FAY MANIPULATION TECHNIQUE TO UNLOCK UPPER LIMB SPASTIC JOINTS IN STROKE/HEMIPLEGIA PATIENTS

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[@user-px6hy3zf2s]

Thanks alot for your great efforts
May Allah bless you

[@Aanchalnaik2506]

Very nice technique sir👍🏻

[@lorrencarter8766]

Thank you for sharing!

[@bharat7294]

This worked wonders!!

[@PhysioClassroom]

Glad to know it was useful

[@ashutmammu4862]

Tq so much sir

[@SUMITKUMAR-by9gd]

Thank u sir🙏

[@rushikeshyannawar1286]

That was helpful ❤

[@rajuburnwal4691]

Did not learn this technique anywhere,
I will try this ,and surely give you a feedback.
Thanks you again👏

[@PhysioClassroom]

This technique is mentioned in the Brunnstrom Therapy book.
It would be great if you can share your feedback, then we could recommend others too to use it. 😊

[@bhavikakapadiya4443]

Thank you sir

[@akshaysharadutekar2889]

Thankyou sir 👍🏻

[@sivashanmugam5423]

Spr sir...very useful👍

[@anjumafshan1297]

Allah bless you.

[@nikitasangroula9313]

Learnt a new thing today. Thank u

[@PhysioClassroom]

Thanks for watching Physioclassroom 😊
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[@midhunsurendran9705]

Nice class ...Learn a new technique today.

[@PhysioClassroom]

Thanks for watching 😊
Do share our channel videos with your contacts and help us in reaching out to maximum number of people 😊🙏

[@asma5179]

Thanks for sharing your knowledge 🇹🇳🇹🇳👏🏻👏🏻👏🏻👏🏻

[@PhysioClassroom]

Our pleasure!

[@raghavaraghu2170]

Sir do video on flexion deformity in knee joints

[@draviptmum]

Haven't seen this technique will surely try n update thank u sir

[@PhysioClassroom]

Thanks for your support 😊❣️

[@jalalmajdi5682]

thanks really helped

[@PhysioClassroom]

Your valuable support and feedback helps up keep going.
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[@MrEagle1983]

Thanks a lot sir for sharing this.

[@PhysioClassroom]

Thanks for watching 😊

[@purusaxena397]

Thanku for sharing something new sir

[@PhysioClassroom]

Thanks Dr. Puru for watching 😊

[@AdityaSharma-mw3uh]

Thanku so much sir for this video 😊🙏

[@PhysioClassroom]

Thanks Aditya for watching 😊

[@rashijm.5447]

Nice, this is new

[@PhysioClassroom]

Thanks for watching 😊
Do share with your contacts

[@sandeepkendre24]

Hello Dr , I have not learn this technique before, thanks for video
Plz do more video for grasp & lower limb foot exercise....

[@PhysioClassroom]

Sure👍
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[@malatipaul9143]

@@PhysioClassroom Sir , actually now I am suffering paralysis disease since the last week of October 2019 . Walking is not now 100%. Only 90% or above. Please sir what to do to get recovery 100% walking like previous.

[@chandugoud2326]

Thank u sir

[@PhysioClassroom]

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[@amandawijesekara9943]

Sir,is there any possibility to increase abnormal spasticity by touching over the compartment of flexor groups of muscles of patient with acute stroke..?

[@swapanbarik7295]

You are super sir

[@PhysioClassroom]

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[@sadbird1720]

Kash hamre teachers b hamy kuch sikhaty 🥺🥺🥺🥺 thx u so much man

[@PhysioClassroom]

Physioclassroom has been established with the same intention to provide quality education to students who want to excel in Physiotherapy field.
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[@thimalammajaldar6499]

Is it safe to apply on subluxation patient?

[@jamaljamal2001]

What are the chances of getting subluxation of shoulder joint. As it is in spastic condition

[@mitalipatel5485]

Sir , how many repetitions are required for patient with chronic Stroke? (2-3 MAS)

[@reshidevraveendran1097]

Is shoulder move this much smoothly in a stroke person?

[@Pagan_vibez]

Wat if patient complaint of too much pain

[@nitinbansal4346]

How many reps

[@physiosp4109]

sir! how to restore elbow extension movement in stroke pt..pls give your valuable suggestions...

[@PhysioClassroom]

Have you watched both the Neurorehabilitation secret videos?
Watch them if you haven't and you will have the answer

[@saurabhjha3663]

Sir , I request u to please share the article about FAY manipulation techniques for my presentation..
Thankyou sir.

[@PhysioClassroom]

Very limited literature on this topic.
You have to refer from movement therapy in Hemiplegia book and from few online material

[@saurabhjha3663]

Sir is there any artical or research about this topic .. if it's there please share the link.. thankyou

[@hudafatimakhan1684]

How many reps and for how many days ? Will it permanently reduce the spasticity or just temporary like other techniques?

[@PhysioClassroom]

Your question is good but the anwer is long and has to be understood in detail.
Do watch our all Neurorehabilitation videos / playlist to get answer to your question.
In summary: spasticity is a Nervous system adaptive behaviour to accomplish certain goals / tasks.
It can be controlled and regulated by understanding the neurophysiology of spasticty and motor control.

[@triptisahu2268]

Sir, inside hospital if patient having tracheostomy and spasticity is develop in hand then what we can do other than PNF and passive ROM

[@dheerajkumarrai1086]

i am also having an exact similar situation with one of my patient in ICU setting. Do let me know if you get some other ideas regarding the same.

[@mohdgulamzor]

Sir.
Chances of shoulder Dislocation ??

[@PhysioClassroom]

Chances of injury are high only when the practitioner lacks the basic antamical, biomechanical, neurophysiological and decesion making skills.
Otherwise 0% chances of shoulder injury / dislocation

[@bibhasbarui2158]

If the patient prone lying is uncomfortable, what can I do

[@PhysioClassroom]

Try modifying the position to semi-prone , or sidelying

[@bibhasbarui2158]

@@PhysioClassroom thank you Sir

[@chintansolanki1192]

Sir which book refrence use for this technique

[@PhysioClassroom]

Brunnstrom's Movement Therapy in HEMIPLEGIA

[@chintansolanki1192]

@@PhysioClassroom thank u sir 😊

[@anjaligautam6090]

Sir in this condition ..while doing this exercise patient will get very pain...so for that...what we have to do to control the pain..??

[@PhysioClassroom]

Perform in short ranges initially and use the technique for patients with grade 2 or less MAS spasticity.

[@anjaligautam6090]

@@PhysioClassroom ok sir I will try my best .. thank you ....

[@Bharish4255]

Sir my patient is screaming with pain when i do this manipulation even though i do it slowly

[@PhysioClassroom]

Mobilize the scapulothoracic joint first and start with small range of Movement arc and gradually increase the ROM within patient's tolerance.
Be gentle , be slow and monitor end results.
Maybe you can complete the ROM painlessly s the spasticity reduces.
Send video of your procedure on 9410575949 whatsapp

[@Bharish4255]

@@PhysioClassroom thank you so much for explaining sir

[@sairamphysioacademy4858]

Do you think a passive position can break the synergy. Do you expect by doing such a passive movement establish voluntary control.... I really believe you should also state the shortcomings of the techniques as well

[@PhysioClassroom]

This technique is to unlock spastic joints and make them available for the Exercise participation.
It is not a technique to regain voluntary control.
How did you come to such a conclusion?
When passive movements have become difficult due to grade 3 spasticity,
This technique can help in reducing the flexor tone.
That's it.
Rest as you said is absolutely correct, we need different sets to exercises to break synergy and regain voluntary control.
Thanks for watching amd giving your valuable feedback 😊🙏

[@sairamphysioacademy4858]

@@PhysioClassroom thank you for the reply dear sir. Your efforts are commendable... Inspiring as well..

[@PhysioClassroom]

Thanks Dr. Arunachalam 😊
Just checked some videos on your channel.
Your contribution towards the field is highly appreciable and I have great respect for professionals like you.
Hope we stay in touch and meet in person sometime😊🙏

[@sairamphysioacademy4858]

@@PhysioClassroom yes I would love to be associated in future as well sir. Thank you for your feedback. 🙏

[@ajitpatra2394]

I think it's just reverse pnf technique..

[@PhysioClassroom]

Nope.
It utilizes the postural reactions to decrease the flexor tone.
How ever the pattern of Movement that is utilized can be used to stimulate the proprioceptors throughout resistance and secondary ending stretch. 😊

[@ranajitbarikphysio138]

Thanks sir

[@PhysioClassroom]

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