Best Stroke Walking Exercises
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- čas přidán 7. 07. 2024
- Stroke rehabilitation exercises in the early stages are much different than stroke rehabilitation exercises in the later stages. Learn where you are at in the recovery process and the best exercises for you.
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Supplementary Videos:
Improve your walking fitness part 1: • Walk Farther and Faste...
Improve your walking fitness part 2: • Walk Farther and Faste...
Understanding the balance system: • Advanced Balance Retra...
How much walking is to much?: • Walking after a stroke...
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Mat table: amzn.to/2VcgPuR
Walking poles: amzn.to/3tbdVZe
Wobble board: amzn.to/3G9G6vi
Balance foam: amzn.to/3f3p7PB
stacking cones: amzn.to/3tqsHf5
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At about 2 1/2 months post ischemic stroke, I have decided to leave my trekking pole and go walk unaided. I reasoned that I would maximize my senses and balance if I let go of my Trekking Pole. It made my senses more engaged and drilled in my repairing mind that falling is not an option that's why I intensified my exercises in strengthening my feet, legs and hips as ably assisted by my Physical Therapist. Keeping sure that my sight are doing their share of maintaining my precious balance. My deepest appreciation to you Dr. Tara Tobias for being there, seeing and hearing you dish out valuable information and tips on reclaiming the lives of Stroke Survivor like me.
I had my stroke in September of '21 . . . I've already rode a bike, skied . . . currently doing "mattress therapy" for balance . . . but I still get my affected hand caught in things like . . . the milk jug handle . . .goals.
I also had my stroke 9/6/21. Left me with left side weakness. I am just able to walk with a severe limp, ride a stationary bike, and a little .05 on the treadmill. You have skied? Wow God bless you.
@@aunteeteen7363 сайн байна шүү дээ би 19 онии 11 сард харвасан одоо орноосоо босож ч чаддаггүй
Good I'm 19 November my stroke. I can't get up my bed
Sry English hehe
That is awesome. I had a stroke and brain surgery plus covid.
I had an ischemic stroke November 20th 2021. I was extremely fortunate I got to the hospital within 30 minutes and had clot buster. Glad to hear that you folks are improving there is hope🎉😅 visualize and stay moving
Thank you Dr Tara you are such an inspiration
Always words of wisdom, they mean so much more than the therapy, thanks again Dr
by following your channel iwas able to avoid more injury. thank you veryvery much!
very useful instructions, thank you Dr🙏
Im improving the even walking ,,your description is wonderful
Thank you.
You're the best!
Dr. Tobias, After hypothermia, I had extended cardiac arrest, I suffered extreme hypoxia, 28 years ago. I was young and healthy, so recovered a lot. I used a wheelchair at one time, but have run 5 K races since then. Still as I move up my body, my left sided weakness is more pronounced. Weakness isn't probably the incorrect word. It is more dexterity and speed related. After my injury my left hand tingled uncontrollably, and was in a tight contracture. My muscles were, and are still strong, and I would break all of my stringed splints. I showed my therapist how blocking my knuckles created a pivot point, and a blocking splint was devised. This in collaboration wt some acupressure, probably saved my hand. Still my thumb works on a different system, so no blocking splint could be made. My radial nerve gong into my shoulder, still has problems today. I have attempted to play guitar again. My fingers can create cords, but unfortunately leaving my thumb against the back of the guitar is very difficult. I have figured out through trial and error, a way to help the thumb, and lesson my radial nerve pain. If I place my unaffected hand on the affected hand, and push the thumb joint closest to the hand inwards. Then at the same time, I will pull the thumb out. I began to get arthritis in this thumb about 5 years ago, and would like to prevent it as long as possible. I go to the gym, and do a series of low weight, high rep exercises, and it is also helping me stay flexible and strong. A Tai Chi instructor recommended this, and it has helped me. Do you have any other suggestions? Therapy is not an option. My governmental insurance will never pay for it.
Therese excercises are really good and helps a lot in walking thank you are doing a wonderful videos for stroke rehab thanks again
thank you for the 10+ year advice, its almost impossible to justify amd get insurance to pay for more PT therefore i have no direction, i live alone& have limited help with home program. this videos are a God send!
thank you,
missy
THANK YOU FOR YOUR ADVICE. NOW I AM AVOIDING COMPENSATINGAND WALKING A LITTLE BETTER.
Thank you tara for thr videos. I am a stroke patient with left side paralyzed. Ur videos helped me a lot in my recovery. Big fan of urs. Thank you. Be blessed always.
My AFO is to prevent foot from rolling 7 years post stroke. I too love your videos & have gained lots of progression as a result
Thx again 😊
I love the hiking stick, it is my go to stick when necessary……thanks for the videos, lots of talking……..❤️
Thank you Mam, your excercise has really helped me a lot to recover my leg movements
So Motivational
Thank you for the good advice I will try them and let you know
It is hard because I don't have balance, but I have nothing else to do know
before in his videos he marked a leg simulating the affected leg, it helps when you don't know English 😞, but your videos have helped me a lot Thank you 👍🏼👊🏼👏🏼👏🏼👏🏼
Very informative as usual. Honestly I really enjoy your page it has really help me along my journey.
Hi Tamara! Glad to see you this week! Glad you found this one helpful 😊And I am so glad to know that you are making progress!!! Keep going!
@@rehabhqofficial
Wow. Just love your stuff., I'm 2.25 years from stroke. Covid restrictions prevented some gym and cardio. I've worked hard at home in the meantime and very active. Changed a bike to an elliptical.
Hamstrings to the glute insertion is still a somewhat weak point as is psoas and hip. Come along way though. The hand is mostly inactive except for exercises.
I do find that if you exercise everyday , sometimes you can become therapy burnt out. I'm very driven for betterment, so I'm trying to develop a workout program that can be concise and thorough as easier to attain on a daily basis.
Regards
Anthony
I am approaching 3 years of my Stroke. I had to deal with COVID shutdowns which interfered with my rehab. In my 4th month, my Healthcare Facility and Rehab center shut down the Rehab. Two months later, I was able to get Rehab until I got to a place of Rehab that Medicare stopped paying and got cut off again. The Health Facility where I am permanently living at stopped the Restorative program because of COVID. Now, the center has gotten to a place of relaxing COVID restrictions and allowing Rehab again, I am forced to start over and having a tough time getting back into it. Unlike most Stroke victims I have encounter, I don't see myself without a wheelchair.
Thank you. 2 months post injuryThe shortness of breath was hard for me and just walking from one room to the next was tiring.let alone walking 10 min on treadmilll
Thank you Dr. Tobias, you are the Best thing next to inpatient intensive rehab. I am 6 months out from stroke and finding you and your rehab available at my fingertips is a blessing to my life. I like the way you explain, how, why and aprx. when, all things about stroke and brain injury and it's recovery. You've talked about braces and AFO use, learning to walk again and the drills necessary to help that happen. These are my favorite topics, along with neuroplasticity. I've learned so much more from you and I just want to say THANK YOU DR. TARA. I sing your praises. God bless you.
Update: Now 12 months out and I've gone from wheelchair to walker, to cane, and now I'm working on balance, strength, and drop foot. I'm walking again☺ maybe not so pretty but I'm up on my feet, even standing in the shower now. Being extra careful, feeling proud. Thanks Dr. Tara just listening to you is inspiring. I'm so happy you choose this forum to reach us. God bless you.
Thank you so much for watching and sharing your story! Thanks for sharing the type of content you are interested in. These are some of my favorite topics so I am sure you will see more about these specific things :)
Absolutely agree ( would be hopeless without this you Tube channel explanations and exercise suggestions
Thankyou Dr. Tobias!! For everything you have taught and I’m gonna keep watching and exercising!!
Hi Michelle. Great to see you this week! I am sure you know most of what I shared in this video. But hopefully it was a good “refresher”😊
I've watched a "ton" of your videos and they are helpful. What I don't see (though I'm sure it's there!) is something longer that talks about the lockdowns via Covid. Though I've had some minor walking issues, I was active before and even went to the gym several times a week, but recently with these two years plus of lockdowns or slow downs, I stopped doing much outside and even much inside. Bad for me and I'm sure for a lot of people! Now I'm suffering the consequences. My city is particularly adverse to "normal" activity outside. Part of it (maybe a large part!) is mental, of course, but now I find I have to do more inside, like walking exercises, strengthening exercises, etc, whereas before being outside took care of most things. Anyway, your videos are helpful. Thanks, Doctor.
Charles, thank you so much for watching and for sharing this. This is definitely a good topic for a future video. I have seen in real time exactly what you are describing. You haven’t done anything wrong, and you haven’t failed. For several people it was just a gradual thing that happened. And when you finally recognize it, it seems like you’ve slid all the way down the mountain. But you haven’t. Just get back on track. You got this!
Hi Dr Tobias I am new here I have the stroke 18 month ago I am going dancing this new year evening thank you for your advice to switch to a waking stick and drop the cane ❤
Thank you Dr Tobias for your videos. You give me confidence as i watch each video. I am 6 months from a stroke. What are your thoughts on riding a bicycle? Not an indoor bike. Icould ride it at the local park.
Nice to see you....
I am seriously following your instructions. I have left leg paralyzed, MY left Knee is very unstable, more than 3 yrs I have a stroke which video should I follow//?
FIRST 18 MONTHS OF STROKE THE BRAIN IS REWIRING, THAT IS GOOD NEWSON MY PART IAM AT 5 MONTHS OF REHAB FOLLOWING YOUR ADVICE AND lessons i am avoiding the negativemindset.
Good day mam , the excersise you demonstrated looks very promising and helpful
Also , wanted to brief, i am not able to lie on my back . Flex my knees as well . Invariably i use my hip muscles form a c to cross over. Neither can I ascend or decend stairs
Hi dr.Tobias .thank you very much for all the videos ..please let you tackle the best way to do finers movement that almost stock its like lock in the middle of the palm
Recumbent elliptical at the YMCA is my best friend about 3 times a week.
I have had a nerve conduction test and brain and spine scans. Everything is normal. I still have flop foot. I found this video helpful even though I haven't had a stroke etc.
Баярлалаа эмчээ
Thanks so much Dr Tara for yr informative videos… really look forward to them.I have abnormal synergy pattern while walking … my upper body moves in an abnormal way becoming a hindrance and it become very difficult to walk..Please help
Thanks for sharing Guru! Hang in there. One day at a time :)
Thank you Dr Tara Tobias, your videos are so helpful for post stroke recovery, I follow you from past 11 months regularly
Hi Arjun! Thanks for following along. I hope the videos have been helpful!
Your videos are awesome
Try putting hashtags in your descriptions in order to improve SEO. That might help with reaching a wider audience
As a new grad this is much needed especially in the IPR setting
Thank you!!!
Thanks Francisco! IPR (or IRF), was my first love. Spent the first 10 years of my career in that setting. Loved every day of it. Soak it all in. :) Oh, and thanks for the SEO tip. YT does hashtags a little differently. They are there ;)
My wife 3 years out from her stroke has major lack of motivation or much interest in recovering her walking ability, other than what I force her through one in a while. I'm reading this is common amongst stroke survivors but not finding any solutions. I would be exercising 12 hrs a day if I knew it would improve my condition.
I drove her to outpatient PT for most of the past 3 years but my constant pushing and arguing for home exercises is destroying our marriage. It's extremely frustrating watching someone your caring for sit all day while slowly loosing any ability they had, while giving up your own life to help them.
I purchased various movement aids she wanted like fit bit, but unfortunately can't purchase motivation, so they all sit.
Thanks for sharing Tim! This is an extremely common problem. Sometimes it’s related to the area of the brain that was affected by the stroke. As a therapist, I have learned that motivation needs to come from within the person. I am sure it is difficult to watch someone you love who hasn’t yet found that. But don’t give up! If you have not subscribe to my newsletter, go to the description of this video and sign up. I try and address some of these issues in my weekly emails. 😊
Some movement can be painful? Some pain releivers harm kidneys..and livers..
@@rehabhqofficial l
Aww this is sad. I'm going through this with my mom. You just have to be stubborn. And sometimes...you just have to give them the hard facts. At some point we had to tell my mom that if she's not going to take care of herself and get better with our help at home...she's going to go back to a nursing home. Because it is a waste of her time and ours. No matter how much we love her. We have families. We have our own lives. And it's destroying us seeing her waste away day in and day out w/out caring.
Thanks for continuing to offer helpful advice through these videos. We try to follow them with our 83 y/o parent who survived a stroke in '20 (right side affected). How can he keep active if not yet able to walk (sit-stand only; uses wheelchair)?
Thanks for watching and for the comment. If you go to the description of this video, last weeks video might be helpful in answering some of your questions.
i was able to avoid developing bad habits.and better understand what is hppening to me.
My advice is to work on the correctness of the movement as soon as possible, and the condition as late as possible so that the regularity is not lost. Later, the compensation distorts the movements, and it is very difficult to notice and correct them. Thanks for the reminder and corrective exercises. Details are very important. Have a nice week
Hai Dr.Tara.I had post stroke for 2 years I am following your videos regularly.Your videos were very helpful.I have spasticity in ankle which causes my foot turn inward difficult in walking.Is night brace will be helpful?
Love love every video and ur absolutely beautiful ❤️! Love from Atlanta ga.
This is great as always. Please can you do a video on losing the limp and/ if it's possible?. I'm sure every stroke survivor asks that question.
Hi R W! Great idea for a future video! Do you mind sharing more details about your specific "limp"?
@@rehabhqofficialHi Dr Tobias. I'm 6 years post stroke due to a PFO aged 38. Left side hemiplegic. I've worked since day one with a private neuro physio twice a week. We follow the brunnstrom scale and she believes I've nearly lost all the tone..she explains the limp is due to weakness which we continue to work on. She believes there's no reason why I can't lose the limp because we are still improving every week. I guess there's always doubt with recovery.
THANK YOU FOR THE TIPS AND I GOT ONE FOR YOU CAN'T LIFT THE RIGHT LEG BUT CAN WALK WITH ARE WALKER HE'S ALSO IN THE 70's THANKS
Great info and videos! Do you have more info or thoughts on overcoming clonus as an impediment to walking? I can’t anything useful on it!
I’ve recently had an instant slipped disc between l4 and l5 in my back while bending over, I was rushed in for spinal decompression surgery to remove the leaked disk off of my nerve, but my l5 nerve is “knocked out”. so on my right leg I have foot drop, weak hip muscles causing my hips to not support my weight, no upward flex of my big toe and the front of my shin is totally numb.
I’m finding your video’s useful as although I’ve not had a stroke, I do have weak legs and a lot of these symptoms you describe in your video’s.
My good leg is now my bad leg as I have had full hip replacement in my left leg due to falling on hard ground while playing football (soccer). this slipped disk incident has now ruined my right leg :( …not good when I’m only 44 :(
Thanks
(I’m from the uk)
Thank you Dr.Tara l m transverse mylittes patient before 8months.my lower body was completely paralysed now I can walk but there r balancing issues .one day I feel better but the next day I can't do that activity like that why it happens mam.
All your videos are very useful. And I would love to apply these to my husband. Its now 6 months since his stroke and he refuse to have any form of exercise. Physiotherapists came and go and stop coming because my husband is not willing to make any progress. Our house has 17 steps and any appointment to doctor are very difficult or impossible for me to take him. What should he do.
Hi Dr. Tobias! I have been sick and now feeling better. Thank you for the last two videos. I have watched them both over the weekend. They are being implemented into my existing program. Thank you for taking the time to prepare and post. Have a great week.
Hi Teresa! Great to see you back! And glad you are feeling better. 😊 Glad you found something in here you can add to your program.
Is there a link to the “gold program”? Thank you
I had a stroke August 2k22 trying to get back to doing things that I use to
Requesting a link for the wedge please. Thank you.
Thank you for the informational video. 3 years back I had a stroke I am 79 year old female. As you suggested on this vedio I already have some compensatory set back. But I do elipitical machine, treadmil, outdoor walking. After watching this video I started standing on one leg with involved leg. But I do have to hold the wall with one hand. Will it be alright to do that. My left quardsep muscule is week. I do have to lift the left leg by both hands to getinside my car. Will it be alright to do that also while standing my left knee and leg stiffens. It is alright to stand like that?
Doc am a hemmoragic survivor.Can you reccomend best exercise for my weak movement of my left arm and leg
That's the last thing for me is the spasticity in right leg.. i can't figure out the right movement of that leg. I try to compare legs when walking..but this is killing my right hip and lower back I try to stretch but the more I do the more I walk the more it hurts
Amanda, thanks for watching him for sharing your story. You’re not alone! What is a fine balance between keeping your fitness level up or improving your fitness level and minimizing the impact of some of the abnormal movement patterns (ie:spasticity)
❤❤❤Thank you so much for these videos. It’s really helping me with the types of workout I’m doing with my brother. Much appreciate you.
Pl send me a link for the first video relating to balance. I guess that will give me confidence to walk
My walking is doing great and I’m looking forward to wearing heels what mussels should work on?
can you make a video regarding the lengthening of the leg after stroke.. thanks!
Yes! This is an excellent topic for a future video. Stay tuned!
Thank You for your many helpful videos! I had a stroke in 2001 at 25 years old. Physical Therapy ended in 2002, as I had plateaued. I am stubborn and hired a personal trainer in 2005. He was excellent and hepled me recover further. He accepted another job in 2012 and is no longer a trainer. I have continued the exercises he gave me. I have increased my walking speed on the treadmill to 3.3mph, but I occasionally fall off. I have compromised with my husband to do walking UTube videos. I want to run again someday. How can I learn to increase my speed? Landing on the bad leg in the running mode is the instability. Sometimes I feel like I have an elephant on my bad leg. I will continue to watch the videos so please keep posting! Thank You!
Hi Heather! Thanks for watching and for sharing your story. Running videos coming soon! Stay tuned!
Pl can guide me on how to use a walking stick
Good message after 2018 massive stroke DVT I'd have to say that it does take several years maybe two to three before you even are capable me feeling like doing anything and I would recommend highly squats simple squats
I have had many setbacks with my therapy and recovery due to covid19 regulations and sciatica etc. my cardiac arrest and stroke was May 2019. Will I still be able to walk without a walker? At this point I still need a spotter
This is really useful, but some pictures of things that might not be familiar would be really useful. eg what is a vertical bike? Are there horizontal bikes to avoid?
What is an elliptical? Is that one of those rubber bands. What is an AFO?
what is dorsey flex ?
Please show, demo, not tell.
I'm tw0 years post stroke this month and I'm still feeling my affected leg get worse some days. I try to take long walks every single day (90mins) for a total of 7.5 km. I feel it's not improving my gait. So I supplement my movement with a step over a bucket, where I repeatedly step over a bucket back and forth with my effected leg. Will it help improve control on my back leg muscles? Thanks so much, BTW, for these videos. They are really very helpful.
Mam, please suggest some exercise for 10yr old child infantile hemiplic.
what is coremax you mention at 18:14 on the video. It is an equipment where & how to get it.
Hi! I am 16 months out and had my stroke at 38yrs old. I have definitely developed some bad habits of raising my hip and circumduction when walking :( If I have spasticity in my leg but my ankle does not roll when I squat, do I need the wedge?
I tend to hitch involved leg when walking. Any suggestions on how to retrain to correct this. 7 years post with left side hemiplegia.attending pt at mom
Lordosis and knee hyperextension is reason of planter flexion tightness???because of my glutes mmt is 3+ and core also strong. So mam I am confused about this problem...thank you
Hi what do you call that equipment
I have only pbm to my fingers extension and fully difficult to extend my thumb finger..so plzzz mam put more videos for finger extension starting stage....👀👀from india....
Thanks for watching and for the suggestion. I will add this to the list.😊
Dear Dr.Tara
I LOVE YOUR ADVISES AND EXERCISES.
My problem is when I do squads my involved knee is kolapsing inwards.
Can it be fixed , is it a problem with my hip?
Sofia
Good information mem
Thanks for watching!
Hi Dr Tobias
I am 6 months post stroke, left side affected. Recently lost my balance and fra tured my right fibula shaft. Talk about a blow to all the progress I have made so far😢
Any suggestions on how to move forward with my good leg (right) now in a boot and my left leg (affected side) not being strong enough to lean on completely for balance? I get up and move as much as I can, walking small steps and standing up while leaning on a counter. Im trying to teach myself left right first rather than right dominant foot which cant have a lot of weight on it while recovering.
Please guide me - I'm suffering in stroke from last 4 years . I can't walk proper and have issue of leg lengthening, also my left hand not working it's too tight and not working - is it possible I can recover my self .. please reply . Thanks
Hallo dr. Tara, i am Hermien Dijkstra from Holland. I Had a cerrebellair stroke ipsi lateral . In may this year. I have balance problems. And
Ataxie on the left side. I hope i can at the time better walk, on my bike and drive in my car. What is helpfull?
2to 5 age post stroke
How do you deal with spasticity
Good morning Dr. I am caregiver of my husband need your help to improve his daily life functionality. How could i start with your videos .
Is it okey if Ido indoor cycling
what's an AFO?
I am 2 years post stroke and can only walk with a wheelie walker. I cannot put weight onto my affected leg. I do lots of exercises to put weight on that leg without success. I would love to get off my wheelie walker because i get very fatigued and i know i am leaning heavily on my wheelie walker. Any ideas?
If i were to send a video of my walking is it possible to get your opinion on how im doing? Tips to improve etc?
Thank you for watching! Due to privacy issues, do not send any videos. However, you can join our monthly live where you can submit questions and I will answer them during our live session. Link to sign up is in the description below.
I had my stroke in early 2020 , but up to now , my fingers are not flexing . They can only close but cant easily open . What should i do to have fingers closed and opened easily ?
What type of footwear is to be used if AFO is used sneakers or sandals?
❤❤
Hi Doc. I'm a new subscriber, hope you can help me. It's been 6 years since my post stroke. Until now I can't walk properly. Please help me.
I I get tired quickly after walking for like 2 -3 minutes. How do I improve on tiredness
I have stroke and want to Walk speed my balance sometimes is difficult
What if I have PPMS with no exacerbation I am on EDSS 6.5-7 nothing works for me. All my story started 5 years back?
Thanks for watching and for sharing your story! Look up Aaron Boster, MS neurologist on YT. He is very inspiring and gives tons of practical recommendations for MS
Hello, would this plan be beneficial for Parkinson’s?
Somewhat. There is data that suggested 45 min of daily moderate intensity cardiovascular exercise slows the loss of the dopamine producing neurons in the substantia nigra. With that said, when it comes to parkinsons disease, generally speaking, unless there is pain associated with movement, get in that cardio. :) Also there are excellent programs such as pedalling for parkinsons and rock steady that are a great way to add variety. They have classes in almost every major city.
@@rehabhqofficial chin tucks
Uae9f walker is it advice able
I no konger have a therPizt anymore
Btw. I am a nurse at the emergency room.
Helpful video as usual Dr. Tobias. I have two questions for you. BTW, I am in my 10th year post-stroke.
1. I'm a cane user. I walk 1 mile daily. The challenge I face is pain in my pelvic base muscles which limits my distance. I think the pain is from glute spasticity. What exercises do you recommend for tight glutes?
2. I ride a stationary 3 miles daily. My involved knee caves in when I try to push it forward. Is there an exercise to correct that? (I assume it is likewise a spasticity issue in the glutes.)
Please limit the amount of talk. Really helpful but talk is way to long. Thanks