BRUNNSTROM EXERCISES FOR MOVEMENT RECOVERY IN STROKE PATIENTS DURING FLACCID PHASE
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- Опубликовано: 30 июл 2024
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NOTE : INCREASED BACKGROUND TENSION AND REFLEXIC ACTIVITY GAINED WITH ABOVE STRATEGIES SHOULD BE SUPERIMPOSED WITH PATIENTS VOLUNTARY EFFORTS.
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bonjour docteur merci beaucoup pour toute les vidéos c'est très bénéfique pour notre cabinet
Thankyou so much for explaining it in such a beautiful way👍💯, looking forward to apply on my patient💯
simple yet excellent teaching...Thank you very much!
Rarely u find such super way of teaching . Ur superb sir thanks alot. Lucky cud get in touch with u
U are one of the Good PT teacher for all,Tq sir...
Thank you, Sir.
This is very helpful.
Thankyou soo much sir 🙏🙏For making these videos
This techniques are amazing sir 👌
Wonderful technique sir 😊👍
Very helpful. Thanks ☺️
Wow! So excited to try the imitation technique on my flaccid L hemi tomorrow. Trying weight bearing, mirror therapy, & stim with no success yet. Thank you for sharing your knowledge 😃
Hello,
thanks for watching Physio classroom. Here are some more extra information to help you facilitate moments in flaccid patients:
1. Use associated reactions
2. Place the paralytic joint you want to facilitate in mid range and in gravity eliminated position ( suspension is preferable).
3. Also simultaneously use roods facilitation techniques during irradiation / Imitation.
4. Keep using the same concept in weight bearing activities too.
5. Long duration Tens in weight bearing will also help in facilitation of tone.
Note: only patients of pure cortical stroke will fail to respond to above treatment as they have pure pyramidal lesion.
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So illustrative
Brilliant explanation
Very well done Sir 👍
Thank you so much for teaching us sir. Great work by you sir 👏👏🤝
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Sir , your method is too good. I'm learning so many things from you. Thank you so much , sir.
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@@PhysioClassrooma
Thank you so much sir your videos are amazing can Go with passive stretching in hemiplegic patient
Literally no words...
Thanks a lot for the videos 🇹🇳🇹🇳👏🏻👏🏻👏🏻👏🏻
Glad you like them!
god bless you
Thanks 👍
Thank u sir sharing such good methods with us...love u sir❤️
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Thanks 🙏
Thanku sir good video.
Really good
Sir.. Your classes are so good... I wish you were our teacher in our bachelors
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@@PhysioClassroom ." . The first
bonjour docteur merci pour toute les vidéos c'est très bénéfique pour notre travail
Hello Sir,its excellent video....plz make a video for paraplegia patient.
Thank you sir
Sir your every video much informative and it's easy to understand. Thanks sir
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Thank you sooooooo much !
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U r the best sir😊thankyou so much....
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Thanku so much Sir
VERY PRACTICAL AND INFORMATIVE APPRECIATE SIR
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Sir thank you so much for your efforts. Really appreciated.
ESMATH KHAN PT malaysia
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@@PhysioClassroom yes sir as much as possible I do this.
Thank you so much sir your videos are very informative and helpful for students like us 💕🙏🏼 keep making such videos really appreciate your work
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Thankyou sir.
Superb
The information is very good. But if left hemiplegic patient has a right above elbow amputation, so how we can perform this procedures?
Super video sir
Well done sir. What type of bobath technique can one use at flaccid phase
Sir, your video is so informative and interesting but I have one question in stroke rehabilitation. When patient's cognition affected, he/she can not understand and interpret therapist's command in that case what can we do ?
Sir your tiching is good
Excellent sir, ur phone take up posture
Very nice concepts and nicely explained..thank u
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Sir thank you for this lecture, can you suggest brunnstrom and bobath concept technique book
Thank u sir
Very informative videos.thank you sir.
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Nice sir
Sir please explain how to initiate shoulder flexion and abduction post stroke
Thanku so much every time I learn something new 🙏🙏
Thankyou Dr. Puru for your continuous support and feedback 😊
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@@PhysioClassroom ya definitely I am sharing sir and thanku so much for providing such nice information which we can not find in our regular course books thanks once again
can I register myself through the pay Google pay...pls respond fast
Yes you can - Whatsapp 9458966063
Thank you soo much sir ...its been very useful to meee
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Sure sir
Great
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Sir please share treatment for flaccid shoulder in hemiplegia
Perfect
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Sir plz add notes on frequency and rest in between exercises
We need professors like this in Universities...!
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The practical demonstration should be performed on real stroke patients.
Sir pleaze self exsize paralize patient video
Super
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Sir also my patient complains of heaviness in the hemiplegic side 24/7
Thank you sir for sharing ur knowledge here it's very helpful
Can I know which textbook to refer for this approach?
Movement therapy in Hemiplegia by Signe Brunnstrom
Sir , how to deal with flaccid loose fingure after its flexed?
(loose but not to open )
Hello Sir,
How the overflow mechanism works? What's the physiology of it? Is it due to a neural firing happening between two sides of the brain or is it muscle energy transferred side to side?
We always recruit our muscles or body parts depending upon the load of work.
If you have to lift a pen and if you have to lift a bucket the muscle work will automatically be adjusted to higher level with more number of muscles participating.
Over flow simply means to lend or donate energy at the target joint from the surrounding areas.
Its same as irradiation mechanism which I have explained in PNF principles videos.
What are the chances of someone who has had a stroke returning to how he was, particularly in overcoming spasticity? Most physiotherapists seem to agree that it is incurable. What a prospect!
Spasticity in adductors and biceps are very likely to become big problems for hemi patient, such as risk for contractures, atypical patterns for manipulation and gait, poor alignment and posture...why do you exercise these muscles first? How to prevent challenges above?
Spasticity only becomes a challenge when it is uncontrolled and patient is not trained to voluntary contract and relax different muscle groups or movement patterns.
Alternate or reciprocal movement training from the beginning of the rehabilitation can ensure that flexor or adductor spasticity donot become strong enough to interfere in performance of upperlimb and gait activities.
There fore both the agonist and antagonist muscle groups are facilitated and I have mentioned hip adductors and elbow flexors because they are the easiest to be facilitated reflexively to motivate a stroke patient to participate actively in the rehab sessions.
Also please note that we have to choose the best treatment strategies from different Neurological approaches like Bobath/ NDT, MRP, CIMT, Perceptual motor control, Brunnstrom, PNF etc.
Do watch the Paralysis Treatment guide playlist and Neurorehabilitation secrets video on Physioclassroom channel where I have mentioned the right way to gain stability and mobility in stroke patients.
The information shared in this video is limited to Brunnstrom course content.
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And one more thing, I will also be covering Exercise strategies in upcoming videos to break spastic patterns and gain newer combination of Movements.
So stay tuned😊
Is reflect action on stroke effect side a good sign
In raimestes LL shows vice versa ..and if the patient is performing adduction on unaffected leg so it should be abduction on affected leg that is the leg should fall out
Vice-versa is for flexion and extension movements
How to use this method on hemiplegia patient
Because some hemiplegia patient can't able speak as well as not understand anything
Sir, what is to be done for tingling sensation at toe region, at forearm & wrist region with fingers in left side due to mild Stroke patient.. Sir plzz suggest
Hiui
👍👍
Hi hello sir the video and your explanation was extraordinary but I have a doubht sir while promoting raimiste's phenomenon in lower limb don't it increases the tone vaguely in upperlimb in the synergy pattern sir
Use only when limb is flaccid and not when limb has increased tone.
Sir please make a video on contemporary task oriented approach
Watch the NDT and Paralysis Treatment series on Physioclassroom channel.
I hope it has the relevant information you are looking for.
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By the are you studying or Practicing Physiotherapy??
Sir .. brunstrom nd bobath ki controversy pe ek vedio banao na ... Konsi better he ... Vo nai pata chalta ... Ek bolte he synergy ke sath chalp ...aur vo synergy ko break karo ... guid us 🙏
This will become clearer more and more as more Brunnstrom treatment videos will be uploaded.
We have to take the best strategies from both the Approach and customize it for patient's treatment.
Brunnstrom never recommend to strengthen synergy patterns.
They are to be facilitated and new combination of Movement patterns to be introduced ASAP.
Brunnstrom utilizes concepts some of which have similarity with the NDT and PNF concept of TREATMENT.
@@PhysioClassroom thank u sir 😇
My Dad had a Right MCA STROKE 5 months ago. His left Arm no movement very flaccid, but his Left leg is beginning to move, the left foot is moving forward. How can I help with the Flaccid Arm and Leg??? Help
Whatsapp 94589 66063 for taking appointment for online video consultation
If there is partial subluxation of shoulder happens towards hemiplegic side .. how to regain the strength and what should be the approach for such patients? Plz plz reply
Watch Neurorehabilitation secret video playlist to know more about exercise progression to improve upperlimb motor control.
How long it take time to recover sir
Sir , what we do if patient having global aphasia...these interventions become limited in that case of MCA stroke
Very true,
Then we have to coordinate our rehabilitation session with the speech therapist.
Strategies to restore comprehension and speech will then be our prime goal.
sir,could u please put in english subtitle in all of your videos? i really like your tutorial and videos and i want to learn more from you but i cannot understand hindustani
You are residing in which country?
Physio Classroom im from Malaysia sir
In paraplegia sir
Sir,how long should we wait in the flaccid stage to start these exercises? Like, can we start these exercises in the hospital itself along with passive movements and positioning if the patient is stable enough?
Yes.
From day 1.
On your first visit.
@@PhysioClassroom Thank you sir.
Sir..if the patient has stunts in heart can we give muscle stimulation??
Yes
Sir what if patient is unable to follow commands and remains confuse. Like in case of altered sensorium patients.
Cognitive rehabilitation and sensory stimulation program to be applied in such situations
Sir, how if patient keep complaint of hemiplegic side very sore and loe motivation to do exercise? Like they not focus on produce voluntary contraction while exercise or ignore the hemiplegic side?
Hello Lee Min,
Thanks for your question
Cognitive and Psychological and perceptual problems are also often associated with stroke and are needed to be dealt with in a holistic manner ( coordinating with Psychologist and Neurologist).
There are strategies to correct hemineglect and improve the motivational level of the patient.
@@PhysioClassroom thanks for the prompt reply sir 🙏 🙏
If they are not refer for psychologist, what can a physiotherapist done?
We have to get all the detailed assessment of the Patient based on the ICF disability model and plan the treatment accordingly.
Can't reply briefly to your question as it needs a long discussion.
@@PhysioClassroom thanks for the quick response. Will find more answer through your videos based on the assessment. You really is a brilliant lecturer 👏
Why would you facilitate elbow flexors ..when already elbow flexor synergy is common in ul
Please read the Brunnstrom concept of treatment.
Elbow flexors are being facilitated in the stage one, i.e. stage of flaccidity.
They are not facilitated when spasticity develops
Sir fingers me power lane k liye kare
Plz help sir
Sir mere finger s close ho rahi par opan nai ho rahi hai plz help me
I unfortunately have Stroke and this is the best treatment I've seen so far with herbs by #Drgbuyaka from Africa.I plan to use it in the future when friends/family ask about it........
What if someone is effected both sides?
Follow the Neurorehabilitation principles
Do you take workshops
Yes I do on topics like PNF, Hemiplegia rehabilitation ( Bobath, Brunnstrom, Rood's therapy etc).
Sir pls apne thumbnail ko itna crowded mat kiya kijiye ..just an advise
Thanks for your valuable feedback 😊
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Hindi m bola kro please
Thank you sir