I apologize in advance everyone. This video is a little "glitchy". My editing software did an update and for some reason it kept randomly moving clips.
Switched back to a Samsung phone. I found out that the other one had such high emissions that I was dizzy and not able to walk and exercise for days. There should be a warning that these phones are really bad for recovering stroke patients with repair processes in their nervous system. Samsung leads the rankings in low emissions and guess what - no exercise problems any more right after the switch 🤩🤩 aaand a set of new emojis 🥰💝😍
What a great explanation. I didn’t have a stroke but instead a neurodegenerative disease. My neuromuscular recovery therapist would start me off walking backwards on a treadmill and then let me do the other progressions. She used the phrase “let’s erase the bad pattern first”. Now I get it. Thanks.
Orlando Neuro Therapy Randy. I actually heard about you from one of my patients that was going to you for therapy. I like the way you explain why we move the way we do and why you do the progressions. You’ve been so helpful. One day I may actually drive down and get a consult.
I also have neurodegenerative disease of the spine. I have been having problems with my ankles and my hip is so stiff and I cant open my legs well. I cant stand without help, I also use a walker to move around the house. I do some excercises seated on a chair and walk about 160m using crutches. do you mind if we share what excercise you do to enable you to walk
@@Surf427 Hi Randy, Thanks for sharing. I like knowing people's names (call me old fashioned 🤣🤷🏻♀️). I would be happy to help you out when and if you can make it to my clinic :)
#Neuroplasticity Thank you dr for this valuable information.. Hip flexor and hip adductor of my affected side are tight. Can make a video please related to this issue?
I have been working on my ankle exercises and I see improvement with the front of my foot lifting .But what can I do to be able to raise the back of my foot?
Just want to say that I really appreciate all your videos, they are really helpful and encouraging to stroke patients like myself. I noticed that whenever I yawn, my involved arm will curl up, is there any solution to this particular problem? Thanks
Hi Dr Tara, thank you for your informative videos, I love watching them! Do you have any specific content for physical therapists to help improve our assessment of neurological patients?
Hello dr.. I can open and close my fingers of affected side easily. when i moves one finger of affected hand , other fingers move along with it for example when i try to extend my thumb of involved side then all the other finger of same hand extend along with the thumb and when i flex thumb then other fingers also flex along with thumb and vice versa I want to ask that Is it due to abnormal synergy pattern? #neuroplasticity
Hi Sara. thanks for watching and for commenting!! this is very common. My suggestion to search for videos on my channel that talk about the wrist/hand. That should help :)
#neuroplasticity the more come across the subject the more i found it more interesting, i thought that neuro plasticity was a positive things but it makes sense the negative side of it for example if i trying to raise the arm internally rotated i am creating a negative pattern and connection to the brain thats why i love how you break down each movement to work on a strong foundation. Lastly, i noted in your video the usage of a hand/arm splint is that one you are working on or is accessible to buy it? i have problem on putting weight on the hand and arm because of mild spasticity. thank you doc god bless you always!
Hi Manuel! Thanks for watching. I am glad it makes sense. The hand splint in the video is the Saebo stretch. I am working on a design right now but it is not yet available. If you have mild spasticity, the Saebo Stretch might work for you. I do not recommend it for any that has moderate spasticity in the hand (if you hand is hard to get out of a fist when you try and open it with your strong hand). In that case someone would need something rigid. I hope that helps!
#neuroplasticity. Can you do a video on voluntary hamstring movement? I know the muscle is there, but I can't contract it without too much compensation with my back
Thanks for sharing! Yes, I have a couple of videos on this: 1. ruclips.net/video/yKEv2YKl338/видео.html, 2. ruclips.net/video/9hkqutt776g/видео.html. I hope it helps!
@@rehabhqofficial thank you. Didn't think of keeping the knee bent during heel slides. Foot comed of he floor most of the time. Started doing heel slides with both legs tied together to teach the movement to the involved leg.
#neuroplasticity Please explain more the difference between the good and bad. Because I am walking on the cane but my effected leg still cannot bend it. I I am walking on the cane and can walk almost Normal about 2 to 4 miles a day. Thinking that will loosen up my effected leg. But it is not working to improve the effected leg
After lumbar fusion surgery I’m trying to learn about walking which is slow. I wonder if you have heard about trying to walk FASTER to actually walk better? I have noticed that it does help but it’s a little scary!! Like to hear your thoughts. Thanks
Hi David. Yes, gait speed has grown more attention due to some recent research that suggests people who have a faster gait speed reduce their risk of falling. I use this research sparingly as I think quality movement is equally important and in my experience someone will almost always sacrifice quality when walking faster especially after damage to the neurologic system. But those are just my general thoughts on this topic and I would definitely listen to a PT who has done a face to face evaluation with you. I hope that helps!
Thanks for watching and for commenting! Everyone is different so that is tough to give an answer. Also, many things cause foot drop so not knowing this also makes it hard to know. Regardless, there is one thing I do know......not doing anything is not going to make it better and continuing to try and make connections with the muscles is not going to hurt anything. So, in my mind, the real question is...do you want it to get better? and how can you find ways to stay motivated when it seems there is little to no progress? I think answering these questions is much more valuable to achieving long term "success" at anything in life. Hang in there. I can't imagine what it is like to work hard and not see the results you want. So always keep in mind what I mention in most of my videos......look for that 1% improvement and try and stay focused on that.
Thanks for the question! It depends if someone is doing it sitting or standing. In siting, it is not at a great angle. If for standing (generally speaking) there are better ones out there. I hope that helps!
This is an excellent question Ryan! I do not have any first hand experience with aquatic therapy so I can not say for sure. But I will look into some of the research and see if I can get an answer for you. :)
Dear dr Tara please prepare videos about how do initiation walking break down and re-education how to release extension pattern and allow to knee flexion during walking thanks in regard
Doctor Tobias, due to the paralysis, the hips at the groin are very stiff and the knee cannot bend and my foot (right side) cannot be pulled up as normal due to the stiffness. I excersis every day on those things. And so it is with my hand. How can in i regain strength in my fingers. And i want lose my weight. What can i eat during a day. If i make mistakes in my vocabulary, excuse me for it please.
Hi Rishana. First, your speech is perfect and I understand everything :) Now, about your questions....Feeling a "stiff leg" is a very common problem. This video might help: ruclips.net/video/yKEv2YKl338/видео.html, I also have a video that helps with stretching the hand/wrist: ruclips.net/video/gDxyQGyOx_0/видео.html. And about "weight management", I would suggest talking to your doctor and possibly working with a nutritionist. I hope that helps and thanks for watching and for sharing your story!
My speech is very poor now. I have to do my best to talk a word. I have been always a very healthy person but by paralysis is everything change now. I don't drink alcohol or smoke cigaret. Have never don it. My blood pressure and sugar level is also normal. I hope that ur video's will help me and thank u for answering my questions.
dr tobias you;mea n to say that the stem cell terraffy is not. recommended for the stroke person. becouse how cayou prove that becouse a friend of me was done a stem cell terraffy and gortunate lyhe was. move like a normal person there is no any problem on his movement heis like a normal person and hetold me not exactly. normal but of course. the previous he feel before he can ding now. like good exercise running and plying table tennis . hebis happy now .after all .
yup. basically your brain will re-organize around whatever movement you are doing. I am glad to see several people are interested in a video on this. I am definitely going to make a video so I can explain in a little more depth. :)
I had to come back and give an update on my progress, since I found your channel and started back doing home rehab i can actively straighten my arm. And im having a lot of twitching and movement in my fore arm and hand i can actively move my thumb, now it's really amazing and exciting because I had given up on my rehab chances.my goal is to be able to move all my fingers and open my hand!!!! Thanks
I apologize in advance everyone. This video is a little "glitchy". My editing software did an update and for some reason it kept randomly moving clips.
Still beautiful
#Neurosplasty
You have the best video series in regards to explaining the why's and where-to-fors
Yay! I am so glad that it helps :)
Im taking care of stroke patient now...your videos helps me a lot..adding knowledge that can help to my patient.thanks Doc
This video was very helpful as an OT student!
I'm not a musician either Dr. T, yet that wasn't a bad analogy comparing muscle synergies to musical chords.
yay. :) it made sense to me. Let's see if anyone who knows anything about music comments to any inaccuracies. :)
I think you’re wonderful. Thank you for taking the time and the effort to explain to me what happened to my brain and how best to assist my recovery!
PTA student here. Such great information on synergy patterns and spacisity. Thank you!
🧡💫🧡 A super explanatory video again. Thank you, Dr. Tara 🧡💫🧡
Thanks Nina!! Btw, loving the new “emojis” 😊🤩
Switched back to a Samsung phone. I found out that the other one had such high emissions that I was dizzy and not able to walk and exercise for days. There should be a warning that these phones are really bad for recovering stroke patients with repair processes in their nervous system. Samsung leads the rankings in low emissions and guess what - no exercise problems any more right after the switch 🤩🤩 aaand a set of new emojis 🥰💝😍
@@Nina_2288 omg, I have never heard of this! Definitely going to spend some time finding more info on this. Thanks for sharing!
Very smart video. I learnt a lot about synergistic movements and spasticity
Thanks it’s really helpful answered some of my questions regarding how muscle groups work
Thanks for watching! I am so glad you found this video helpful
Fantastic informative video as always thanks 😊
What a great explanation. I didn’t have a stroke but instead a neurodegenerative disease. My neuromuscular recovery therapist would start me off walking backwards on a treadmill and then let me do the other progressions. She used the phrase “let’s erase the bad pattern first”. Now I get it. Thanks.
I like the way your therapist thinks :) btw, what is your name? You comment a lot and I alway like to put a name with a...........comment 🤷🏻♀️
Orlando Neuro Therapy Randy.
I actually heard about you from one of my patients that was going to you for therapy. I like the way you explain why we move the way we do and why you do the progressions. You’ve been so helpful. One day I may actually drive down and get a consult.
I also have neurodegenerative disease of the spine. I have been having problems with my ankles and my hip is so stiff and I cant open my legs well. I cant stand without help, I also use a walker to move around the house. I do some excercises seated on a chair and walk about 160m using crutches. do you mind if we share what excercise you do to enable you to walk
@@Surf427 Hi Randy, Thanks for sharing. I like knowing people's names (call me old fashioned 🤣🤷🏻♀️). I would be happy to help you out when and if you can make it to my clinic :)
#Neuroplasticity. Thanks for intuitive way of the description about muscle synergy pattern
Thanks for watching!! I hope it was helpful. :)
Learning new things today. Thank u dr
yay! that is my goal :)
#Neuroplasticity
Thank you dr for this valuable information..
Hip flexor and hip adductor of my affected side are tight. Can make a video please related to this issue?
My physio uses the brunnstrom scale on me. Is this similar to what you are referring to here with movement patterns ? Excellent video. 😊
Mam, I want to know about CIMT. Can you make videos on this topic? How does CIMT helpful after stroke?
I have been working on my ankle exercises and I see improvement with the front of my foot lifting .But what can I do to be able to raise the back of my foot?
What about high tone vs spasticity differences? Excellent content!!
Love from India, madam can you suggest treatment for oral and focal dystonia as well as awake bruxism, thanks in advance
Just want to say that I really appreciate all your videos, they are really helpful and encouraging to stroke patients like myself. I noticed that whenever I yawn, my involved arm will curl up, is there any solution to this particular problem? Thanks
Hi dr. Tobias ur videos are very helpful do u have an exercise for the aye bcoz after a stroke patient has difficulty staring and looking thanku
Hi Dr Tara, thank you for your informative videos, I love watching them! Do you have any specific content for physical therapists to help improve our assessment of neurological patients?
Lots of great CEE courses out there. Neuro IFRAH and/or NDT courses will help the most with assessment
#neuroplasticity Great music analogy! 🎶
Hey dr Tara, if I’ve had botox injections for spacity, is it ok to workout the targeted muscles?
Hello , thank you for this great information, could you give me a book talking about rehabilitation of these abnormal patterns.
Hello dr.. I can open and close my fingers of affected side easily. when i moves one finger of affected hand , other fingers move along with it for example when i try to extend my thumb of involved side then all the other finger of same hand extend along with the thumb and when i flex thumb then other fingers also flex along with thumb and vice versa
I want to ask that Is it due to abnormal synergy pattern?
#neuroplasticity
Hi Sara. thanks for watching and for commenting!! this is very common. My suggestion to search for videos on my channel that talk about the wrist/hand. That should help :)
Thank you
Hello Dr Tara, thank you very much for your videos,
Can 'abnormal synergy pattern' and ''mass pattern' concepts be used interchangeable ?
Thank you for the question! I am not familiar with the term "mass pattern concept". Sorry I could not be more help.
#neuroplasticity the more come across the subject the more i found it more interesting, i thought that neuro plasticity was a positive things but it makes sense the negative side of it for example if i trying to raise the
arm internally rotated i am creating a negative pattern and connection to the brain thats why i love how you break down each movement to work on a strong foundation. Lastly, i noted in your video the usage of a hand/arm splint is that one you are working on or is accessible to buy it? i have problem on putting weight on the hand and arm because of mild spasticity. thank you doc god bless you always!
Hi Manuel! Thanks for watching. I am glad it makes sense. The hand splint in the video is the Saebo stretch. I am working on a design right now but it is not yet available. If you have mild spasticity, the Saebo Stretch might work for you. I do not recommend it for any that has moderate spasticity in the hand (if you hand is hard to get out of a fist when you try and open it with your strong hand). In that case someone would need something rigid. I hope that helps!
#neuroplasticity.
Can you do a video on voluntary hamstring movement? I know the muscle is there, but I can't contract it without too much compensation with my back
Thanks for sharing! Yes, I have a couple of videos on this: 1. ruclips.net/video/yKEv2YKl338/видео.html, 2. ruclips.net/video/9hkqutt776g/видео.html. I hope it helps!
@@rehabhqofficial thank you. Didn't think of keeping the knee bent during heel slides. Foot comed of he floor most of the time. Started doing heel slides with both legs tied together to teach the movement to the involved leg.
Santiago Goren, that is AWESOME!! I am glad you are trying this. I can’t wait to hear how it goes. 😊
Thanks and cool video
I am Tarek from Egypt i love it I have a stroke
Thanks for sharing Tarek! And for watching. I hope it is helping to explain what you might be experiencing. :)
Does splint helps to eliminate flexor dynergy pattern on upper limbs??
#neuroplasticity
Please explain more the difference between the good and bad. Because I am walking on the cane but my effected leg still cannot bend it. I
I am walking on the cane and can walk almost Normal about 2 to 4 miles a day. Thinking that will loosen up my effected leg. But it is not working to improve the effected leg
im stuck in the flexor synergie upper limb...how can i break this pattern???
Still waiting for a video to fix minor scissoring of affected leg.
im stick in a mixedsynergie...how can i break this???
After lumbar fusion surgery I’m trying to learn about walking which is slow. I wonder if you have heard about trying to walk FASTER to actually walk better? I have noticed that it does help but it’s a little scary!! Like to hear your thoughts. Thanks
Hi David. Yes, gait speed has grown more attention due to some recent research that suggests people who have a faster gait speed reduce their risk of falling. I use this research sparingly as I think quality movement is equally important and in my experience someone will almost always sacrifice quality when walking faster especially after damage to the neurologic system. But those are just my general thoughts on this topic and I would definitely listen to a PT who has done a face to face evaluation with you. I hope that helps!
Hello team,
My question will the foot drop go away with e ercises and stretches. Let me know please please
Thanks for watching and for commenting! Everyone is different so that is tough to give an answer. Also, many things cause foot drop so not knowing this also makes it hard to know. Regardless, there is one thing I do know......not doing anything is not going to make it better and continuing to try and make connections with the muscles is not going to hurt anything. So, in my mind, the real question is...do you want it to get better? and how can you find ways to stay motivated when it seems there is little to no progress? I think answering these questions is much more valuable to achieving long term "success" at anything in life. Hang in there. I can't imagine what it is like to work hard and not see the results you want. So always keep in mind what I mention in most of my videos......look for that 1% improvement and try and stay focused on that.
HELLO HOW DO YOU FEEL ABOUT USING CUBBI
Thanks for the question! It depends if someone is doing it sitting or standing. In siting, it is not at a great angle. If for standing (generally speaking) there are better ones out there. I hope that helps!
I also have an elliptical that's better
Thanks for responding so quickly.
4:00 extensor synergy
Can aqua therapy help? Here? Thankyou asaalways
This is an excellent question Ryan! I do not have any first hand experience with aquatic therapy so I can not say for sure. But I will look into some of the research and see if I can get an answer for you. :)
Dear dr Tara please prepare videos about how do initiation walking break down and re-education how to release extension pattern and allow to knee flexion during walking thanks in regard
Thanks for watching!! This video might help: ruclips.net/video/yKEv2YKl338/видео.html (part one); ruclips.net/video/M5EwJHukiqg/видео.html(part two)
Orlando Neuro Therapy dear dr Tara warm greeting I need how to release spasticity create isolate knee flexion during gait
@@farhadfatah81 are you kurdish ?
4:55 muscle synergy vs Spasticity
Hash tag neuroplasty
Doctor Tobias, due to the paralysis, the hips at the groin are very stiff and the knee cannot bend and my foot (right side) cannot be pulled up as normal due to the stiffness. I excersis every day on those things. And so it is with my hand. How can in i regain strength in my fingers. And i want lose my weight. What can i eat during a day. If i make mistakes in my vocabulary, excuse me for it please.
Hi Rishana. First, your speech is perfect and I understand everything :) Now, about your questions....Feeling a "stiff leg" is a very common problem. This video might help: ruclips.net/video/yKEv2YKl338/видео.html, I also have a video that helps with stretching the hand/wrist: ruclips.net/video/gDxyQGyOx_0/видео.html. And about "weight management", I would suggest talking to your doctor and possibly working with a nutritionist. I hope that helps and thanks for watching and for sharing your story!
My speech is very poor now. I have to do my best to talk a word. I have been always a very healthy person but by paralysis is everything change now. I don't drink alcohol or smoke cigaret. Have never don it. My blood pressure and sugar level is also normal. I hope that ur video's will help me and thank u for answering my questions.
dr tobias you;mea n to say that the stem cell terraffy is not. recommended for the stroke person. becouse how cayou prove that becouse a friend of me was done a stem cell terraffy and gortunate lyhe was. move like a normal person there is no any problem on his movement heis like a normal person and hetold me not exactly. normal but of course. the previous he feel before he can ding now. like good exercise running and plying table tennis . hebis happy now .after all .
# Neuro plasticity
#neuroplasticity
#neuroplasticity# I didn't even know there was positive & negative neuroplasticity.
yup. basically your brain will re-organize around whatever movement you are doing. I am glad to see several people are interested in a video on this. I am definitely going to make a video so I can explain in a little more depth. :)
# Neuroplasticity
Neurospasticity
Neuroplastisticity
#Neuroplascity
T y
#neroplssticity
# neuroplasticity
I had to come back and give an update on my progress, since I found your channel and started back doing home rehab i can actively straighten my arm. And im having a lot of twitching and movement in my fore arm and hand i can actively move my thumb, now it's really amazing and exciting because I had given up on my rehab chances.my goal is to be able to move all my fingers and open my hand!!!! Thanks
#Neuroplasticity
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