What is Neuroplasticity: Guidelines for Stroke Recovery
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- เผยแพร่เมื่อ 29 มิ.ย. 2024
- Neuroplasticity is the foundation of learning after a stroke or any type of injury to the brain or spinal cord. In part 1 of this series, I discussed what experience-dependent neuroplasticity is and why this is an important concept to understand.
In this video I will discuss the key principles that are critical maximize your rehabilitation potential and prevent further degradation of the neurologic system.
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I’m a stroke survivor myself. I suffered from Ischemic stroke 2 years ago. but life goes on keep fighting stroke survivors
How has your recovery been? I had one about 2 weeks ago and then another a few days later in the same area of my head. I was curious to know how long it took you to feel “normal” again. Any help would be greatly appreciated 🙏🏿
@@peda15 sorry to hear you...are you in rehab now? how are things rolling?
@@kissa7709 I am in rehab now. I have physical therapy tomorrow. I am much better than I was a month ago. I’m not back to normal but better. Thanks for asking 😊
@@peda15 thanks to you too for replying..my love got ischemic stroke this month .....June 7evening....🙂 i am happy i see you that people can definitely recover💝
@@kissa7709 I hope the recovery is coming along well. It was really rough for me the first few weeks but it has gotten better. I was happy to hear that others can recover as well. You just gotta keep pushing forward. I’m sure your love will get better with you in their corner 😊
My mom just had a stroke. I’m trying to learn as much as possible to help her with her memory, attention and concentration. Thank you
Plenty of water 💧 and vegetables and some fruits, it's hard to fill hungry et better when someone else was thir had no appetite 😕 but you have to eat, and drink, but help from someone else is good good 👍luck 😊
@@JohnCooper-dk6jm thank you, I’m still learning.
I'm in the exact same place, good luck on your journey bro, ❤
@@JohnCooper-dk6jm thank you for all the good advice. Thank God, she’s eating now. She had arthritis in her shoulders before the stroke but now she has so much pain in her left hand. Did you all experience sudden ferocious pain on a continuous basis? Thank you
@@jearem8764I'm doing lots of research, for the past month. Husband had 3 ischemic strokes, high blood pressure, prediabetic, stage 4 kidney disease. He is not overweight. I'm starting keto and carnivore diet for healing. See Dr. Berry, Dr. Chaffee and Dr. Baker. No sugar, no carbs, no seed oils.
For any stroke survivors, we are in this together. Mine was a Cachemic Stroke in 2017 and thanks to my Dance background my body has recovered. From slow yoga training to fully retrain in various styles of dance I am teaching and performing stronger than ever. Neural Sensitivity is the hardest to heal.
Nice to hear my situation at home is very different and hard
Dr.Tara you are such a blessing to us stroke survivors
I am Shocked that you don't have a Minimum of a couple of Hundred Thousand Subscribers !
Thanks for all that you do !
Liked/Subscribed a few months ago !
Thanks! working on it 😉
I echo that!
im so glad i found your channel, for reference i had a major hemorrhagic stroke in jan last year, had brain surgery to fix the bleed and remove the clot therefore i was in the hospital for 2 weeks, where therapy didnt happen. i got sent to inpatient where therapy was ok. it gave me the building blocks to recovering but my tone and spasticity was so bad that not much progress was made. ive learned more from you then i did from my inpatient stay and 2 different home health companies. i cant wait to get even better than i am now. im only 33 and have major goals
How big was your stroke ? My dad just had a 7.2 cm bleed on the left basal ganglia so far he is doing better he is able to eat and stand up with some help but the worst is the apraxia and aphasia he seems to understand well but he won’t speak to us . Hope you are doing better now .
Thank you for sharing all this valuable information and express such encouraging words to us ‘stroke survivors’! God’s blessings to you and to all out there who are working hard and never give up!❤
Thank you Dr. Tobias! This is so helpful! I am 2.5 years out from my initial stroke. This supports and improves all of my previous therapy. I'm able to build on that and add to it. I appreciate your explanations. It helps to know what is actually happening and why. Thank you for your help and encouragement!
Thank you for sharing this helpful information. As a stroke survivor (not victim!), the tips here are extremely useful and illuminate the key points to keep focusing on.
Watching you makes my therapy make so much more sense. I appreciate that you go in depth
I'm glad you mentioned the added stimulation to the areas tens unit or Interferential unit.
Thanks for all the work you do for us! We really appreciate you.
I am a stroke survivor and your information is perfectly correct. I am using both hands though not a 100% but am so much grateful to God
Thank you so much for helping people in their road to recovery.
Thank you so much, I learned so much to make sense of my recovery with spasticity amid this pandemic. God bless you
your channel is outstanding ! i am following you for the last 3 years after i got left lateral medullary stroke and i found your channel to be helpful in my recovery. I love your PT channel
I love that you said "Mind Set". I was just mentioning this to some one. I guess if one say they Can or Can't Do It, they are right.
exactly :)
Thank you! Always such n encouragement
I’m subscribed. I leant a exercise from your channel which has really helped my glute, walking and balance, thank you
Hi my name is Mel i’m from Melbourne in Australia 🇦🇺 i had an ischemic stroke 8 years ago and i’m still doing physio and occupational therapy every week, i also do an inpatient hospital 🏥 rehab refresher every 6-12 months to make sure i’m not missing something but i find my at home therapy has been fantastic, my therapist’s are fantastic and keep up dates with all their training for patients.
Thank you for positive words
Thank you so much. My boyfriend is now in rehab just getting started.
This is so enlightening
Thanks Doc. This is absolutely amazing. It's a life philosophy. You don't know how much appreciation I wan to express. I need to learn, instead of "recovery". I need to focus on small rather than big, I should break the big into small pieces. ........Thank you soooooooooooooooooooooooooo much!
Spot on as far as all the "take aways" :) This is exactly what I was hoping people would gain from this video :) Great summary
I want to first thank you for your wealth of information did you put out there for us! My son has a traumatic brain injury and the therapy that I learn from you is going to help him tremendously. It seems to me that your videos are very structured 2 TBI patients also. Please keep up your great work! Praying for you to continue to motivate and keep on inspiring!
I am so glad to hear the videos are helping. :)
I have post central nerve pain. What can I do for this?I had a major hemorrhagic stroke April 24th of 2020and I still am not able to stand up and walk by myself. It affected my left leg and foot and my left shoulder, arm and hand. I have severe pain.
Again, these videos are gold. No fluff, just perfect information. Education is key, I am not going into this ignorant. Dad had a stroke and I want to be able to take care of him and get him to regain his independence. He is 73.
How nice of you. Nobody wants to help me...only to get me back to doing everthing alone so they don't have to help.
This was such a good video! Thank you!
Thanks for watching Mary! I hope it helps :)
Thank you for the great informations
Thanks Dr. Tobias!
Thank you helpping me tru my recovery and how to rewiring my brain ... thank you very much subscribed liked videos tooand told my family about your youtube videos too
I'm recovering from autoimmune tranverse myelitis due to an adverse reaction to immunotherapy. Love your channel. Your nails are always so cute. 😊
Your Awesome. Be blessed.
Thorough. Thank you!
Thank you for watching! I hope it was helpful 😊
Thank you for your efforts
I appreciate you watching. It is 100% my pleasure.
just wanted to say hi. I came across that video (or the previous version) when looking for learning in general.
Even though I, or my entourage, are not recovering from brain injuries, I wanted to show my support.
There are too many good things I'd like to say about the work being done on this channel.
Blessings!
I appreciate you watching and taking the time to share such a positive, supportive comment. 😊
This video is very helpful.
Very great tips thanks
Repetition and hard work. I tried constraint therapy and it was incredibly difficult and frustrating. So for my hand I try opening doors and holding objects in it. With hand and arm therapy weekly I combine it with mirror box, e stim and mental imagery. 4 years post stroke and my finger's are starting to open. Never give up people. !
Wow! you have had the ideal stroke rehab experience. Everything you have done, (are doing) are things I would recommend :)
@@rehabhqofficial Thank you Dr Tobias. Your videos are brilliant and shared with my neuro physio here in Australia. Thank you !
My loved one got the stroke last year due to a malformation by the left cerebellum. That was corrected this December; thanks God there is no more risk. She is unbalance, footdrop, right weak side, and tremors on the left side. My biggest concern is how to motivate her when I am the only Caregiver...
@indaskies I would love to hear your specific mirror exercises and e stun placements. Congrats on your success with finger movement!
My finger are not open what i do for fingers opening
your videos are clear and comprehensive. I use a walker. Masud 25-7-21
This Lady is a National Treasure.
Thank you Tara for replying :-) makes sence
dr tara im 55.. had hemorrhagic stroke at 52..... can walk with quad cane.. my lleft side paralized.. arm is not good at all. want to walk without cane and want to drive my car again but these things seem out of reach
your tips and techniqes are really helpful. i suffered a stroke a year and two months now , at age 57 and i am frustrated sometimes because i have such difficulties walking with spacricity and hyperextensive knee, i did some therapy in the first ten weeks but im not able to afford therapy now. i try to repeat what i have learnt at best but not consistent enough. sometimes i feel much pain in knee and shoulder and fingers and get frustrated because of snapping knees and pointed toes. coordination is off in movements of my affected leg. This gets so hard.
I just enrolled in a study in Marquette University very excited
Thanks another good video
I love this
Great videos!
Plz do a video on putting on a depend.
Thank you for this as of this time im practicing walking without cane for 3days now. I usually go out using cane because i feel safe using it. But now i tried to go to mall without it and it feels good. I thought can't do it. But i did.
I love hearing this! Just be safe when attempting new skills :)
@@rehabhqofficial i will. Thank you so much! 😊
Keep it up. Once you gained that confidence try to avoid the cane, I stopped using cane completely now. Stay positive. Leave the gears at your doorstepbefore you leave out. Just ensure to strengthen your legs by leg press so you can stand for longer time. May god be with you throughout your recovery.
@@arvindcv7943 thank you. Im trying. Baby steps. Im stil scared to fall sometimes.
Thanks a lot.
Great video
Thank you for taking time to share your knowledge. I really appreciate it. I had a stroke 7 months ago lost left side mobility. Doctors said I didn’t have any clots. It was caused by my pressure getting to high due to cholesterol being really high. Could you share some insight plz?
Thank you
My left side is affected due to a car accident and medical stroke. I focus i try to open doors drawers and wiping the table top every night after dinner and i try to use it in the shower combined with mirror box and other exercises and since I have found your channel i am really working every day except sunday. Thx
Hi Albert! Thanks for watching and for commenting. Everything you are doing are EXCELLENT ways to create positive brain changes : ) Keep it up!
Thanks!
Thank you so much for your kindness and generosity. 🙏
Hi, appreciate you for spreading this valuable information! I’m just wondering if you have posted any videos about bilateral stroke( both side of the body)? Sorry I tried looking into the videos you posted, but no luck. Thanks
I like your vidéos,helping a lot
This channel is the most informative channel ever. I am trying to connect to apl.of your medias. I plan on joining also
Thank you Doctor, so informative, I have a question please, why they devide physical therapy to occupational therapy OT and PT
Thank you
So many of these videos our focused on recovering physically which is great. People need this. However, I still haven't come across the video about recovering neurologically in the brain. Meaning still "feeling strange, weird, not all right"; and it's not just mentally. It is that also but my "standard" mental feelings - or how I cope with situations is different than it was pre-stroke. I'm starting to think I need a neuropsychiatrist. Thankfully, most of my motor skills are 99% of what they were. But my thought process and feelings (including physical feelings in my head) are STILL not the 7 years later :-(
God bless you all!!
My mom is stroke recovery rehabilation now learning all the basics
Lost right side 1.5 yr. Ago. On own therapy half of what i do is wrong, thanks for your videos
You need to explain all factors for stroke recovery.
problem is getting to the point of being able to use it ( which it seems to me is an internal thing, e.g., I can now move my weak leg : but now need to be careful not to use the strong side to help the weak leg along : using quad cane and strong arm to walk : does that still count as using the weak leg : assume it’s better than sitting in my wheelchair (doing an activity ) just need to focus on getting arm to move ps- am definitely subscribed and notified - delighted when there’s another video but have started going back and watching any I have missed: so very grateful you are doing this:THANKS!!!
Hi Lynne! This is an excellent question. Best case scenerio is to work on standing without the cane (as this will continue to "wire" the "non-use" of the involved side). I have a video on how to progress standing without the cane: th-cam.com/video/ewbHClRYIaI/w-d-xo.html btw, I am fully aware that you are a loyal "viewer" and supporter of this channel and I am overjoyed that you are going back to some of the earlier videos (apologies for the video quality 😬, I am a work in progress)
Amazing
Thank u maam
Hi Dr Tara i watched most of your videos and all are great. I like when you said “sky is the limit to accomplish” I would like to know is there any time limit to achieve I mean I had a stroke three years ago. am able to accomplish most of my goal.
Thank you I understand stand more now I am now working on getting my arm moving again and I think I’ve almost gone past the line where it won’t come back but I’m not gonna give in. I am going to keep moving and moving and moving. It is painful but I’m not giving in painful and tiring, but I’ll get I’ll not
11 months completed for me ..i recovered 80 percentage i hope that i will be recover soon
speech not in proper way
it will be soon
recover
patiency and psysio therapy is important .
it second life for me
greatful to God and family
Thank so much for such very valid education. My mother is 82 yrs old now known hypertensive under medication for a long time. But one week ago she had stroke and her right arm and right leg are paralysed. Her face and mouth has shifted to right. She cannot articulate words clearly, not fully oriented with time and place but can identify people, hear words, and turn oround on bed. She is continuing anti hypertension therapy; Losatan tabs, Amilodipine tabs and Clopidogrel tabs. You mentioned age as one of the factor for recovery, now can you pse advice on what best can be done to her to recover?
Awesome
Dr Tara another problem of mine is slip disk lumbar 4 and 5. I had it before my stroke.
Once the seizures started I lost all movement gains in my affected arm and hand
Please make a video for exercise for incontinence problem after sci
I'm currently in my mom's hospital room, she cannot speak but can answer questions with nods. She had a stroke that busted, has a wicked scar, so studying to figure out how best to help. Thank you
Dr can you please please do a specific video on FROZEN SHOULDER please its so many survivors problem
This is an Excellent idea! This is a very common problem. I will add this to the list. I have a 2 part series on the shoulder coming out this month so you might be able to get some ideas from that, But I will add one specifically for frozen shoulder :)
Good day to you Dr Tara, can you please recommend an activity to regain neuro circuit to lift foot. Many thanks in advance
I had a stroke last year. I lost all movement in my right arm and leg. In the hospital, I was told to keep my right arm elevated and I did. There had been a separation in the shoulder and it hurt. That's cleared up now, but could there have been a similar condition for my hip?
My right leg turns out and I can't prevent that while sleeping. I have trouble with balance and this makes it worse. Is there an exercise I can do to fix my hip?
I think I really need to make a phone advice consultation call!
Dr.Tara your such a blessing to all survivors specially to me.i don't have means to pay a therapist.it was 3/13/2022 when stroke attact me.i can move my feet and my 5 small toes but not my legs and my tigh.please help me what to do.Thank you Dr.Tara,Godbless you🙏♥️♥️♥️
I love you Dr.Tara😘your video inspired me a lot.i really y want to walk and move again just like before.Thanks so much Dr.Tara Godbless you everyday🙏♥️🙏
I am 2 yrs post stroke and still having mobility issues unfortunately I was not provided any therapy have been using your videos which have really helped. but still having issues especially with going up and down stairs. do you have any suggestions?
Danny Stricklin
Thanks Tara wonderful do you have views on hydro therapy and on recumbent cycling?for stroke
thanks for watching!! These are excellent questions. #1: I think if you are in the early stages hydro therapy is good however it is good to have full weight on your legs for stroke recovery so I would always start with land-based and if someone can not tolerate that, I might try hydro therapy. #2: I am not a fan of recumbent bikes. They can cause extensors spasticity to worse and they can also cause some nerve impingement issues in the hip. I am a fan of the motomed (active assistive pedals) if you have severe spasticity. If you are higher level and only have minor movement problems I like the elliptical with minimal resistance. Elliptical simulates a more normal stepping pattern. I hope this helps!
I don’t think there is a link to the video, at least not a TH-cam one. 😢
Kindly make some videos for stroke patients with intractable epilepsy
thanks for the main remark
if you don,t use it you will loose it ,therefor you must improve it
Great summary! Thanks for watching and for sharing your insights :)
Thanks for your elanorate education. Am not a stroke patient but a stroke support program coordinator. More if this type of education helps people like me give the right Support To our Clients.
Pls. Are there free online certificate training for stroke nurses?
I love you Mam, I love each and every word you are saying. Recently my mother had right side hemarrhogic stroke and her left side of the body paralyzed. She is going through physiotherapy and electric nerve stimulator but the problem is she used to have arthritis and she used to walk sides because of the pain. What should we do to help her to walk again and what not to do in those situations? Please help us Mam...
Pleasegiveyorphonennuberiam asoastrokepatient
Is "Bioness Stim Router" a good option or addition to therapy? My wife is struggling with R shoulder drop post stroke in July of this year. Any info is appreciated.
I watched a couple of your videos. One of my sons who works in a nursing home recommended them. We live in Alaska, but are going to Massachusetts because my 87 year old mother had a stroke. You mentioned in this video age. However you did not say much about any statistics or what percentage you think of people her age could improve and by what amount. Do you have any ideas or guesses at all? Prior to the stroke she was going to exercise class once a week with her senior friends and also playing cards every week and going for walks several times a week. She did not use a walker or anything. She had a stroke on the right side of her brain and this paralyzed on the left. Thank you for any help you can give us. We do not know what to do. We have eight children in Alaska with my husband and now I am down here with two of them and we don't know if we should try to get her up in Alaska or what we should do. Thank you.
We were living in Alaska (Kenai) when my mother had a major hemmoragic stroke. For months she just wasted away in a hospital bed because she had to have a trancheostomy and no Alaskan rehabs (save for one that kept denying her because she was too big a risk) would accept or work with her. Unfortunately have had to move to the lower 48 because it provided much more access to recovery options. I wish your mother the best, however I do NOT recommend taking her to AK unless you want to limit your recovery options significantly. Thankfully the resources down here have given my mother another fighting chance.
Hello I love you channel I did not see where I can sign up for the newsletter? Also what would you say is a good practice exercise to get back to dancing. Dealing with weak hip flexor and knee flexion.
Thank you for the videos and information. Will your videos help a 13 year old with brain cancer? She has spasticity on her right side. She has been going to pt and it.
Thanks, I want to know what is the link for the Part 1 of "Neuroplasticity" video? Once again Thanks
Wow i was doing tbis withoout realizing in trying to rehab my hand. I....breaki g it down into components and working on individual components... my goal is to open axwater bottle sort term...even aan empty water bottle. Long term goal is full use of hand again. Im fortunate thst i only loss strengthvin hand...other than strength i have 70 percent use of my hand since stroke event. worked on opposition and thengrasping and d opposition... but my issue now is strength which im working on.strength is definitely the hardest..i kep trying though
I had a RCVS CVA a few months ago. They donot know the cause… I had a bilateral hip replacement and NET’s removed the year prior (took 10 + years to find them). My vision and short term memory are my predominant handicaps, although my hips are still an issue. Do you have any suggestions for vision? I have been an RN for 25 yrs, and am trying to apply the same principles you’re discussing to my vision. Thankfully, I have a supportive network and have the opportunity to keep moving forward.
Would love for my Mom to book an appointment with you! How can I set this up?
Tara I now have serious muscle atrophy on my biceps and triceps for the affected arm.i want to use dumbbells to build back muscle but my elbow goes spastic once I move the elbow upwards.whats the best exercise for such a situation.?
How about playing Compute Games using a Laptop or VR headset? Will they do any good?
Recently in 2022 and 2023 there have been peer-reviewed research articles on low frequency repetitive transcranial magnetic stimulation (rTMS) for enhancing neuroplasticity after stroke. One study says it works by stimulating the release of Glial Derived Neurotrophic Factor (GDNF). Could you please tell how successful this treatment might be once it becomes mainstream in clinics?
I just one year post stroke i m 29 yr old can i recover my finger movement with reputation plz reply
Yes you can think positive and put effort everything will be normal
recently my father had an ischemic stroke am watching this hoping i can find something to help for my father fast recovery
Doctor 😷 Thanks. Plz Help Us. 😢
From Sri Lanka.