Standing after stroke: Assisted and unassisted
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- เผยแพร่เมื่อ 30 พ.ค. 2020
- Standing early after stroke is the most important step in the rehabilitation process. In this video you will learn the right and wrong way to stand as well as how to help someone stand in the early stages.
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Video on proper mechanics for sit to stand: • Sit to Stand Exercise
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You are a god send! Thank you so much. this has proven to be helpful in my practice as a relatively new PT.
Thank you for your videos! My mom just had a stroke and can't get into therapy for another week. I've been using your videos and helping her get moving. We've already seen some improvement! Thank you!
Hi Anjelyna! Thank you for watching and for sharing your story. Your mom is lucky to have your support! I am glad to know these videos have played a small role in her progress. Looking forward to you sharing more updates on her progress! And tell her I am sending her positive thoughts as she starts this next chapter in her recovery! 😊
🧡💕🧡 Another super Dr. Tara video. This was for me in the first weeks after the stroke, and it would have been beautiful to have had your video at that time. The experience was that constant training brought back control and strength to the wobbly leg. I combined standing exercise with tiny squads for strength and blood flow.
Even now, after months of progressing, there are good days and bad days, clear mind and foggy brain days. So on the bad days, it is always good to return back to basics, standing exercises and sit to stand with mini squads. That gives security and foundation for a better rest of the day. So thanks Dr. Tara and have a super weekend 😍😍👍👍
Nina, another superb explanation from the perspective of a stroke survivor. Your comments are truly invaluable to this community. "Brain fog" is real! Honor it, listen to your body, and adjust your activities on the "foggie" days. Which is sounds like you are already doing, but just to re-iterate to anyone else who may read this thread. Thanks again for always leaving such excellent, helpful comments.
You are a awsome person i really appreciate what you're doing, because I realize and know you don't have to your hard work is deeply appreciated. All the thoughtfulness and care and time you put into helping people improve their lives!!!!!!
Albert, I enjoy every minute of it. I am just glad someone is able to benefit from them. From my point of view it costs me nothing to share what all of my patients have taught me over the years. ;)
I wanted to appreciate you for your in depth instruction for the PT and even more so for the care givers along with the professionals. We are a rehabilitation clinic in Ethiopia 🇪🇹 I just forwarded one of your Vidio to a PT that I can never be Abel to see and help as much as your instruction will. Thank you and Be Blessed 🙏
Very well said,she is a special person
Have no therapist just following yr videos
Thanks! This is so much better than what my sister's therapists are doing with her!!
u are the real GEM
Dr.T thank you I've been waiting for this appreciate it so much you take care of yourself out there excellent video
Fabian Wilson glad it was helpful. Thanks for the well wishes. In total transparency, the US is definitely hurting right now.
Dr. Tara your videos are very helpful ,I am a spinal cord patient ,can I do these exercises or do you have separate videos for spinal cord patients?
@@umashankarsharma1478 Thanks for watching! absolutely! This progression is for anyone who wants to improve their walking. :)
Really helpful video !
Superb explaination...
Thank you so so so much
Thanks so much for your time , I have found that I have developed some compensatory elements in my sit to stand that I need to work on such as twisting myself so that I can push off the seat with my good arm.
YES!! That is such a common problem. This video and next weeks video will have some good tips to "un-learn" that habit. It is possible!!
Same Problem
Thank you
I need this. Somethings I can do and some I can't. I can't get out of bed but can sit to stand. Can't end my knee when laying.
We were missing you..welcome
Hello can u please make a video for flexor spasticity in the hip and exercise for hip extensor
Thanks for your hard wet working
Thank you for your continued support. It really mean a lot. I know that most in this community are beyond this level, but I still hope some of the information was helpful. Stay tuned for next week. It is going to start to get good with some helpful exercises :)
God bless you
👍 excellent
that is why i help my self to recover bcus i dont want someone to treat me thst way
again I could not find the link for the blue wrap strap please repost, pls. include the gait strap& plastic arm bubble.
Doctor please add some more real manual therapy sessions on stroke people I will be thankful if you could.
God bless
What if you did NOT stand early after the stroke for whatever reason?
what is the best way to fix my twisted left leg(hip)?
how to break saway from compensated motions?
Do you have something for muscular dystrophy
Does this progression help in white matter diesease ? My patient is suffering from bilateral ischemic changes in deep white matter. She can't even stand straight. Does this work or can you make some other video for white matter disease?
Is standing whilst holding to bar good?
I went to your new website but couldn't find where to sign up.
Laura, all I can say is thank you. Only you and I will understand this, but for real. Thank you. I do not deserve this opportunity to attempt to help people and I do not take it for granted. Having a community that supports my efforts is just an unexpected added bonus. 🙏
In one of your videos you talk about neuroplasticity and the amount of progress you can make a year after your injury versus 2-3 years after the injury. I had a tbi from a gunshot wound to the head about 3 years ago. Unfortunately, I didnt start getting serious about my rehab until a year after my injury. Now I've been doing a lot of weight training for my upper body and it seems like it is impossible to build muscle. I have a decent amount of atrophy around my traps, delts, pecs and lats. I use free weights and resistance bands to exercise the muscle, but it feels like it is impossible to build the muscle to match my uninvolved side or my good side. Why is that? Does it have to do with the nerves? I know I'm getting stronger, yet the muscles just dont seem to grow. Do you have any advice or explanation. Please and thank you.
Thanks for watching! That is an excellent question. This video might help: th-cam.com/video/HIrSWm70MBo/w-d-xo.html
Hi..I put the wrap aroung my legs and a block between feet..Problem was my left weak knne was sitting a little behind my good leg. So I put the block in betwen my knees and the became equally levelled and could do the exercise better with my feet straight. Is that ok? Second question how many times a day should we do the exercise?
However you need to set up so you look symmetrical. I have about 20 yoga blocks and about 10 blue straps in the clinic and sometimes it take multiple of each to get someone set up correctly :) As far as "how many", this video might help you to understand what you need to think about when making a practice schedule: th-cam.com/video/HIrSWm70MBo/w-d-xo.html
Hey dr. T, You make lots of videos for early stage of recovery. But not enough for patients who are, say three years post recovery stage. Remember, I asked you to make a video on scissoring of weak leg? Unless, its unfixable. If it is, I will stop bugging you ;)
Nope, not "unfixable". It is on the list I promise. :)
@@rehabhqofficial thanks dr. T, looking forward to it. It's my last hurdle.
how can I stand with ataxia
Dr Tara, why mom can't hold her whole foot on the floor. Namely, the foot stands on the toes and the heel remains raised. Is it a spasm? How can this be corrected?
Thanks for watching!! That is an excellent question!! Here is a video that might help: th-cam.com/video/iWEtH-A_6uk/w-d-xo.html
How long recovery arm
what if we have drop foot
Hi doctor T, i search in google and the result of difference between branstem stroke and brain stroke is "A brainstem stroke can be both an infarct and bleeding in the brainstem. In an infarct, there is a blockage of a blood vessel. Bleeding involves leakage from the blood vessel. Both incidents disrupted blood flow to the brainstem". I did not have any bleeding in my brain. In the rehab, they uses the same exercises for the CVA( Cerebro Vasculair Accident) patients as brainstem stroke patients. Is that good or bad. I still do mine exercises. every day. My only goal is, that i can walk independently and without any device. As you are saying "repetion, repetion and repetion" to make connection in your brain, i repeat every day.
"brainstem stroke is just identifying where in the brain the "disruption of blood flow occurred" I hope that helps!
My husband cannot yet sit on his own after a stroke 3 years ago What kind of exercise can my husband do to help initiate sitting?
That is an excellent question! I think this is a good topic for a future video. Stay tuned! :)
have you ever had patients with ataxia or/and numbness in body after stroke?
Yes, :) If you have ataxia, this week's video is for you. Stay tuned!
@@rehabhqofficial Thanks!
❤istrokepatient
at 7:49 grabbing at shouders is wrong action inmho.
Her technique is excellent. that is why I included it. He does not have a shoulder subluxation and her body mechanics are superb. I choose the gait belt method, but I am seen a tone of variations that family members have come up with. And I actually approve of her method in this case.
Aldsohandprobleleftside
I have to Learn to turn to my side
Does stroke patient have the cognitive ability to regulate their steps to such precision? How can caregiver convince them their legs aren’t in the correct position when the patient does not think so?
Hi Helen! This is an excellent question! Part one of your question: every stroke is different and cognitive abilities will impact how much a patient can "self correct". I always emphasize "quality movement" however, I stay mindful of the cognitive aspect and maybe "modify" expectations a little. For example, maybe we work on hitting these positions 50% instead of a 100%. Part two of your question: This problem comes up a lot when I am working with patients and their families. Try taking video of the walking and allowing him or her to watch it. Sometimes that works but again this depends on a variety of factors (including cognition, vision, spatial awareness). They may watch the video and think it looks perfect. And that is ok. Remember, there are a lot of areas of the brain that can be damaged by a stroke. However it is worth a shot. I hope that helps!
Orlando Neuro Therapy thanks! I am trying it with my dad.
Inotabletowalk
Doctor please speaking inhindi
Way too much talking.