Thank you for caring and all you do for us. Speaking for myself, you are my go to person. I can’t afford physical therapy. Yes the truth is I get frustrated at times but I’m not giving up. You are a godsend. Have a great day. 🤗
You are not alone. I get lots of messages from people saying the same thing (they can not get physical therapy). That is why I do this. I am glad it is helping and I hope the second video cleared up any confusion from the first video. Hang in there and as you hear me say in many videos, focus on that 1% improvement. You CAN do this. :)
I really love your videos. I am a hemiplegic, left side since 2011, I am working on myself everyday. I had an aneurysm first due to being bulimic, purging, then after the vein burst then the stroke happened. I would like more ankle strengthening exercises. Thank you for doing these videos. You are an angel. Phyllis V.
Thank you Tara! I had a stroke in August 2015, a bleed into my right frontal lobe left me paralyzed on my left side. With great rehab I was placed on a road to recovery. However my gait, balance and walking stamina have been slow to improve. Your vid’s have helped me tremendously. Thank you, thank you!
I found your channel recently and I am obsessed! My father had a stroke a year ago and we have made progress, but things are still pretty hard. He does have some PT but 45 minutes a week each of PT and OT doesn't do much. I have been trying to use my self-taught knowledge of physiology and exercise (20+ years of being a nerd and working out) to help retrain him on my own. It is slow and frustrating. I have him walking without a cane again, poorly and he still doesn't have stability in his effected leg and his balance is 90% I would say (he balances well but his brain doesn't quite realize it and have confidence). In the 10 days I have been watching your videos I have realized that I was on the right path with some things, some things I totally missed some important distinctions (like disassociation) and have learned a ton of exercises that break movement patterns down even more than I had thought. I have had him putting his effected leg up on a chair to help with disassociation and after just 4-5 minutes a day for 2 days, when I get him to walk, I am already convinced it is improving his stride. Sorry for the long story - but Thank you! I know enough to recognize who does and who doesn't know their stuff. You are THE expert IMO. I wish his PT and OT therapists were this good.
Your dad is very lucky. I can tell he is in good hands with you. :) The fact that you picked up on the dissociation component, applied it, and see the results gives me confidence that you will continue to find creative ways to challenge your father. Use these videos to add to what you already know and understand.
@@rehabhqofficial I only picked up on it because of your videos. Also, understanding spasticity more has been a huge help. As you can tell, I could go on and on about my story. I am a little scared to say that I don't think his therapists know half of the things you do. It is obvious you are not only extremely knowledgeable, but also unusually caring and kind. I hope you know how much you help people in need, going through difficult times with little support.
Thank you so much! My son, aged 5 suffers from very mild hemiplegic Cerebral Palsy further due to a perinatal stroke due to a birth injury with some hypoxia. He has been in OT and PT since 8 months several times a week (over 500 sessions so far with an intensive CIMT course), and it has paid off. Though you do not get involved in pediatric PT, due to the similar nature of his condition (stroke) I feel many of the things I have learned from you also apply to him. I am addicted to watching your very informative and helpful videos which have taught me so much which I incorporate into his home exercise routine.
I had a light bulb moment this morning, whilst watching this video. After a disabling stroke five years ago, I lost all function in my left side. I can now walk with the aid of an electrical stimulator, but still have no function in my left arm and hand. I used to be left handed. However, I have learned to write and do embroidery with my right hand, which is very satisfying. However, my physiotherapist has always told me to slow down when doing my exercises and now I know why. I cannot get my hand flat yet, despite using my splint, but I will not give up hope. I stretch out my arm every day and use a variety of different exercises for different parts of my body. The fact that I am still improving gives me hope for the future! Thank you for your inspiring videos. I believe I will get some movement in this appendage that used to be a functioning arm!
Controlling my breathing helps relax the "monster" aka tight muscles. FOR MY ARM using my cane to "bench press" has helped my reach. Now I can use a 10 pound barbell to bench press. She is right it's more about practice then strength but always control your breathing!!! AND SMILE (:
I love your videos and use your exercises for my rehab. I had a spinal cord injury 2 years ago and was nearly paralyzed I have hyperspaticity drag my right foot and hyperextend my knees when walking . Dry needling has helped with stretching and strengthening.. your rehab videos have helped me with balance and coordination
Thank you so much. Recently suffered a Brain Stem Stroke on January 24, 2021. Right sided numbness but gained mobility on the 4th day. Now, I’m experiencing spasticity. I keep my hand open and stretch my arms. Thank you so much for such great info ❤️
You have the best stroke recovery channel on youtube tara!,im a 10 year severe subarachnoid hemorhage survivor and ive gained some back from my left limbs but my main issue is my left fingers and toes"fine motor skills"my vision has field cuts on the left side and when i look in the mirror my eyes look walleyed "out if alighnment"or crooked,i love love love your videos as you put in in a great perspective for us survivors or caregivers to understand,please keep making videos,you are doing gods work tara!you are gifted and im learning a lot from your videos!only if therapists knew your knowledge,you should hold seminars for the up and coming therapists,i wish i could go back to the begining stages of my recovery to watch all of your videos,i cant thank you enough for your work!❤❤
Miss Tara Tobias I've suffered from my tbi since 2016 and my hand spasticity has gotten better barely I suffer from trigger finger. But, either way this is the best stuff I've heard and seen yet!!! Thank you!!!
I had brain surgery due to tumors removed my right arm and hand was paralyzed before only my issue is my hand get fisted involuntary. I stopped the therapy session due to financial issues, I don’t have money to pay and I lost my job after the operation (July 2020) I would like to say thank you for this wonderful video, I learned a lot, this video is very informative.
Thank you so much for discussing spacticity. When you go to therapy there is no time to talk about it. The videos have explained what I do right and wrong. I take botox shots and I am way overdue. You sure made me understand the way I walk and how to overcome it. I thought I could start walking and sooner or later my walk would improve. I think you are the best and you have a spot reserved in heaven.
Hi Tara. Thank you for sharing your story. With ALS it is really important to protect your joints and prevent muscles from becoming fatigued. That being said, bracing is an extremely valuable tool. I hope that helps.
Thank you Dr Tara. This is such a helpful video. I’ve recently come across your channel and subscribed. I have spasticity in my EHL (muscle that controls big toe) as a result of an axonal shear brain injury I had when I was 14. I broke my leg in the accident and was in a coma for 2 weeks. I spent 3 months in hospital. Bad shape. That was 35 years ago and I’ve coped with spasticity since - competing at sport in some cases to a very high level, but accommodating my spasticity. I don’t know whether just getting older or during lockdown i now seem to have developed severe pain in the tendons around the ankle and walking/running can be painful. I’ve been diagnosed with both drop foot and spasticity (I think it’s the latter based on your advice) and I’ve found such inspiration from your videos and advice. Thank you. I’m not ready to throw the towel in just yet and I’m keen to learn as much as I can to make things better. No one has explained things that I experience as well as you. I have so many questions still. Richard.
I have primary progressive multiple sclerosis. Had bad fall and landed hard on both my knees. Almost a year ago. I cannot walk with rollator and can't stand up. Can't straighten either leg. Currently have in home PT coming out but still can't straighten legs
Thank you for all of your videos in. I just found you on RUclips last week. My stroke was twelve years ago and your videos are helping me see more improvement . Thank you!
than you so much I watched your knee kick back video yesterday I was able to bend my knee while walking after doing those exercises than you so much although today my heal is quite sore from my plantar fascilitis keep up the great work
Thank you! Have you noticed a relapse or worsening of spasticity after contracting covid? That is what my mom is going through. She was doing amazing but after catching covid her spasticity went into overdrive
I never did have spasticity until I was over 60 yrs old but i was having trouble my sciatic nerve so the spasticity started up idid have 2 strokes the day after my. Birth. I was diagnosed with mild spastic cerebral palsy at 6 weeks old.
Thank you so much for your great videos I have greatly improved but it seems my major problem is my left fist it is always clenched with my nails diggin my palms and if I try to straighten it, it folds back to the same position meanwhile I have heard from my neurosurgeon and therapists that the hand is always the last to get fixed but I’m trying so hard to beat that assumption and I believe I will get there soon
This was s helpful, what is recommended to help relax the muscles just above the elbow joint in the front of the arm. Seems like the more I walk the tighter the arm draws up
Hallo ma'am.i want to know that splint can make spasticity worse or they can help to treat .i m little confused plz guide me. I am also physiotherapist.plz ma'am
I suffered SIDS at the hands of a negligent nurse after birth and was diagnosed with cerebral hypoxia. My issue is not really as noticeable until I get nervous. Then I tense up and my mild spasticity is there. In a year, I tripped 7 times over rugs in my house to the point I now have minor tendinitis in my wrists from landing on them. What do you suggest to do to help avoid tripping? Also, another real problem is that I cannot carry a full cup or full beverages on trays. I spontaneously tense my lower body without wanting to and spill the beverage by squeezing the cup or tensing uncontrollably, or even jerking my hand without wanting to. I was told I have considerable strength in my wrists, however, the jerking, tensing never seems to go away. My right side is effected and my right hand has difficulty forming a sphere of the hand - meaning my ring and pinky finger stick out and palm sticks up when I try to pick up a ball for example. But how can I stop spilling my drink when I either walk with a drink or even attempting to grab a drink when I'm sitting? Thank you!
TO THE POINT...I have a partial (PSCI) I always see videos on SCI, but not partial. It is 2022 now I had a neck fusion in 2002 when they found out what I had. I think it was a C4-5 injury, to the outside edge of my SC. I have spasticity & clonus., (my condition could have been a lot worse), but on the other hand I can do almost anything SLOWLY. I have some weakness from atrophy all over my body, mostly my left side and legs. I did not have a stroke or any other disease. I have been as active as I can be, walking, hiking, stretching, yard work, etc. I'm a woodworker-designer. I do less building and more designing now, "From the Chair work''. I found that in order to improve my physical condition, I should quit designing and become a yoga teacher, where I can spend the entire day stretching and breathing, LOL Do you have any information or sources regarding PSCI and what I would call mild spasticity and clonus? I like your videos and have been sending them to a friend who lives around Sarasota, FL. I'm in NJ. He is in much worse condition than I am. He had a lumbar fusion, (because of pain), He was active and could do anything before the fusion. Now he can't walk or control bowel movements. He has been in PT for a bout a year now, with some improvements,. I sent him your video on the functional stem unit. I thought maybe that unit could jump the damaged part of his nerve that got messed up during the fusion operation. Any information for me and my PSCI-spasticity-clonus and my friends condition would be greatly appreciated, birdiemiller@comcast.net Thanks for making your PT channel. BTW my daughter became a PT, she works at Kessler, in NJ, working with brain and SC issues.
Hi I been following you a short time but I am in my mid 40’s now I had a heat stroke wen was a late teenager I walk with left leg swings out can you do a video how i can fix it cuz im having back problems now plus my left hand still bends not full mobility so i can rehab alone please
dear TARAit has been 10 years since my strokeIIIIstill i van't g eton o my knees, what can I do? Ilove you for doing these video sthan ks so much, steve frye.
Hi Dr Tara Tobias. Had minor stroke one and half months ago which affected my right side arm and leg. Yr videos really help and give me motivation and hope. Thanks a lot & may God bless you.
My daughter is 3yrs old and have spacticity in her right hand ,last 2 yrsshe fighting ,c recover very well BT there is spacticity in her hand , please help what should waiting for ur response
what about botox for fingers an arm? It's been 3 months I can walk almost well I can move my arm and elbow limited but not bad but I don't have any out move on my wrist and fingers. do you recommend botox? I'm 33 years old
Be patient, don't use botox,be determined, you're young,get saeboflex, if your arm 💪 flex up, get saeboreach, you gonna be fine. By God's grace you gonna be back on your feet.
Stroke for me in early 50s. Did botox on arm and fingers, it helped big time. Once i could release the spasticity, i concentrated on strengthening it. Over time , i was able to decrease botox treatment. I havent done any for almost 2 years. Botox in conjunction with exercise worked for me. Botox isnt for everyone, it is expensive and doesn't always work , plus it can have serious life threatening consequences.
Botox has helped me tremendously.I survived a massive cerebral hemorrhage /stroke 20 years ago.I had recovered 80% of functionality in my left hand until I developed an infection in the middle finger in 2019. After lots of treatment and minor surgery I had extreme spasticity and contracture in the left hand and even up to the shoulder. If began having botox injections every three months and after 3 treatments I was much better! It may not be for everyone but I am going to continue.
Do you have any suggestions for exercises/stretches for toes curling under on affected foot? Thanks and I just found your channel and am catching up on all the good info. My wife had a pontine stroke about 6 months ago and is slowly but surely making progress with arm/hand and leg/foot.
Hello Dr Tara, I am struggling to understand if I have spasticity because my doctor didn't use that word, but I have heard from people that I have it and my legs do not feel like your explanation. I had stroke and my remaining limbs to come back are my thighs in the sense that I can.t walk faster. am able to do thins like mow my yard etc. My question is, does the condition fit into the definition of spasticity? Am starting physical therapy tomorrow. Thank you.
My son is 30, and my old he started having neck pain and shoulder pain followed by completely spasticity and distonia. We need help. idk what to do! He had a Ckp levels high, and after they go better, he still spastic
I had a scheming stroke 08/2018on my right side. Left side is weekWhen having tightness in your hand the same as having spasticity? Also trying to work my left and hand the same like the right hand. Trying to get back to being normal again as well. & Yes it is very frustrating
Fabian Wilson that is an excellent question. There are so many factors that need to be considered. 1. The severity of the brain damage, 2. How long spasticity was present prior to treating it. 3. How long since the stroke/brain injury. Time is the killer. most people wait too long before they really start taking their rehab seriously. I think many people initially are in denial or think (in the back of their head) they are just going to wake up in a week and be better. That being said many don’t really start taking their rehab seriously until reality sets in. That can really have a major impact on how far they can recover. What makes for a good outcome? 1. Treat spasticity early 2. Take your rehab exercises seriously from day one 3. Stay consistent with your exercises 4. Believe in yourself and your medical team. I hope this helps
I guess my question to you is this how does my answer change what you are currently doing? Not a question you really need to answer to me but maybe question to ask yourself. :-)
My wife and I love your videos. You are so knowledgeable! Is there a wrist/hand splint you recommend aside from the air splint? My wife has should and elbow movement coming back, and saw one video where you strongly recommended a splint for the hand/fingers.
Hi! May I know what causes you spasticity? And did you treated it now? How long did it took you to get rid of your spasticity? If you just mind answering I'm just getting ideas cos' my dad have spasticity. Thanku
Running out of superlatives. If you have a quick answer, my dear friend that I recently met at the gym, suffered a stroke 4 yrs ago. His arm, wrist and fingers have the classic severe spacisity. Is this permanent or can it be improved with proper stretching over time?
Thank you so much for the explanations! But what about the patients that are bracing their foot with AFO and still points with their toes while walking with the orthosis?
Hi I’m really trying to to get all the videos from the start to finish that you have made. I’m really enjoying the way that you are explaining everything, it helps me understand as to why these things are happening to my brother. Could you please let me know how I can get all the videos.
Thank you for watching Janine! I am so glad the videos are helpful. If you go to the channel page you will see a tab at the top that says playlists. That might help you get to the best videos for your brother. I hope that helps
Dr T Tobias, please help on how to disassociate the movements of my upper limb to my lower limb. During my walking exercise my fingers clench and wrist and elbow bend inwardly. Even during brushing my teeth my left hand bends upward then slowly moving down after that. Thank you.
I think I have better understanding about working through my spasticity for my arm. But my ankle/foot is a different story. I suffer from " role ankle ". However, my toes doesn't point down. When I go to bend my leg my foot goes up enough to clear the floor but my ankle stills rolls. When I place my foot down, the bottom/ outside of my foot hit floor first before it goes flat. And When try to focus on placing my foot down heel first, my knee snaps back. What can I do to try to strengthen the ankle to get the foot to straighten up .
I just sunscribed to your channel and my queztipn is o had a stroke back in 2016 i have no movement on my leftside i had contracrure release on my left elbow and have wrist contractur also but i also have shoulder sunlaxation on my left affected side so what could i be doing to get thT shoulder back up ive just been told there is nothing i can do about it my bra strap wont stay up on my left side and my shirts fall off of my shoulder also when im woth family they are always pulling my shirt up over my shoulder What Can i do to try to get that shoulder back up and moving please help
I have spasticity on my left arm/fingers,my muscles are strong though but my fingers are somewhat stiff and I have difficulty in using a fork and leaving a cup of water on the table,it seems like my fingers are not leaving the cup ,a sensation of stiffness,do you advice me to do push ups or lift light weights,which I feel I could do or is it dangerous to do so?
Hello doctor , Your videos are just awesome covering lots of minute information.. In my case My fingers move involuntarily when I am kind a tensed (like when in new place / in a place with lots of people around) .My hand/fingers stay normal otherwise . I have made it an habit to hold onto something(usually my mobile) in my affected hand to stop the involuntary moment of my fingers. Not sure if that's going to make things worsen Request your kind advice on how to deal with it. #strokearm
Thanks for watching! Generally speaking, it is good to "block" any involuntary movements to prevent muscles from adaptively shortening (which will make it harder to use the hand). Splinting is really important for this. However, using your phone is not a bad idea :)
What is the best hand splint in your opinion? Would you recommend an elbow splint as well if the elbow is constantly flexed especially during walking? I have terrible flexor tone in my biceps
Span a little on the type of hand sprints and training exercises you like? Do you like minions feel like they have reached a And in terms of hand function
Hi do you have any videos or suggestions for stroke patients or dementia patients that struggle with paratonia where there is excessive extensor tone when trying to stand up?
My mom 91 had a major stroke and made it to rehab. But it took 4 months to get there. Now she has a leg/knee that (frogs) up to the side and she is also experiencing pain in her hip and upper leg joint during rehab exercises. Insurance will only cover rehab for so long, especially if she doesn't show signs of certain progression. Do you have anything insight to help her please? She is becoming more cognitive and showing signs of determination to get up and move more and more each week, but it seems like we are racing against time. Any help and insight would be greatly appreciated.
I got hemiperalysis 7 months ago on my left side of the body. My legs recovered within a week but arm started recovering after 3 months. Now I can move my arm to a limited motion but my wrist and fingers doesn't move. Can you help?
Keep working on getting good quality shoulder movement. The hand is the last part of the arm to recover. This video might help: ruclips.net/video/U2JlAJ0x8XQ/видео.html
Thank you for caring and all you do for us. Speaking for myself, you are my go to person. I can’t afford physical therapy. Yes the truth is I get frustrated at times but I’m not giving up. You are a godsend. Have a great day. 🤗
You are not alone. I get lots of messages from people saying the same thing (they can not get physical therapy). That is why I do this. I am glad it is helping and I hope the second video cleared up any confusion from the first video. Hang in there and as you hear me say in many videos, focus on that 1% improvement. You CAN do this. :)
I really love your videos. I am a hemiplegic, left side since 2011, I am working on myself everyday. I had an aneurysm first due to being bulimic, purging, then after the vein burst then the stroke happened. I would like more ankle strengthening exercises. Thank you for doing these videos. You are an angel. Phyllis V.
I am so happy to find your vids; 8yrs ago, I had a Rt ICH W/Lft HEMI, what I've seen, already sooo helpful💗thank you, "the giant," I can so relate
1 c
Thank you po doc. For giving us stroke survivors information and hope ! God bless you! 25 years old stroke survivor here! From Philippines...
Thank you Tara!
I had a stroke in August 2015, a bleed into my right frontal lobe left me paralyzed on my left side. With great rehab I was placed on a road to recovery. However my gait, balance and walking stamina have been slow to improve. Your vid’s have helped me tremendously. Thank you, thank you!
Thank you, Dr. Tobias. Your videos are helping me so much! Your selfless, generosity is beautiful. You are a gift to this world. 🙏🏼
Hi Elizabeth. Thank you for watching and for your kind words. I am so happy to read that these videos are helping you. Keep going!! YOU GOT THIS!!!!
As a C1 incomplete quad with some walking ability, your advise covers viirtually all my exact issues. I’ve been watching all your vids. THANK YOU!
I found your channel recently and I am obsessed! My father had a stroke a year ago and we have made progress, but things are still pretty hard. He does have some PT but 45 minutes a week each of PT and OT doesn't do much. I have been trying to use my self-taught knowledge of physiology and exercise (20+ years of being a nerd and working out) to help retrain him on my own. It is slow and frustrating. I have him walking without a cane again, poorly and he still doesn't have stability in his effected leg and his balance is 90% I would say (he balances well but his brain doesn't quite realize it and have confidence).
In the 10 days I have been watching your videos I have realized that I was on the right path with some things, some things I totally missed some important distinctions (like disassociation) and have learned a ton of exercises that break movement patterns down even more than I had thought.
I have had him putting his effected leg up on a chair to help with disassociation and after just 4-5 minutes a day for 2 days, when I get him to walk, I am already convinced it is improving his stride.
Sorry for the long story - but Thank you! I know enough to recognize who does and who doesn't know their stuff. You are THE expert IMO. I wish his PT and OT therapists were this good.
Your dad is very lucky. I can tell he is in good hands with you. :) The fact that you picked up on the dissociation component, applied it, and see the results gives me confidence that you will continue to find creative ways to challenge your father. Use these videos to add to what you already know and understand.
@@rehabhqofficial I only picked up on it because of your videos. Also, understanding spasticity more has been a huge help. As you can tell, I could go on and on about my story. I am a little scared to say that I don't think his therapists know half of the things you do. It is obvious you are not only extremely knowledgeable, but also unusually caring and kind. I hope you know how much you help people in need, going through difficult times with little support.
Thank you so much! My son, aged 5 suffers from very mild hemiplegic Cerebral Palsy further due to a perinatal stroke due to a birth injury with some hypoxia. He has been in OT and PT since 8 months several times a week (over 500 sessions so far with an intensive CIMT course), and it has paid off. Though you do not get involved in pediatric PT, due to the similar nature of his condition (stroke) I feel many of the things I have learned from you also apply to him. I am addicted to watching your very informative and helpful videos which have taught me so much which I incorporate into his home exercise routine.
I had a light bulb moment this morning, whilst watching this video. After a disabling stroke five years ago, I lost all function in my left side. I can now walk with the aid of an electrical stimulator, but still have no function in my left arm and hand. I used to be left handed. However, I have learned to write and do embroidery with my right hand, which is very satisfying. However, my physiotherapist has always told me to slow down when doing my exercises and now I know why. I cannot get my hand flat yet, despite using my splint, but I will not give up hope. I stretch out my arm every day and use a variety of different exercises for different parts of my body. The fact that I am still improving gives me hope for the future! Thank you for your inspiring videos. I believe I will get some movement in this appendage that used to be a functioning arm!
Excellent RUclips video on spasticity from a Board Certified Neurologic Clinical Specialist (NCS) Physical Therapist, Dr. Tara Tobias
Controlling my breathing helps relax the "monster" aka tight muscles.
FOR MY ARM using my cane to "bench press" has helped my reach. Now I can use a 10 pound barbell to bench press. She is right it's more about practice then strength but always control your breathing!!!
AND SMILE (:
I love your videos and use your exercises for my rehab. I had a spinal cord injury 2 years ago and was nearly paralyzed
I have hyperspaticity drag my right foot and hyperextend my knees when walking . Dry needling has helped with stretching and strengthening.. your rehab videos have helped me with balance and coordination
Thank you so much. Recently suffered a Brain Stem Stroke on January 24, 2021. Right sided numbness but gained mobility on the 4th day. Now, I’m experiencing spasticity. I keep my hand open and stretch my arms. Thank you so much for such great info ❤️
You have the best stroke recovery channel on youtube tara!,im a 10 year severe subarachnoid hemorhage survivor and ive gained some back from my left limbs but my main issue is my left fingers and toes"fine motor skills"my vision has field cuts on the left side and when i look in the mirror my eyes look walleyed "out if alighnment"or crooked,i love love love your videos as you put in in a great perspective for us survivors or caregivers to understand,please keep making videos,you are doing gods work tara!you are gifted and im learning a lot from your videos!only if therapists knew your knowledge,you should hold seminars for the up and coming therapists,i wish i could go back to the begining stages of my recovery to watch all of your videos,i cant thank you enough for your work!❤❤
thank you for the pictures of what your words were describing to avoid me imagining something quite different
Miss Tara Tobias I've suffered from my tbi since 2016 and my hand spasticity has gotten better barely I suffer from trigger finger. But, either way this is the best stuff I've heard and seen yet!!! Thank you!!!
Thank you for watching! I am glad the videos are helpful
I had brain surgery due to tumors removed my right arm and hand was paralyzed before only my issue is my hand get fisted involuntary. I stopped the therapy session due to financial issues, I don’t have money to pay and I lost my job after the operation (July 2020) I would like to say thank you for this wonderful video, I learned a lot, this video is very informative.
I am fascinated by how you explain everything so clearly🤗🙏
Thank you so much for discussing spacticity. When you go to therapy there is no time to talk about it. The videos have explained what I do right and wrong. I take botox shots and I am way overdue. You sure made me understand the way I walk and how to overcome it. I thought I could start walking and sooner or later my walk would improve. I think you are the best and you have a spot reserved in heaven.
Hdr my hand ha less power how to exercise pl answer
Hi Sue, I am so glad the videos are helping you. Thank you so much for watching and for taking the time to share your story. It means so much to me.
Thank you for your informative video Dr Tara. I have ALS and have terrible spasticity as a result. It is a constant battle!
Hi Tara. Thank you for sharing your story. With ALS it is really important to protect your joints and prevent muscles from becoming fatigued. That being said, bracing is an extremely valuable tool. I hope that helps.
Thank you Dr Tara. This is such a helpful video. I’ve recently come across your channel and subscribed. I have spasticity in my EHL (muscle that controls big toe) as a result of an axonal shear brain injury I had when I was 14. I broke my leg in the accident and was in a coma for 2 weeks. I spent 3 months in hospital. Bad shape. That was 35 years ago and I’ve coped with spasticity since - competing at sport in some cases to a very high level, but accommodating my spasticity. I don’t know whether just getting older or during lockdown i now seem to have developed severe pain in the tendons around the ankle and walking/running can be painful. I’ve been diagnosed with both drop foot and spasticity (I think it’s the latter based on your advice) and I’ve found such inspiration from your videos and advice. Thank you. I’m not ready to throw the towel in just yet and I’m keen to learn as much as I can to make things better. No one has explained things that I experience as well as you. I have so many questions still. Richard.
I have primary progressive multiple sclerosis. Had bad fall and landed hard on both my knees. Almost a year ago. I cannot walk with rollator and can't stand up. Can't straighten either leg. Currently have in home PT coming out but still can't straighten legs
@@mbl36 I’m sorry to hear that Michelle. Hang in there and take each day as it comes. You can do it!
Thank you for all of your videos in. I just found you on RUclips last week. My stroke was twelve years ago and your videos are helping me see more improvement . Thank you!
Thanks for watching Rodney! I am so glad the videos are helping!!
you should show treatments with a patient (or fake patient) for the better visual learners
Thank you so so much for your videos. I'm learning a lot about spasticity and stretches. Thank you again
Thank you....Much Appreciated for the information.
than you so much I watched your knee kick back video yesterday I was able to bend my knee while walking after doing those exercises than you so much although today my heal is quite sore from my plantar fascilitis keep up the great work
you are A-mazing! thank you ever so much for sharing your work. This truly helps
Excellent video - thank you so very much for your expertise!
Thank you! Have you noticed a relapse or worsening of spasticity after contracting covid? That is what my mom is going through. She was doing amazing but after catching covid her spasticity went into overdrive
I never did have spasticity until I was over 60 yrs old but i was having trouble my sciatic nerve so the spasticity started up idid have 2 strokes the day after my. Birth. I was diagnosed with mild spastic cerebral palsy at 6 weeks old.
Thanks for sharing this video, , I have spasticity in the leg and hand , the hand more in close fist
Hi doc thank you for all your videos its such a big help... godbless you more power
My arm has normalized greatly. Thank you. Now to work on the leg.
This was incredibly helpful as a patient thank you
Thank you so much for your great videos I have greatly improved but it seems my major problem is my left fist it is always clenched with my nails diggin my palms and if I try to straighten it, it folds back to the same position meanwhile I have heard from my neurosurgeon and therapists that the hand is always the last to get fixed but I’m trying so hard to beat that assumption and I believe I will get there soon
This was s helpful, what is recommended to help relax the muscles just above the elbow joint in the front of the arm. Seems like the more I walk the tighter the arm draws up
That is an excellent question and a very common problem. This video might help: ruclips.net/video/wOlzfPLl-aY/видео.html
You're simply a shining star!
Hallo ma'am.i want to know that splint can make spasticity worse or they can help to treat .i m little confused plz guide me. I am also physiotherapist.plz ma'am
I suffered SIDS at the hands of a negligent nurse after birth and was diagnosed with cerebral hypoxia. My issue is not really as noticeable until I get nervous. Then I tense up and my mild spasticity is there. In a year, I tripped 7 times over rugs in my house to the point I now have minor tendinitis in my wrists from landing on them. What do you suggest to do to help avoid tripping? Also, another real problem is that I cannot carry a full cup or full beverages on trays. I spontaneously tense my lower body without wanting to and spill the beverage by squeezing the cup or tensing uncontrollably, or even jerking my hand without wanting to. I was told I have considerable strength in my wrists, however, the jerking, tensing never seems to go away. My right side is effected and my right hand has difficulty forming a sphere of the hand - meaning my ring and pinky finger stick out and palm sticks up when I try to pick up a ball for example. But how can I stop spilling my drink when I either walk with a drink or even attempting to grab a drink when I'm sitting? Thank you!
Thank you for your indepth explanations
Many thanks for these specific explanations! And thanks for your patience and calmness that gives so much hope and security, Dr. Tara. 💛🙏💛
Can you give us some therapies for sensory impairement after stroke.
Good evening I have Cerebal Palsy SPASTIC QUDRIPARSIS GMFCS and osteoarthritis
TO THE POINT...I have a partial (PSCI) I always see videos on SCI, but not partial. It is 2022 now I had a neck fusion in 2002 when they found out what I had. I think it was a C4-5 injury, to the outside edge of my SC. I have spasticity & clonus., (my condition could have been a lot worse), but on the other hand I can do almost anything SLOWLY. I have some weakness from atrophy all over my body, mostly my left side and legs. I did not have a stroke or any other disease. I have been as active as I can be, walking, hiking, stretching, yard work, etc. I'm a woodworker-designer. I do less building and more designing now, "From the Chair work''. I found that in order to improve my physical condition, I should quit designing and become a yoga teacher, where I can spend the entire day stretching and breathing, LOL Do you have any information or sources regarding PSCI and what I would call mild spasticity and clonus? I like your videos and have been sending them to a friend who lives around Sarasota, FL. I'm in NJ. He is in much worse condition than I am. He had a lumbar fusion, (because of pain), He was active and could do anything before the fusion. Now he can't walk or control bowel movements. He has been in PT for a bout a year now, with some improvements,. I sent him your video on the functional stem unit. I thought maybe that unit could jump the damaged part of his nerve that got messed up during the fusion operation. Any information for me and my PSCI-spasticity-clonus and my friends condition would be greatly appreciated, birdiemiller@comcast.net Thanks for making your PT channel. BTW my daughter became a PT, she works at Kessler, in NJ, working with brain and SC issues.
Hi I been following you a short time but I am in my mid 40’s now I had a heat stroke wen was a late teenager I walk with left leg swings out can you do a video how i can fix it cuz im having back problems now plus my left hand still bends not full mobility so i can rehab alone please
dear TARAit has been 10 years since my strokeIIIIstill i van't g eton o my knees, what can I do? Ilove you for doing these video sthan ks so much, steve frye.
Hi Dr Tara Tobias. Had minor stroke one and half months ago which affected my right side arm and leg.
Yr videos really help and give me motivation and hope. Thanks a lot & may God bless you.
Thanks ñìce one remain blessed
I have spasticity in my fingers and wrist and also I have spasticity in leg my leg goes the other side and i have spasticity too in my foot
I have severe leg spasticity initiated when I try to stand back firmly on my affected foot - can you show some exercises for that please?
Weneed more hand recovery bids with equipment and techniques
Thank you Dr..i want to know if spasticity and neuro pain treatment with time ? I have extreme nerve pain like pins and needels in my legs pls help
My daughter is 3yrs old and have spacticity in her right hand ,last 2 yrsshe fighting ,c recover very well BT there is spacticity in her hand , please help what should waiting for ur response
Please dr. Some exercise video. I have on my left arm.
what about botox for fingers an arm? It's been 3 months I can walk almost well I can move my arm and elbow limited but not bad but I don't have any out move on my wrist and fingers. do you recommend botox? I'm 33 years old
Be patient, don't use botox,be determined, you're young,get saeboflex, if your arm 💪 flex up, get saeboreach, you gonna be fine. By God's grace you gonna be back on your feet.
Stroke for me in early 50s. Did botox on arm and fingers, it helped big time. Once i could release the spasticity, i concentrated on strengthening it. Over time , i was able to decrease botox treatment. I havent done any for almost 2 years. Botox in conjunction with exercise worked for me. Botox isnt for everyone, it is expensive and doesn't always work , plus it can have serious life threatening consequences.
Botox has helped me tremendously.I survived a massive cerebral hemorrhage /stroke 20 years ago.I had recovered 80% of functionality in my left hand until I developed an infection in the middle finger in 2019. After lots of treatment and minor surgery I had extreme spasticity and contracture in the left hand and even up to the shoulder. If began having botox injections every three months and after 3 treatments I was much better! It may not be for everyone but I am going to continue.
@@sabrinakindley2290 So glad you have some relief, I'm considering it, I will pray about it.💪
Love your videos! Any opinion on the supplement magnesium glycinate to help relax spastic muscles?
Yes i hv spascity. My hand elbow fold by itself while walking. I had stroke its been 5 months
Mine does too. I had a stroke in jan this year
That thumbnail is how I am...I have general dystonia which means I have spasticity EVERYWHER..from my face to my toes and sole 😢😢
Can you explain why a heel wedge is needed on my kafo, thx
Do you have any suggestions for exercises/stretches for toes curling under on affected foot? Thanks and I just found your channel and am catching up on all the good info. My wife had a pontine stroke about 6 months ago and is slowly but surely making progress with arm/hand and leg/foot.
Thanks for the comment! Here is a video that might help with the toe curling: ruclips.net/video/duBeo2PtUww/видео.html
Hello Dr Tara, I am struggling to understand if I have spasticity because my doctor didn't use that word, but I have heard from people that I have it and my legs do not feel like your explanation. I had stroke and my remaining limbs to come back are my thighs in the sense that I can.t walk faster. am able to do thins like mow my yard etc. My question is, does the condition fit into the definition of spasticity? Am starting physical therapy tomorrow. Thank you.
My son is 30, and my old he started having neck pain and shoulder pain followed by completely spasticity and distonia. We need help. idk what to do! He had a Ckp levels high, and after they go better, he still spastic
I had a scheming stroke 08/2018on my right side. Left side is weekWhen having tightness in your hand the same as having spasticity? Also trying to work my left and hand the same like the right hand. Trying to get back to being normal again as well. & Yes it is very frustrating
Thank you Dr Tobias😍
Dr. T once again excellent video my question today for you is have you seen clinically anyone overcome spasticity or read cases where someone have
Fabian Wilson that is an excellent question. There are so many factors that need to be considered. 1. The severity of the brain damage, 2. How long spasticity was present prior to treating it. 3. How long since the stroke/brain injury. Time is the killer. most people wait too long before they really start taking their rehab seriously. I think many people initially are in denial or think (in the back of their head) they are just going to wake up in a week and be better. That being said many don’t really start taking their rehab seriously until reality sets in. That can really have a major impact on how far they can recover. What makes for a good outcome? 1. Treat spasticity early 2. Take your rehab exercises seriously from day one 3. Stay consistent with your exercises 4. Believe in yourself and your medical team. I hope this helps
@@rehabhqofficial it is did but what's the signs that you waited too long
I guess my question to you is this how does my answer change what you are currently doing? Not a question you really need to answer to me but maybe question to ask yourself. :-)
My wife and I love your videos. You are so knowledgeable! Is there a wrist/hand splint you recommend aside from the air splint? My wife has should and elbow movement coming back, and saw one video where you strongly recommended a splint for the hand/fingers.
the best explanation ever, thank you!
Yes I have spascity.Its been five years since i had a stroke
Hi! May I know what causes you spasticity? And did you treated it now? How long did it took you to get rid of your spasticity?
If you just mind answering I'm just getting ideas cos' my dad have spasticity. Thanku
What about AFO to promote ankle dorsi flexion position and to avoid toes making contact with floor first. We use it often.
I have MS ,do these spasticity exercises work for me.
Running out of superlatives. If you have a quick answer, my dear friend that I recently met at the gym, suffered a stroke 4 yrs ago. His arm, wrist and fingers have the classic severe spacisity. Is this permanent or can it be improved with proper stretching over time?
Thank you. I splinting and stretching is essential. It definitely will not go away by letting it stay in the "fisted" position. :)
Just want to hear how you feel about the use of AFO for ankle in that plantar flexion position.
Do have any knowledege or info about spastic dystonia and spactic paresis? Can you make a video about it,?
Thank you so much for the explanations! But what about the patients that are bracing their foot with AFO and still points with their toes while walking with the orthosis?
If I can lift my my leg but I am slapping my foot. Is it straight dorsiflexion or spasticity?
Please teach more exercise for hand god bless you
Is it okay to keep squeezing a tennis ball all the time for strength
do you think e stim can reduce spacticity????
Hi I’m really trying to to get all the videos from the start to finish that you have made.
I’m really enjoying the way that you are explaining everything, it helps me understand as to why these things are happening to my brother.
Could you please let me know how I can get all the videos.
Thank you for watching Janine! I am so glad the videos are helpful. If you go to the channel page you will see a tab at the top that says playlists. That might help you get to the best videos for your brother. I hope that helps
Dr T Tobias, please help on how to disassociate the movements of my upper limb to my lower limb. During my walking exercise my fingers clench and wrist and elbow bend inwardly. Even during brushing my teeth my left hand bends upward then slowly moving down after that. Thank you.
Also how long would one keep the splint on (referring to splints to prevent elbow flexing or wrist flexing).
I have tightness of my quads (thighs) I’m a swimmer 🏊♀️ . Any tips?
I think I have better understanding about working through my spasticity for my arm. But my ankle/foot is a different story. I suffer from " role ankle ". However, my toes doesn't point down. When I go to bend my leg my foot goes up enough to clear the floor but my ankle stills rolls. When I place my foot down, the bottom/ outside of my foot hit floor first before it goes flat. And When try to focus on placing my foot down heel first, my knee snaps back. What can I do to try to strengthen the ankle to get the foot to straighten up .
Lilly Smith this is a very common problem. Common enough that I think I will make a video for this exact issue 😊 stay tuned!!
@@rehabhqofficial Thank you! Your videos are very helpful and insightful.
@@leonaf4142 It sounds like what I’m going through… what have you found helpful?
If you didn't get the movement back in six months after your stroke can you get it back still
Absolutely!
i have spasticity and I don't know when I need to pee. is there an exercise that helps the bladder
@JENNIFER I have that too!
I just sunscribed to your channel and my queztipn is o had a stroke back in 2016 i have no movement on my leftside i had contracrure release on my left elbow and have wrist contractur also but i also have shoulder sunlaxation on my left affected side so what could i be doing to get thT shoulder back up ive just been told there is nothing i can do about it my bra strap wont stay up on my left side and my shirts fall off of my shoulder also when im woth family they are always pulling my shirt up over my shoulder What Can i do to try to get that shoulder back up and moving please help
Hello! It's difficult you insert a traduction for portuguese?
I have spasticity on my left arm/fingers,my muscles are strong though but my fingers are somewhat stiff and I have difficulty in using a fork and leaving a cup of water on the table,it seems like my fingers are not leaving the cup ,a sensation of stiffness,do you advice me to do push ups or lift light weights,which I feel I could do or is it dangerous to do so?
Hello doctor , Your videos are just awesome covering lots of minute information.. In my case My fingers move involuntarily when I am kind a tensed (like when in new place / in a place with lots of people around) .My hand/fingers stay normal otherwise .
I have made it an habit to hold onto something(usually my mobile) in my affected hand to stop the involuntary moment of my fingers. Not sure if that's going to make things worsen
Request your kind advice on how to deal with it. #strokearm
Thanks for watching! Generally speaking, it is good to "block" any involuntary movements to prevent muscles from adaptively shortening (which will make it harder to use the hand). Splinting is really important for this. However, using your phone is not a bad idea :)
Very useful thank you.
So true thank you sweetheart. Blessings
What is the best hand splint in your opinion? Would you recommend an elbow splint as well if the elbow is constantly flexed especially during walking? I have terrible flexor tone in my biceps
What kind of things do you use to keep the hand open & attach things for functional activity with hand open?
What if yhe Brain has no connetion to the ankle or fingers or toes
Span a little on the type of hand sprints and training exercises you like? Do you like minions feel like they have reached a
And in terms of hand function
Jasus frustrating is the tip of ice burg , trying to hang in there !
Thank you!
Hi do you have any videos or suggestions for stroke patients or dementia patients that struggle with paratonia where there is excessive extensor tone when trying to stand up?
My mom 91 had a major stroke and made it to rehab. But it took 4 months to get there. Now she has a leg/knee that (frogs) up to the side and she is also experiencing pain in her hip and upper leg joint during rehab exercises. Insurance will only cover rehab for so long, especially if she doesn't show signs of certain progression. Do you have anything insight to help her please? She is becoming more cognitive and showing signs of determination to get up and move more and more each week, but it seems like we are racing against time. Any help and insight would be greatly appreciated.
I got hemiperalysis 7 months ago on my left side of the body. My legs recovered within a week but arm started recovering after 3 months. Now I can move my arm to a limited motion but my wrist and fingers doesn't move. Can you help?
Keep working on getting good quality shoulder movement. The hand is the last part of the arm to recover. This video might help: ruclips.net/video/U2JlAJ0x8XQ/видео.html
Exercises for tremors in p. D.?
I do wear a splint but I ended up that my fingers not fully straight so I have to massaging them.