Walking after a stroke: Progression 3
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- เผยแพร่เมื่อ 29 มิ.ย. 2024
- Here is the third progression to re-learn how to walk after a stroke and how to manage spasticity in the leg. #strokegait #spasticity #walking
Learn more about neuroplasticity by clicking here:www.orlandoneurotherapy.com/s...
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NOTE: you will need to attach 2 together in most cases to wrap around the upper thigh
Here is a direct link to purchase the foam wedge:amzn.to/2XTYgdH
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I had my stroke last 2015, I have been in therapy so many times but I still have spacity in in my left leg and my foot still drop. I drag my foot most of the time I walk. Nobody really explained to me what really was going on with my leg. Only in your video I truly understand what I have, why I cannot lift my leg and my knees are not bending when I try to walk. Thank you very much. I hope it's not too late for me to perform the exercises in you video so that I can walk again a bit normal without dragging my foot. Thank you again.
Thank you for all of your videos. I am helping my mother in love recover from a stroke. Your videos have been my staple in order to get her back walking independently.
From India I thank you for all the progress I made just listening and watching your videos alone.I walk unassisted climbing stairs up and down ride a bicycle and a moped
Dr Tobias I see you as a life giver, by teaching us how to get our bodies and minds back to what we were used to...You are helping us take our lives back...ThankYou
God bless you keep it up you are lots of help
You are so kind and encouraging and helpful to so many who need help & can’t afford it. We can tell you love people and what you do, Dr. Tara! Thank you so much!
So helpful my leg still shoots out & I can't squat .I'm 7 months down stroke.
Don’t stop talking to us we need that 🙏🏿🙏🏿👌🏾🫶🏾🫶🏾👍🏾
I can’t tell you how much I appreciate your videos. I’m one of many that can’t afford Physical Therapy. I’m very careful and need to get rid of my hyper extended knee. # Stroke-gait please
Hast tag straight gait
Love walking exercises
I've been looking for the answers you've provided in your last three video's for the last 8 months. My neurologist basically ignored me when I questioned him directly. THANK YOU so much. I've fallen three times because my affected ankle supinated while I was walking. It really hurts to walk on the side of your ankle. Your video's go after that directly and I'm grateful. I've subscribed because you seem to understand exactly what I'm going through. So you've become my leading resource.
thank you for watching. I am glad I can help. You might want to look into a custom ankle foot orthosis. Also, consider a physiatrist to help manage your "stroke related" problems.
These videos are so inspiring.
My son is making great progress.
I am a 73 and recovering from a stroke, but I started from a condition well beyond where this video finished. I also watched all the preceding progression videos in series and I can't say enough HOW HELPFUL it is to watch the whole progression!!
If you understand the underlying causes that the specific exercise is addressing, you can more effectively concentrate on the particular muscle/s or motion/s needed to achieve the objective. That's what works best for me and most stroke patients I speak to. BRAVO Tara, I'm finding GREAT value in the videos you put out from basic to advanced. Thank you!
hello doctor. I am in therapy( spinal cord accident from the car acc), everything is still working I'm trying working on muscle strengthing I really needed your ideas so I keep on being strong and not give up I'm doing really good at being motivated, my therapist thinks that I'm really motivated still. your info is helping me. I'm thinking your great. thank you so much.
I had two neck and two lumbar surgeries. I have gone to different rehabs in town and Houston and Dallas.
The first time I saw your video on spasticity vs foot drop I saw the difference and it gave me some hope because I thought that I would never get better. My left foot foot does not flex and I start dragging it after it gets tired after walking with my walker for a short distance. I used to just walk with my walker and it really never did a whole lot for me. But when I saw your video where you recommend standing as much as possible and when walking putting all the body weight on the back foot and alternating between the two feet. Well I have to say that this has helped me a lot. The back of both legs feel stronger and my back feels stronger. I am able to stand longer and i don't rely on my walker all the time but just for support. This happened after the first two or three days. Tomorrow Monday 3/22/21 will be a week. I will continue to do this kind of exercise to see where it leads me. Oh, I stand on each leg with all my body weight for 30 seconds. So far I am feeling great and I feel that progress is taking place. Thank for your videos and your exoertise.
Your videos have stood the test of time! I love them all! 🌞
Keep up ALLof your commentary!
It’s so valuable to me please change nothing you are giving us all such a gift I think that some of us may need to pick up their listening skills. You commentary is priceless
Appreciating so much your videos.
Thank you for all these helpful videos Dr. Tara.
kudos to you. your words are incredibly reasonable and your work amazingly up to the point.
#strokegait and then #strokearm !
Thanks so much for the wealth of information on this channel. It’s really helping me!
Wish I had seen your videos 5 years ago. But, now I pick and choose from your referred exercises.
I've been researching for my mom I haven't found anyone like you and your passion for physical therapy! Thank you so much.. I hope to get my mom to you! God bless
Thank you for watching!! I am glad the videos are helping :)
Hope moms is doing better now. She's raised a awesome young man.good job for looking out for moms.
You are a blessing to watch. Thank you
Hi Debbie, thank you so much for sharing! I hope the videos are helping you to get a little closer toward your goals 😊
I'm a physical therapist who scours TH-cam looking for information on exactly what you're talking about as far as neglect, specificity, progressions, so please keep up the good work. a common problem that I see is that " frog-leg position" with the hip pain if you could talk more about that that will be greatly appreciated
It’s a one in 1 trillion chance that I’m alive as a human being is the one in 1 million chance that live in America and one in 1 million chance that I get in a car Excellent and get ataxia I am so grateful that you do what you do thank you continue the good work
Hi Will! Thank you for sharing your story and your positive outlook! It is invaluable to others who are going through what you have been through. I appreciate you watching and more so, for your willingness to share your positive outlook 😊. You have given me a new project......"a guide for stages of recovery". :) Stay tuned!
Thank you so very much. You are the best. I appreciate you. God bless you richly
Your video is very helpful.
Thank you so much doc.
The exercise work like magic!
I am glad to hear it
Thank you, I was discharged from PT just before the quarantine , but I now feel that we missed this whole progression like from video 1 2 and 3. I will start my walking progression from scratch. Thanks again. #strokegait
Can't wait to hear how it goes!
@@rehabhqofficial now I'm walking with a limp due to spasticity with the extension pattern, can i start again from the beginning? I still need to walk during the day to get to the kitchen and walk the dog. I contacted you via Instagram. With the same question. Thanks is advance for your insight.
Your videos are very helpful, I watch and do some of the exercises.. I had a stroke 15/9/2019. Your are excellent keep doing.
So blessed to have found your videos. I cant express how helpful these are going to be for us. Husband had a massive stroke on June 1 19 Your videos are a life saver!!
I am so glad to hear this. Thank you for sharing. It really does motivate me to keep putting in the effort to make these :)
@@rehabhqofficial I can stand 30 counts and more as I progress. Thanks
But I can't still. Move forward. Share to me how. I keep watching your video. It's been very helpful
thank doctor tobas, very usefull
You do an excellent job thank you very much for your time1😇
I know all of it, but occasionally it has new think , thank u doctor
You are amazing. You have tons of information. Thank you for Sharing your knowledge. I currently am working on my own physical therapy at home. I no longer have a therapist. Your videos reinforce a lot of what I have already learned. Since I had my stroke back in February of last year.
Thanks for watching! I am so glad to read this :)
Very good information
November last. Year. I had a stroke. Used. The method used in tai, chi. ,, l am walking. Now. 😎. Good channel. This one. ,
Just join your videos and watch them every day
RESPECT. Thanks
Dr. Tara, I cannot express my total gratitude to you! I live in Germany and I love your exercises and your explanations. After a year of lots of exercise and therapy, this is the first time after a stroke in the middle of the life, to get full information and explanations on what happens in the body. You are a life changer! So thankful for your help!! 🙋♀️👍🤗💖🙏
Sunshine Happy thank you for watching. I put a lot of time into making these easy to understand so I appreciate your kind words and I am super grateful to be able to help you
Useful thsnkjs
I didn’t see the first one’s and my arm and keep it up 👍🏾 and you will hear 👂 more from me 😊😊😊
yoi have been very
useful in your advice, Very userul as i am challenge on my right side leg. Will follow you kind presentations ahd look for more. Thank you
Thank you for watching! I am glad they are helping :)
Thank you doc...
Thanks for watching! I hope it helps!
#strokegait Dr. Tobias you are an angel you are so helpful
I so appreciate you and your kind words. It does not go unnoticed, all of the encouraging comments that you leave. Keep going; taking one day at time. And I promise to keep providing (hopefully) helpful videos :)
I very much appreciate...
Thank you
Thankyou!
#strokegait
. Please post a final video. I'm loving the videos
Carol-Ann Reeves here is the final video in this series. Thanks for watching!! th-cam.com/video/ewbHClRYIaI/w-d-xo.html
#strokearm, you rock!!! i love your videos…
Hi dr Tara! Would love to learn more core control exercises from your future videos!
Thanks for watching and for the suggestion!
For normal person is esy to do this but for me is really hard to do this cause i hot stroke brain hermorage from avm.. thank you for this tutorials im gonna try it
Just found your videos and love them. My issue is I didn't have a stroke. I have MS and lost ability to walk in 2016. Could your exercises help me? Since seeing your video, I now feel I suffer from serious spasticity.
I’ve got ms too, since 1998. I also feel down the stairs, 2020, too impacting my head into the wall. These simple exercises are really helping me too. I’m slowly learning how to walk confidently again. My right leg has some spasticity still. Carrots, magnesium citrate and glycerinate help me. Tai chi walking is also helping.
Hi Dr.Tobias...
This is Cindy, I care for my Sister whom is in her 70's and had her stroke 4 or 5 years ago. I work with her 3 days out of the week, our goal is to be able to transfer bed to chair, chair to car, car to chair then back to bed...she's in the early stage of being able to transfer, I have her working on sit to stands, yet I notice she leans alot toward her involved side. Most of your videos you mention leaning towards your uninvolved side....my question is...what can I do to help her from falling toward her involved side...thank you so much for what your doing your videos are a blessing for her and me... may God bless you in so many ways....Thank you..
#strokegait. You are so wonderful. My wife had a spine surgery to remove lesion in T7, T8. After three and half years, she still has poor balance and lots of spasticity. Cyrinx has also developed. We are continuing conventional physiotherapy. Your videos on spasticity are very useful, tho' she is not a stroke patient.
Thank you for watching! Many of my videos will help your wife if she has spasticity. Please subscribe so you can get notified when I post more videos! : ) Here is another video that may help th-cam.com/video/M5EwJHukiqg/w-d-xo.html
L fell from horse . It step on the inside of my ankle this video helped some. Thank You
Wonderful video
I love the steps of following the exercises it’s helping me a lot this week
I would like to asked a question if I’m using crutches now and how leave the crutches 😘😘😘🙏
#strokearm and thank you so much. i do the exercises at home and my pt told me today that she is surprised how i improved.
just checking in. How are the exercises going? Still seeing improvements?
i am taking part in a neuro treatment in hungary now and even they can see the improvements.your videos and advice help me. ♥️
#strokegait
My husband is still trying to learn to walk! Thank you so much❤️🙏🏻
Go slower safety first
First of all thank you for what you're doing here. I sometimes get confused as to which is your bad leg, in my case it's my right so if you could possibly indicate which is your bad leg in your videos with a ribbon or something, that would be greatly appreciated. Progress is slow but with all the information I'm sure I'm doing much better than before. My gait stutters, as I bring my bad leg forward my weak hip can't seem to pull the leg and knee up to for normal step. The hyperextension has really improved 2 since the knee locks less and less. But with lots of treadmill and elliptical work, forwards and backwards, I'm sure it will continue to improve. The shoulder arm and hand are also affected but I'm working on them too. Your videos are excellent and very very helpful. Thanks again.
I appreciate your videos! I heard you used to practice in Vero Beach, where I live. Sorry I missed you here,
Yes! My first couple of years out of school I lived in Vero (and worked with some of the best neuro therapists). They taught me a lot. I miss the little beach town. 😊
Dear Dr Tobias, for a person who can actually walk with a cane but not nicely and only small distances, do you think that he should not walk (at all or only to the bathroom) until he goes through all these steps for weeks(or more), with other words walking with his bad pattern would ruin the good pattern "in progress" between excercices? Maybe its a silly question. After watching a lot of videos related to rehabilitation, I think you are the only person on youtube who really gets into details with this illness and the stages of recovery. Some little explanation in image in the corner would be helpful for people who don't speak english, like my father. But your videos are spot on, keep up the good work!!
Great question! I tell my patients to keep walking limited and spend the majority of the time on these exercises. For example, if you have a wheelchair, use that for long distances and spend MULTIPLE hours a day performing these exercises. For the reason that you stated. All that work goes to waste if you go right back to the cane once you have finished the exercise. I hope that makes sense. Also, thanks for the feedback on the videos. I am taking in ALL the feedback and hopefully the videos will continue to get better thanks to all of you :)
I have been watching just not commenting. I keep doing what I have been doing along with adding another movement. I mixed them around to keep it interesting.
That is great Jeff! It is good to switch things up every now and again :)
#strokegait thank you very helpful..
Thank you Dr. #strokegait & #strokearm
My pinky toe getting hurt sometimes when walking, and my wrist has high spasticity.
I’m excited to try your exercises. I have been wearing an AFO for over 10 years. Can I wear the AFO while doing the exercises or is it more effective without the AFO?
Thanks mam thanks a lot this give me more hope thank you... #strokegait
#stroke gait. Thanks!
Love these videos my issue is with my hamstring tightened ,I stretch but doesnt seem to work ,I beleive if my hamstring would release ,I could walk so much better ,I’m at the point that I walk around the house and on my deck outside without my cane but don’t leave home without my cane ..
Thanks for your comment! Here is a video for hamstring stretch: th-cam.com/video/-Xx7bMTnpe0/w-d-xo.html, also check out the video that was posted today: th-cam.com/video/VDA8wkkSfKc/w-d-xo.html. Specifically for how to stop the knee from "flexing up". Thanks again for your willingness to share your situation!
Thanks Doc! I cant express how helpful these are going to be for us. When I put my weight on my right leg, my right hip always go backward, so I can't maintain the balance. where is my problem? Thank you.
Thanks for the comment! this is very common problem. I will add this to the list of future videos :) In the meantime, check out any video which address hip weakness, "knee hyperextension" or foot spasticity. these would be the most common causes :)
I tried to walk without my AFO. I got a little ways, but I couldn’t take the hyper extension my knee was doing. So I had to put it back on before I did any damage . It was so painful. I had to try to see how I make out
Hi Steve, generally speaking, if someone has spasticity it is not recommended to walk without the AFO.
@@rehabhqofficial I just wanted to try it to see how I make out. Not going to do that one anymore, thanks for the reply
#strokegait and #strokearm! Have been doing physio for 3-4 years. Nerd out and help us fine tune!
I appreciate your videos, thank you so much. I would like to know for how long a day I should be doing these exercises and how many times a day?
Pedro Rossi I would pick 1 video series and focus on that specific problem for a few weeks spending minimum 1 hr. More is better when it comes to neuroplasticity 😊
Great videos and really helpful. I have had a thalamic stroke and doing well after one year. However a have much sensory loss in both left arm and left leg and torso. Often with numbnees of planter surface of foot that interferes with walking and pins and needles in fingers that prevents gripping. Can you recommend treatments for these sensory loses ? Regards Malcolm
Hi Malcolm! Thank you for watching and for commenting. Generally speaking, sensory issues from a thalamic stroke are difficult to eliminate completely. However, in general, desensitization exercises (gradual introducing typical sensory experiences to effected areas) can help to increase your threshold. I hope that makes sense and I hope that helps. I plan to do a video on this. so stay tuned! 😊
Hello Dr. please tell us where we can buy the night splint for drop foot. You displayed it in your video How to walk without a cane. Thanks so much- ken and Kim
Question: Should I be doing the exercises in these videos with or without my AFO? Thanks for your videos :) I'm a T8 incomplete SCI. #AFO #brace
I really struggle to hold my leg straight when standing, my knee pops forward and I get involuntary spasm, be good to know how to fix that, so stop the knee popping out forward so my knee collapses, thanks Tara
Thank you for the inputs. I do not have a strap to put both oy my knees together.
Can I use blanket to strap my knees?
Please can you help me and my heavy foot since my stroke which hasn't improved in six month despite my exercises which you recommended. ❤
Hi Tara. I have a leg strengthening question. When I'm sitting on a stationary bike and pedal forward I can now keep my left leg straight like normal. However, when I pedal backward (to strengthen my hamstring) I struggle with keeping my entire leg straight. My left leg turns outward and my ankle rubs against it. What is causing this? Is it a weak hip or adductor?
Thanks for watching Shawna and for the excellent question!! I am not a fan of stationary bikes as it will cause over active "leg straightening muscles" and under active "leg bending muscles". I hope that makes sense :)
@@rehabhqofficial What do you prefer? I'm already walking with no afo assistance but I still have some hyperextension
please, please #strokegait. thank you for the walking series. I am 6 months into recovery and find this series of very beneficial.
Where can I purchase the straps with the D-Ring please. My wife's knee hyper extends when she stands. My wife has severe spasticity. Which video do I watch for this issue?
thanks for watching! link in the description :)
Guess it worked as I feel very floppy and unstable standing up now...but I also walk hunched as scared to go into extensor again.
I have a taxi and I got onto your videos kind of midway I want to know is there a way to test where you are at in recovery so that you can jump on board at the right time I’m walking from not walking already but I’m not sure we have to start
thank you so much for the very informative videos, they have helped me tremendously . i am hpoing you could touch a little more ob sublex shoulder and your thoughts on helping with the pain and how to get rid of it. i had my stroke the first day of december and was released from the hospital in early january. i have outpatient therspy 3 days week for 3 hours each day. they have me in a shoulder brace and have taped me but this and all the thersapy is not helpibg at all. i do home therapy on my own 3 days a week as well. i know you cant fix it but would like to heasr your thoughts on this. thanks again for all yoiu do.
Thanks for watching and for telling us a little about you and your situation! You are still in the very early stages so you still have so much potential for recovery so keep working hard! Here is a weight-bearing activity that helps with subluxation but also the next series will be about the arm and specifically about how to regain arm movement in the early stages so stay tuned for that :) Here is the video I mentioned that will help with weight-bearing: th-cam.com/video/nhoXP5ueC2Y/w-d-xo.html
@@rehabhqofficial thank you so much, you explain things so well. i have been doing weight bearing and will continue to work hard thank you.
More demonstrations and less talk probably would be better beneficial to people who don't quite have a good speaking and understanding of prolong English lectures. But this is a great exercise for their ears and patience virtue tho.
Great information...thank you! How do I make sure I am reviewing your videos in order 1,2,3,etc. They seem to be all over you tube. Above is progression 3, where do I find 1 and 2? Also...how do we purchase the straps and wedge you show in your video? My wife has severe spasticity from a brain stem stroke 3 yrs. ago!
Thanks for watching! I usually link them in the description but you can also go to my channel and than go to videos and I upload them in order so just go to the next upload after the video you watch.
Thank you! How do I purchase the straps and wedge you are using in the videos please?
@@MyLogoImprinted in the description there are direct links. I am an amazon associate so if you use the link in the description I receive a small amount from amazon. I would love the financial support :)
I do have a question for you. When or should I be using ice packs or warming pads?
Dear Dr, I have drop foot. Please show the way how to get rid of drop foot. Thank you!
👑🎓👑
after a stroke, 2 years of zero function in my hand until just yesterday. it came back. i have function but extreme spasticity in my fingers looking for focus on fingers specifically please. #strokehand
Something for a dislocated shoulder after having a stroke
if your shoulder is dislocated, you should only do exercises after prescribed by your doctor or your physical therapist. :)
Thank you for your video.
I need more stroke gait. My big problem is I cannot make independent step. I can do elliptical no stop for 8 minutes; recamber bike; even Pilates chair, but I cannot stay a second on foot to make a step. If you can advised.
stick with these activities if you are having trouble with the standing part of the walking. If it is the swinging part, try this exercise th-cam.com/video/EX_8l4usCRk/w-d-xo.html. Avoid the Nustep because it make the "extensor spasticity" worse. But really your best thing you can do is spend as much time as possible on these standing activities. Walking with bad form will reinforce the "problems". I hope this helps :) Thanks for watching and being a part of this community!
Thank you very much for your respond.
But I had broke my left shoulder on April of this year while I were walking on treadmill. This exercise I cannot do on upper part of my body.
For some reason when I walking w walker I constantly, non intentionally, raise my right shoulder. And I have weak medium gluteus muscles from both side of hips.
@@akopakopov4433 oh no! you are probably NOT allowed to put weight on that arm so definitely do not do this activity
Hello again, I have a great friend of myself wich was also victim of stroke and they end is therapy prematurely,here is problem sinced they stop his therapies on his hand affect at is Hand knuckles now he has holes, is there ways to remedy to this ?Thank you for your help !
#*/on. I need more about spasticity
I can never find the previous video you say is ‘below’
How can I find your first two discussions concerning progression from being bed bound with little physical therapy support
#strokegait and #strokearm
Thank you for watching. Anything specific I can address in a future video to help you?
👍
patient while sleep dorsiflex the foot, when stand can't dorsiflex the foot, when sleep knee is strong, walking knee is flop week, hamstring muscles is strong but he can't flex the knee above 70 degree what is cause.?while sliding leg in sleeping potion foot not touch the floor go up ward, please suggest how to fix this problem, I ever greatful to you.
Do we do these with or without AFO on?
Hello would it be a good idea to put something under the toes to stop them curling by putting it inside the socks I wear ?Thank you You are so sweet !
using something called the T Step was helpful as a. Transitional. Move helped. 😎. Combined with. The centre of balance. Tai,,chi.
These are all great ideas! Thanks for sharing Chris!!