After Stroke: Seven Safe Exercises To Do In Bed- Recovery Exercises
After Stroke: Seven Safe Exercises To Do In Bed- Recovery Exercises
Famous Physical Therapists Bob Schrupp and Brad Heineck demonstrate seven safe bed exercises for a stroke patient.
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Content
0 -> pop and Brad the two most famous
3.98 -> physical therapist on the Internet hi
8.849 -> I'm Bob Shrum physical therapist
10.29 -> throughout any physical third because we
11.79 -> are the most famous physical therapist
13.08 -> on the internet no opinion of course bad
14.82 -> today I want to just show some simple
16.26 -> exercise you can do after having a
17.97 -> stroke
18.51 -> seven exercises that you can do in bed
20.76 -> that are safe
22.05 -> you know you there's no chance of you
23.22 -> falling just kind of some basic ones to
25.47 -> start with all right this is for someone
27.18 -> who's probably had both their arm and
29.039 -> leg fairly involved right and they maybe
31.32 -> can move them a little bit but not like
34.05 -> very much there yet right so early this
36.27 -> this is representing the stroke side the
38.64 -> arm the weak side okay okay
42.05 -> start off with number one I'll just take
44.76 -> one pill of the stepper breath alright
47.67 -> first thing you do and you're going to
49.35 -> maybe need somebody to help right it's
51.57 -> going to be the assistant but the first
53.34 -> one you do is I'm putting the strong leg
54.96 -> up and then I if I can get it up we'll
58.05 -> put the weak leg up but if I can't
59.609 -> you're gonna have to help okay and then
62.699 -> we're going to start with some rotations
64.71 -> back and forth like this and again if
67.29 -> it's going to flop like this Brad may
69.9 -> have to help and help me roll back and
71.85 -> forth usually you can just sit on the
73.619 -> bed right here and and only help as much
77.22 -> as you need to I'm going to let go hold
79.83 -> or you get a back up yeah and sometimes
82.35 -> if it gets a little easier
83.61 -> Brad can provide resistance sure push
86.1 -> push push push push yeah there we go and
87.96 -> verbal cues found the person kind of
90.54 -> helps out and sometimes pushing down
92.52 -> through the leg right to give a little
94.979 -> weight through the legs sometimes helps
96.75 -> too I'm going to push in here yeah
99.799 -> alright that's exercise number one
102.18 -> number two now you're going to try to
104.07 -> just actually spread the legs apart and
105.93 -> bring them back together again
107.28 -> we call it the clamshell yep and again
109.86 -> you may need a little help at some
112.079 -> points on this maybe you can just say
114.659 -> you know lower it slowly if you can
117.03 -> don't just let it flop see can you hold
118.799 -> it hold it hold it hold it hold it hold
120.329 -> it hold it now just for fun the the weak
124.32 -> side yeah and this is going to vary so
127.5 -> you have to kind of write with the
129.42 -> person some every patient is a little
131.73 -> bit different and
132.75 -> and exactly next one is bridging you may
135.84 -> want to start with just the strong leg
138.09 -> do some bridging here get some core work
140.31 -> out and then you go to doing both of
144.15 -> them the same thing you might have to
146.07 -> hold it Brad as a matter of fact a lot
147.93 -> of times that the patient cannot get the
150.87 -> leg up so you need some help to get to
152.31 -> here right and once they get to that
154.05 -> position you might have to hold the fie
156.12 -> hub and excellent right I like to do is
160.08 -> sit on their toes gently of course and
163.2 -> then I'll pull this way yeah.well up up
165.69 -> up Bob there you go that's a great one
167.25 -> to do it just helps a little bit the
169.95 -> great hint all right what else are we
172.89 -> missing here now well then if you get
175.44 -> really good you may want to do a single
176.79 -> leg right as this leg gets stronger then
179.16 -> we put all the all the gravity and
181.58 -> resistance there all right next one you
184.17 -> actually going to take a couple pillows
185.4 -> and put them underneath the leg like
187.98 -> this and to help kind of clear the foot
191.82 -> like this and put the knee into a little
193.65 -> bit of flexion and you're going to try
195.42 -> to help and see if you can bring that
197.31 -> toe towards you so all right there is
199.53 -> this that's all it is right there but
201.33 -> this knee should be up and bent just a
204.42 -> little bit you might even more than this
206.58 -> even if you can Brad you're baring foot
208.44 -> more your bundle up yup like that yeah
210.87 -> there are there are some neurological
212.67 -> reasons for that we're not going to get
214.32 -> into it but it is important to have a
216.06 -> little bend in that knee and if this
218.25 -> foot is not go ahead just move a little
219.9 -> bit you know if you're help and you can
222.239 -> help and sit hold it on the Bob let it
224.43 -> down slow there you go pull up up up up
227.04 -> up up up and let it down slow anything
230.01 -> we do to get those muscles to wake up
232.29 -> and as much as you can you know visually
234.66 -> try to help the person if he can see it
236.7 -> I see it right I help improve that
239.67 -> ability to do that all right next one
242.01 -> will go to the arm now and basically
246.299 -> again we got the weak arm here so you're
248.28 -> going to have the strong arm kind of
250.59 -> clasp the hand like this or again make
253.23 -> sure you're not going to fall out of bed
254.37 -> here right but it's good to follow with
256.44 -> your eyes and I'm going to clasp the
258.989 -> hand I'm going to bring it up and over
260.1 -> here so making that diagonal not right
264.75 -> and up over the left
266.66 -> shoulder nice if you can turn down like
268.43 -> this but I don't want to get that
269.69 -> complicated right right this is so this
272.84 -> is the first step towards rolling so we
274.82 -> start on the hip can we go up I'm
276.86 -> watching with my head the whole time and
279.23 -> it's important to watch because if
280.58 -> you've had a stroke what could happen is
283.31 -> is they won't even the person had the
285.65 -> stroke won't know what this hand will
286.94 -> fall down and if I watching it they
289.67 -> won't know that the arms are there their
291.14 -> hands aren't connected because they're
292.4 -> so that the nerves aren't connected to
294.89 -> let that information will be known so
297.11 -> you can also switch and go on this side
299.24 -> and go this way right from that hip to
303.8 -> this shoulder again I'm watching the
305.87 -> whole time with my eyes now what this
308.12 -> leads to is you can actually start doing
309.56 -> rolling now and the easiest one to do is
312.14 -> going to be to first roll to your weak
313.91 -> side sure so I'm going to put the strong
316.64 -> leg up I'm going to put the arm down on
319.76 -> the strong side the strong hip and I'm
322.76 -> going to go like this I'm going to push
324.08 -> with the leg and pull myself over like
326.96 -> this make sure you're not too close to
328.76 -> the bed because you don't want to yeah
330.14 -> off if you've got someone to help you
332.36 -> have someone there to help if you had a
333.86 -> real good idea so this is the nice first
336.26 -> step towards rolling now that one that's
339.26 -> going to be more difficult is going
340.64 -> towards the strong side because now
342.2 -> you're gonna have to have the weak side
343.43 -> up like this down here like this and
346.04 -> this has got to push a little bit right
347.54 -> so you don't want to try this until you
349.28 -> got some push in this leg or so I'm
351.32 -> going to bring it up over this way and
352.82 -> push I'm going to roll over onto it
355.46 -> right so he's pushing you can see the
357.35 -> hip comes off the table too far I'm on
359.72 -> to my bike here but mm-hmm so that's the
363.74 -> seven exercise you can do and start and
366.05 -> it becomes functional because you're
367.73 -> learning how to roll right bad and
369.59 -> that's always the first step right so I
371.87 -> would say ten repetitions of each is
373.94 -> good it's going to take you some time to
375.47 -> get through all those until you get used
377.18 -> to your routine and there's a lot of
379.37 -> neurological background with the PMF
382.19 -> that we didn't get into unless if you're
383.93 -> a therapist you know what you understand
385.669 -> why we're these things but on re and you
387.8 -> just have to trust us right so all right
389.84 -> good luck with it I'm good luck
Source: https://www.youtube.com/watch?v=5VqSrFGyOF0