Occupational Therapy restores arm function after stroke
Occupational Therapy restores arm function after stroke
Patients who have had a stroke often experience reduced arm and hand function. Occupational Therapists use a range of hands-on
therapeutic techniques to restore these vital functional abilities.
Content
11.57 -> Trying to get this scapula the bone
back here
17.6 -> like sucked down onto your chest wall, it
doesn't want to move.
23.03 -> I'm just trying to what we call
mobilize it. Try to get it.
29.21 -> Let me know if I cause you pain alright. See
how it's just loosening up. Now all of a
37.07 -> sudden I can just move it that much more. There you feel that one
circle. It does feel a little looser. These muscles here have
53.69 -> a tendency to get tight and that's
exactly what that is there. I look at
65.3 -> that and I didn't even, I'm not
going above this at this point but just
70.52 -> by mobilizing that scapula look
how much easier to lift that arm up.
74.12 -> I feel it easy.
77 -> Yeah look at that, you ok? Ok, ok.,
81.77 -> Come right back down just like that.
85.93 -> You ok? Alright, more anticipation?
90.43 -> Well yeah I would actually want it.
That muscle pull
96.76 -> yeah, or stretching I can feel that stretching.You can feel it stretching. Stretching is ok.
103.27 -> I try to breathe in to it. Right. It
shouldn't be a painful stretching it should
106.81 -> just feel like it's stretching. Just
go in here. I'm just trying to release
113.14 -> some of the fasciae cause it is so tight in the pecs (pectorals)
116.619 -> Do you feel that
like release in there?
129.28 -> It feels like its.
132.16 -> I can feel that muscle not as tight, yes
So now were going to come out sideways and
138.64 -> you've tried to bring it down on your
own.
143.68 -> Gorgeous and then come back to your
stomach nice and slow, slow controlled
150.16 -> don't let it drop.
152.98 -> Now a drop hurts, actually, a drop hurts yeah, yeah,.
157.81 -> Yeah, nice and slow
165.06 -> yeah
166.9 -> No pain right? Yessss!
171.7 -> Try going straight up in the air. Right
up to the target.
178.659 -> Nice and then come down, nice, yeah nice
and slow come down, good.
189.549 -> There's your circle.
196.959 ->
198.42 -> Sometimes having the
target to look for and to aim for gives
204.69 -> you,
206.28 -> it's beautiful that you reposition your
shoulder.
209.31 -> What's happening in here is because you
have this swelling,
212.91 -> everything is thick, it's like glue so
the joints are not moving as well, so we
222.239 -> want to mobilize these joints by
mobilizing those joints hopefully then
229.2 -> once we start moving again
231.209 -> you won't have that pain, but definitely
just actively moving it, actively using
238.47 -> it, like you said you're doing the dishes
240.51 -> all that stuff is also going to help
with pulling that swelling out.
244.41 -> Try opening and closing all the way down
go go go go go go all the way, get
250.709 -> those fingers all the way down.
252.42 -> So what I"m doing here is when you are
laying down I worked on what we call
258.66 -> forward flexion right, OK
260.16 -> trying to loosen up the shoulder
and then I'm loosening up external
264.479 -> rotation and now we're sitting up and
putting it to functional use and that's
271.11 -> exactly what we're doing right here.
272.669 -> So what I want to do here
275.72 -> is just get your brain body connection,
279.38 -> you're coming across and coming
across, beautiful.
291.04 ->
293.78 -> Reach, any pain in that shoulder?
301.94 -> No pain, OK, now next time what I want us to do
is I want you to keep your arm, your body,
308.93 -> and I want you to stretch across all the
way across, across.
319.22 ->
322.669 -> And reach across, OK ready reach across nice
329.969 ->
Source: https://www.youtube.com/watch?v=zlUG5DMzZc8