Why Does Hand Recovery Take So Long After Stroke?
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- čas přidán 5. 08. 2024
- Thanks to everyone who voted in my last poll! I’m dedicating the next few videos to answering your questions about hand function and recovery after stroke. The question “when will my hand function again?” is one I get a lot. And while most of the time I have to answer, “It depends,” there are some reasons why hand function is usually slower to return than arm or leg movement after a stroke. And it has to do with our anatomy and a process called neuroplasticity.
I hope this video helps answer the question for you! Leave me a comment and let me know:)
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*Note: New research is mixed on the possibility of neurogenesis (or the process of forming new brain cells) in adulthood (including after stroke). Many of the studies have only been completed in animals. Neurogenesis is common in childhood but decreases with age. If you're interested in reading more, check out some of the links below:
Post-Stroke Neurogenesis: Friend or Foe? www.frontiersin.org/articles/...
Does the Adult Brain Really Grow New Neurons?
www.scientificamerican.com/ar...
Neurogenesis: A Therapeutic Perspective
link.springer.com/article/10.....
Music: www.epidemicsound.com/track/i...
Time Stamps
0:00 Intro
0:13 Anatomy and Hand Function
1:39 Neuroplasticity and Hand Function
3:36 Outro
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Medical Disclaimer: All content on this channel is for general informational purposes only. It is not intended to serve as a substitute for medical advice or treatment from a physician or qualified healthcare provider. Talk to your doctor before starting a new exercise or therapy regimen.
Alas, I appreciate your encouraging words. I'm 6 years into trying to get my fingers to start working after a stroke. It is taking a very long time
Can you elaborate what your total deficiencies were during the time of your stroke?
Thank you. I'm on a journey with my mom who is currently in rehab. I won't give up on her. And I'm so grateful you help us with the tools to help us along the way.
Tbh same here she is in rehab now she can move her feet and one arm her right hand she still struggling with it takes a lot of time and patience literally
Several times in inpatient rehab and also from my neurologist after I got out I was told the body makes priorities after a stroke. In the wild we would need to be able to move for safety and to get foodmore than we would need our hand. They told me that our bodies put the primary focus on the leg recovery in the early stages, and the hand if it comes back will be later on. I just reached my one-year mark and hoping that now that I’m walking much better that I can turn that focus to my hand
@heatherguill, This is a great point! Thank you for sharing. And I'm so glad to hear that your walking has improved!! 🎉
Curious how you are today?
that not true, I think you had a good for nothing theriapist. that did not do his or her job. I have seen some of them, they are lazy. they don't care about stroke patients, they just in it for the money.
Thank you for explaining this , nobody’s ever done that. I thought there was something wrong with me ❤️
Hi, thank you for your videos, sharing your expertise and exercises. I had a stroke in 2017, i lost mobility on my right side. i can walk now, and yes, the hand/wrist/arm is tough tough. Thank you for your positive words. i will not give up. One day i will remove all this spasticity and play piano again. Please share more exercises for hand, wrists, etc. I really cant afford going to see therapy every week 😭.
Wow, I only subscribed about 2 weeks ago and I'm really glad and grateful I did. I really want to validate your brilliant and creative approach and how you present the information. I have viewed other podcasts and I find your teaching and training methods and ability, to be the most effective and enlightening for me. I had a stroke on 17 July 2021. I can walk pretty well, although there is some weakness and loss of feeling in my left leg. My biggest challenge is my left hand. I went to rehab twice a week for about 3 months post stroke and did a lot of work at home. Rehab actually discharged me saying I was doing great, and you've done everything we've put you through well, although I still had some numbness in my left hand. Over the months though my left hand has gradually increased in numbness and decreased in function. Admittedly I did less rehab exercises with the hand but I didn't think it would go in reverse to this extent. What are your thoughts and recommendations? Please keep up your fantastic work! With great admiration, Frank
thanks for your video. I'm almost 3 years post stroke and sometimes get a little frustrated with slow prgress. Keep them coming!
@markhalliar, I'm sure that must be frustrating, but I'm so glad you're still working on your recovery! Keep going! I'll be cheering you on from here 😊
Can you elaborate what your total deficiencies were during the time of your stroke?
Great explanation, thank you. My attending neuro said something similar after mine almost 8 yrs ago. He said imagine you're in Denver, and you work downtown, but your route is under construction, so you'll have to find a new way to get there. Made so much sense. Thank you guys, for putting things into ideas stroke patients can wrap our heads around. My hand strength came back fairly soon, thank goodness, but the sensation has never fully returned. That left hand still randomly turns back into a "flipper" I call it. Fairly useless on a bad day.
@shannonfeyhl, Ah! I like that analogy as well! I'm so glad you had a good neuro who was able to break it down. My goal is always to break down complex topics in a way that's easily understandable! 😊 - Elyse
Can you elaborate what your total deficiencies were during the time of your stroke?
Thanks very much. It's really helpful I wish I knew that earlier Yeah, you're absolutely right I don't see the result after i've done all those things but One day I feel I get a lot better
This woman is definitely smart. Makes me feel like "keep going on with exercise "
@ahmedelhanafi, Thank you for your kind words! I know that recovery can be a day-by-day process and I hope to be a helpful, motivational voice 🙂
Thank you so much for this video. I have been getting frustrated/worried about my hand recovery, I am 3 mos post stroke. 🙏🏻✝️🙏🏻❤ Praying for full recovery.
Of course! It's normal (not nice though) to feel anxious after a stroke and about your recovery. The good news is that the first 3-6 months after your stroke is when your brain has heightened neuroplasticity. Capitalize on this time! I hope you have access to therapists ❤️
Keep them coming please 👍
It’s all in my head I say lol
Thanks a lot keep up with this good videos
Thank you so much. I look forward to more videos on this.
My next couple of videos are going to cover some evidence-based strategies you can try at home to improve hand function! I hope you find them helpful :)
Thank you it is very well explained !
I needed this today, thank you Elyse
So welcome. I'm glad it was what you needed. And I hope you're well :)
Wow, I learned a whole lot from this episode ,now I know that in me wanting to do something and putting in the effort cells in my body around that affected area is also in the struggle to make the end means possible. I appreciate you Doctor.
@oumarneville, I'm happy you found it helpful! 😊
Hi dr. Newland, you answered my question. Thanks for sharing your informative videos.
Watching from Melbourne, Australia 🇦🇺
@ginaouranios, I'm so glad!! Happy to have you!! Greeting from Tennessee, U.S! :)
Thank you so much!
You have been very helpful to me
I find your videos pretty straight forward and useful.
I’m so glad! Thank you for your feedback!☺️
Thank you for explaining this, makes sense now ❤️
So welcome! And I’m glad❤️☺️
THANK YOU
شكرا دكتورة 🌹
Thank you for these good videos شكرا
Thanks for your exercise help for the last 11 mths, I live isolated so can only see a physio once a month. I am walking with a brace and stick ,but no hand control yet, so this was encouraging. Hope springs eternal!Thank you again.
Of course! I'm glad you are finding the videos helpful! ❤️
Hi. Im from Philippines, i always watch your videos. Im 3 months stroke in my right arm. I still feel numb and my fingers is hurt, but i can hold and rigth a little. Im still hoping that soon i will fully recovered. 😥
@cyradeleon, Hi there! Thank so much for watching. I hope you're finding the videos helpful. I'm sorry you're still experiencing numbness and pain in your fingers but congratulations on being able to hold and write things a little! That is awesome! ❤️
Again thank u
YES!
Waiting for next video
Thank you so much, God bless you.🙏🙂❤️
@denisejackson, Thank you for your kind words! I hope you're well! :)
I can do things when Elbow is supported
How do you get rid of the ice cold feeling on one side. its driving me nuts PT and OT help briefly but the face is enough to make me want to give up
I'M 3yrs stroke my walking is still improving and so my hands I am following the exercises that you uploaded. Thanks.
@ma.cristinaceles, So glad you are still making improvements 😊
She's truly made for this..
Can you elaborate what your total deficiencies were during the time of your stroke and what they are today?
Hi I was in car accident 3years ago my left side is my leg and left leg is not working I like your vedo so much please tell me more about your ideas thank so much
I had a stroke last year, 1st April - 4th April 2023.
My speech is coming back, when somone is speaking to me, i can't speak properly so they understand me.
I went speech therapy, occupational therapy last year.
Can you help me?
Where is the link?
I live in Tobago. Trinidad and Tobago.
Hello elyse ,my father is suffering with stroke from 1.6 years ..his leg got improved to 60 percent but hand very less improvement..so does it recover ?From doctor suggestion they are giving creatine injection to active dead cells ..does it work any idea ??thank you
Hi there, I'm so sorry to hear about your father. I'm glad that he has had some improvement. Because I'm not a medical doctor or neurologist, I'm not able to answer that questions. I haven't worked with anyone specifically getting that type of injection. I'm sorry I couldn't be more helpful!
I wish these new path ways would hurry up and form because one functional hand over the past year and a half makes life so frustrating
I tell my clients all the time that one of the hardest parts of recovery is having patience with your brain and body❤️
@@PostStrokeOrg 7
Can you elaborate what your total deficiencies were during the time of your stroke and what they are today?
@@NYDBLoCK as far as my hand I’m unable to release items when I grip things
im a stroke patients.its over a year now...but my fingers is tight to open and close..i do exercise like i saw video for treatment of stroke patients. .is this going to be able to return back to normal..
@fatumvillarez, While I can't say someone will get 100% of their function back, I can say that if you continue to consistently and repetitively practice movement, you can still make progress!
I have been patient for 6 years now after my stroke. Do i still have even a little bit of chance to regain hand functions?
Keep doing exercises
Thanks I thought I was getting nowhere. It has been frustrating
My wife’s Rt arm is effected, but only closes her fist when she yawns. How can we overcome that? She wears the brace you recommended every night and recently the fingers are in their normal position-but take off the brace, and if she yawns, the fist close
@chuckdoubleday, This is a great question and something that is very common in survivors that deal with arm and hand spasticity. Working to retrain the brain-to-muscle pathways with movement and exercise is my general recommendation!
It's seems common after stroke reflex, my mother is contracting her hand , pulling up while yawning. But through two years the contraction go down with the exercise anti espacity.
I developed a drop foot and numb toes on my right side. I lost my knee jerk reflex and lost ability to lift my left leg lying on my back. I can not use my left leg to push up from squatting position.
All this happened over few days. X-rays, MRIs and scans did not reveal anything out of normal.
Nerve conductivity study revealed I have nerve issue. No one knows what caused it...I would like to think if I had a stroke I would know about it... Doctors gave up on me. I am pushing myself through exercises which are painful. I also take vitamin B12 which I was deficient in, and ALA.
It is so frustrating going from active athlete to wheel chair without reason or explanation.
I am so sorry to hear about this. I'm glad they were able to find out that it was a nerve issue but can't imagine how difficult it would be to not understand WHY these changes started happening. Do you have access to therapy?
Question, do you do zoom calls? :(
❤️❤️❤️❤️❤️
❤️❤️❤️❤️❤️
Aapko head movement sabse pahle Kaise Pata Chala and movement kar raha hai
I got mild stroke 2momths ago..but my problem is how to recover my speech faster
I hope that your recovery is going well. Unfortunately, I'm not a speech therapist, so my area of expertise is not around techniques to recover speech. But here is a great article from Flint Rehab on recovery speech after stroke: www.flintrehab.com/cant-talk-after-stroke/ I hope you find it helpful!
now I know why recovery of my wrist to fingers and angkle to foot never reach to 50% after 5 years, while I can walk up and down the stairs and move my entire hand almost easily, thank you Doc.
I have questions, I always wondering, if my memory of the motions of my hand and fingers is still 'there' somewhere in my braincell, only I cant reach it because of blockage in my blood vein, or it just completely gone because my brain cell damaged
@nisatristan, The function of neuroplasticity is that other brain cells are trying to take over and find a different route to make that movement possible. Neuroplastic changes take a long time and nerve cells may not completely come back online. Every recovery journey is different ❤️
@@PostStrokeOrg thanks Doc
Can you elaborate what your total deficiencies were during the time of your stroke and what they are today?
👍👍👍👍
My finkes ar workin and i cane turn my hand over just my arm
Aapko Kabhi brain stroke hua tha to vah kitna Dinon Mein theek
Does it take a long time to recover after a hemmorphic stroke ?
That's a great question but one that's hard to answer. Regardless of a stroke being ischemic or hemorrhagic, the timeline for recovery varies from person to person and the severity of the stroke. I'm sorry I couldn't be more helpful ❤️
@@PostStrokeOrg its okay thank u for the reply im just hoping for the best right now
It took over three and a half years for my full visual field to come back. Before it did it took all I had not to throat punch anybody that said, "neuroplasticity".
I had a stroke 6mos ago n im bout to travel tonight
I hope your travel went well!
@@PostStrokeOrg it was great
That's kind of like Jesus explained things for a more easy understanding, Thank you
Wow, that's a very kind compliment. Thank you! I do my best to break things down in an easy to understand way :)
A ten dollar word, huh? 🤣
@kodiakwild, hahaha it really is such a mouthful! 😁
@@PostStrokeOrg Well, I don't know your scale of word value yet, queen, but indeed it's a mouthful 😋
Fortunately, damaged brain cells are not beyond repair. They can regenerate, and this process of creating new cells is called neurogenesis.
Thank you for this comment! I added some links to articles on neurogenesis to the description of this video, if anyone is interested! Damaged brain cells can absolutely be repaired! And while the research is mixed, it appears that there may be some areas of the brain capable of producing neurogenesis. But we typically see impairments after a stroke because certain brain cells have died.
How do they get repaired when they are gone? There is nothing left to repair.
Aapko kya Kabhi brain stroke hua tha
Silhouette81 CZcamsr stroke survivor that's reputation
Please yah sab video Hindi mein bataen
@annusharma, Thank you for your comment. Unfortunately, I do not have anyone who is able to translate to Hindi at this time.