 6 months occupational/physical therapy involuntary wrist/hand clinching in as you talk about. elbow too. hoping with learned things here I can regain at least some use. leg recovered fine but still going to go over your pointers for eliminating bad habits.
Same here my left arms still recovering goodluck to you ❤
I had a massive stroke in 2003 33yo. I gave up on my left hand and arm, I'm functional with few limitations. I tried PT OT for 6 years to 0avail. Botox electric stimulation. my family isn't strong enough to stretch my finger. I can't afford splints or therapy anymore stroke caused epilepsy so I can't drive I walk with limp but I walk
I wore splints and AFO for 2 years I broke 2 hand splints from my spasticity. I am going to die this way one day. I gave up from being normal. now I am having internal problems from muscle weakness. certain organs don't work! thank you
Thanks Dr. Tara, really helpful
Hi! Thank you for watching. I am glad you found this helpful 😊
@@rehabhqofficial I had a stroke after a brain surgery in November 2020. I have been engaging your session and it's been helpful
@@akinlamiayomiposi2508 Thank you for sharing your story.
Love this!!!
I do have some spasticity in my left hand/arm. My finger movement is improving as is my reach in my at-home therapy. To avoid the firing at the same time, is doing resistance bands not appropriate for shoulder exercises? Should I not be working those muscles?
hi tara, im left side affected and ive been looking everywhere on amazon for that air splint you wear,please tell me where i can get one thanks in advance😊
Madam please suggest more on opening fingers and get there voluntary movements,,madam stroke patient got cure or not after 2 years of stroke??please reply soon madam
Dear Orlando Neuro Therapy thank you for your videos. Can you please tell me if it is possible to start making any improvements with hand movement after you haven't done any therapy and you neglected your arm for a long time? Please help me with this...please...please!
Thanks ffor the great video
Thank you so much for guiding with right tips for patients like us , through your video i got few ideas on what i should focous to get hand n movement back coincidentally i noticed arm muscles are connected to finger movements when I used a pulse massager it was vibrating my fingers please tell me is there any use of pulse massager electronic device
I used to have hightone but it has disappeared lately any advice on the hand now since spacticity is less of an issue???
Yes I wear splints in my hand for my weight bearing and many exercises
You can use finger rings of PVC pipe even made from cardboard to prevent fingers from bending or curling inside as fist. I too am stroke patient recovering from left side paralysis. I used slip disc support belt and these finger rings for recovery and there was positive recovery. This belt helped to keep my elbow straight.
Can you pls advice how to have better movement and strengthening of these muscles. I still have stiffness in extending my left arm across right hand side and difficulty in rotating my shoulder round. The pain is there in back muscle of my left arm coming from upper left arm and the muscle opposite that muscle on the upper left arm. Still my pointer/ middle/ little finger muscle pains when I knuckle. I always feel to knuckle to relax these fingers. Can you pls guide.
Now my left side neck muscles has started paining
Hello ma'm im always watching your videos especially if it's about hand
Can you please make a video about index fingers that is curling i can't pickup properly because of it
Dr Tobias , practiced the exercise shared by you . Fingers are slowly getting better. It curls up again ( involuntarily) . This happened after a relapse ( MS )
What is the best splint available I would like to get my mother in one she had a stroke January 8th, 2021.
Thanks!
More on wrist flexion please
🏆🏆🏆👍🇺🇲🙏
I'm five years out from basal ganglia stroke.
I have mirror box, Saebo TENS unit, Saebo stretch, acupuncture, etc.
Can't get any finger extension. Have finger contraction.
Having doubts 😢
Thank you for sharing.
Great! Great!! Information
great job
I have had release tendon surgery on my hand to relieve the fist clinching i had -does that mean i will not b able to move my fingers again? If so that was not explaimed to me before surgery -also i am 10 years out from my stroke which took my entire left side away! is there any hope for regaining movement at all? Thx for ur vids! :)
DR Tara, I and Tom India i seek your advise. I was affected by stroke about 3 months ago
My right hand isfeelg a bit numb. What can6
Good Morning, I am a CNA and my client had a stroke in 2015. His hand and arm was neglected when it came to physical therapy so I am trying new stretches and exercises with him daily. He wears a hand splint at night only, should he be wearing his splint during the day? Please and thank you.
i was looking at the orlando center. i am in north fl. is the center for outpatient therapy???thank you. a stroke survivor.
What do you think about hip internal rotation? My hips stuck in external and it’s difficult to isolate my hip in internal rotation. I haven’t seen any of your videos talk about that but it seems to be a common theme with stroke patients. Thank you for all of this great content. It's been tremendously useful for me in getting past some of my plateaus.
Yes, this is a very common problems. Here is a link to a 2 part series on this: th-cam.com/video/XyCi5N8EZb0/w-d-xo.html (pt 1); th-cam.com/video/G8it4FU1iYQ/w-d-xo.html (part 2)
I take baclofen and get botox which helps but it's still slow going on the arm/hand. I can hold and release stuff but the spasticity in my forearm is mainly what's killing further progress.
i cant seem to find a good splint, any advice??
My Son is 10 months but can't grab things on his own, unable to sit without support or crowl Hope this will be of help
Thanks! Ill try tomorrow, when the sun comes out 🌅
Are stretching machines good for patients? I have a 5 yrs old daughter still can't control fingers but she can move her shoulder and arm
Hello I had 3 strokes in 2003 all affecting my left side a bit of spasticity was there but I was able to still use my hand a bit it was not as tight as now, in 2015 I had my 4th stroke, this one was on the other side so when I was in hospital I could not even scratch my face with either hand but on the way out of hospital to my surprise I scratched my face although now my right hand works pretty well until the 4th stroke on the other side but it still made my left side worse now my hand is clenched more and even my leg is bowed under more my arm squeezes me on my chest my left thumb nail is standing up of my thumb I used to wake up with my hand open for a while but now it is closed all the time now, my thumb bends over and while I sleep my thumb pushes so hard against my other finger that it has pushed the thumbnail of the front of my thumb that is why it sticks up of my thumb my doctor looked at it worried but that was all a couple of years ago that the doctor looked at it it worried looking this year I only had appointments over the phone
Please Maureen from Nigeria like ya lecture. How can I get the hand splint for my mom
How should work with splint? Should I have it on during exercises?
Hi,
I have stroke in right side, since 24-04-2017, I have 2 questions for you...
1-He said « strong leg goes up and weak go down »; if the opposite happened?
2-I did the exercise « ankle dorsiflexion with electrical stimulation » ;my right foot move inside the legs not the go up “ defect because from birth “ ; after while I have :
a - little foot drop.
b- I cannot climb with the strong leg and I have difficulty climbing with my weak leg; what you think?
Hello and good day
My name is David Zamora I had 4 Strokes in 2 years l was a Executive Protection Bodyguard for 20 years
What can I do to help.
Thank you.
Hi I have a traumatic brain injury, and i can’t use my left hand I wore a splint for a long time, but it was heavy, and made my shoulder hurt, and i thought that having the splint on Kepler from using my hand, but idk i guess i need to work with my hand more to kinda get it back working, or get on the track to get it back working.
Slowest part of the body to go on line again due to too many joints and type. Six year post stroke, I still dont have any movement in my fingers. I didn't let any part of my lyme to go into contracture. My advice: stretch, stretch, stretch every joint. Avoid subluxation, and shortening of any muscle.
Yes!!! Excellent tips :)
For example when I be playing Video Games at a Tense Moment & sometimes my Hand feels Numb as if I got Cement built up in it & I have to stop playing the Game,
What would you call that Feeling, is that like Amnesia or something?
My shoulder work elbow work not finger suggest some idea for future recovery
I have a back surgery and due to that having a foot drop issue. Any recommendations for physical therapy in Cary, North Carolina area
Should Passive Assist Motorized Training exerciser and a vibration plate be added to my routine (I have both), will they help with spasticity? Ordered the Mat Table in order to do more, I should not get on the floor due to the inability to get back up, so I'm really looking forward to being able to take full advantage of all your instructions.
These are excellent questions! First, I am glad you ordered a mat table. I do think it is an invaluable tool for your exercises. As far as the mostorized trainer, if you have a motomed, that is second to none for home rehab equipment. Not only does it assist but you also get feedback by looking at the screen where it shows how much each leg is working. As far as the vibe plate, generally speaking, I am not a fan of this for anyone who is "high tone" (meaning you have involuntary muscle contractions with minimal. exertion). Again, generally speaking, I find that this can trigger a spasm. But if it does not do that when you stand on it, then it is great for improving sensation in the legs. :) I hope that helps!
Hello. My wife had a stroke late last year and is currently right side deficit. She has no movement in her right arm, hand, fingers. She has a little movement in her right leg, mainly the foot area. She has difficulty speaking. Currently she is getting therapy for speech and for her leg and I am doing all the therapy for her hand as I was shown at the hospital. Can you please clarify how the hand should rest in a splint; is it as you showed towards the end of the video. And where does one obtain such splints. I am not in a position to make one. Since you stated that exercises for the arm should start with the shoulder and travel down the arm to the hand and finders, what are the exercises that can be done on each section of the shoulder, arm, elbow, wrist, hand, thumb and fingers. I have a lot of questions. Please bear with me; I just want to do all I can and the best for my wife so that she recovers as much as possible. Thank you.
Sad to year this incident happened to your wife, How is your wife now? Does she recovered? Kindly respond to this. I have a patient with similar conditions you have mentioned above.
How to improve sensation in hand had a right mca stroke 2018 movement is very good in arm shoulder and hand but sensation in fingers not good anything for that sensation of touch thanks for all you do🥰
Hi Kathy! Thanks for the question. check out the arm exercise playlist. Anything that says arm weightbearing can help get more sensation. I hope that helps!
Madam please suggest excersisefor finger and wrist movement
I just recently had a stroke a month ago. And I am left side effected I also did play guitar haven’t been able to play. I’m not sure if playing again is a realistic goal. I can’t even make a chord shape
Hello congratulations your videos are fantastic.but the hand is little bit the therapy.We need more exercises.The hand is very difficult.Thank you very much
I have a good splint that help out with my spasticity at first I worn through the day to help with as it had improve I only wear it at night and day I take it off try to use my arm my problem is my finger isn't moving I would love to get those digit moving my arm and elbow is fine. I was told by therapy about Botox they refuse it due to how lose my hand can be at time . How to gey my digit(finger ) moving
Hello, my son is 6 years old and had a stroke. When he was in my uterus, he has spasticity, and involunteered right hand glenchy spasticity on the right leg. Can I use most of this recommendation for him as well?
I have severe GBS my shoulders and elbows are moving but the hands are healing slowly. Any thoughts or recommendations???
Dr.Tara could you plz do a vedeo on catching and releasing, as I found it very hard in releasing things
I'm 32 recovering from 3rd degree burn that gave me mersa causing endocarditis which led to 2 major strokes and 3 minor. As well as mitral valve replacement open heart surgery. Walking took 3 weeks..but my left hand is so frustrating..I'm an hvac installer and feel useless without work..my shoulder strength came back so quick ..I hate feeling like a cripple @32 and needing help with basic living
will a acupuncture massage pen work for stroke patients
I had a stroke that paralysed my whole left side, My arm elbow wrist and hand donot move at all,is there a video that you have done to show what Excercise to do 1st to get some motion started in my shoulder, I'm losing hope as have no idea of what to do
Hi dr. Tara..
I had a stroke patient.. Her left side is affected, she cant move her arm and clenched fist.. Also she has left leg calf muscles spasticity..
Please guide me...
How long recovery arm
I’m 20 year post Stroke! A Bass Guitar Player! Wanting the movement back to play! What’s a Splits?
My fingers won’t move fast enough!! Plse help me..
Okay so I got pretty good shoulder and really good elbow movement but when it comes to my hand I can grip but not extending it's been almost a year .5