I am writing this comment while trying to grasp what just happened. I did the exercises and today while I was walking noticed that something is different while I walk. I was able to straighten my knee , and I I gave a call to my family members to share my big news. I hope one day I can visit you in person Miss Tara. I.‘d like to show you how your videos changed my life. I couldn’t even sit up after my stroke . I did inpatient therapy for 2 weeks, and 1 week outpatient therapy, but all those therapies were useless. Since I started following your videos and strengthening my legs at the YMCA on a recumbent elliptical machine I have achieved a huge progress in my recovery.
Zita, I am so excited for you! What an amazing accomplishment! I am so happy for you and so grateful that you took the time to share this with the community. I am confident that this will inspire others to stay the course. Keep going!!
You are our angel, thanks so much, Dr.Tobias! I've been following you from Italy for 5 month and thanks to your exercises I managed to make a visible improvement. What I would find really useful is a video on the whole walking cycle, putting everything together. Dealing with foot drop, (eliminated circumdaction and other complementary strategies) I have to resolve balance issues during walking. I don't know where to put my weight, in which phase of the walking cycle, which muscles I need to relax, how to move my upper body in harmony with my hips and legs... It's a complete mess.. please, Dr. Tobias, if you can, upload a video on this! I'm sure many of us would find it useful.. priceless in fact. 3 physical therapists were not be able to help me, only you, from the other part of the Atlantic.. Thank you 😊
Hi Tara. I must say your descriptions and remedies are si clear! Very helpful for me at 70 years old. No stroke or spinal injuries, getting older combined with fibromyalgia - the latter worsened temporarily by the stress of losing my husband four years ago and then packing up solo for two relocations in 3 years! The way I sat to sort and pack: legs tucked under chair, hunched over really tightened ankles knees and hips! Where I live now lively paved walkways in scenic gardens, but walking is simply painful. So I will implement your exercises......excited that I will eventually walk upright again and walk correctly!!! Thanks for your generous help!!!!🤗💜
Thank you very much for posting these videos. I fractured two vertebrae in my kneck December of 1970 in a car accident. Your videos are the first I seen on the subject. I learned to walk again at the Health Science Centre in Winnipeg. Use of my upper body returned fairly quickly, but I lost the use of my left tricep. I could walk as fast as people normallly walk, could not run at all. Things began to go south for me about twenty years ago. Got to where I needed something to lean on fast. used the handle of a broom to help me walk till I found a walking stick. That winter,I used a walker because of snow and ice. I still use the walker outside, but just lean on stuff when I walk around the house. This is the first I heard the term synergy, it puts a better slant on thoughts of walking unaided again. Seems important to me to learn how to fall properly, and getting up w/o the use of objects.When I try to walk across the house unaided, sometimes something similar to vertigo hits, and I fall fast. Thank you for reading my rant. Again, thank you for these videos.
Great video, in the end I understood why I walk incorrectly, even quite fast, so there is no way to fix it. Now I understand where the problem is and how to fix it. I see that dorsiflexion is very common, as is knee flexion. You gave us very good instructions as a recipe for cakes and now I will practice and I will walk like a ballet dancer. Thank you very much Dr. Tara.
My knees always feel/look bent when I walk. I have trouble dorsiflexing my foot (due to MS) and bad foot drop on one foot. Unsurprisingly, heel strike is hard for me. This video makes so much sense. Thank you, Dr. Tobias!
Thank you for watching and for sharing! I believe I have seen you in the comments before. I am so appreciative of your loyalty and you willingness to share your story. If you feel comfortable, please share your name to help me put a "comment" with a name 😊
@@rehabhqofficial I'm Katherine :) I find your videos so useful, particularly those that help with MS-related issues like foot drop, spasticity, and so on! If only your clinic was located in NYC!! Oh also, I've said this before, but your dog is absurdly cute.
Thank you Dr Tobias your videos are all big help to me, I am a stroke patient, I am on my second month and I just watched and follow all the drills, it's helped me a lot, I am practicing my waling the right way, and looking forward to walk normally very soon, thank you again and God bless :)
You are a "Master Mechanic" of the body. I use your suggestive exercises daily. Thank you so much. In my 10th month of recovery after two mild strokes Memorial Day weekend 2020. Only issue now ( beside normal sore knees) is right ankle will not flex with brain command. Starting to be able to go down a bit, but coming up is the issue. Working everyday on it, have many of your vids saved.
Hi, It’s Mirranda, thanks so much. I also have difficulty transferring weight to involved leg and pushing off. Thanks for all your videos and encouraging emails they have inspired me to keep going when I don’t seem to be improving very much.
your tip on keeping my knee extended its just a life saver..instantly gave me much needed stability.thank you can you please advise on a knee stabiliser that could worn at all times.thank you
Omg Dr.Tobias I'm really glad I got this notification 😍 Tbh I've been stuck on the abnormal synergy pattern for a couple of months now mainly with my ankle and eversion My physio therapist had to take a break because of COVID This video really helps me to understand how my lower extremity should be.😇 God bless you and keep up the good work 🧡 Looking forward to your video for the upper extremity since I have been struggling with the extensor synergy for my affected arm Stay safe
Thanks! I hope it helps. Btw, about that book you were asking about. It seem pretty comprehension for general understanding of Neuro. If you think you may specialize in neuro, CE is the best way to learn more treatment techniques. 😊
@@rehabhqofficial Thank Y. Last question ? CE - means ? I am more than happy to meet Y in Your Clinic and Have some Volunteer work. I am based in the UK, but work in Africa.
@@rehabhqofficial Thank Y Dr Most of the Time I feel like We Therapist from the UK are less educated than Therapist from USA and Australia. But This is my Honest Feedback . Thank Y for All.
Hi dr. Thank you for your info. I really needed that. 6 yrs in allready. Following your teachings. Am allready looking forward to improvement. Thank you. From Aruba, One Happy Island.💟
Very timely! I always thought I needed to keep the knees flexed. My walking instantly improved. Working on the exercises starting now. Thank you Dr. Tobias.
Hi Don! Generally speaking, in most cases, it is best to focus on keeping the knee bent. This video was inspired by one very specific movement problem. That being said, extensor spasticity is MORE common and in that case you want to keep the knee bent. I hope that helps you!!
💫💛💫 Dear Dr. Tara, thanks for touching this topic. In fact, I am fighting this since day one with lunges and elastic band stretches. Your exercises are great, I will try them... Many greetings from Hamburg 💫💛💫
Hi Nina!! Hamburg.....got it. I learn a little bit more about you each week. 😊 Yes, lunges also work really well to learn how to keep the knee straight with the foot dorsiflexed. Thanks for sharing this awesome tip!!! Chico and I sending love to Hamburg 😊
Another home run! Just the issue that I've been trying to solve! Symptom - when I am exercising on the mat, if I lie flat, push my foot (weakly, but as hard as I can) into dorsiflexion, I cannot leg lift, even a little, until I bend my knee a little. If I point my foot and extend my knee, I can easily lift my leg. If I understand, this is an extensor synergy pattern. When I walk, foot wants to point and the knee wants to extend just before my heel should 'strike.' I utilize a pre-stroke Charko brace but it has a built-in ankle pivot - still working on better dorsiflexion. My AFO turns my foot out 90 degrees as my heel strikes so I can't use it. In p/t tomorrow, can't wait to them these exercises! Thanks!!
Thank you for watching and for sharing! These are all very common problems. Generally speaking an extensor synergy is when the knee extends and the foot points at the same time and it is difficult to do one without the other. As far as the AFO, this is extremely common, but in my opinion an AFO is the only way to break up a strong extensor synergy. You gave me an idea for another video though. "how to relearn how to walk with an AFO". Stay tuned for that!
Thanks for the video Dr T. It’s helpful, and furthermore since I have been following the Instagram profile of Neo. It’s amazing how diligently you’ve been following up (for everyone’s benefit) Kudos!
I wish I could find a physical therapist like you, who knows what they’re doing, in the Charlotte (NC) area. I have a frustrating, painful gait issue. I have been to 3 different physical therapists here and none of them really helped me.
Hello Dr.Tobias, thanks for these. It's been nearly 30 years since my RTA and subsequent brain injury. I am sure that I've relearnt walking badly? I still fall over, hard - banging into the pavement - I just seem to collapse! Luckily I don't hit my head, I know I've got to be strong and find my own correct walking patterns. Often my foot skims the floor and I hit cracks in the road, or even when I suddenly walk somewhere smooth like a shopping centre my feet get tangled up? - I was never shown how to walk again here in London, because it appeared I seemed to be coping. I knew there was something missing in my rehabilitation. Things were confused again because I suffered a stroke 10 years ago, so once again I had to attend a hospital - and again the small steps in recovery were completely missed out. I'll start doing your exercises now.as my falls are getting worse! Is there something else I need to consider? Best.
Thank you so much for sharing the above. Very useful indeed. In my case, the knee caves in more . I am advised to wear braces . Please suggest which kind / brand of braces i should wear. You are a gem of a person indeed ❤❤❤
Good video dr. T. Should do a video on aligning ankle, knee and hip. Due to scissoring, my knee flexes outward. It starts from ankle. My hips are very strong now. The flexion of knee outward gives an illusion of weak hip.which it's not.this is how I test physiotherapists on how much they understand static and dynamic forces. In one of your videos you said everything starts from bottom up. That was the aha moment for me. I knew you were ahead of other therapists in terms of understanding the forces.thanks again. This knee flexing outward is my last issue with the lower extremities.
just watched this one again and does make me think about a few things to adjust now there is less rotation. good to rewatch sometimes and reprocess the info.
Hi Tara, happy To have u as my guide. To be frank, i retire in a day mostly by seeing your guidance. Can you help me out with deltoid strategies, for a subluxated shoulder, right side, stroke case. Much have reduced, but still.. Waiting for your videos. Thanks.
Thanks for watching and for your support! I am so glad you find the videos helpful. And yes, I will add a video for shoulder subluxation to the agenda :)
@@rehabhqofficial yes, plz.. And a request, whenever you make a exercise video for Subluxated shoulder, plz do put the title of the video related to Shoulder subluxation, that'll become easy to access..
wear a afo with raised heel/ wedge. i find it difficult to get full sensation in my heal as it feels like it is kinda floating. any suggestions. also when do you know you are ready to retrain movement in ankle post afo?
Your circumduction videos are helping but I find I lean forward and towards my uninvolved leg. I feel as if I have a weak core and hip. Have foot drop due to ms but keep trying to improve things. Also very hard to bend knee when lying or standing. So glad I found your site!
Hi MG! If you are comfortable sharing, I would love to know your first name. Anyway, you are not alone with this particular "problem". It is actually very common and I am amazed I have not addressed this yet. Stay tuned! Video coming soon with solutions for this 😊
Your channel is amazing. Have you done any work on contrained induced movement therapy. I am setting up a program for myself. What exercises would you recommend for supination, pronation. I Have got cards, trowel and bucket. Any other ones? Mike
You answered a question I have had for over 3 years since my stroke. That when I sit in the car for any real length of time. Whenever I go to stand up feels like my leg is shorter than the other one. I even bought this up years ago to my therapist he told me that there was no way that could happen. It does all I do is push my leg down but actually what I think is happening is straighten up of the knee. Thank you
My walking is very slow. My therapist wants me to increase the stride length with my affected leg but my mind won't let me do that for balance reasons and because I've fallen a few times( not recently)due to ankle supination during my steps. Got anything to trick my mind into allowing me to step farther? Thanks
Thank you I appreciate this I have foot drop and my hip and hamstrings are always bothering me and I was trying to find out why and how to make some changes Thank you once again I will include these in my daily workouts
Thanking you for all your videos doctor Tobias! Please 🙏 can you tell me if these exercises are compatible with MS, especially heel strike? Cordially. Olga Bobrovnikova pianist teacher
Hi Olga. Yes, generally speaking MS and a stroke/brain injury both involve an "injury" to the brain. With that said, I see very similar movement problems and treat them both very similarly. I hope that helps!
Greetings Dr. Tara. I am Adrian A Ramos from the Philippines. I just came from a 4th stroke last Mar 1 of this year.how can I get my upper limbs stronger and reduce heaviness,?, thanks to reply soon
Good one. Was thinking what a coincidence when the video popped up 🤓. Doing some of the stuff and looks like there is some more to incorporate. One thing that might be nice to add is range of motion and how to work on it. It’s where part of my gain is coming from at the moment I feel. 🙏
love this so much.thanks. But I have a question, when I sit on a chair to straight my knee, at the same time my ankle will straight too. What should I deal with this problem, please help me. I appreciate
Ok hi, I really need some help from you...just advice...because since January 2020 my left foot has been drop and my muscles around the tibial area have been stiff/stuck and yes I have been facing the heel strike problem and no one has yet discovered the cause of my neural problem... my brain MRI was fine...spinal MRI had some inflammation in the L region but it has subsided now...but I still feel numb on the left side of my left leg...the right side of my left leg is just fine...but I can't lift my foot up and my muscles below my left knee are stiff...really stiff...PLEASE REPLY ❤️
I’m 68 and have spastic mild cerebral palsy it was cause having 2 strokes the day after my birth the doctor said first a small stroke followed by a major stroke he my parents instructions do for me crawling motions 4 times a day because of he had them do . I crawled and walked at 20 months old now that I am 68 End up with trouble m nerve so I went using a walker
I haven't had a stroke but have been in a pattern for years without realising it. I think it's due to small leg discrepancy. Spastisity is so severe that I feel unsteady on my feet. I do your exercise but as soon as I start moving, it's back to learned pattern. It's very frustrating. Any hope for me? Thank you for your videos
Hi Michelle! This is a very common problem. I suggest searching "orlando neuro therapy" and foot drop" and "spasticity" here on youtube. That should bring up some helpful videos :)
Dr Tobias I have had two surgeries on my neck and two surgeries on my back. My left foot does not flex and I tend to drag it after just a few minutes. What is the best foot brace do you recommend for me to buy? I have either a foot drop or splasticity. All I know is that I cannot flex my foot.
So many elements of this video pertain to me. Thank you! On a side I've noticed that eccentric work is easier on my spasticity than concentric. Is there any evidence that eccentric is as/more beneficial than concentric?
No. My license does not allow me to provide individual services if you are not a patient of mine. That being said, any email with a video attachment is deleted.
I am writing this comment while trying to grasp what just happened. I did the exercises and today while I was walking noticed that something is different while I walk. I was able to straighten my knee , and I I gave a call to my family members to share my big news. I hope one day I can visit you in person Miss Tara. I.‘d like to show you how your videos changed my life. I couldn’t even sit up after my stroke . I did inpatient therapy for 2 weeks, and 1 week outpatient therapy, but all those therapies were useless. Since I started following your videos and strengthening my legs at the YMCA on a recumbent elliptical machine I have achieved a huge progress in my recovery.
Zita, I am so excited for you! What an amazing accomplishment! I am so happy for you and so grateful that you took the time to share this with the community. I am confident that this will inspire others to stay the course. Keep going!!
You are our angel, thanks so much, Dr.Tobias! I've been following you from Italy for 5 month and thanks to your exercises I managed to make a visible improvement. What I would find really useful is a video on the whole walking cycle, putting everything together. Dealing with foot drop, (eliminated circumdaction and other complementary strategies) I have to resolve balance issues during walking. I don't know where to put my weight, in which phase of the walking cycle, which muscles I need to relax, how to move my upper body in harmony with my hips and legs... It's a complete mess.. please, Dr. Tobias, if you can, upload a video on this! I'm sure many of us would find it useful.. priceless in fact. 3 physical therapists were not be able to help me, only you, from the other part of the Atlantic.. Thank you 😊
Hi Tara. I must say your descriptions and remedies are si clear! Very helpful for me at 70 years old. No stroke or spinal injuries, getting older combined with fibromyalgia - the latter worsened temporarily by the stress of losing my husband four years ago and then packing up solo for two relocations in 3 years! The way I sat to sort and pack: legs tucked under chair, hunched over really tightened ankles knees and hips! Where I live now lively paved walkways in scenic gardens, but walking is simply painful. So I will implement your exercises......excited that I will eventually walk upright again and walk correctly!!! Thanks for your generous help!!!!🤗💜
Hello Dr. Tobias, videos like this is the reason that I check this channel out often. You always have informative videos to help me.
Hi Fred! Thanks for watching. I hope it helps 😊
Thanks!great help !
Thank you so much! I am so glad you found this helpful!
Thank you very much for posting these videos. I fractured two vertebrae in my kneck December of 1970 in a car accident.
Your videos are the first I seen on the subject. I learned to walk again at the Health Science Centre in Winnipeg. Use of my upper body returned fairly quickly, but I lost the use of my left tricep. I could walk as fast as people normallly walk, could not run at all. Things began to go south for me about twenty years ago. Got to where I needed something to lean on fast. used the handle of a broom to help me walk till I found a walking stick. That winter,I used a walker because of snow and ice. I still use the walker outside, but just lean on stuff when I walk around the house. This is the first I heard the term synergy, it puts a better slant on thoughts of walking unaided again. Seems important to me to learn how to fall properly, and getting up w/o the use of objects.When I try to walk across the house unaided, sometimes something similar to vertigo hits, and I fall fast. Thank you for reading my rant. Again, thank you for these videos.
Great video, in the end I understood why I walk incorrectly, even quite fast, so there is no way to fix it. Now I understand where the problem is and how to fix it. I see that dorsiflexion is very common, as is knee flexion. You gave us very good instructions as a recipe for cakes and now I will practice and I will walk like a ballet dancer. Thank you very much Dr. Tara.
My knees always feel/look bent when I walk. I have trouble dorsiflexing my foot (due to MS) and bad foot drop on one foot. Unsurprisingly, heel strike is hard for me. This video makes so much sense. Thank you, Dr. Tobias!
Thank you for watching and for sharing! I believe I have seen you in the comments before. I am so appreciative of your loyalty and you willingness to share your story. If you feel comfortable, please share your name to help me put a "comment" with a name 😊
@@rehabhqofficial I'm Katherine :) I find your videos so useful, particularly those that help with MS-related issues like foot drop, spasticity, and so on! If only your clinic was located in NYC!! Oh also, I've said this before, but your dog is absurdly cute.
@@saltycrunch Hi Katherine! Thank you for sharing. I am so happy you find the content helpful. 😊
@@rehabhqofficial Neelam Sharma I live in canada
btw, Chico (the dog) and I sending love to NYC 😊🐶
Wow! This is something I have needed help with. Thank you Dr. Tabias, you always amazed me!
Hi Teresa! Great to see you in the comments again this week 😊. I hope this video helps you!!
As an ALS patient your videos are super helpful
Thank you your videos are helpful while I am recovering from stroke and I am following you from India. Keep making videos
Thank you Dr Tobias your videos are all big help to me, I am a stroke patient, I am on my second month and I just watched and follow all the drills, it's helped me a lot, I am practicing my waling the right way, and looking forward to walk normally very soon, thank you again and God bless :)
Giving a good knowledge about this problem. Really appreciate.
You are a "Master Mechanic" of the body. I use your suggestive exercises daily. Thank you so much.
In my 10th month of recovery after two mild strokes Memorial Day weekend 2020. Only issue now ( beside normal sore knees) is right ankle will not flex with brain command. Starting to be able to go down a bit, but coming up is the issue.
Working everyday on it, have many of your vids saved.
Thank you for everything you do .
Hi, It’s Mirranda, thanks so much. I also have difficulty transferring weight to involved leg and pushing off. Thanks for all your videos and encouraging emails they have inspired me to keep going when I don’t seem to be improving very much.
Hi MIrranda! Thank you so much for sharing and for watching. I am so glad that you are continuing to stay motivated and pushing forward!!!
Yeh! The last piece to my walking rehabilitation. Thanks!!!
April 5. I had a strok. This. Year. Rt. Side my thankyou. For. Being here on. The. Tube .
LOVE THIS!! How about feeling weakness in the knee walking down stairs. Knee feels weak and floppy outward?
Great channel! So glad I found you.
Thank you, Doc! Very helpful and clear video!
How did you know this was what I needed? Thank you.
😊, Hi Lynn.......I guess good energy finds its way into my brain 😉. I hope it helps!!
@@rehabhqofficial it will I’m sure.
your tip on keeping my knee extended its just a life saver..instantly gave me much needed stability.thank you
can you please advise on a knee stabiliser that could worn at all times.thank you
Thank you so much for sharing your expertise. I am learning a lot from your videos.
Omg Dr.Tobias I'm really glad I got this notification 😍
Tbh I've been stuck on the abnormal synergy pattern for a couple of months now mainly with my ankle and eversion
My physio therapist had to take a break because of COVID
This video really helps me to understand how my lower extremity should be.😇
God bless you and keep up the good work 🧡
Looking forward to your video for the upper extremity since I have been struggling with the extensor synergy for my affected arm
Stay safe
Thanks for your video, it's makes it easy for improving walking.
happy 2022 Doctor!!!
I started to walk after the first week. The issue I have now is my balance and spasticity.
These are my problems, too
Same here
THANKS NEVER HAD. PAIN WHILE CLIMBING STEP ON MY ANKLE JUST. FEELING PAIN WONDER WHY....PLS EDUCATE ME. REALLY ENJOY U LECTURE
Thank you very much for this info, really helped me out %1000 , omg so happpy for your great knowledge ❤️,post stroke aug 4th 2022
relearning balance is a challenge, for sure. any tips Tara??
Thank you a lot! That's what I need!
❤❤❤
Lady you just saved my life
This is helpful because i have a real problem with heel strike
Thank you so much
LOVE THIS SUBJECT REGARDS TO STROKE !! WE NEED MORE DR
Thanks! I hope it helps. Btw, about that book you were asking about. It seem pretty comprehension for general understanding of Neuro. If you think you may specialize in neuro, CE is the best way to learn more treatment techniques. 😊
@@rehabhqofficial Thank Y. Last question ? CE - means ?
I am more than happy to meet Y in Your Clinic and Have some Volunteer work. I am based in the UK, but work in Africa.
@@Simon_Aesthetic Continuing Education.
@@rehabhqofficial Thank Y Dr
Most of the Time I feel like We Therapist from the UK are less educated than Therapist from USA and Australia. But This is my Honest Feedback . Thank Y for All.
Hi dr. Thank you for your info. I really needed that. 6 yrs in allready. Following your teachings. Am allready looking forward to improvement. Thank you. From Aruba, One Happy Island.💟
Hi Rudolf, thanks for watching and for sharing 😊
Thank you dra. Tara..very helpful..
Thanks for sharing...👍👍☺️👌👌
Very timely! I always thought I needed to keep the knees flexed. My walking instantly improved. Working on the exercises starting now. Thank you Dr. Tobias.
Hi Don! Generally speaking, in most cases, it is best to focus on keeping the knee bent. This video was inspired by one very specific movement problem. That being said, extensor spasticity is MORE common and in that case you want to keep the knee bent. I hope that helps you!!
@@rehabhqofficial 8iiii
Can you post a list of your videos and the order that we should watch it.
I need the opposite - heel strike with an extensor pattern, it's hard to get my knee to bend or lift for walking
Thanks for very informative video. Please also do upload videos to strengthen hip muscles after stroke.
💫💛💫 Dear Dr. Tara, thanks for touching this topic. In fact, I am fighting this since day one with lunges and elastic band stretches. Your exercises are great, I will try them... Many greetings from Hamburg 💫💛💫
Hi Nina!! Hamburg.....got it. I learn a little bit more about you each week. 😊 Yes, lunges also work really well to learn how to keep the knee straight with the foot dorsiflexed. Thanks for sharing this awesome tip!!! Chico and I sending love to Hamburg 😊
Another home run! Just the issue that I've been trying to solve!
Symptom - when I am exercising on the mat, if I lie flat, push my foot (weakly, but as hard as I can) into dorsiflexion, I cannot leg lift, even a little, until I bend my knee a little. If I point my foot and extend my knee, I can easily lift my leg. If I understand, this is an extensor synergy pattern. When I walk, foot wants to point and the knee wants to extend just before my heel should 'strike.' I utilize a pre-stroke Charko brace but it has a built-in ankle pivot - still working on better dorsiflexion. My AFO turns my foot out 90 degrees as my heel strikes so I can't use it.
In p/t tomorrow, can't wait to them these exercises! Thanks!!
Thank you for watching and for sharing! These are all very common problems. Generally speaking an extensor synergy is when the knee extends and the foot points at the same time and it is difficult to do one without the other. As far as the AFO, this is extremely common, but in my opinion an AFO is the only way to break up a strong extensor synergy. You gave me an idea for another video though. "how to relearn how to walk with an AFO". Stay tuned for that!
Thanks for the video Dr T. It’s helpful, and furthermore since I have been following the Instagram profile of Neo. It’s amazing how diligently you’ve been following up (for everyone’s benefit)
Kudos!
So very good. Timely for me. What do you think about my time-line? I had the stroke nearly four years ago. Still trying to improve.
I wish I could find a physical therapist like you, who knows what they’re doing, in the Charlotte (NC) area. I have a frustrating, painful gait issue. I have been to 3 different physical therapists here and none of them really helped me.
Many thanks
Is there any exercises to straiten out the leg? If so can you please upload videos appreciate your help!
Hello Dr.Tobias, thanks for these. It's been nearly 30 years since my RTA and subsequent brain injury. I am sure that I've relearnt walking badly? I still fall over, hard - banging into the pavement - I just seem to collapse! Luckily I don't hit my head, I know I've got to be strong and find my own correct walking patterns.
Often my foot skims the floor and I hit cracks in the road, or even when I suddenly walk somewhere smooth like a shopping centre my feet get tangled up? - I was never shown how to walk again here in London, because it appeared I seemed to be coping. I knew there was something missing in my rehabilitation. Things were confused again because I suffered a stroke 10 years ago, so once again I had to attend a hospital - and again the small steps in recovery were completely missed out. I'll start doing your exercises now.as my falls are getting worse! Is there something else I need to consider?
Best.
Thank you so much for sharing the above. Very useful indeed. In my case, the knee caves in more . I am advised to wear braces . Please suggest which kind / brand of braces i should wear. You are a gem of a person indeed ❤❤❤
This is exactly what I’ve been searching for! Where can I purchase the equipment to do these exercises? It would be a godsend! Thank you in advance!
Good video dr. T. Should do a video on aligning ankle, knee and hip. Due to scissoring, my knee flexes outward. It starts from ankle. My hips are very strong now. The flexion of knee outward gives an illusion of weak hip.which it's not.this is how I test physiotherapists on how much they understand static and dynamic forces. In one of your videos you said everything starts from bottom up. That was the aha moment for me. I knew you were ahead of other therapists in terms of understanding the forces.thanks again. This knee flexing outward is my last issue with the lower extremities.
Dr. Tabias, tomorrow is Easter and don't expect to receive a video from you. Happy Easter to you, your family and your cute little dog.
You are the best 🙏❤🥀
Super video! I applauded for $50.00 👏👏👏👏
Natalie, I am so glad you found this video helpful. Thank you so so much for your generous "applause".
just watched this one again and does make me think about a few things to adjust now there is less rotation. good to rewatch sometimes and reprocess the info.
Believe it or not, I actually had you in my mind when I made this one. :) Btw, your movement quality is getting sooooooo good!
@@rehabhqofficial Thank You.
somehow had that feeling but then didn’t full add up but that’s months ago.
Working on it 👍🏽.
@@neothe_road_to_recovery_2062 absolutely! your walking looks nothing like it did when I made this video. You are doing awesome!!
Hi Tara, happy To have u as my guide.
To be frank, i retire in a day mostly by seeing your guidance.
Can you help me out with deltoid strategies, for a subluxated shoulder, right side, stroke case.
Much have reduced, but still..
Waiting for your videos.
Thanks.
Thanks for watching and for your support! I am so glad you find the videos helpful. And yes, I will add a video for shoulder subluxation to the agenda :)
@@rehabhqofficial yes, plz..
And a request, whenever you make a exercise video for Subluxated shoulder, plz do put the title of the video related to Shoulder subluxation, that'll become easy to access..
wear a afo with raised heel/ wedge. i find it difficult to get full sensation in my heal as it feels like it is kinda floating. any suggestions. also when do you know you are ready to retrain movement in ankle post afo?
Your circumduction videos are helping but I find I lean forward and towards my uninvolved leg. I feel as if I have a weak core and hip. Have foot drop due to ms but keep trying to improve things. Also very hard to bend knee when lying or standing. So glad I found your site!
Hi MG! If you are comfortable sharing, I would love to know your first name. Anyway, you are not alone with this particular "problem". It is actually very common and I am amazed I have not addressed this yet. Stay tuned! Video coming soon with solutions for this 😊
Thank you….
I have Hereditary Spastic Paraplegia type 5a, or SPG5a. I'll be searching through your videos for help!
Your channel is amazing. Have you done any work on contrained induced movement therapy. I am setting up a program for myself. What exercises would you recommend for supination, pronation. I Have got cards, trowel and bucket. Any other ones? Mike
thankyou all very very helpful
Hi Robina! I am so glad that you found this video helpful. Thank you for watching!!
Hi
Can you make a video about how to train for walking?
I have a lot of trouble with weight bearing on my affected leg and flex my knee
Please if you can, What muscles to address while massaging using PNF?
You answered a question I have had for over 3 years since my stroke. That when I sit in the car for any real length of time. Whenever I go to stand up feels like my leg is shorter than the other one. I even bought this up years ago to my therapist he told me that there was no way that could happen. It does all I do is push my leg down but actually what I think is happening is straighten up of the knee. Thank you
Hi Fred. Thanks for sharing this! I hope this helps 😊
Thanks for the info, it was just what I needed Dr Tobias
Hi Ivette!! Thank you for watching. I hope it helps 😊
HI, Ms Tara. It seen as I walk I have a slight limp. What muscles you thing I should work on to have a smoother walk?
Thank you for your help,
Orlando
Great info!
Hi Hector. Thanks for sharing!! I hope it helps 😊
My walking is very slow. My therapist wants me to increase the stride length with my affected leg but my mind won't let me do that for balance reasons and because I've fallen a few times( not recently)due to ankle supination during my steps. Got anything to trick my mind into allowing me to step farther? Thanks
Thank you I appreciate this I have foot drop and my hip and hamstrings are always bothering me and I was trying to find out why and how to make some changes
Thank you once again I will include these in my daily workouts
I have foot drop also , I had my stroke almost 3 months ago.
Thanks
Hi Vilma! Thank you for watching!!
you are an angel!
Thanking you for all your videos doctor Tobias! Please 🙏 can you tell me if these exercises are compatible with MS, especially heel strike? Cordially. Olga Bobrovnikova pianist teacher
Hi Olga. Yes, generally speaking MS and a stroke/brain injury both involve an "injury" to the brain. With that said, I see very similar movement problems and treat them both very similarly. I hope that helps!
Do you have any videos about treating hearing loss after a stroke?
Thank you for all your help. My issue is the front of ankle doesn’t bend and then my knee pops backwards when walking
Me too!
Greetings Dr. Tara. I am Adrian A Ramos from the Philippines. I just came from a 4th stroke last Mar 1 of this year.how can I get my upper limbs stronger and reduce heaviness,?, thanks to reply soon
Yes when i walk my right knee also bends a little. It's quite hard to straighten it. I have still a foot drop 4yrs and 6 months post.
Thanks for sharing your story Richard! This is a pretty common issue that has several different causes.
You just get it! Thank you
Good one. Was thinking what a coincidence when the video popped up 🤓. Doing some of the stuff and looks like there is some more to incorporate. One thing that might be nice to add is range of motion and how to work on it. It’s where part of my gain is coming from at the moment I feel. 🙏
awesome! Can't wait to see an updated video 😊 Curious, range of motion at what joint?
@@rehabhqofficial ankle, toes, foot. hip. Especially toes and foot at the moment for me
is there a way to capture the exercises in a static graphic method so I can review & print out??
Thank you, Dr. I've been in aqua therapy and we haven't talked about heel strike. I wonder why?
love this so much.thanks. But I have a question, when I sit on a chair to straight my knee, at the same time my ankle will straight too. What should I deal with this problem, please help me. I appreciate
Ok hi, I really need some help from you...just advice...because since January 2020 my left foot has been drop and my muscles around the tibial area have been stiff/stuck and yes I have been facing the heel strike problem and no one has yet discovered the cause of my neural problem... my brain MRI was fine...spinal MRI had some inflammation in the L region but it has subsided now...but I still feel numb on the left side of my left leg...the right side of my left leg is just fine...but I can't lift my foot up and my muscles below my left knee are stiff...really stiff...PLEASE REPLY ❤️
I’m 68 and have spastic mild cerebral palsy it was cause having 2 strokes the day after my birth the doctor said first a small stroke followed by a major stroke he my parents instructions do for me crawling motions 4 times a day because of he had them do . I crawled and walked at 20 months old now that I am 68 End up with trouble m nerve so I went using a walker
I haven't had a stroke but have been in a pattern for years without realising it. I think it's due to small leg discrepancy. Spastisity is so severe that I feel unsteady on my feet. I do your exercise but as soon as I start moving, it's back to learned pattern. It's very frustrating. Any hope for me?
Thank you for your videos
Does this work with plantar fasciitis and tendinitis ?
Question how can you fix a heel strike with weak ankle muscles that barely dorsaflex?
Nicely explained!!!🐬🐳🐋🐟
How to get ready for running?
Another great one Dr. Tobias but my problem is I have a problem picking my foot up while walking... What can I do?
Hi Michelle! This is a very common problem. I suggest searching "orlando neuro therapy" and foot drop" and "spasticity" here on youtube. That should bring up some helpful videos :)
Dr Tobias I have had two surgeries on my neck and two surgeries on my back. My left foot does not flex and I tend to drag it after just a few minutes. What is the best foot brace do you recommend for me to buy? I have either a foot drop or splasticity. All I know is that I cannot flex my foot.
Dr Tobias I can’t flex my ankle towards my leg therefore I can’t do some of these excersises. What can I do to help my knee and ankle bend?
For me I can do all the movements but my ankle has spasticity in that my foot is pointed down. I'm working on dorsiflexion of my ankle
What if my affected leg can't be lifted up in order to have the heel be the one down on the floor? Any tips in that?
So many elements of this video pertain to me. Thank you! On a side I've noticed that eccentric work is easier on my spasticity than concentric. Is there any evidence that eccentric is as/more beneficial than concentric?
Would it possible to send you a video of walking and get your opinion what I can I should work on please.
No. My license does not allow me to provide individual services if you are not a patient of mine. That being said, any email with a video attachment is deleted.
Is it possible for someone to come to your clinic from out of state?