Na Stroke Ka? Bedridden? Assist Elderly to move weak and tight shoulder. Session 1

Dr. Noel Oribio facilitates shoulder movements for healing and recovery. This video is an actual session with a loved one who is bedridden. Family members, carers and significant others may benefit from this demonstration.
Please be advised that the information provided is not intended to replace actual and official medical advice. Please consult your doctor and physical therapist for proper evaluation and plan of care.
Dr. Oribio talks about the importance of even a small amount of movement compared to none at all. Each session should be done with care and with constant communication with the person receiving the care. In non-verbal individuals, facial expressions, body language and other means should be observed. We should not inflict pain. The purpose of each session is to facilitate movement, healing and recovery.
In bedridden persons, a schedule of log rolling or turning should be done to prevent pressure sores and other negative effects of prolonged positioning.
In this session, the recipient of care is in sidelying position with the focus shoulder on top. The therapist is facing the patient to properly grasp the shoulder and scapula or shoulder blade.
The actual facilitation of exercises for the shoulder starts at the scapulothoracic area. A smooth flow of scapular motions on the thoracic area allows optimal movement of the shoulder or glenohumeral joint. This is due to the scapulohumeral rhythm.
For each exercise, we do 3 sets of 10 repetitions. And we do about 3 cycles a day.
We facilitate movements of scapular protraction, retraction, elevation, depression, internal rotation and external rotation.
Next, we do shoulder flexion and extension while facilitating the scapular motion. If the range of motion is limited, we work with the available to range.
Avoid overpressure at the end range. If we feel a tightness or a limitation, we stop and go back to the original position. This is called ROM or Range of Motion Exercise. More specifically, it is a Passive ROM Exercise with the effort coming from the therapist. While the receiver of care has no effort in the movement.
Passive ROM Exercises are very beneficial to bedridden patients, extremely weak, frail and elderly. Through movement we facilitate fluid mobility in the joints as well as fluid dynamics in between muscle fiber, fascia or muscle coverings and nerve mobilization as well affecting sensation and function.
In the video the person's right elbow has a flexion contracture. And so, we do shoulder flexion and extension with the elbow bent. This is accommodating the condition in order to push through with the movement, healing and recovery.
Dr. Oribio also gave pointers in facilitating swallowing by stroking from the base of throat upwards and not the other way around. He also discussed the patient's ineffective coughing mechanism thus, the need for a motorized suction device.
At the end of the video, Dr. Oribio invites viewers to like the video and subscribe to the channel / @docnoelph
The link to noeloribio.physio is also displayed with the contact number 09277155770 for inquiries and appointments. Clinics in San Fernando City La Union and Urdaneta City Pangasinan.
Dr. Oribio's other info follows:
DR. NOEL ORIBIO, MD (IMI), NMD, ND, PTRP PFIIPA
Integrative Medicine & Immunology
Naturopathic Medicine
General Physio
Ortho Manual PT
Electro-Acupuncture/ Dry needling
Usui Reiki Level 3
www.Linkedin.com/in/physioribio