BRUNNSTROM EXERCISES FOR MOVEMENT RECOVERY IN STROKE PATIENTS DURING FLACCID PHASE

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NOTE : INCREASED BACKGROUND TENSION AND REFLEXIC ACTIVITY GAINED WITH ABOVE STRATEGIES SHOULD BE SUPERIMPOSED WITH PATIENTS VOLUNTARY EFFORTS.
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[@mouradmeddour2490]

bonjour docteur merci beaucoup pour toute les vidéos c'est très bénéfique pour notre cabinet

[@rahulnerulkar9558]

Thankyou soo much sir 🙏🙏For making these videos

[@berlycool8065]

simple yet excellent teaching...Thank you very much!

[@neelimajohari948]

Rarely u find such super way of teaching . Ur superb sir thanks alot. Lucky cud get in touch with u

[@prakashsiva399]

U are one of the Good PT teacher for all,Tq sir...

[@minalmirza7088]

Thankyou so much for explaining it in such a beautiful way👍💯, looking forward to apply on my patient💯

[@pavanipriya7661]

Literally no words...

[@emmanuelchukwuneke9770]

Thank you, Sir.
This is very helpful.

[@rejoicechirambiwa5688]

Very helpful. Thanks ☺️

[@user-px6hy3zf2s]

So illustrative

[@gutalacharan]

Wonderful technique sir 😊👍

[@11.ayeshasohail64]

Very well done Sir 👍

[@Aanchalnaik2506]

This techniques are amazing sir 👌

[@dr.praveendongre4824]

Brilliant explanation

[@asma5179]

Thanks a lot for the videos 🇹🇳🇹🇳👏🏻👏🏻👏🏻👏🏻

[@PhysioClassroom]

Glad you like them!

[@blessing4u682]

god bless you

[@yeshadhimmar3705]

Sir , your method is too good. I'm learning so many things from you. Thank you so much , sir.

[@PhysioClassroom]

Thanks for watching Physioclassroom 💕
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[@saibsayyed9068]

@@PhysioClassrooma

[@user-wp9ce8px5f]

Thank you sooooooo much !

[@PhysioClassroom]

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[@dr.mohitchandel9440]

Really good

[@Ravikumar-ou9vy]

Sir your tiching is good

[@samthenilgiris]

Thank you sir

[@anupamkumar1613]

Thanks 👍

[@Bharish4255]

Thank you so much for teaching us sir. Great work by you sir 👏👏🤝

[@PhysioClassroom]

Thanks for watching Physioclassroom 😊❣️
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[@arvindersingh5577]

Thanks 🙏

[@subratswain2034]

Thanku sir good video.

[@sanjidshoshy2114]

Thank u sir sharing such good methods with us...love u sir❤️

[@PhysioClassroom]

Thanks for watching Physioclassroom ❤️
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[@aditimishra2585]

Sir.. Your classes are so good... I wish you were our teacher in our bachelors

[@PhysioClassroom]

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[@jagtarchohan3930]

@@PhysioClassroom ." . The first

[@UmeshKumar-qf1gx]

VERY PRACTICAL AND INFORMATIVE APPRECIATE SIR

[@PhysioClassroom]

Thanks for watching Physioclassroom ❤️
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[@iilsedebipersad9668]

Superb

[@ashleybarber8691]

Wow! So excited to try the imitation technique on my flaccid L hemi tomorrow. Trying weight bearing, mirror therapy, & stim with no success yet. Thank you for sharing your knowledge 😃

[@PhysioClassroom]

Hello,
thanks for watching Physio classroom. Here are some more extra information to help you facilitate moments in flaccid patients:
1. Use associated reactions
2. Place the paralytic joint you want to facilitate in mid range and in gravity eliminated position ( suspension is preferable).
3. Also simultaneously use roods facilitation techniques during irradiation / Imitation.
4. Keep using the same concept in weight bearing activities too.
5. Long duration Tens in weight bearing will also help in facilitation of tone.
Note: only patients of pure cortical stroke will fail to respond to above treatment as they have pure pyramidal lesion.
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[@praveensmart2268]

Super video sir

[@mouradmeddour2490]

bonjour docteur merci pour toute les vidéos c'est très bénéfique pour notre travail

[@dr.farhatshaikh4235]

U r the best sir😊thankyou so much....

[@PhysioClassroom]

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[@dr.mohitchandel9440]

Nice sir

[@meetphysiotherapistpo8769]

Sir thank you so much for your efforts. Really appreciated.
ESMATH KHAN PT malaysia

[@PhysioClassroom]

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[@subratswain2034]

@@PhysioClassroom yes sir as much as possible I do this.

[@sumaiyashemo623]

Sir your every video much informative and it's easy to understand. Thanks sir

[@PhysioClassroom]

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[@jobikgjobikg9058]

Very informative videos.thank you sir.

[@PhysioClassroom]

Thanks for watching Physio classroom do share our videos with your

[@jayavaishnavi7984]

Hello Sir,its excellent video....plz make a video for paraplegia patient.

[@triptisahu2268]

Thanku so much Sir

[@CBasimaliquadery]

Excellent sir, ur phone take up posture

[@aroobasiddique8452]

Thankyou sir.

[@nidafatima9665]

Very nice concepts and nicely explained..thank u

[@PhysioClassroom]

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[@preetibhatia7546]

Thank you so much sir your videos are amazing can Go with passive stretching in hemiplegic patient

[@ibrahimshareef9220]

We need professors like this in Universities...!

[@PhysioClassroom]

Thank you for watching the Physioclassroom 💕

[@ngphysio7381]

Great

[@PhysioClassroom]

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[@purusaxena397]

Thanku so much every time I learn something new 🙏🙏

[@PhysioClassroom]

Thankyou Dr. Puru for your continuous support and feedback 😊
I hope you are sharing our channel videos with your contacts 😊

[@purusaxena397]

@@PhysioClassroom ya definitely I am sharing sir and thanku so much for providing such nice information which we can not find in our regular course books thanks once again

[@barun.pandey5518]

can I register myself through the pay Google pay...pls respond fast

[@PhysioClassroom]

Yes you can - Whatsapp [phone]

[@Deepaksandy_VLogs]

Thank u sir

[@kiwansoc8062]

Perfect

[@PhysioClassroom]

Thanks for watching Physioclassroom 😊
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[@mangalapai6603]

Sir please explain how to initiate shoulder flexion and abduction post stroke

[@nnadiraymond3641]

Well done sir. What type of bobath technique can one use at flaccid phase

[@afrinsithara4578]

Thank you soo much sir ...its been very useful to meee

[@PhysioClassroom]

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[@afrinsithara4578]

Sure sir

[@harshkapadiya4467]

The information is very good. But if left hemiplegic patient has a right above elbow amputation, so how we can perform this procedures?

[@aditivarma5501]

Thank you so much sir your videos are very informative and helpful for students like us 💕🙏🏼 keep making such videos really appreciate your work

[@PhysioClassroom]

Thanks for watching Physioclassroom 😊
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[@mangalapai6603]

Sir please share treatment for flaccid shoulder in hemiplegia

[@amrutmishra2050]

Sir thank you for this lecture, can you suggest brunnstrom and bobath concept technique book

[@ashmibhanushali2159]

Sir, your video is so informative and interesting but I have one question in stroke rehabilitation. When patient's cognition affected, he/she can not understand and interpret therapist's command in that case what can we do ?

[@AmanSharma-tz9ew]

Super

[@PhysioClassroom]

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[@Romeo210ish]

The practical demonstration should be performed on real stroke patients.

[@nongthombamsudip8571]

Is reflect action on stroke effect side a good sign

[@veekshanvickee2474]

Sir plz add notes on frequency and rest in between exercises

[@SantoshKamble-do3cu]

Sir pleaze self exsize paralize patient video

[@rashijm.5447]

Hello Sir,
How the overflow mechanism works? What's the physiology of it? Is it due to a neural firing happening between two sides of the brain or is it muscle energy transferred side to side?

[@PhysioClassroom]

We always recruit our muscles or body parts depending upon the load of work.
If you have to lift a pen and if you have to lift a bucket the muscle work will automatically be adjusted to higher level with more number of muscles participating.
Over flow simply means to lend or donate energy at the target joint from the surrounding areas.
Its same as irradiation mechanism which I have explained in PNF principles videos.

[@preetibhatia7546]

Sir also my patient complains of heaviness in the hemiplegic side 24/7

[@shalinir1564]

Thank you sir for sharing ur knowledge here it's very helpful
Can I know which textbook to refer for this approach?

[@PhysioClassroom]

Movement therapy in Hemiplegia by Signe Brunnstrom

[@DrAsodiya]

Sir , how to deal with flaccid loose fingure after its flexed?
(loose but not to open )

[@ragib3353]

How to use this method on hemiplegia patient
Because some hemiplegia patient can't able speak as well as not understand anything

[@nitinprajapati5473]

Sir, what is to be done for tingling sensation at toe region, at forearm & wrist region with fingers in left side due to mild Stroke patient.. Sir plzz suggest

[@mitaliadhikary2084]

Hiui

[@robthompson7816]

What are the chances of someone who has had a stroke returning to how he was, particularly in overcoming spasticity? Most physiotherapists seem to agree that it is incurable. What a prospect!

[@aditisinha4261]

In raimestes LL shows vice versa ..and if the patient is performing adduction on unaffected leg so it should be abduction on affected leg that is the leg should fall out

[@PhysioClassroom]

Vice-versa is for flexion and extension movements

[@yvonnew416]

Spasticity in adductors and biceps are very likely to become big problems for hemi patient, such as risk for contractures, atypical patterns for manipulation and gait, poor alignment and posture...why do you exercise these muscles first? How to prevent challenges above?

[@PhysioClassroom]

Spasticity only becomes a challenge when it is uncontrolled and patient is not trained to voluntary contract and relax different muscle groups or movement patterns.
Alternate or reciprocal movement training from the beginning of the rehabilitation can ensure that flexor or adductor spasticity donot become strong enough to interfere in performance of upperlimb and gait activities.
There fore both the agonist and antagonist muscle groups are facilitated and I have mentioned hip adductors and elbow flexors because they are the easiest to be facilitated reflexively to motivate a stroke patient to participate actively in the rehab sessions.
Also please note that we have to choose the best treatment strategies from different Neurological approaches like Bobath/ NDT, MRP, CIMT, Perceptual motor control, Brunnstrom, PNF etc.
Do watch the Paralysis Treatment guide playlist and Neurorehabilitation secrets video on Physioclassroom channel where I have mentioned the right way to gain stability and mobility in stroke patients.
The information shared in this video is limited to Brunnstrom course content.
Thankyou for watching Physioclassroom 😊
Do share our channel videos with your contacts and help us in reaching out to maximum number of people 😊🙏
And one more thing, I will also be covering Exercise strategies in upcoming videos to break spastic patterns and gain newer combination of Movements.
So stay tuned😊

[@drvivekpatel1259]

👍👍

[@mohanakrishna.m4355]

Hi hello sir the video and your explanation was extraordinary but I have a doubht sir while promoting raimiste's phenomenon in lower limb don't it increases the tone vaguely in upperlimb in the synergy pattern sir

[@PhysioClassroom]

Use only when limb is flaccid and not when limb has increased tone.

[@nidafatima9665]

If there is partial subluxation of shoulder happens towards hemiplegic side .. how to regain the strength and what should be the approach for such patients? Plz plz reply

[@PhysioClassroom]

Watch Neurorehabilitation secret video playlist to know more about exercise progression to improve upperlimb motor control.

[@tulsianand6002]

Sir please make a video on contemporary task oriented approach

[@PhysioClassroom]

Watch the NDT and Paralysis Treatment series on Physioclassroom channel.
I hope it has the relevant information you are looking for.
Thanks for watching Physioclassroom 😊
Do share our channel videos with your contacts and help us in reaching out to maximum number of people 😊
By the are you studying or Practicing Physiotherapy??

[@ginaniutta]

My Dad had a Right MCA STROKE 5 months ago. His left Arm no movement very flaccid, but his Left leg is beginning to move, the left foot is moving forward. How can I help with the Flaccid Arm and Leg??? Help

[@PhysioClassroom]

Whatsapp [phone] for taking appointment for online video consultation

[@nimithasahadevan819]

Sir , what we do if patient having global aphasia...these interventions become limited in that case of MCA stroke

[@PhysioClassroom]

Very true,
Then we have to coordinate our rehabilitation session with the speech therapist.
Strategies to restore comprehension and speech will then be our prime goal.

[@chintansolanki1192]

Sir .. brunstrom nd bobath ki controversy pe ek vedio banao na ... Konsi better he ... Vo nai pata chalta ... Ek bolte he synergy ke sath chalp ...aur vo synergy ko break karo ... guid us 🙏

[@PhysioClassroom]

This will become clearer more and more as more Brunnstrom treatment videos will be uploaded.
We have to take the best strategies from both the Approach and customize it for patient's treatment.
Brunnstrom never recommend to strengthen synergy patterns.
They are to be facilitated and new combination of Movement patterns to be introduced ASAP.
Brunnstrom utilizes concepts some of which have similarity with the NDT and PNF concept of TREATMENT.

[@chintansolanki1192]

@@PhysioClassroom thank u sir 😇

[@umarsulaiman9456]

I unfortunately have Stroke and this is the best treatment I've seen so far with herbs by #Drgbuyaka from Africa.I plan to use it in the future when friends/family ask about it........

[@rashmiraja1996]

How long it take time to recover sir

[@raveendraganta7096]

In paraplegia sir

[@sapnamashetty7740]

Why would you facilitate elbow flexors ..when already elbow flexor synergy is common in ul

[@PhysioClassroom]

Please read the Brunnstrom concept of treatment.
Elbow flexors are being facilitated in the stage one, i.e. stage of flaccidity.
They are not facilitated when spasticity develops

[@leemin7824]

Sir, how if patient keep complaint of hemiplegic side very sore and loe motivation to do exercise? Like they not focus on produce voluntary contraction while exercise or ignore the hemiplegic side?

[@PhysioClassroom]

Hello Lee Min,
Thanks for your question
Cognitive and Psychological and perceptual problems are also often associated with stroke and are needed to be dealt with in a holistic manner ( coordinating with Psychologist and Neurologist).
There are strategies to correct hemineglect and improve the motivational level of the patient.

[@leemin7824]

@@PhysioClassroom thanks for the prompt reply sir 🙏 🙏
If they are not refer for psychologist, what can a physiotherapist done?

[@PhysioClassroom]

We have to get all the detailed assessment of the Patient based on the ICF disability model and plan the treatment accordingly.
Can't reply briefly to your question as it needs a long discussion.

[@leemin7824]

@@PhysioClassroom thanks for the quick response. Will find more answer through your videos based on the assessment. You really is a brilliant lecturer 👏

[@sunnysam3161]

Sir..if the patient has stunts in heart can we give muscle stimulation??

[@PhysioClassroom]

Yes

[@fayyaz898]

Sir what if patient is unable to follow commands and remains confuse. Like in case of altered sensorium patients.

[@PhysioClassroom]

Cognitive rehabilitation and sensory stimulation program to be applied in such situations

[@shahrizalcj227]

sir,could u please put in english subtitle in all of your videos? i really like your tutorial and videos and i want to learn more from you but i cannot understand hindustani

[@PhysioClassroom]

You are residing in which country?

[@shahrizalcj227]

Physio Classroom im from Malaysia sir

[@shikhak723]

Sir,how long should we wait in the flaccid stage to start these exercises? Like, can we start these exercises in the hospital itself along with passive movements and positioning if the patient is stable enough?

[@PhysioClassroom]

Yes.
From day 1.
On your first visit.

[@shikhak723]

@@PhysioClassroom Thank you sir.

[@sauravsaini9548]

Sir fingers me power lane k liye kare
Plz help sir

[@sauravsaini9548]

Sir mere finger s close ho rahi par opan nai ho rahi hai plz help me

[@vivekmathimakki8424]

What if someone is effected both sides?

[@PhysioClassroom]

Follow the Neurorehabilitation principles

[@shardaphysiofixrehabilitat7564]

Do you take workshops

[@PhysioClassroom]

Yes I do on topics like PNF, Hemiplegia rehabilitation ( Bobath, Brunnstrom, Rood's therapy etc).

[@ashiagrawal8639]

Sir pls apne thumbnail ko itna crowded mat kiya kijiye ..just an advise

[@PhysioClassroom]

Thanks for your valuable feedback 😊
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[@physioworld7243]

Hindi m bola kro please

[@gomathy7695]

Thank you sir