Exercise For Stroke Patients, (For The Arms)
Exercise For Stroke Patients, (For The Arms)
From http://famouspt.com/ “Famous” Physical Therapists, Bob Schrupp and Brad Heineck, give some useful tips on how to get a full upper body (arm) work out with a less than 100% functioning upper body. These tips and ideas could be very useful if you or a loved one have suffered a stroke.
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Content
0.56 -> hi i'm bob schrupp physical therapist
2.639 -> brad heineck physical therapist and
4.24 -> together we are the most famous physical
5.839 -> therapist on the internet in our opinion
7.839 -> of course brad i thought we'd just do a
9.28 -> simple exercise you can do for someone
11.44 -> uh who has had a stroke uh and this will
14.559 -> work even if they have absolutely no
17.039 -> strength
18.4 -> in that extremity we're talking about
20.24 -> the arm now right now when you just
22.72 -> basic about a stroke basic information
24.72 -> when you have a stroke
26.16 -> one of two things has happened you had
28 -> an artery in your brain that either
30.48 -> got plugged up you have a clot
33.12 -> or it burst
34.8 -> yeah ruptured and in either case part of
37.12 -> the brain dies
38.559 -> and as you know or maybe don't know part
40.559 -> of your your brain is set up so that
42.48 -> different parts run different parts of
44.079 -> your body sure
45.28 -> so
46.239 -> quite often what happens is like the
47.92 -> middle cerebral artery will affect the
49.68 -> arm and so let's say my right arm is
52.399 -> affected to the point where it's totally
54 -> what we call flaccid it has no strength
56.079 -> whatsoever
57.28 -> and almost always the other side is
59.199 -> totally functional right exactly it's
61.039 -> usually one-sided it may affect the uh
63.6 -> generally all i see is it affects the
65.36 -> arms more than the legs
67.28 -> and uh what you want to do is what how
70 -> you can get recovery because when the
71.68 -> brain dies
73.04 -> is what can happen is other parts of the
75.28 -> brain can start helping out and taking
77.6 -> over
78.479 -> the other thing that can happen is the
79.6 -> swelling goes down sure so while these
82.32 -> things happen you want to start getting
84.32 -> some movement in the arm and you want to
85.84 -> keep it stretched out so these are
88.4 -> basically two exercises ago we call them
90.4 -> p and f p
92.72 -> and f proprioceptive neuromuscular
95.28 -> facilitation p n f p and yeah not p n p
98.799 -> the letter n and paul nancy strain pnf
102.079 -> there you go
103.28 -> all right so we're going to start with
105.119 -> in both times you're going to start with
106.399 -> the palm down now this is your involved
108.88 -> side this means that there's no strength
110.24 -> there so i'm not you're going to take it
111.68 -> you can grasp your fingers like this you
113.6 -> can grasp like this either way
116.479 -> but i'm gonna take it palm down
118.96 -> so the palm is down and you're gonna
121.119 -> take it and you're gonna watch with your
122.96 -> eyes because this helps create some of
126.079 -> the recovery right now visually
128.239 -> oftentimes you neglect one side as well
130.319 -> with the stroke right
132 -> if you know some of the stroker you had
133.36 -> when you know exactly what we're talking
134.72 -> about so the palm is down and this left
137.52 -> arm is helping the right arm take it up
139.36 -> here
140.4 -> and that now i go to the palm up
142.319 -> position right okay now what you're
144.8 -> trying to do is you're trying to have
146.08 -> this arm help as much as you can this
148.4 -> one right oh man you're gonna you're
150.16 -> trying to think about you're trying to
152 -> think about it getting to help and this
154.319 -> is getting this works on posture it's
156.319 -> also getting some rotation of the body
158.08 -> things that you all
159.519 -> need to do to have it happen after
161.44 -> you've had a stroke so palm up
164.08 -> i'm sorry palm down palm up
166.56 -> palm down palm up okay
169.519 -> now you can also start in this position
171.84 -> sure again palm down but you're in the
173.92 -> upper position now palm down
176.4 -> palm up
178.239 -> palm down
179.68 -> all up now this is
181.68 -> to me a little confusing because i keep
183.36 -> forgetting which is the involved sign we
184.959 -> should have put a a tape around your arm
187.28 -> but so this is the side that we decide
189.84 -> this week if you had a stroke and i had
192.159 -> this arm like this and i let go this is
193.76 -> what would happen
195.44 -> it would probably just flap down exactly
197.44 -> and then your candidate for this type of
199.28 -> exercise or even if you have a little
200.8 -> strength in it all right just to review
202.72 -> these again i'm going this way
205.599 -> or i'm going this way
208.4 -> so
209.519 -> if you look at just the hand that that
211.84 -> would be weak can you do that motion
214.4 -> okay once it gets better then yeah
216.48 -> so that would be the side that doesn't
218.159 -> have the strength to do it but just so
219.68 -> you see the palm is towards and all the
221.76 -> palms down
223.12 -> and here
228.239 -> okay
229.28 -> excellent all right if you're 40 50 and
231.44 -> over you're going to want to subscribe
232.56 -> to us because we're going to provide you
233.76 -> exercises on to stay healthy fit and
236.239 -> pain-free and also if the bad things do
239.04 -> happen to you we're going to help you
240.239 -> get through these things right little
241.36 -> tidbits like this can make a big
242.799 -> difference so we can fix just about
244.879 -> anything except for what bob
247.36 -> we can't fix a broken heart say no more
Source: https://www.youtube.com/watch?v=HcTzIF_smOg