The BEST Neuro Rehab Plan: Early Versus Later Stages
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- Опубліковано 9 січ 2021
- Choosing the best exercises after a stroke or brain injury can seem like an overwhelming task. What are the best exercises? How many hours a day should you spend performing your exercises? Should your plan evolve over time? This video will answer all of these questions and give you the tools to develop a program that is right for your stage of recovery
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I didn’t have any movement in my arm the first year and a half. As I get further out things are easier for me. Now I can use my arm I try do everything with my weak arm.
Very inspiring gives us all hope to keep pushing on x
Thank you so much doctor ilove tou godbless alway
How did u do that?
Some people arent able to get therapy early after injury..so we are helping them get therapy since their health has stablized. Praying for great progress to be made.
I've waited months for an outpatient clinic and a year for inpatient rehabilitation 😢
Thank you Doc. I am 2 years post stroke. these exercises are helping me alot
Doorknobs of locked and dead bolted door make excellent handholds for stationary exercises.
Handicap ramps and shopping cart racks make excellent "gyms" for walking and leg stretching exercises. Handicap ramps usually have stairs nearby as an exercise bonus challenge.
Wonderful video thanks Dr.. my Neuro Physio pushes me every week in therapy to recover. I'm 5 years post stroke. I jog on the spot for 5 minutes over 3 times a day for cardio. Then I do hand exercises every second day . Knowing my limits and raising the bar has worked wonders for me. We change my rehab program around to challenge myself to encourage neuroplasticity. Regards from Australia. 🇦🇺
You're great Dr Tobias, your videos make me feel like I am going to get beyond my expectations. Blessings for you !!
I wish I found you during my early years. Thank you so much for your videos
Simply the best doctor. Thanks a million
Thank you for the encouragement and hope!
Yep. Right leg got stronger than ever. Left slowly......improving. Over the course of one year and two months. I should sleep on the floor to engage muscles and fix left leg quick. But floor is cold for now.
I can't do activities as they lead me to epilepsy. But I have a window I can act a bit. Keto diet enables more mental clarity. Etc.
You are our angel. I've said that before. May God bless you 🙏
Namaste. I always inspired by you. And I am glad that you connected with me. With suggestions you are showing how to do practice that is very important for me. Thanks again. 🙏
Love this video gives so much hope thank you x
Thank you Dr your videos are always very useful for us and everyone is working hard after seeing this video
Thank you so much Dr. Tobias you're a BIG Help. I'm excited this year to learn and improve more. Don't Stop from helping.
I am so glad these videos are helping you Edwin! Thank you for continuing to watch 😊
Great videos for every body
YOUR OPINIONS ARE GREATLY APPRECIATED Dr. TOBIAS!!! THANK YOU SO VERY MUCH!!!
u r simply wonderful & just love your videos. they are so so helpful
Wow, you are truly a God send! Your knowledge and willingness to share it are beyond humbling. Thank you for truly helping us who cannot get out. God bless you.
Hi Your videos are best and outstanding. They are helping us a lot.
Thank you so much for all the positive word. I have had a severe head injury and stroke in the first 6 months and the surgery on my brain. I have been fighting and standing within the first few months and now as well but with walking and trying to keep all this going with the exercise and words cause it has affected my left brain and right side as well.
It is so hard and difficult looking at it but it’s so worth it for all the hard work. It’s a struggle but I have to see it is worth it in the long run, I am sure it is a slow and steady process…
you can do it!
Hi Dr tara, I totally agree with you and that's what I say to myself the best medicine to keep improving is exercises. When I look back at my videos I can't believe how far I've come😊.
Thank you
Yes!! you have to always keep in mind how far you have come. Video is perfect for that 😊
Dr Tara Tobias you are an inspiration .thank you so so so much for the positive energy and the valuable suggestions and explanations you are giving to everyone.Be blessed Dr
Excellent!!
Thank you very much 🙏💐💐
Thank you you’re awesome
God bless you doc. Tara🙏🙏🙏
Thank you Dr. Tobias, I was working in the dark not knowing how much exercise is too much or not enough...the two hour window provides a great framework...
Great! Give it a try and give us an update on how it is going 😊
Thank you so much for your videos. I wish you had been around 6 years ago. Things may have been much improved for me. I have, however, now changed the stretches I do, in the hope I will be able to raise my arm one day. I'm still working on the hand, but my thumb bends into my palm quite often, making gripping difficult. Can we have more on hands/fingers please.
Thanks a lot for your help...
Dr Tara Tobias ..
Very informative.. indeed as always!!!
Thank you so much!! Would it be possible for you to make a video for the upper and lower ext stretches? So that it is all in one place
Hello doctor,
Unfortunately my total arm has become very spastic specially at elbow and wrist and fingers. Rest are seems to fine ... Thank you doctor for providing extemly useful vedios. If possible can you make a part of vedio on elbow and wrist fingers
Hi Dr, first of all, thank you for providing all these useful information. I'm from Malaysia and recently just moved to Canada. My mom had a massive stroke on Mother's day 2019 which caused her to be hemiplegia on the right side. Last month, she was able to lift her affected leg where her PT told us that she can't lift that leg anymore or EVER!
Our next goal for her is to get her affected arm/shoulder to move but then it's flaccid in the morning but it flexes every night (where her arm internally rotates). She also has minor subluxation. Her PT also told us that we shouldn't even bother working on the affected arm because the functions will not come back but the weird thing is that it does have some reflexes and she can feel me touching her arm and shoulder and even her palm! Do you think we should keep working the arm/shoulder to get the movements back?
What I love about this video is the encouragement and hopefulness that you give to not only those who suffered from stroke but also to those who are taking care of their loved ones that had stroke. Please continue to make more videos like this. God bless you!
Wow, I hope you've changed PT's! And I hope your mother is doing much better now.
@@Infinity364 Hi! Yes we did change PT..she's able to move her affected hand just a little bit but then its better than nothing 🙂
Thank you doc for giving us and inspired like me a stroke survivor .. but you nk now focus one time in social media I saw a physical therapist I ask him if I will recover and he tell me straight word no you cannot recover and I ask him why you talk like that and he answers he don't want to give me a false hope thank you mam thank you God bless
My rehabilitation quit on me after 8 months of rehabilitation sessions as a continued to decline even with medication..
I'm being treated in a university hospital now, more tools machines and Better perspective.. I'm still terrified of not getting better 😢 and I'd stay stuck like this 😞
You are just awesome I was just waiting for your video... First View again😊
This is most excellent! Thank youbDr. I am 8yrs post stroke & my mind set & hope are refreshed💗
This is most excellent! Thank youbDr. I am 8yrs post stroke & my mind set & hope are refreshed💗
This was my first SUB notif; Great stuff
I had very little therapy right after my stroke. I had a stroke in 2020 as the world went into lockdown. I started therapy a year and a half later.
Thank you Tara for the great videos, I am 63 and I have balance problem after my spinal cord surgery in 2016, though I walk 30 feet I have spaticity of legs and cannot stand without support of walker for more than 2 to 3 minutes. Can you suggest balance exercises?
A good plan is very important in the rehabilitation process. But it should also be understood that it is a living organism, so it adapts to our knowledge and reactions of the body. I think that the frame is something that needs to be adhered to, and the details adjusted to the everyday situation. I started from the end, as the maximum possible progress, so I focused on walking, now I am perfecting the details as much as possible. For the recovery of the hand, I started from the big joints more intensely, the shoulder, the elbow to the fingers. In the short term, the goal is 1% better. It is definitely the best help I can get, thank you very much, God bless you.
Yes!! You always know how to sum up my videos in a few short sentenced and actually making it better by sharing your experiences 😊
Thank you very much, I think it is unrealistic that I can fix something for you, I still have a lot to learn. i am just an obedient child listening to a caring mother.
Could you do a video covering things that of Secondary Progressive Multiple Sclerosis, and explain just what to expect when the MS has progressed to secondary stage. Does MS just keep progressing no matter what you do to hold it back? I love your video's but wonder just what I'm dealing with not only now but into the near future as well. Guess move it till I can't is all I can do because my body can not rewire when the wiring is disappearing????, or how should I be looking at it.
Doctor T. what is in your therapy practice, the percentage of people who have managed to get better by exercising. The words like "might be" or "can be" are things that i can't hear. I try to not compensate any thing to my walking with my brother or my wife. As Matt Bishop said "YES! You can recover. Get on your feet and get walking immediately. Do not sit in the hospital bed or ride in a wheelchair. Use a walker if you have to but get on your feet immediately." . I am trying every day to work on my disabilities, seven days, in the hope that i can walk again. That is my goal.
Madam many many thanks to you, god always bless you. I learned many thing from your video. I want you make video muscle stranght exercise for paralise Patient.
God bless you.
Dear Tara,thanks for posting the videos. I am approaching ten months post stroke. I now live alone and I try to use the stroke effected hand as much as possible. For everything. Soon I will start a part time job and might not be able to train for 3 hours a day. But if I continue to use the effected hand in real world applications will that be helpful? Thanks again!
Tankyou Tara for the video! I am 5 ys post stroke and I was wondering... Would you recommend a standing desk for my office to increase the amount of hours I spend standing or it could be counterproductive?
Hi dr tobias I've been stroke for 8 years and after watching your video I decided to continue rehabilitation and after watching the exercises I'm learning to do something like carry simple things like bag ty so very much I really appreciate it
5 years post stroke, feel i want to do more but afo issues holding me back
Wow . this video is great. I had TBI and heterotrophic ossification.2yrs.after injury.i could use a video on those topics.
Hi Glen. Thanks for the suggestions! HO is extremely common and an excellent suggestion for a future video. Stay tuned!
To correct my previous comment
I had a stroke and have HO.i would love to see a video on those those topics.i had an ischemic stroke.2yrs. ago.
Can we talk about synergy of shoulder and hand during shoulder rotation exercise?
Thanks
Thanks once again Dr Tara for the next episode on time . It's giving the idea of patience and expectation from the patient😊. I would like you to explain me some activities for lifting the hand from wrist. Why the hand moves to back when he is trying to lift the wrist. Will it happen automatically with increased neuro plasticity or do you suggest some exercises?
Please use functional electrical stimulation machine for hand and fingers. Its reasonably priced and will get your hand moving. For arm, start with elbow immobilizer and work toward fingers. Arm recovery is from proximal, shoulder to fingers. It's a long process. Just dont get discouraged. I'm speaking from experience. Exercises you wanna do is, PNF, D1 an D2. Plus many more. But this is the start.
@@virtuosoproductions4589 Hello doctor. I am a physiotherapist. I have been watching your videos recently. I have a similar case. Elbow immobilizer which you mentioned earlier is it the same one which we use for a musculoskeletal case? Also my patient goes in shoulder extension while flexing elbow. Any suggestions on this.
@@drashwini147 sorry, I'm not a doctor. You're better off asking dr. Tobias. But, I can help you with experience I had with my stroke.
Dr Tobias
What is your opinion on the robotics glove for hand rehab?
Possibilities
Thank you for this video. I had my stroke 12 years ago. It was major. I had to do speech therapy as after the stroke all I others could hear me say is 'i don't want to wait.'. It is soooo much better now.
I wish I knew this information 12 years ago. As it is, I am at point that I want more independence. My right side is still challenging and I have delayed reactions and opposing thought (Think left instead right - can't remember the correct terminology).
I don't know if I can do 3 hours daily, but I will definitely try!!! What can I do to improve by brain functioning??
Thanks for watching and for sharing!
Hi Dr.Tobias,
I have a proiblem that I am not sure how I could overcome. When I am walking my paralyzed leg is very flimsy like it has no weight to it, and can't take a strong firm step with it.When I am trying to walk in one place, I am not able to bend my knee without hip pain. What kind of exercises would help me to relearn how to take a strong firm step? Thank you so much.
Are cane and safety bars both compensating tools
Hi dr thank you very much for this vedio Iam three years stroke I am doing my house work and I do my therapy too but when do my treapy I manage to do every thing smoothly but can’t lean my thumb perfectly on a surface and straighten my elbow my fingers are Crowley also when am doing my work iam not in normal way so I am try to get back to normal by your vedios and your help I greatly appreciate if you kindly reply me to get more improvements for my situation thanks a lot and god bless you
Do you have a list of compensatory strategies
what are the best exercises for a flacid arm? which video series?
I am almost one year out from my stroke. I try to do as many of the movements you give us as I can (they are great, as are you, thank you so much!), but I’m still using a walker, and adapt the movements as best I can. Any suggestions?
Just keep doing it 😊 And try and pick one or two videos that address the most important (to you) "movement related problems" and spend an entire month on just 1 or 2 specific movements. You got this!!
Dear Tara,how much is it true that neuroplacity becoms much slower after the first 6 months of stoke . Thank you !
Dr Tara Tobias I suffered a stroke on 21 Junev2020. I am still using a cane to walk and my arm is moving, however my fingers cannot move. It only moves if I am having a spasm . My Neurologist said that I suffered a bleed of my right brain hence the reason my left side is the weak side. I find that I also have alot of tone on my left leg still. I would like to know ifbthis is normal or If I should have been having less tone in my left leg. Please note that I presently do physical and occupational therapy.
What was the video prior to this one? I have been searching and haven’t found it.
hi again Tara my i have 18 years after stroke my goal is to run and to play piano, i have followed your advice on running and thumb and writs exercises if you send me more advice in that aspect I will thank you forever, I am working in heal strike after i accomplish those 10° standing in ankle dorsiflexion i will ho to push off exercises an then work in those other exercises in jumping on involved leg to see i f i can make the real running
I had a stroke in 2007 & a massive heart attack in 2016, I'm now working through problems it left me with! Thanks for Your help!
What’s the best way to find a Neurological physical therapist near you?
after 5 years, I still don't know what exercise to do for my wrist to fingers and ankle to foot, to make them works as it used to be before stroke
Is there a way too. Retrain affected hand to sensitivitym. I cant type cuz i cant feel the little bump on f and j key.
I have monbility and rffull range of motion...but lessened sensitivity anminimal straength after stroke
I am having problem in walking.. I cannot balance my body. But i can walk by holding firm support for 1-2 hour on tread mill.. Please could you tell me how to learn balancing and strengthening of lower limb.
My upper limb is perfectly good..
. Thanks ma'am
what about cyst in spinal cord patients? i had fenestration 6 months ago still no major improvement
Thank you Dr. Tobias for all your wonderful insight and information. I know your channel is more for stroke patients, but I love your approach. I have PPMS, I am still mobile with a walker but a majority of my day is sitting due to my job. How often/how long to you recommend standing during the day and how effective is tall kneeling vs standing?
Hi! I am so glad to see more people in this community with MS. I plan to start addressing more issues related to MS this year. 😊 That being said, standing is critical while also taking into consideration fatigue. If you work a traditional 8 hr/day desk job, I would invest in a standing desk and experiment with how much you can stand (again taking into consideration fatigue). As far as tall kneeling, LOVE THIS! It is great to isolated/strengthen the hips.
Hello hoping I could get help I’m HHA I’m working on getting my client to stand we can’t seem to get it yet any recommendations? We work out 5 days a week we strength train 3 days a week 2 day reg exercises. Any suggestions would be appreciated .❤
Hi this is Radha, my husband is a HIE survivor from last 2 years and 2 months. From last 4-5 months he is losing his balance again. And he has left shoulder pain. Can you please suggest any excessive for his balance and his left shoulder recovery
Is going back to playing the piano good for Neuro Rehab
How do you fix a curling toe
Please can you say why my stroke right side hipbone has disappeared. Will it come back?
Is this possible if ten years sci patients recovery? Left side not working properly
Por favor lo pueden subtitular
Hey dr. T. You summed up whole recovery in few minutes. Please do more videos on recovery 4 to 5th stage of brunnstorm recovery. Basically fine tuning the movements. Do you have out of town patients? I'd love to come and get assessed to finalize my recovery. Maybe after this pandemic, I will visit orlando. Currently, cross border travel from canada is not permitted.
I would love to be able to help you. You can send a message by visiting www.orlandoneurotherapy.com when you are ready schedule 😊
@@rehabhqofficial will do it soon. Thank you dear.
I don't do hours and hours of rehab I prefer quality over quantity
Thanks for watching! completely understandable. Everyone needs to determine what works for them 😊
Hi Dr. I have 6 years kid have brain stroke and spacticity in his left side . He like jumping trampolin . I want to know if trampoline increase spacticity or it help to stretch his ankle muscle?
This is an excellent question! I am not a pediatric specialist, but I think that jumping on a trampoline might increase spasticity. That being said, kids need to be kids and sometimes it is good to look at the big picture. If this brings your child joy, that needs to be considered. Generally speaking, it would be beneficial to have ankle braces to minimize the severity of the spasticity. I hope this helps!
I'll be 5 years after having 7 strokes. I'm still working on my movements and all of that but what can I do to help my reaction times and reflexes??? Im only 25 but jll be 26 soon. What else can I do for my mind more than anything?
What's the cause for 7 strokes?
Thank you for your encyclopedia of exercises to improve ankle, knee, mindset post stroke. I had a week of vacation, and got a chance to watch and practice with many multiple of your videos. Too determined to overcome my current situation, and open to ideas and encouragement. Thank you again!
Hi mam , I am 25 ,I had a stroke wen I was 22/23 , how can I get back my wrist movment am doing my excercise all the time, somtimz I miss , how to get bck the wrist movment ,can u make a video n excercises for that, my therapist tells now wrist is your king, you get your wrist it's then easy to get bck finger movments, can you please help mam❤️
Dr Tara..
0/6 months is for those lucky or rich patients.. I'm not that.. so much delay so I'm not getting any progress at all 😢
difficult time to learn to write on my right hand after stroke
I was in rehab places and they kept telling me to slow down, and now I'm hearing I'm in a worse spot?
I have to strain really hard to lift my affected leg whys that
M S is the same like stroke ir less damage
Yes, they have very similar courses (MS and stroke). If you have MS, it would apply more to "0-6 months following an acute exacerbation). I hope that helps!
Good evening mam
My client is now able to walk climb the steps but unable to get in to the car without support for his paralyzed leg can you please put video related to that
Thanks in advance
Thanks for the question! Do you meant that once he is sitting, he can not lift it into the care? I assume this is the passenger side. Is it right or left leg involvement?
Yes mam you are correct
He can able to sit but he can't lift his left leg into the car
In India passenger seat is in leaft side only
Thank you waiting for your valuable video
My father suffered 3 strokes 6 months ago. I notice he is gaining strength and coordination but extremely lacking in energy and motivation.
The motivation is hard to get going after a stroke. It took me some time to accept what happened and start pushing myself again. Once you start seeing some improvements it will change. God bless.
@@raygor2366 thank you for the reply! You are an inspiration. My father has been recovering for a bit over a year now. He is still the same with his motivation.
Been 5years for me they have given up
#Ataxia
Purple block letters
Are hard to read
Pls explain in tamil
what's Instagram handle please??
11111
Dr. Tobias , I just wanted to let you know that after 2 days of doing those squats I finally took my very first step without sliding my foot. You are amazing. Thank you so much. 🥲 ❤️