Stroke Hand Exercises: For every stage of recovery
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- Опубліковано 27 бер 2020
- Critical post-stroke hand and wrist exercises.
Video on understanding spasticity: • Spasticity: Conservati...
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Thank You so much for these exercises, so I can continue my recovery even though it has been 20 years since my stroke at 25. I am unable to see if these exercises are helping me as I just started them yesterday and I have finally been sent to occupational therapy after an intermission of 15 years. Recovery does not end in the first few years as originally thought. I am living proof , as recovery is continuing even after 20 years. You have been inspiartional in this video also as there are minor details I recognize in your movement that causes me to believe you have come a long way in your recovery. Thank You!!
I have just discovered your videos and have started watching. I am almost 4 years post stoke. Thank you for the endless knowledge you have and share. I have never been a quitter. You have given me new hope.
❤ l am so glad that there is someone like you to help people like me I my self had a major stroke in late may 2022 I for the first time viewing this video gave me so much hope 😊 thank you
sign Mike Poole ❤❤❤❤
Thank you so much for this I am 2 years after my stroke and have been through physio with negligible results so far but you actually put things in terminology I can understand and give me stretches and exercises I can do I can't put my gratitude into words you are awesome
I would like to give you a little feedback on that recoiling exercise. It worked great for my wrist and my fingers. You are my most favorite therapist here on UA-cam. I didn’t even know about all the stages of the after stroke hand and arm recovery. I love it how you educate us viewers. Thank you from the bottom of my heart Doctor Tobias. Klara ( a Registered Nurse , and stroke patient) from Rockwall Texas.
Hi Klara, i am so glad the exercise is helping you! Thank you for watching and for providing this feedback. I am sure it will give hope to several in this audience. :)
I'm having a problem to make a fist...myhNd and fingers tihtvery tight
You don’t know how special you are I’ve been watching an commenting for some time now an watching your videos I can’t tell you how much it helps/helped in so many ways last year I couldn’t move my left side at all really now I’m walking an without a cane now an working on my hand now with your videos an I’m already seeing progress thank you from the bottom of my heart!!!
Thanks for the production of this superb video, Tara, filled with spendid details, combined with your phenomenally effective teaching-style!
DR. TARA is simply an INSPIRATION!! sharing such knowledge , experience, beyond what people are told to "accept"...while giving clear guidance that just encourages people...: they CAN get better.!! THANK YOU DR. TARA for your compassionate guidance and help!
You are so knowledgeable and generous to be explaining these things. You have my great admiration.
Hello Sorry for my bad English, great that I found you here, I'm really grateful for that I am 50 years old and come from southern Germany 😃😃😀 In 2018 I had a stroke (4 hours without help) my entire left side was without function 😫😥 I can now walk again But not well, foot lifter has no function but I have great psychological worries because of my left hand \ arm \ finger, only a deodorant function 😵💫 but nothing else, I am now working on the spasticity with you 👍🏽 😉😉 yesterday I bought a 80 cm splint and I work a lot with mirror therapy, oh sorry
my name is Ingo
Your channel is the best channel for this topic, I learn so much from you! I had my stroke in 1994 and am still struggling with spasticity in my hands and feet. You gave me new motivation to do more again. Thank you!!
Dany, I am so glad to read this. Thank you so much for watching and for sharing your story.
Oh my word..20 yrs...thats really sad news🙄🙄🙄I'm longing so much to walk and use my left hand....These excersizes motivates me and gives me hope!!!!!☺️☺️☺️☺️😗
dr tobias I have watched many,many of your videos. Your knowledge and understanding of all things related to stroke issues and advise for recovery is simply MIND BOGGLING. Thanks for all you do. I only wish I lived closer to Orlando !!
Me too!
Thank you ! This is what I needed for my hand.
God bless you for the support and help you are giving us
Thank you for your hand movements I have a lot of my hand going back to being bald up so I’m doing the pulling the fingers apart with the thumb first if I can get my thumb straight then the rest of my hands well adventurousness open up so I have a lot of work to do. Again thank you for your kindness 🙏🏽❤️🙏🏽
Hi Rona can I get your email I have same problem plz I need your help
You are my most favourite physio mam , reason being improved so much after following a few exercises you advised . Thank you so much Dr
Thank you so much! Your videos are really helpful
Thank you so much for these videos, as an Occupational Therapist i find these videos are really beneficial and informative ❤️
Thank you
Hello,I am new to this spasticity as I am just now beginning to experience it.I am wondering if anyone knows where to find a good doctor in the Fresno CA area that can help me.The neurologist I am seeing can not give me any answers.Can anyone help me with some leads? Thank you.
Yes you are Dr Tara Tabias and other than that, you're my hero, which I believe settles that.
Thanks for yr videos and encouraging teachings
Newto your videos this is a long journey but I think your videos will be an additional go to THANKS
Thanks showing exercises i hope more coming
Thanks for sharing this video great information provided.
I have been waiting for this video for a while. My hand is moderate but these exercises are exactly what i been looking for. Im a stroke survivor just past my 1 year. I actually found a glove that i made rigid called neofect glove it has straps for all finger and the wrist what i do i put popsicle sticks on the inside on both sides. I try to wear it half the day. Im now trying to regain my hand movement now so thank you i been following your videos and using it as part of my recovery regimen. Please dont stop and thank you so much.
YES!!! I love popsicle sticks! I use tongue depressors and I usually tape them to the fingers during therapy. I like the tongue depressors because they are wider and you finger won't "spill over the sides". Keep up the great work and the suggestion about the glove!!
Thank you so much be blessed
I appreciate your videos.
Thanks for the great videos! You are Awesome!!
I LOVED this video!! Thank yoU 🙏🏼♥️
This is very helpful thank you
Dr.
you are Great
I really appreciate these videos. I had a car accident in 2007. I had a thriving fashion business. And I was on my way to a fashion show featuring my work. When the driver went head-on with a hummer, we were in a Honda. Well first, my carotid artery had at least five major strokes. Went into a coma. Had a swollen brain. Broken ribs, fractured skull. Well, I was so glad I got to you able to walk again. And some things just didn’t get better. I was a dancer before and really wanted my body back. It was such a disappointment that this happened for me. Of course, it is for anyone. I just hated addressing it. But the other side of that is worse. Having a business a very needy business, I went back to work . I gave everything to it. Ignoring what had happened to the best of my ability which was obviously not easy because I had cross eyed for two years, had a cane and was unable to lift anything. Blah blah blah. I’m sure all of you with strokes can comprehend what I’m talking about. Being at Dancer thinking I can do this myself.. but didn’t., just not really wanting to deal with it. I’ve kind of let some things just be left that’s a broken leg my left side, my left hand, balance, my feet, jumping. Just figured it ain’t their anymore. This is voice texting puppy, making a mess out of this but I just wanted to say thanks really like these. And I have some finger issues I want to address. Maybe I can share that at some point.
Thanks so much for your instruction very rencouraging and helpful, great information, my demon is multiple sclerosis. It's unfortunarely that my Neurologist has never addressed this problem. Over the past few years my hand left has begun to close. I tried wearing a brace while sleeping without much success. I've subscribed so I'll see you again soon. thanks
Sooo helpful!!! Thank you 😊
Thanks for watching Debbie! I am glad it was helpful.
My left hand had great splasticity and always kept pn curling back into a fist until I did the weight baring. I kept on for a month and Now I can literally bend my elbow and feel my wrist muscles strengthening.. Thank you so much
That’s great was that exercise from this video? I don’t trust my wrist to put any weight on it. I thought it was weakness, but maybe not!
Doc.thank you so much for this vedio, it give information how to do proper exircise, God bless...
Thanks for watching. I am so glad the video helped you :)
Thank you.
Stroke was 2012. My brain is ready. Spasticity is horrible. So, thank you for info😉
Thank you doc. ❤️❤️❤️
I am a physiotherapist who enjoys managing neurological conditions bsst and have gotten really frustrated by basically every splint design I have found. Really love your channel and look forward to your hand splint design
Thank you for watching and for commenting! I will keep you posted and let you know as soon as it is available. I think it will be a game-changer for hand/wrist splinting.
@@rehabhqofficial Hey I'm an OT from Taiwan, your videos provide a lot of useful information, thank you very much.
I would like to ask is your hand/wrist splint already on the market?
First time watching your videos very helpful. HAD a stroke 3 months ago that AFFECTED MY LEFT SIDE OF MY BODY LEAVING MY hand and foot with no mobility. My fingers are still numb as well as my foot. I'm taking therapy I had to end up getting a shoulder brace because I have a separation from my arm to the shoulder I will continue watching your videos with confident
I'm in Orlando doing home therapy twice a week. Pt and ot my fingers are straight out and I have partial movement even though I feel them numb and some tingling on them. I have been rubbing clove oil, nueropathy rubbing oil my elbow gets stiff at time
Im going through the sane thing, had a stroke 3 months ago , affecting my left side, I been doing alot of self therapy, I’ve installed a few grab bars around my house so i can practice squatting and for safety, also installed a pully so i can stretch out my arm, including w all these I have a floor bicycle petals and I do alot of walking.. so far I’ve advanced quite a bit , but its a daily challenge still, just don’t give up, good luck 👍🏼
By far, the best explanation of this condition. Will a dynamic wrist brace be useful for moderate to severe spasticity?
Thank you, doctor for sharing the knowledge. This is extremely valuable for post-stroke patients with a lot of spasticity (woohoo, I'm learning a new word woo!) :)
Superb......👍👍👍great piece of information
Thank you for videos
Thank you for watching! I hope it helps
Thanks!
Thank you for posting these videos. I appreciate your detailed explanations of why you do certain exercises. Do you by chance have any handouts that could be given to patients or caregivers with the exercises you prescribe?
You are a life saver. I've been down with stroke about 4 months now, my elbow down to my fingers can't move. I think I have mild spasticity. I'll try these exercises. I hope it will not hurt my shoulder because that is painful.
Thank you for watching and for sharing your story. If you have the elbow supported, it should not hurt your shoulder. I hope this helps!
Try it with supportive shoulder brace ❤️
How are you now u fully recover now
Thank you Madam 🙏
Excelentes ensinamentos ❤
Really good... Pls add more hand rehab exercisesss
You have really helped me I had a stroke in June 2022 it’s December 2022 now an I almost have full control of my left side thanks to you keep up the amazing work your a blessing people need you
Thanks Doc.for helping me.I'm stroke pateint.I'Iglesia Ni Cristo from Mindanao .Phil.
Mam .. its very very helpful and increase hope... the exercises you said for arm and shoulder spasticity recovery its actually working and making difference and really these finger splacticity reducing exercise i have waited to hear from you thanks a lot.. keep on rocking this good work mam💗💗👍💪..
Wow, I am so glad to hear this. This is why I do what I do. I am so happy to hear that you are seeing positive changes. Stay safe and please let me know what type of video you would like for future videos :)
Mam please do a video regarding how to reduce splacticity in ankles and reduce splacticity and regain toe strengths
rhank you so much fr Phil
I am really enjoying your videos. Very informative. My son was in a car accident and has TBI. He is severe and I didn’t know where to turn then I came across your videos. His left arm goes up to his shoulder and is so tight. I need to know how I can help him bring it down and relieve any discomfort. Any information you have to help me in his recovery will be helpful.
Thank you.
You're welcome!
I used a mirror box at first to work on my dexterity, and the pinky was the most difficult finger to participate. The various play doe helps or different grades of sand. Be proactive and talk to the effected hand though that sounds silly, but it seems to help. Rest is so important.
Howw ur progress with mirror box
Thank you😍
Thanks for watching! it is my pleasure :)
I'm so glad I found this channel for these helpful exercises. I suffered a stroke 5yrs ago, I still feel stiffness in my shoulder do you think that these exercises can be useful?
Thank you so much for the hand exercises. I have severe spasticity in my right hand. My fingers will not open up all the way. Do I just continue to do the exercise?? Thank you your awesome.
Same condition my hand thx information exercise
Dr. Tara, thank you for this wonderful channel and teaching. I struggle with supination of my hand, forearm, arm, and also getting a functional turn of wrist to neutral. What exercise can I do for this. I also am struggling with the thumb moving out (like to extend out to grasp a cup. Thank you!
Ah supination and pronation my goals along with reaching out these seem be among the most popular requests among us. there is an abundance of gratitude awaiting when youaddress these issues.we appreciate what you have given us toThis point many thank you greatly!
Hello Dr. Tobias. Thank you for the precious information. I really appreciate it. As a person diagnosed with cerebral palsy (left side affected) in early childhood, I used to attend physical therapy, but then I grew up and nobody cares about that anymore. I still have mild spasticity and a lateral pelvic tilt (which I have just discovered at the age of 38!, so it has never been addressed actually) and engage in strength training. To tell the truth, it’s my plateau in the gym that made me think of solving those old problems. I have never really thought of myself as a disabled person, so I lift heavy and I want to lift even heavier, but these (brain?) issues are standing on my way. Sorry for the long intro, my question is how can I coordinate the upper and lower extremities to become a “normal” person? Should I train them individually or together? Could you cover that please? Thank you once again. Ella
One more question.. my joints, especially the left shoulder and the right knee, are cracking all the time and I feel some sort of movement there and discomfort, sometimes slight pain. What can it mean? Should I go to a doctor?
Awesome video!! If our patients aren't able to stand to weight bear, is there a way you could recommend weight bearing while seated? I've seen your weight bearing techniques on the Matt, but is there anything you could recommend while sitting?
thanks. this is great for the hand but I would really appreciate a similar video about how to teach a frozen wrist to rotate. I used to play a lot of instruments but since the stroke I haven't even been able to play the piano, which should be the easiest, because my left wrist doesn't turn around in the required fashion. so I would really appreciate a bit more of your help and instruction. thanks and all the best
Depends on if you have spasticity or not, depends on where you live. In UK contacting local NHS services would be best option
Thanks
Thanks for this Dr. Tobias. My hand is in the moderate-severe range and stays fisted. I can move my thumb away from the other fingers though. For now, I will paddle the hand before going to bed and try to keep it splinted over night. Not much else to be done for now.
Thanks for watching and for sharing your story! Keep at it. Just keep stretching and "paddling it" :). Don't give up!! You WILL see improvements if you keep up with the stretching.
Same thing too,my thumb moves kinda ok, stroke sucks,I doubt if I'll ever get back to normal 😭💔
This article will help to you to know about 👉stroke..👀 how to identify before a stroke, what are the treatments , prevention and etc.
myoccu.blogspot.com/2020/05/blog-post.html
Excelente ensinamentos
Doctor, I love your videos and they give me a lot of hope. I believe my hand is in the moderate/severe spasticity stage. I have a physio ball which when I squeeze makes my hand shake a lot. Does this mean I should stop squeezing and only focus on stretching for now?
Please do not use the ball, this would only increase the imbalance between flexor and extensor muscle, please use putty as demonstrated on the video- it works on both sides.
Superb
Thank u so much my mom is in stroke rehab now
it would really be helpful if you added time stamps to your vids. love em all. thanks a bunch❤️
Hi just want to know wat is spasity
I'm a stroke patient but my hands my left hand it keeps getting so stiff sometime
Actually, your explanation is excellent. I am Egyptian. Your follower, Doctor, you are a very respectable person
Thank you for watching and for taking the time to leave this comment! I hope it is helpful. :) Stay safe!
Thank you mam
your very welcome :)
I have difficulty to supinate my arm it is constantly in pronation mode. I have a little bit of spasticity, my index and middle finger doesn’t cooperate when I try to open; and at nights when I sleep it folds in a ball. What I do is create my own splint using a makeup palette for bedtime. Growth has been slow but I can snap my fingers and do a thumbs up 👍🏽 among other things. Thanks for this video.
Tamara, thank you for watching and for sharing your story!! Sounds like you are on the right track. Keep it up!!!
hello good day
Dear Doctor..thanks so much for all your great videos..is there any possibilities to discuss same issues in treatment of children with CP ,because there are many similarities.
Good day dr , thank you so much for both briefing and showing how to go about the exercise. After a relapse, my left side become weak. Index finger curled . I voluntarily keep doing exercise and ensure it does not. Please suggest/ guide me how to overcome the same. Please upload excercise for the same mam
Thankyou I had 2 strokes 2weeks agi and I'm getting home care biw st my mother's house but I cabtveveb oicjbnyvos4ccintrilker up anymore and I really miss playing will I ever get my handcmovemebt back fo you think its si frustrating I feel like bsby trapped in my adukt body I just want to use my dualshock 4 controller again 😩so thankyou for these videisci will practice everyday thabjyouu and God bkess you
Madam please can you do a video exercise for increase the extension power of fingers.mainly what are the exercises for recovering fingers.
Dr., I have arm strength with a decent range of motion when lifting but when I walk either my elbow has a bend likely from spasticity, or if relaxed my arm can feel floppy. My arm is not flacid as I can do exercises with small weights but what can I do other than stretch for the floppy arm? For the shoulder, I do slide upward pushes with a towel in my hand up a doorway. I can raise my arm above my head, but My challenge is a movement similar to a shoulder press. Is there another exercise?
Thanks for watching! I have lots of videos on the shoulder and arm :)
Thank you seems all is not lost even 6 years recovery
Thanks for watching Holly!! Absolutely. All is not lost and progress is progress no matter how big or small :)
@@rehabhqofficial Arm support trough for sublox shoulder out of stock always at Amazon, too expensive from manufacturer direct to UK
Thank you so much for everything you’ve taught me!!! I have MS, been recovering for about 10 months now! I had a really bad relapse which made me paralysed on the right side and made me loose the ability to speak! I forgot everything! I had to be spoon fed, I had to remember my name, I couldn’t dressed or anything! And this COVID thing is stopping all of my therapy!! 😂🙄 so I’m doing it from home 🏠 Xx
How do you keep the top knuckle on the thumb straight? Mine is always bending inward. Thanks for the videos I just started to use them.
I have the opposite non movement..spasity on 4 and 5 fingers and 3 mispositioned, non writing with writing hand..
Now iknow my stagebecauseofthisvideo tnx
Just came across this while researching. I'm a 52 yr old , had a right side ischemic stroke in Jan of 19 impacting the left side. Have better arm movement with moderate spasticity but still can't open hand and extend fingers but can I can lift fingers up. For active training, I pick up with each finger small pebbles of dog food and drop in a cup. Will repetitive motion trying to open without being able to do so train my brain to only lift and not open?? You are exceptional in explaining this!
Thanks for watching! Generally speaking, repetitive movement is good following a stroke :)
16 years on the wheelchair Course of strock I just found out you r channel
You are an Angel Without wings.,.,.... Yet xx
@Dr.Tara, I deal with tremors in my left hand. It's all cool when my hand is at rest, but when I try to move my hand to touch or hold onto something, there's this really bad tremor going on. Can you please advise me on that?
Where do I start? My hand is open, not balled up but I can’t keep it open when trying to put weight on it
Some vids exercise of how to gain grip of hands after stroke plss thank you mam.
Btw, your pulling of the fingers ie the thumb works for me. Basically, the index, centre fingers work excellent, however the fourth and the last fingers are not that great for that exercise. Should i do it more to the last two fingers?
I dont know if you made a splint yet but fyi when my son was in a coma his pt made a special splint to keep his hands open with this special material that came in sheets they traced around his hand and arm cut it out with scissors soaked it in hot water molded it on his hand and arm in the position they wanted and as it dried it became solid then they marked where they wanted straps and brought it back the next day with everything attached when i asked what it was they said a type of cast material but it was thick and skin toned and when it hardened it didnt bend or anything it felt smooth and hard like plastic
My husband made me a small splint with a piece of 1" thick wood sanded smooth & I used a tensor sock to keep my fingers straight,
Very creative :)
im starting home pt next week with afo , should i include hand /arm baring as well?
Dr T, can you do a video on the proper way a physical therapist should use estim for hand recovery?
Gregory, Thank you for watching and for commenting! Yes, I can add this to the list
@@rehabhqofficial Also, in the e stim video can you add the proper way to use the mirror box?
@rehabhq
I have a kind of finger movement problem that when I move one finger (i.e. the thumb) all other fingers tend to jump in.
How to attack this problem?
Thanks a bunch for your help; God bless you.
P.S. maybe you and your team can do a video about this problem.
you should add a tab to add all your important link mentionned in your videos !
Hi tarra . Thanks for the video. I've. Watched most of them . My. Hands still. Knackered . Virtually in a fist any tips ?? For. Me. I can occasionally move my pinky and thumb ??
You want us working with a PT for correct electrode placement on the forearm/hand??? I'd that'd be more in the realm of OT. You mentioned that we should massage our hand. Does it matter if we can feel at every area of the hand/arm? I can't see how massaging could possibly be detrimental, yet I just don't know how imperative being able to feel in the areas I massage is.
That's not hard. Put one electrode on the belly of the muscle and other close to the wrist. Slowly increase the intensity. Also, put your arm on a wedge.means, lower close to elbow and higher edge close wrist.
Rotational movements of the head, hand, foot, and shoulders thousands of times
Look into the Saebo hand brace!