Neuro Rehab Arm Exercises: Closed Kinetic Chain

Рет қаралды 35,300

2 жыл бұрын

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Пікірлер: 97

@Piecesoflife1411 2 жыл бұрын

Dr Tobias, I would really appreciate if you would do a series on fine motor skills for the stroked hand and wrist mobility. Thank you so much.

@dianasaurus2448 2 жыл бұрын

Yes please! I would also appreciate a series on hand movement! Thank you !

@cindymansfield6317 2 жыл бұрын

Me too!

@karenmendoza5375 2 жыл бұрын

yes pls

@elizabethgochua4909 2 жыл бұрын

Meeee toooo. Please

@AbdulBasit-rs3fu 2 жыл бұрын

Me too

@KashBeck 2 жыл бұрын

I can attest to Dr. Tobias's arm workouts, I've used many of them to get my arm stronger. Now my entire arm is pretty much functional. Just be consistent and do them everyday, once your shoulder is good it will be so much easier to get everything else working. My hand isn't there yet but it’s slowly getting there. Thank you Doc for the wealth of knowledge you’re putting out here. You have been instrumental in my recovery and I'm sure you’ve helped so many ppl! You're a blessing to us all 🙏🏾

@rehabhqofficial 2 жыл бұрын

Hi Jason! Thank you for watching and for sharing your story! I can talk until I am blue in the face, but it is real people (like you) sharing real stories of hope and success that is the most valuable stuff on this channel. So again, thank you and KEEP GOING! Don't give up on that hand!

@DeanBartley 2 жыл бұрын

Dr. Tobias, Thank you for posting weekly videos. I had a stroke 2 1/2 years ago and I am on my own for rehab. Your weekly videos give new motivation every week. Thank you. Sara

@rehabhqofficial 2 жыл бұрын

Hi Sara! Thanks for watching and for sharing your story! I am so glad these videos are helping you.

@jamesblas430 2 жыл бұрын

Thanks Di much I have no pt support and had lost motivation you've given me the info and hope I needed.

@barehope 2 жыл бұрын

Thank you for sharing your expertise with us

@taniusreddix8424 2 жыл бұрын

Thanks for sharing this information and encouraging me to continue progressing. These exercises are very helpful.

@rehabhqofficial 2 жыл бұрын

Hi Tanius! Thanks for watching! I am glad you know you found this video helpful. :)

@darkodarkovic7827 2 жыл бұрын

How complicated that machinery is, but with a teacher like this there MUST be progress. I believe that some variants of this exercise will inhibit my spasticity and thus speed up my progress, now it is clear to me why it is such a long process, so many variables need to be mastered. Perseverance always brings results, the Japanese are a very obvious example. Thanks, have a nice week.

@elvinmari251 2 жыл бұрын

Thank you Tara

@yaronkl 2 ай бұрын

Fantastic video, thank you doctor

@68ice 2 жыл бұрын

Doctor Tara, excellent video, thanks a lot!Your videos are changing my mindset in tmy rehab process.

@rehabhqofficial 2 жыл бұрын

Hi Omar. Thank you so much for watching and sharing this! I am so happy that you have a new outlook on your rehab :)

@user-tj6ws7nv9e 2 жыл бұрын

Iam from India I daily watch your videos

@tjharris6530 2 жыл бұрын

Thank you once again Dr Tobias, I'm still having a lot of wrist issues to be able to weight bare properly, but I'll do the elbow stuff for now and look forward to moving on :) Have a blessed week!!!

@rehabhqofficial 2 жыл бұрын

Hi TJ! Keep at it!! Please follow @the_road_to_recovery_2020 on insta. He is so creative with his arm exercises!

@nilimakhedkar147 2 жыл бұрын

Love from India ur last words inspire me more

@hopluong6302 2 жыл бұрын

Thank you ur your video really help me

@teresacollinsporterfield5488 2 жыл бұрын

I've been blessed with no problems with my arms. I do have a friend that has a frozen shoulder. I will be sending this to her and will touch base with her next Saturday. This is exciting. I think she will get a lot of leverage out of this video. You're amazing and thank you for helping us all.

@rehabhqofficial 2 жыл бұрын

Hi Teresa! Thanks for sharing!! Have a great week!

@themutekiununbi4932 2 жыл бұрын

Very good exercises, thank you Dr. In addition, please advise how many reps for each exercise as to make the exercise effective. Thank you

@Sunshine-Nina 2 жыл бұрын

🌸🌸🌸 Super explanations and exercises again! I stretch my arm a lot with the wrist 90 degree up and that so nicely relaxes and takes out the spastics. 🌸🌸🌸 Have a beautiful day Dr. Tara! 🌸🌸🌸

@rehabhqofficial 2 жыл бұрын

Hi Nina! Great to see you this week! Again, more great tips. :) Have a great week!

@neilreid2426 2 жыл бұрын

Great series of videos Dr Tara. I notice when I'm leaning against a wall with arms supporting, my stroke hand thumb and fingers stiffens up, and are difficult to move. Is this tight muscle tone, and what is causing my hand to react to the exercise? Keep up the great work. Neil 🏋️

@contactcpl5729 2 жыл бұрын

thanks

@glenwest1911 2 жыл бұрын

Hello Dr. Tobias!

@SimonHarrisPMP 2 жыл бұрын

Wow! Great stuff that I've not heard of. The whole of "closed chain" was new terminology/ concept even after 16mths seeking pt advice! I've been given various weight bearing ex but they all require an open hand (still an aspiration without a splint) and no pt has suggested any of these or used this vocab. :( Some of these ex are deffo going into my daily routine! Ill have to watch again and experiment. How my shoulder blade lays is something I want to work on as I'd concluded it is limiting movement by comparing with how my left arm moves

@zitaorosz1975 2 жыл бұрын

Since I watched this video I am pushing the wall every day , and this morning I woke up with crazy muscle pain in my trapezius muscle. It hurts so bad, but I am so happy about it. 😀Happy Thanksgiving! 🦃

@zahrahasanpour7894 2 жыл бұрын

tanks alot

@fredkotthaus1518 2 жыл бұрын

Hello, Dr Tobias, It is with much appreciation and thanks for the thoughtful, and well laid out exercises as well as the clear explanation of what each of them are. The one where you are reaching out to the stool or chair in front of you, I found to be most helpful to me. I'm constantly working and stretching my shoulder with the use of my cane as we as actively assisting with my good arm to reach behind my head, ECT. Thanks so much for your help.

@rehabhqofficial 2 жыл бұрын

Hi Fred! I am glad you found this one useful. :) Also, thank you for the other tips for the shoulder stretches. They are all excellent exercises! I hope you have a great week!

@alenkajarc6382 2 жыл бұрын

Thank you dr Tara. 🙂

@rehabhqofficial 2 жыл бұрын

Hi Alenka! I hope you found this one helpful :)

@contactcpl5729 2 жыл бұрын

very usefull

@crisantacastillo7761 2 жыл бұрын

thsnk you so much

@rehabhqofficial 2 жыл бұрын

Hi Crisanta! Thanks for watching! I hope it helps!!

@jeffholtane4315 2 жыл бұрын

Thank you so much for this recent installment.! I appreciate it! What if I cant flatten my hand on a wall due to spasticity? It was the exercise second to the last exercise that I’m talking about. Hope you can help.

@rehabhqofficial 2 жыл бұрын

Hi Jeff! Thank you for watching and for this question. Hand spasticity will make this more difficult. If you can get help getting the hand open, many times it will stay open once it is flat on a surface. You can alway add some sand bags on top to help keep it open. I hope that helps!

@annettezavala7494 6 ай бұрын

Dr Tobias I’m having trouble finding the correct order for your shoulder/arm movement videos. Could you provide a list by title.? I really want to start at the beginning as my left arm needs a lot of help. I can’t always find the links you’re referring to. Thank you- your videos are really helpful!

@tyrellbaker3983 2 жыл бұрын

Awesome 🤗

@rehabhqofficial 2 жыл бұрын

Hi Tyrell! Great to see you this week 😊

@bionicnomad24 2 жыл бұрын

I also share your content on Facebook in my stroke support group. You’re amazing!

@nolaigmckaigney7135 2 жыл бұрын

unable to flex wrist to complete this exercise . any feed back to over come this thank youdr. t

@patpaglinco8199 2 жыл бұрын

Hi Dr. Tara, Can you do these exercises against the wall instead of lying down?

@bodcare1332 8 ай бұрын

These exercises are fantastic and despite having Botox in the arm I do find it a bit challenging to keep the hand out flat for the wall exercises and so on

@christiannaguit7618 2 жыл бұрын

my left shoulder and arm movementalready came back but wristdown to the fingers still not extending 10 month post hemo 😔

@sandwitht6264 11 ай бұрын

can these (closed chain) exercises be safely done with a badly subluxed shoulder?

@agneschi 2 жыл бұрын

I'm a piano teacher. I could walk after 1.5months stroke due to right brain bleeding. Even I have gone through occupational therapy, not much improvement on my arm/hand/fingers. Thanks for details video explanations how yo exercise albow/shoulders. 🥰

@virtuosoproductions4589 2 жыл бұрын

Good video dr. T.; most of couldn't open fingers to support our weight on hand.

@rehabhqofficial 2 жыл бұрын

Hi Virtuoso. Thanks for sharing where you are at in your recovery. There is a mixed audience on here. Many people on here have adequate hand and wrist motion to do these. Others will will watch this video and recognize that I also included exercises that do not require wrist motion. And still there are others where I agree with you. Whether you think you can or you think you can't......your are correct.

@virtuosoproductions4589 2 жыл бұрын

@@rehabhqofficial thanks, because I dont see the full range of clients you do. That's when I pick and choose the exercises based on available functionality.

@bionicnomad24 2 жыл бұрын

Hello Dr Tobias, could you please tell me where you got that elbo immobilizer please and thank you! I’m looking to do some of these exercises but I have a lot of left arm weakness. Thank you so much in advance

@rehabhqofficial 2 жыл бұрын

Oops. I usually put product links in the description. Here is a link to an elbow immobilizer :)

@bodcare1332 Жыл бұрын

I liked the video and do some of these. However, when it calls for the hand to be flat, it often curls. It's a battle to get that flatness without trying so hard which makes it more curly. A flat hand would allow for so much more feedback

@kimking2531 2 жыл бұрын

My arm fingers and hand was moving then I woke one morning with no spasticity and my arm now just hangs like a loose limb hanging loosely off of my shoulder. I thought I may have had a tia in my sleep but dr says no however, it feels like my arm did after my stroke so I’m incredibly confused what is going on can you give any insight please?

@Pneezy68 2 жыл бұрын

Helping have a question regarding my arm and leg it's to tight to much spasticity and I'm trying to get botox but my doctor won't give it to me I don't know why but my therapist in pt and ot says I need it now they stopped my therapy saying I got a platoue with out the botox help me out if you can please

@nidhishah6636 2 жыл бұрын

Hello Dr.Tobias..i would like to know more about membership perks ..I just joined your channel as a practitioner..couldn't find a way to chat with you..kindly guide..

@emmarodriguez4945 Жыл бұрын

what about if your fingers curls to a fist position it makes it harder.?

@themutekiununbi4932 2 жыл бұрын

Dear Dr, I checked the link provided for Elbow Immobilized and its not available, please assist

@jeffholtane4315 Жыл бұрын

What if you can’ get your affected hand flat against the wall

@mahyndrachettri4141 2 жыл бұрын

Mam I'm very much greatful to see your videos mam I have been suffering from foot drop and pereferal nerve injury since 2012 and mam my hand also get completely broke down so i focus on my hand mam in 2021.. it's about to be 2022 my finger of leg is not moving tired of nerve paining😰 and mam I cannnot move my foot up although i can move lit bit to downward but it's hard very much hard to lift up and mam my leg muscles are also so weak as compare to other leg mam i would be thankful if your reply my comment with any kind of great suggestions 🥺 hoping for your reply mam

@deniseinskip-seale7815 2 жыл бұрын

Dr. Tobias...I have wrist spasticity so I could not do most of the exercises in your new video. My wrist is curently at neutral...how can I get more movement...most of the hand splints leave my wrist in a fixed position...thank you for your time...

@rehabhqofficial 2 жыл бұрын

Hi Denise! Keep stretching that wrist! Also, try the ones that I show on the elbow. That is a good place to start.

@aaronoyster9627 2 жыл бұрын

Dr. T., you said these exercises were for those of us in the early stage of recovery (where I assume the hand/fingers would likely be flaccid & thus, more pliable/willing to stay straight) so we can easily bear weight on it with the elbow immobilizer's assistance, yet what're we supposed to do if tone/spasticity doesn't allow us to keep the fingers straight & bear weight on the palm, SOL we have to do this with somebody's assistance?

@rehabhqofficial 2 жыл бұрын

Hi Aaron! that is an excellent question! You will need something to keep the hand open. If you are still in therapy, your therapist can show you ways to do this. If you do not have any tools to keep the hand open, yes, have someone help you get the hand flat and use sand bag weights to keep it open. I recommend you follow @the_road_to_recovery_2020 on insta. Keep in mind he is not a therapist, but he is certainly extremely creative in how he keeps his hand open. Also, keep in mind you can always do weight bearing through the elbow. I hope that all helps! Don't give up on these exercises! think outside the box as far as getting the arm into the correct positions. :)

@fayjoseph7740 2 жыл бұрын

How does Bioness equipment work? do you recommend?

@rehabhqofficial 2 жыл бұрын

Thanks for the question! Here is a video that might help: kzfaq.info/get/bejne/Y8yap8Vepr2cXac.html

@taylordonahue4179 2 жыл бұрын

My shoulder is sublexed and I was told by the doctor and the therapist that I need surgery prior to resuming therapy. Any thoughts would be appreciated 🙂

@pocahontis14 11 ай бұрын

you are getting surgery. I was told surgery was not done on a sublexed shoulder

@wendycole8459 2 жыл бұрын

What if you have humeral subluxation and winged scapula from CVA. Plus pain since 2014

@rehabhqofficial 2 жыл бұрын

Hi Wendy! That is very common after a stroke. Pain does complicate things and I am sorry you are having to go through that. My suggestion is finding a therapist who can work with you to find positions that do not increase your pain and maintain the shoulder in the correct position (ball in the socket) when doing the exercise. I hope that helps!

@wendycole8459 2 жыл бұрын

@@rehabhqofficial thank you for educating the world on this subject which is a HUGE HOLE In medicine . I’m a retired ER DOCTOR NOW ,in 2014-2020 . No medical providers knew what I was referring too . I’m grateful for unique individuals like yourself educating the world. It’s hard enough to recover from large CVA plus add excruciating pain and physician who knew nothing .sad moment in medicine.

@chrisdorset1762 2 жыл бұрын

I have a problem with planting my hand down, it will not stay.

@howardboigon7236 2 жыл бұрын

I share this account with my husband, so the picture is misleading. What are the potential improvements possible for polio damage to right hand, arm, shoulder by using your neurological approach to physical therapy? These are effects from 1953. I have adapted some exercises that were given to me for the left arm after rotator cuff surgery and I am seeing improvement on the right as an some increase in strength closer to the shoulder. Does this mean the atrophy in the brain can be reversed a bit and open the possibliity of some mobility improvement, even for an old patient?

@rehabhqofficial 2 жыл бұрын

Thanks for watching and for sharing your story! Generally speaking, if someone has a history of polio and present with "new weakness" later in life, that is referred to as post polio syndrome. If someone has post polio syndrome, they are losing "voltage" to power the muscles. That being said, if someone is experiencing post polio syndrome I would recommend to go through a thorough movement assessment by a physical therapist, identify the most problematic movement problems (that would correlate to the muscles that are losing their "power source"). After that, it would be a combination of corrective exercises, and protecting joints that are vulnerable to injury. I hope that is helpful. Long story short, I recommend getting back into PT if possible to come up with a plan to address the issues I stated above :)

@usbly 2 жыл бұрын

First View again , 😊 One request please make a video on problem of incontinence after sci.

@rehabhqofficial 2 жыл бұрын

Hi Umesh! Glad to see you this week. That is a tough one to answer because there are so many things that can cause incontinence after a spinal cord injury. For example, the gladder is a muscle and some people have a "spastic" bladder where as others have a "bladder muscle" that doesn't work. Depending on the root cause will determine the treatment approach. Sorry I could not be more helpful.

@mohammadshahnawaz1697 2 жыл бұрын

Hi ma'am My father has stroke 5.5 month ago no full recovery tricep muscle has pain from first month has flabby arm please suggest

@usbly 2 жыл бұрын

@@rehabhqofficial thanks for your guidance. Is it possible to know somehow that someone has spastic bladder or muscles not working I Mean if possible share some symptoms.

@mysteryandmeaning297 Жыл бұрын

@@mohammadshahnawaz1697 she said pick up arm with other hand and move it up and down

@joannross5770 2 жыл бұрын

My Stroke is a 1year Old...and my Body o n that Lelt side is wKing up..and it's painful..but I do do extra..side..I make myself do them..But can't make my fingers mo e M Right handed

@siewchinwong6451 2 жыл бұрын

Try doing some EMS simulation to get your fingers moving

@scottjones4888 Жыл бұрын

what happened to the bionic dog the German Shepard

@mominphysio 2 жыл бұрын

Name of these cones?

@rehabhqofficial 2 жыл бұрын

Stacking cones. Here is a link: amzn.to/3hM3nth

@mominphysio 2 жыл бұрын

@@rehabhqofficial difference between this & normal cones?

@rehabhqofficial 2 жыл бұрын

no difference. Cones are cones :) Of note, these ones have little grooves which make them sometimes hard to unstack. There are cones with a smoother surface but they are harder for people to hold. Just depends on the patient and your goals. I hope that helps!

@jonwhisler6967 Жыл бұрын

i thought the dog n the table behind her was a raw chickenuntil its head popped up

@joannross5770 2 жыл бұрын

That looks painful

@andrewzanas9387 2 жыл бұрын

Def will be pursuing these close chained kinetic exercises. In reference to our conversation yesterday, here's the latest universe in a box, Uchuu, the current version of a computer sim of the universe as created by a group of Japanese scientists. kzfaq.info/get/bejne/jNajh6SimLvbZ58.html (Things to contemplate while exercising, & mulling the possibility of life on other worlds.) Great word, mulling, lol.