You have help a lot. I had a stroke 4 years ago, it right side. I told that I had foot drop but after saw your video I think have spasticity. My right leg is turned inward. Can you help?
My name is Josefina , from Angola , a Southern African country ,had a stroke in 2011 and I've been paralyzed on the right side since then , can you help me ?
Dr. Tara - this is Dr. Susan! :) I am a balance and dizziness PT in AL, and our patient population is beginning to increase in the area of CVA's, an area in which I feel weak. I am so very thankful for your videos and tutorials! These are very beneficial to me in my practice and the videos may be used by my patients to help themselves outside the clinic! Thank you, thank you for your sharing your time and your expertise! You are enabling others to help more patients! Blessings to you!
Thank you for your response! I read it with an open mind and gracious assumptions. We are all here to help one another, and I appreciate your kindness and concern for patients. I will definitely take your words to heart and seriously consider whether or not I am the best clinician to help these pts or if they would be better suited for an outside referral. Our team strives NOT to be cookie cutter, but to be able to treat a variety of vestibular and nonvestibular/balance patients, as well. We are building our toolboxes for a number of diagnoses and taking CE courses in other neuro areas exactly to avoid being just cookie-cutter PT's. Hope that eases your mind some! Thanks again for your perspective. Blessings!
As a PT here in the Philippines, these videos are very helpful for our home exercise programs. All of the patients that I handle are people who had a stroke. Thank you very much and God bless!
Very helpful, you have both explained and showed how to go about doing the exercise.i really wonder, how exactly you know what each one is going to ask for the next exercise. You are a gem of a person dr .
simply wonderfull, and i can see a little more easily the utility of the crouch walk. if i understand coorectly im trying to uncouple a sinergic movement pattern: knee and ankle. thx fir your time and work
My knee extended all the times in bed or setting. Thanks for this exercise. I tried the one with the stroke leg at the bottom and the minutes I put the good leg over onto the knee extending right out. I put something heavy at the end of my foot and it work. Great.
Thank you for watching and thanks for the comment! The majority of the videos will also be helpful if you have MS. I have a strong stroke following on here so this is why I say stroke but please feel free to share these videos with others who have MS. :) If I start to see more questions/comments specific to MS, I can start including more "MS-specific" tutorials. :)
I had a stroke 5ago I am getting better I live in Northern Ireland and stroke recovery is in the Stone Age I have bein watching u for 2 weeks and following ur excise I my is very loose my home help cannot believe how loose it is I ha texted ur name to my stroke clubs I cannot walk because the cast on my leg will let me use my ankle because of u I have got new willpower I had a Maher stroke I lost my left side and I was left handed just wanted you to know u r very helpful
Anthony, thank you so much for watching and for sharing this! You have no idea what this means to me and how these stories keep me motivated to keep making videos. I am so glad you are finding them helpful and that your shoulder is loosening up. :) I am so happy about that. Also, that you have found new motivation. This is literally the best comment of the day so I thank you. Please comment with any problems you want me to talk about. If I have a video on it, I will point you to that video and if I don't, I will make one :) Many blessings....
I always watch your videos when you first upload them. But today I actually got a chance to try this exercise. This was quite tough but doable. I was able to take the step forward and back but loading the affected leg was hard even though I was able to do it. I think I’ll stay right here for sometime. Lol. Thank you you definitely show me a new way to do things I never would’ve thought to stay in a squat position. 👍
I am so glad! yes, this is a "loaded" exercise and you could stay here for awhile and that is OK. Think big picture and what you want your walking to be like down the road :)
Orlando Neuro Therapy May I ask in your experience how many days did you see changes in your clients? I know everyone is different but I’m planning to do these every day for a week. And of course longer if I see Great improvement. Just curious
@@MoniqueShaq22 Great question! I get this question a lot. :) I see positive changes almost every session that I work with someone. That is kind of my goal. I will say, the ones who do their home program, see greater changes than those that don't. The reason is because I have to spend a ton of time facilitating movement that they could have been doing on their own at home. The ones who do their home program, we can go right to higher level stuff. As for what YOU should aim for, I would do them consistently every day for a minimum of 6 months. Most stroke programs that have documented great changes, the patient's were performing some sort of movement 6 hr/day for 4-6 weeks. Because that is not feasible for most, that is why I say 6 months minimum. If you have been using abnormal movement patterns for a long time, the time will be longer. I hope that makes sense.
My wife collapsed out of weakness on to her left foot and ankle causing a double fracture back in 2017. While attempting to recover her right foot curved in and locked out in a pointed position. After a year of recovery with no allowance for weight baring on her left foot for one year the condition became worst with her right food. The doctors and therapists treating her told us her right leg had suffered soft tissue damage that could not be treated. After seeing your videos and supplemental research I have come to believe these two issues are unrelated at some level. i have a deeper concern that she may have suffered a stroke while being treated and cared for outside of our home. I am going to attempt following your steps with her to see if there could be some improvement. Sadly, this has been going on for 6 years. She is suffering over all body weakness now, this will require creative methods of implementing your exercises.
thank you so much for these videos since I've run out of insurance for this year anyway don't have live PT only on one body part and that's my wrist. What do you mean when you say hi tone?
Hi there,these are really helpful video's,I've watched quite a few and I've tried out couple exercises to get me walking again ,I've got hemiplegia and I've had a brain injury so these exercises help me alot although my knee is extremely weak,I've had hemiplegia for the past 9 years and its vibrating every time I try to do those exercises,is there anything that can help if you have a vibrating knee relating to this exercise?it would help a lot.thank u
After doing mini squat position as i go to heel lift my patients legs starts shaking violently and the foot rolls .because of that problem patient is not able to walk properly. Why is this so? The patient is blaming me for this.
Thanks for the comment! Think outside the box. If photography is something you love to do, can you find alternative ways to shoot? Maybe tripod and a remote to make it easier to take pictures with one hand? Also, a field monitor helps a lot so that you do not have to be so close to the camera. I use one similar to this: amzn.to/2SQmK8s. (disclaimer: I am NOT a photographer). Just a thought to maybe make it a more tangible goal. Keep working! I think it is a great that you have this goal. It will keep you motivated to keep working hard. :)
Thank you..im still on the first video exercises..after only one day of doing those..my inner thigh muscles were burning..my thigh in general felt it..and I'm loving it.. Thank you so much for this🤗🌹
What are you to do when after a year post stroke no movement in weak leg I do exercises every day and have good hip movement but pain in weak leg knee please help I wanna walk again
I have left side paralysis and my left foot is always turned out towards the left. What recommendation(s) do you have to get it to turn forward again? Thank you in advance.
steve kierstead they are both a characteristic of the amount of tension in a muscle but spasticity is velocity has to do with how quickly and muscle is lengthened. You can have both at the same time after a stroke
@@mrstevek118 yes and no. I will defer to your therapist to explain this to you as this is a little complicated. Basically, you want to avoid fast movements with spasticity. So if you or anyone else is stretching you, it needs to be slow with spasticity. Note, this is a very simplified answer :)
Great question! I would say make sure your foot is flat and focus mainly on making sure the foot is flat and the knee remains slightly bent. I hope this helps! thanks for watching!
It was great to find this video as my knee went back to hyperextending during lockdown after my botox wore off and I couldn't get it redone. Thank you once again.
Orlando Neuro Therapy thank you. I’ve just paid my physio (who is the one who normally does my injections at the hospital) to come and do it at home. It’s not taken effect yet but it won’t take long. : )
I'm a . massive stroke for 5 years and still I can't stand bysellf from. Bed side. I can walk aided.i have a thick saliva that hinders my speech. Please help me.
Thanks for the comment! Keep working hard and work on standing and slowing weightshifting onto the leg. This will help to improve your confidence on that leg and WILL carry over into walking :)
I typically do not recommend this type of walker. They are very dangerous. Here is the walker I recommend: amzn.to/2TpDlAF. It is better for people who have one stronger arm as you can control the breaking system with one hand. It also has something called "reverse breaks" which I LOVE. You can read more about this here: www.orlandoneurotherapy.com/neurologic-conditions/walker-neurologic-conditions/
I’m new to your videos. Great information. One comment: you overtalk. Way too many details for me. I’m 4 years out from stroke. My gait has changed a few times. I’m trying to quickly regroup to incorporate changes and move on.
Don't forget to give it a thumbs up if you want to see a 3rd progression! :)
You have help a lot. I had a stroke 4 years ago, it right side. I told that I had foot drop but after saw your video
I think have spasticity. My right leg is turned inward. Can you help?
My name is Josefina , from Angola , a Southern African country ,had a stroke in 2011 and I've been paralyzed on the right side since then , can you help me ?
Bless you for making these videos Dr. Tara😬👏🏼♥️♥️👏🏼👏🏼
Dr. Tara - this is Dr. Susan! :) I am a balance and dizziness PT in AL, and our patient population is beginning to increase in the area of CVA's, an area in which I feel weak. I am so very thankful for your videos and tutorials! These are very beneficial to me in my practice and the videos may be used by my patients to help themselves outside the clinic! Thank you, thank you for your sharing your time and your expertise! You are enabling others to help more patients! Blessings to you!
Thank you for your response! I read it with an open mind and gracious assumptions. We are all here to help one another, and I appreciate your kindness and concern for patients. I will definitely take your words to heart and seriously consider whether or not I am the best clinician to help these pts or if they would be better suited for an outside referral. Our team strives NOT to be cookie cutter, but to be able to treat a variety of vestibular and nonvestibular/balance patients, as well. We are building our toolboxes for a number of diagnoses and taking CE courses in other neuro areas exactly to avoid being just cookie-cutter PT's. Hope that eases your mind some! Thanks again for your perspective. Blessings!
As a PT here in the Philippines, these videos are very helpful for our home exercise programs. All of the patients that I handle are people who had a stroke. Thank you very much and God bless!
So beneficial!!Please keep these coming!
God bless you for this. You have giving me hope.
My insurance stopped paying for my physical therapy these videos help me so much to progress and to getting better thank you
Excellent video…I am going to share these with my patients…Thank you
So helpful. I love to review these videos over and over and understand the importance of the progression each time more.
Very helpful, you have both explained and showed how to go about doing the exercise.i really wonder, how exactly you know what each one is going to ask for the next exercise. You are a gem of a person dr .
Wow I feel 20% better today actually. Just learning about abnormal patterns has changed my life. thank you so much Dr. Tobias.
Your videos of helpful safe activities allows me to have and see positivity.. thank you
Can't get enough of your wonderful videos
I appreciate that :)
thank you so much. it’s great to hear from a professional what I think and that is that I have time to do it👍
I love you videos I'm never.logged in when I want to comment but please get them coming they are very helpful.
Thanks for your encouragement today
simply wonderfull, and i can see a little more easily the utility of the crouch walk. if i understand coorectly im trying to uncouple a sinergic movement pattern: knee and ankle. thx fir your time and work
My knee extended all the times in bed or setting. Thanks for this exercise. I tried the one with the stroke leg at the bottom and the minutes I put the good leg over onto the knee extending right out. I put something heavy at the end of my foot and it work. Great.
Great idea Pauline! Thanks for sharing. I hope this tip will help others who are having that same issue.
What are the steps that Pauline did. I am confused or really not understand it. Please help
Thank you for your help 😊
Not stroke, MS here, but similar challenges. Love your videos, keep them coming!
Thank you for watching and thanks for the comment! The majority of the videos will also be helpful if you have MS. I have a strong stroke following on here so this is why I say stroke but please feel free to share these videos with others who have MS. :) If I start to see more questions/comments specific to MS, I can start including more "MS-specific" tutorials. :)
@@rehabhqofficial great. I also have MS and noticed a lot could apply but if you are doing more MS specific videos I'm interested.
fantastic. going to try with my patient
Just love your videos.
Wendy Inglis thank you! Let me know if you have anything specific you would like me to address 😊
I had a stroke 5ago I am getting better I live in Northern Ireland and stroke recovery is in the Stone Age I have bein watching u for 2 weeks and following ur excise I my is very loose my home help cannot believe how loose it is I ha texted ur name to my stroke clubs I cannot walk because the cast on my leg will let me use my ankle because of u I have got new willpower I had a Maher stroke I lost my left side and I was left handed just wanted you to know u r very helpful
Anthony, thank you so much for watching and for sharing this! You have no idea what this means to me and how these stories keep me motivated to keep making videos. I am so glad you are finding them helpful and that your shoulder is loosening up. :) I am so happy about that. Also, that you have found new motivation. This is literally the best comment of the day so I thank you. Please comment with any problems you want me to talk about. If I have a video on it, I will point you to that video and if I don't, I will make one :) Many blessings....
I always watch your videos when you first upload them. But today I actually got a chance to try this exercise. This was quite tough but doable. I was able to take the step forward and back but loading the affected leg was hard even though I was able to do it. I think I’ll stay right here for sometime. Lol. Thank you you definitely show me a new way to do things I never would’ve thought to stay in a squat position. 👍
I am so glad! yes, this is a "loaded" exercise and you could stay here for awhile and that is OK. Think big picture and what you want your walking to be like down the road :)
Now that you have had a couple of days to do this, how is it going?
Orlando Neuro Therapy Haven’t had much of a chance lately hectic couple of days. Getting back to normal so will definitely let you know soon.
Orlando Neuro Therapy May I ask in your experience how many days did you see changes in your clients? I know everyone is different but I’m planning to do these every day for a week. And of course longer if I see Great improvement. Just curious
@@MoniqueShaq22 Great question! I get this question a lot. :) I see positive changes almost every session that I work with someone. That is kind of my goal. I will say, the ones who do their home program, see greater changes than those that don't. The reason is because I have to spend a ton of time facilitating movement that they could have been doing on their own at home. The ones who do their home program, we can go right to higher level stuff. As for what YOU should aim for, I would do them consistently every day for a minimum of 6 months. Most stroke programs that have documented great changes, the patient's were performing some sort of movement 6 hr/day for 4-6 weeks. Because that is not feasible for most, that is why I say 6 months minimum. If you have been using abnormal movement patterns for a long time, the time will be longer. I hope that makes sense.
My wife collapsed out of weakness on to her left foot and ankle causing a double fracture back in 2017. While attempting to recover her right foot curved in and locked out in a pointed position. After a year of recovery with no allowance for weight baring on her left foot for one year the condition became worst with her right food. The doctors and therapists treating her told us her right leg had suffered soft tissue damage that could not be treated. After seeing your videos and supplemental research I have come to believe these two issues are unrelated at some level. i have a deeper concern that she may have suffered a stroke while being treated and cared for outside of our home. I am going to attempt following your steps with her to see if there could be some improvement. Sadly, this has been going on for 6 years. She is suffering over all body weakness now, this will require creative methods of implementing your exercises.
thank you so much for these videos since I've run out of insurance for this year anyway don't have live PT only on one body part and that's my wrist. What do you mean when you say hi tone?
Hi there,these are really helpful video's,I've watched quite a few and I've tried out couple exercises to get me walking again ,I've got hemiplegia and I've had a brain injury so these exercises help me alot although my knee is extremely weak,I've had hemiplegia for the past 9 years and its vibrating every time I try to do those exercises,is there anything that can help if you have a vibrating knee relating to this exercise?it would help a lot.thank u
Can to plz if Pt is not able to maintain knee in extension what we can do
How do I get to bend my ankle and knee?
Why the foot roll over and the calcaneus goes inwards increasing the medial arch of the foot.
Nice job explaining things.
Thanks for watching Mark. I hope it helps!
Why the affected leg is shaking terribly .even after i reduce the flexor and extensor tone in the legs
After doing mini squat position as i go to heel lift my patients legs starts shaking violently and the foot rolls .because of that problem patient is not able to walk properly. Why is this so? The patient is blaming me for this.
How about an amputee on the left leg and have stroke which affected the right
You're a God send. Want to return to landscape photography, I will thanks to you.
Thanks for the comment! Think outside the box. If photography is something you love to do, can you find alternative ways to shoot? Maybe tripod and a remote to make it easier to take pictures with one hand? Also, a field monitor helps a lot so that you do not have to be so close to the camera. I use one similar to this: amzn.to/2SQmK8s. (disclaimer: I am NOT a photographer). Just a thought to maybe make it a more tangible goal. Keep working! I think it is a great that you have this goal. It will keep you motivated to keep working hard. :)
hi doctor I want to know videos for
spastisity not for
stroke can u pls
make thank u
your speaking way
is very nice ❤
What willbi do to my foot finger drop
I'm battling to walk and very despondent. Drop foot and moon out is causing to much pain in leg rucrutialing
Where do I go from here?
My affected foot is not moving. I can't lift it up.will it come back?
I Like IT,but i have my right arm in spacity and cannot use IT..ITS much more Work to do
AS i have to use a Cane!please help😊
Is it normal if I feel back pain while doing this activity?
Thanks very helpful exercise s
Thanks for watching and for commenting!! I am glad to hear you found it helpful.
i like your videos, but i don't know what the pattern talk and stuff means.
Thank you..im still on the first video exercises..after only one day of doing those..my inner thigh muscles were burning..my thigh in general felt it..and I'm loving it.. Thank you so much for this🤗🌹
@kysssims just checking in. How are the exercises going? are they getting easier?
I think I asked this question before but I was wondering if you have ataxia search you learn to walk with a Walkingstick or in a cane?
What are you to do when after a year post stroke no movement in weak leg I do exercises every day and have good hip movement but pain in weak leg knee please help I wanna walk again
I have a patient with this kind of pattern for about 2 years now...
Can we get started?
How do you keep the toes of the involved foot from involuntarily curling while standing or walking?
This is so my issue. Thank you
What are good ways to work a leg that buckles when adding weight? Why does it do this?
Thank you for watching and for commenting! I have a video scheduled for "knee buckling". Stay tuned!
I have left side paralysis and my left foot is always turned out towards the left. What recommendation(s) do you have to get it to turn forward again? Thank you in advance.
Thanks for the comment! It is hard for me to understand your exact problem, but I think my spasticity playlist will have some great idea for you :)
Your hip us week do some hip exercises and you will notice the difference .
Ur vedios are very helpfull
What’s the difference between high tone and spasticity. I was told by my pt that I have high tone
steve kierstead they are both a characteristic of the amount of tension in a muscle but spasticity is velocity has to do with how quickly and muscle is lengthened. You can have both at the same time after a stroke
Orlando Neuro Therapy are they both treated the same way
@@mrstevek118 yes and no. I will defer to your therapist to explain this to you as this is a little complicated. Basically, you want to avoid fast movements with spasticity. So if you or anyone else is stretching you, it needs to be slow with spasticity. Note, this is a very simplified answer :)
Thank you
Thanks dr Tera
Ma'am pls make full vedio on flexion synergy pattern PT treatment
Check out the spasticity playlist! You might find some videos on there helpul. Start with this video: th-cam.com/video/VDA8wkkSfKc/w-d-xo.html
I see that the stool falls exactly on your hip line, can I use my dining chair of the same height?
my hero!
Orlando Neuro, when doing these these exercises, should we focus on dorsiflexing our foot or more on the flexion of the body?
Great question! I would say make sure your foot is flat and focus mainly on making sure the foot is flat and the knee remains slightly bent. I hope this helps! thanks for watching!
Ok thanks alot! I have good balance but I also have drop foot, so i will continue doing these exercises. ❤❤
It was great to find this video as my knee went back to hyperextending during lockdown after my botox wore off and I couldn't get it redone. Thank you once again.
I am so glad it helped! It never hurts to go back to the basics :) I hope you can get your botox soon :)
Orlando Neuro Therapy thank you. I’ve just paid my physio (who is the one who normally does my injections at the hospital) to come and do it at home. It’s not taken effect yet but it won’t take long. : )
Very helpful thank you!
your very welcome. Thanks for watching.
Very helpful video ma'am...😊
you very welcome :)
Hello I'm Richard robledo from Philippines I have a stroke
I'm a . massive stroke for 5 years and still I can't stand bysellf from. Bed side. I can walk aided.i have a thick saliva that hinders my speech. Please help me.
Thanks for the comment! Keep working hard and work on standing and slowing weightshifting onto the leg. This will help to improve your confidence on that leg and WILL carry over into walking :)
Thanks for videos.it helps a lot. I bought my seli massage ball that will help my spacity
What do I do if my knees are kissing when I go up even at a little up
your hip abductors (glutes) are weak. work in some clam exercise on your back or side to strengthen
For someone who displays leg flexor spasticity and wears AFOs that support the knees, would you alter the suggested progression? Or positions?
This is more for extensor spasticity. So, yes, I would say do not to try and keep the knee bent if you have a flexor synergy pattern
Dr you are so beautiful ❤️
i get confused with the terminology
Thanks for the feedback! I understand. Sometimes I get a little "technical". 😬
Left side stroke paralyzed, how to get adjusted to Drive walker on wheels.
I typically do not recommend this type of walker. They are very dangerous. Here is the walker I recommend: amzn.to/2TpDlAF. It is better for people who have one stronger arm as you can control the breaking system with one hand. It also has something called "reverse breaks" which I LOVE. You can read more about this here: www.orlandoneurotherapy.com/neurologic-conditions/walker-neurologic-conditions/
Thanks yoù are helping me alot
I am so happy it is helping. Thank you for watching!
Moonboot to painful to help for support
I had a stroke i live in exuma
I dont look fluid or graceful when walking
I’m new to your videos. Great information. One comment: you overtalk. Way too many details for me. I’m 4 years out from stroke. My gait has changed a few times. I’m trying to quickly regroup to incorporate changes and move on.
Vieos great
❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤😀😀😀😀
If you keep talk to minimum then your videos will be perfect. Always skip her first half videos,
#stroke knee