Absolute Best Walking Exercise for Stroke Rehab at Home

Aug 26, 2023

Absolute Best Walking Exercise for Stroke Rehab at Home

Famous Physical Therapist’s Brad Heineck and Bob Schrupp demonstrate a great series of exercises one can perform to help improve walking after having a stroke.

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Content

0.35 -> - Hi, I'm Bob Schrupp, Physical Therapist.

2.36 -> - Brad Heineck, Physical Therapist.

3.68 -> - And together we are the most

4.55 -> famous physical therapist on the internet.

6.329 -> - In our opinion, of course, Bob.

8.01 -> - That's always our opinion, Brad.

9.22 -> Today you have come up with another good idea

11.14 -> for training people after

12.069 -> they've had a stroke.

13.21 -> - Right, I've been using this technique

14.359 -> at the clinic for a long time.

16.51 -> Now, as a matter of fact, last week,

17.78 -> I used it on someone.

18.72 -> He had a stroke about two months ago,

20.428 -> he's rehabbing, he's doing quite well.

22.56 -> And he is just about ready to go home alone.

25.21 -> He's living with his family right now

27.53 -> and they wanna get him home,

28.39 -> but they wanna avoid any falls.

30.62 -> And this technique is just wonderful because

33.25 -> with strokes a lot of time

35.12 -> or all the times is one side that's involved.

37.68 -> So usually,

38.513 -> - Once people had a stroke.

39.46 -> - Right.

40.293 -> - One side's always involved.

41.126 -> - Right, and oftentimes they neglect that one side.

43.77 -> So they don't pay attention to that side.

45.91 -> And as they recover it, it starts to come back.

48.098 -> - Sure.

48.931 -> - So we wanna work right,

50.52 -> we wanna work left,

51.6 -> we want to work forwards and backwards,

53 -> and you'll see exactly what I'm talking about.

55.25 -> - Let's get to it.

56.083 -> I'm gonna film, Brad.

57.08 -> - You better believe it.

58.07 -> - You're on your own buddy.

59.73 -> - All right, let's go down to the floor, Bob.

62.18 -> - All right.

63.43 -> - What you're gonna wanna do is on the floor.

66.36 -> Take some masking tape.

68.06 -> Now I went four feet square.

70.59 -> This is four feet each direction.

72.599 -> I would normally make this six or eight feet.

75.85 -> Six feet is a good thing,

77.3 -> but we don't have enough room

78.45 -> in our luxurious studio here, Bob.

80.428 -> So six feet would be or four is working

84.12 -> and that's a visual, okay?

86.29 -> That's where the person is gonna walk.

88.21 -> Now the person will probably be

89.63 -> at a point where they have a cane.

91.06 -> You're not gonna do this with a walker.

92.81 -> It's when they're using a cane

94 -> but they're still a little unstable.

96.067 -> You're gonna have a gate belt on.

97.77 -> You got me Bob, or..

99.18 -> - Yeah, I gotcha.

100.21 -> - Get a big gate belt on if you're

101.62 -> at home and if you don't happen

102.67 -> to have a gate belt, make sure they have a good

104.111 -> hefty leather belt that you can hold onto, okay?

108.59 -> - So someone else is gonna be with you, Brad?

110.53 -> - Exactly. Yep.

112.52 -> So you start the person here with their toes

115.52 -> on the corner, okay?

117.01 -> You'll be standing opposite where the cane is,

119.06 -> so in this case, it would be the left.

120.73 -> All right, hold the belt there.

123.27 -> And the instructions are walk forward just normally

127.83 -> and stop when you get to the corner, okay?

131.76 -> And then the next instruction is side step

134.79 -> with the toes pointed forward.

136.78 -> We're gonna side step to the left.

139.4 -> Now, if someone's had a stroke

140.81 -> and the left side was involved,

142.57 -> that's usually the harder way to walk.

145.06 -> And then walking backwards -

146.98 -> this is the tricky one -

148.05 -> this is really good for their balance

149.45 -> and proprioception.

151.35 -> You're gonna have hold on good there, and walk.

152.85 -> - Make sure someone's holding on to you.

154 -> - Yep. Hold on.

155.34 -> And then just walk backwards, take the time

157.591 -> and get to here that's where they learn a little trust

161.12 -> with the, with the person helping as well.

163.58 -> And then we're gonna go to the right, side step

166.93 -> to the right with that cane stop there.

169.4 -> Now what I'll do often is go to the left

172.8 -> and go around the square,

173.93 -> the opposite direction, okay?

176.38 -> Now when they get to the point

177.73 -> where they can do this

178.631 -> and you don't need to help very much at all

181.02 -> they're getting more confident.

182.24 -> The next step is take the cane

184.71 -> and get rid of the cane.

186.18 -> Keep holding onto that gate belt,

187.829 -> be by their side and again, do the same thing -

191.38 -> forward, left, backwards.

195.08 -> - So now you're picking up the speed?

196.51 -> - You bet.

197.4 -> And you know, it's gonna be according

198.92 -> to the person's comfort level, all right?

201.097 -> Now when they get even more advanced,

204.56 -> that's the fun about therapy -

205.76 -> continually advancing - right Bob?

207.51 -> - Mhmm, it's fantastic.

209.9 -> - Oh man, we have more fun than you

210.74 -> can imagine, seriously.

212.57 -> Now the next thing you do is you're gonna

214.07 -> have them walk the line toe to heel.

217.07 -> This is tough with the cane and holding

220.1 -> on and you might even hold onto their hand.

222.5 -> So it's hand hold belt here for the person.

225.03 -> Help come show 'em, Bob.

227.03 -> Come on in here.

227.863 -> - Oh, come in?

228.696 -> - Yeah, come on.

229.529 -> You just show 'em.

230.362 -> How, how good hand hold.

231.61 -> Okay. Here, here.

233.01 -> And like that.

233.88 -> Okay. You want dance bud?

235.102 -> (laughs)

235.99 -> Killing me.

236.966 -> - All right

237.799 -> We're gonna get back there.

238.632 -> Okay, so that's the proper handhold

240.64 -> cause this is the tough one.

242.07 -> This is getting pretty high advanced.

244.77 -> Okay, cause a person may wanna get back

247.04 -> to dancing actually.

248.16 -> And I've had patients do that

249.569 -> and then going backwards heel to toe

252.213 -> and be specific, their toe should touch

255.41 -> their heel while they're looking straight ahead,

257.85 -> without looking down that really gets

259.99 -> the appropriate perception.

261.11 -> That's something we use in therapy a lot.

262.528 -> It's the thing that keeps you upright

264.62 -> and stable on your feet.

266.35 -> So that's it start with that square on the ground

269.581 -> work all four directions, right?

271.69 -> Left heel toe.

273.04 -> And the next thing you know

274.042 -> the Fred stare dancing with them and all that stuff.

277.261 -> And remember to subscribe to us.

280.63 -> Cause we've got a lot of extra handy things you

283.28 -> can do to help your parents, yourself,

285.83 -> And who else, Bob?

286.81 -> Talk to me, Bob.

287.643 -> - I'm I'm I'm letting you on your own Brad.

289.437 -> - God, I can't think of anymore.

290.462 -> How about the skill is..

291.652 -> - There we go.

292.535 -> - Cut it off. Cut.

Source: https://www.youtube.com/watch?v=iD0gT8eFW6c