Heel Strike: Walk better after a stroke
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- Опубліковано 26 вер 2024
- Heel strike is a moment in the walking cycle at the end of the swinging phase. Contrary to what most believe, heel strike is NOT always due to weakness in the muscles that lift the foot. There are other factors that may influence this small moment in the walking cycle (gait cycle). Learn these exercises and improve your walking efficiency and balance confidence!
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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 😊
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 😊
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 😊🐶
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!!
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.
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!!
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 :)
Thank you your videos are helpful while I am recovering from stroke and I am following you from India. Keep making videos
As an ALS patient your videos are super helpful
Thank you for everything you do .
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
Yeh! The last piece to my walking rehabilitation. Thanks!!!
Thank you a lot! That's what I need!
❤❤❤
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!!!
LOVE THIS!! How about feeling weakness in the knee walking down stairs. Knee feels weak and floppy outward?
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
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
This is helpful because i have a real problem with heel strike
Lady you just saved my life
Thank you, Doc! Very helpful and clear video!
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 😊
Many thanks
💫💛💫 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 😊
You are the best 🙏❤🥀
Thank you so much for sharing your expertise. I am learning a lot from your videos.
April 5. I had a strok. This. Year. Rt. Side my thankyou. For. Being here on. The. Tube .
Thank you very much for this info, really helped me out %1000 , omg so happpy for your great knowledge ❤️,post stroke aug 4th 2022
Thanks!great help !
Thank you so much! I am so glad you found this helpful!
you are an angel!
Thanks for sharing...👍👍☺️👌👌
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!
I need the opposite - heel strike with an extensor pattern, it's hard to get my knee to bend or lift for walking
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 ❤❤❤
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
Thanks for your video, it's makes it easy for improving walking.
Great channel! So glad I found you.
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.
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.
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.
Thanks for very informative video. Please also do upload videos to strengthen hip muscles after stroke.
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!
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.
Thank you dra. Tara..very helpful..
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.
Thanks
Hi Vilma! Thank you for watching!!
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.
Nicely explained!!!🐬🐳🐋🐟
This is possible after a year,cycling is the best for walking improvement
Thank you so much
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!
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 😊
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
Can you post a list of your videos and the order that we should watch it.
I have a lot of trouble with weight bearing on my affected leg and flex my knee
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?
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.
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 😊
thankyou all very very helpful
Hi Robina! I am so glad that you found this video helpful. Thank you for watching!!
Miss u tara xxx
Hi
Can you make a video about how to train for walking?
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
You just get it! Thank you
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..
Thanks for the info, it was just what I needed Dr Tobias
Hi Ivette!! Thank you for watching. I hope it helps 😊
My legs are heavy because i am always dizzy, i felt it as dizzy before thyroidectomy, after thyroidectomy my dizzyness become a heavy leg. But i am always dizzy.
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!!
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
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
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!
Please if you can, What muscles to address while massaging using PNF?
I have Hereditary Spastic Paraplegia type 5a, or SPG5a. I'll be searching through your videos for help!
Do you have any videos about treating hearing loss after a stroke?
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 😊
Question how can you fix a heel strike with weak ankle muscles that barely dorsaflex?
I have drop foot after my stroke. Flop flop all day. I will be trying these. Any advice for curled toes open my affected side? Constantly scrunched up!
Does this work with plantar fasciitis and tendinitis ?
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
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
It feels more comfortable when I bend my knee during my weight shifting
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?
How to get ready for running?
How do you overcome your affected leg being 1” shorter?
Also it is not possible to have bunjee at home can I use Thera band ?
Today only I forwarded your pinch nerve exercise to my niece in India . They all know I consider you as my exercise guru . Once again thank you . God bless you
absolutely you can use theraband. In some cases, if someone is able to lay on the ground, putting a pull up bar in a door frame works.
My right side is effected and I have problems getting up pain goes into my left thigh and I go through a series of movements to just get up I had my stroke 12-7-19 actually 2an half year ago please help thank you 🙏🏽
Treatment for runner dystonia??
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.
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 ❤️
What to do if your knee hyperextion
My leg tends to swing out when taking a step.
Do i not have my afo on of off thanku
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?
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
is there a way to capture the exercises in a static graphic method so I can review & print out??
Im fernando dayuno my walking is not balance is stroke
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!
Thank you for another informative video . I’m just confused what is applicable to my problem . Although I have been able to improve a lot following your exercises . My left leg is good leg but this hurts more than my involved leg when I practice walking front outer side of leg and toes become so stiff and my foot dorsiflexes on it own .
Thank you, Dr. I've been in aqua therapy and we haven't talked about heel strike. I wonder why?