After Stroke: 3 Bed Positions You Will Want to Know and Follow.
After Stroke: 3 Bed Positions You Will Want to Know and Follow.
Famous Physical Therapists Bob Schrupp and Brad Heineck describe 3 bed positions for someone who has had a stroke. These proper positions should improve comfort and provide optimal positioning for recovery.
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Content
0.199 -> hi I'm Bob Shrum physical therapist Brad
3.36 -> ionic physical therapist together we are
5.069 -> the most famous physical therapist on
6.569 -> the internet in our opinion of course
8.61 -> it's a typical day for Brad this is
10.32 -> usually what he does most of the day
11.61 -> takes his naps what we're doing here is
14.28 -> we're actually going to talk about
15.69 -> proper positioning for a person after
19.26 -> they've had a stroke and when they're in
20.699 -> bed and we're first going to start off
22.92 -> with if they're sleeping on basically
25.74 -> the non-involved side brad had a stroke
28.41 -> we're going to simulate that he had a
30.48 -> stroke on the left side affecting the
32.16 -> left side so that's what this red band
34.17 -> is here for on the leg and the arm so
37.38 -> what you're going to want to do this is
38.64 -> just a if you what the person wants to
41.19 -> lay on their good side around they're
42.78 -> not involve side you're going to have a
44.64 -> pillow under the head you're going to
46.98 -> have one pillow behind in their back
49.379 -> here kind of a lot of times bunched up
50.94 -> to try to help hold them from rolling
52.829 -> over backwards like this especially if
54.96 -> they have some trouble with their
56.129 -> balance you're going to have a pillow
58.559 -> underneath their arm and what we like to
60.78 -> do quite often is maybe even have it
62.55 -> like this we're out of running out of
64.35 -> bed here if there was a bed you know
66.42 -> that when you know further on here I'd
68.909 -> like to have the arm as straight as
70.56 -> possible because the arm is going to
72.24 -> want to tend to curl up and we want to
74.549 -> get out of that position now I like to
76.409 -> see palm down like that so you got the
79.17 -> pillow owner there and then you're going
80.759 -> to have a pillow under the leg between
83.7 -> the knees and you're going to have this
84.96 -> leg forward a little bit and slightly
87.03 -> bent because what legs in strokes tend
90.18 -> to like to do they like to come back and
93.78 -> straight and it the hip tends to retract
96 -> on them so we're getting a little bend
97.59 -> at the hip a little bend at the knee and
99.84 -> this is the position that you want to be
101.909 -> in if you're going to sleep on your non
104.13 -> involve side we're going to cut away and
106.32 -> we're going to show you how it's how
108.21 -> you're going to have a person sleep on
109.5 -> the involved side all right we're back
111.45 -> now in this case you have a patient or a
114.42 -> person that really wants to sleep on
116.31 -> their involve side to side that had the
118.439 -> stroke and a lot of times we prefer
120.75 -> Brett I were just talking that you don't
122.909 -> sleep on that side to be better if you
124.409 -> slept on the other side but if you're a
125.82 -> person that's been sleeping that way for
127.439 -> years and would like to treat you know
128.58 -> give yourself a little very instant and
130.709 -> maybe
131.29 -> reduce some of the pressures on the body
133.49 -> even amount you go ahead and sleep on
135.95 -> this side the big thing is that I don't
137.96 -> want you sleeping on the point of the
139.82 -> shoulder I don't want you weigh over on
141.35 -> the point like that we're going to have
143.06 -> you kind of halfway off the shoulder
145.43 -> kind of partly on to the back partly on
148.28 -> to the side turn what you're going to do
150.89 -> is you can use a pillow to help do that
152.84 -> you can use a pillow behind them again
154.49 -> to help and a pillow under the head so
156.95 -> you can see again he's not on the point
158.66 -> of the shoulder he's taking paint
159.8 -> pressure right on the back of the
161.75 -> shoulder and on the back so then again
165.5 -> we're going to use a pillow between the
166.73 -> legs and I'd like to have both legs bent
171.2 -> a little bit is what I like to see this
173.48 -> one's forward a little more the front of
175.52 -> that one and so this one's slightly bent
177.92 -> and this one's slightly bent and there
179.69 -> you go that's that's the position the
181.91 -> next one we're going to show you is a
183.2 -> person sleeping on their back shoes
185.87 -> would be off though having someone lay
189.86 -> on their back after they've had a stroke
191.33 -> this is the involved side again we got
194.12 -> the red stripe here and the red stripe
195.98 -> on the pants you can't see that I guess
197.45 -> but we're going to put now we're gonna
200.45 -> have one pillow under the head we're
202.25 -> going to have one pillow underneath the
203.48 -> arm again trying to keep the arms
205.52 -> straight as possible the elbows straight
207.32 -> as possible don't want it up like this
209 -> all night long so you're going to have
210.77 -> palm down you're going to have the elbow
212.45 -> as straight as possible and then I
214.52 -> usually like to put a pillow under the
215.75 -> leg too a lot of times if you put one
218.54 -> under the kind of under the calf and
220.22 -> under the knee you raise the heel up a
222.86 -> little bit so that you don't get
224.21 -> pressure on the heel all night long and
225.98 -> you get that skin breakdown sir
228.14 -> especially if you're praying a prone to
229.76 -> it so you can you know have variations
232.25 -> with that but you find out whatever is
234.65 -> most comfortable which is probably the
236.06 -> most simple one and it works out real
238.52 -> well and it's another option for you to
240.44 -> roll it onto and I think you know the
242.72 -> other leg may need a pillow under there
245.06 -> too but usually the person is going to
246.5 -> move that leg around and it may not need
248.81 -> it so yep you can you know there's some
251.33 -> personal preferences to these sure this
253.16 -> is a good starting point so alright good
255.53 -> luck and if you haven't already make
256.52 -> sure you subscribe to us you better
258.08 -> believe it
258.859 -> take care
Source: https://www.youtube.com/watch?v=5sMmjSHXGes