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After Stroke: Seven Safe Exercises To Do In Bed- Recovery Exercises

pop and Brad the two most famous

physical therapist on the Internet hi

I'm Bob Shrum physical therapist

throughout any physical third because we

are the most famous physical therapist

on the internet no opinion of course bad

today I want to just show some simple

exercise you can do after having a

stroke

seven exercises that you can do in bed

that are safe

you know you there's no chance of you

falling just kind of some basic ones to

start with all right this is for someone

who's probably had both their arm and

leg fairly involved right and they maybe

can move them a little bit but not like

very much there yet right so early this

this is representing the stroke side the

arm the weak side okay okay

start off with number one I'll just take

one pill of the stepper breath alright

first thing you do and you're going to

maybe need somebody to help right it's

going to be the assistant but the first

one you do is I'm putting the strong leg

up and then I if I can get it up we'll

put the weak leg up but if I can't

you're gonna have to help okay and then

we're going to start with some rotations

back and forth like this and again if

it's going to flop like this Brad may

have to help and help me roll back and

forth usually you can just sit on the

bed right here and and only help as much

as you need to I'm going to let go hold

or you get a back up yeah and sometimes

if it gets a little easier

Brad can provide resistance sure push

push push push push yeah there we go and

verbal cues found the person kind of

helps out and sometimes pushing down

through the leg right to give a little

weight through the legs sometimes helps

too I'm going to push in here yeah

alright that's exercise number one

number two now you're going to try to

just actually spread the legs apart and

bring them back together again

we call it the clamshell yep and again

you may need a little help at some

points on this maybe you can just say

you know lower it slowly if you can

don't just let it flop see can you hold

it hold it hold it hold it hold it hold

it hold it now just for fun the the weak

side yeah and this is going to vary so

you have to kind of write with the

person some every patient is a little

bit different and

and exactly next one is bridging you may

want to start with just the strong leg

do some bridging here get some core work

out and then you go to doing both of

them the same thing you might have to

hold it Brad as a matter of fact a lot

of times that the patient cannot get the

leg up so you need some help to get to

here right and once they get to that

position you might have to hold the fie

hub and excellent right I like to do is

sit on their toes gently of course and

then I'll pull this way yeah.well up up

up Bob there you go that's a great one

to do it just helps a little bit the

great hint all right what else are we

missing here now well then if you get

really good you may want to do a single

leg right as this leg gets stronger then

we put all the all the gravity and

resistance there all right next one you

actually going to take a couple pillows

and put them underneath the leg like

this and to help kind of clear the foot

like this and put the knee into a little

bit of flexion and you're going to try

to help and see if you can bring that

toe towards you so all right there is

this that's all it is right there but

this knee should be up and bent just a

little bit you might even more than this

even if you can Brad you're baring foot

more your bundle up yup like that yeah

there are there are some neurological

reasons for that we're not going to get

into it but it is important to have a

little bend in that knee and if this

foot is not go ahead just move a little

bit you know if you're help and you can

help and sit hold it on the Bob let it

down slow there you go pull up up up up

up up up and let it down slow anything

we do to get those muscles to wake up

and as much as you can you know visually

try to help the person if he can see it

I see it right I help improve that

ability to do that all right next one

will go to the arm now and basically

again we got the weak arm here so you're

going to have the strong arm kind of

clasp the hand like this or again make

sure you're not going to fall out of bed

here right but it's good to follow with

your eyes and I'm going to clasp the

hand I'm going to bring it up and over

here so making that diagonal not right

and up over the left

shoulder nice if you can turn down like

this but I don't want to get that

complicated right right this is so this

is the first step towards rolling so we

start on the hip can we go up I'm

watching with my head the whole time and

it's important to watch because if

you've had a stroke what could happen is

is they won't even the person had the

stroke won't know what this hand will

fall down and if I watching it they

won't know that the arms are there their

hands aren't connected because they're

so that the nerves aren't connected to

let that information will be known so

you can also switch and go on this side

and go this way right from that hip to

this shoulder again I'm watching the

whole time with my eyes now what this

leads to is you can actually start doing

rolling now and the easiest one to do is

going to be to first roll to your weak

side sure so I'm going to put the strong

leg up I'm going to put the arm down on

the strong side the strong hip and I'm

going to go like this I'm going to push

with the leg and pull myself over like

this make sure you're not too close to

the bed because you don't want to yeah

off if you've got someone to help you

have someone there to help if you had a

real good idea so this is the nice first

step towards rolling now that one that's

going to be more difficult is going

towards the strong side because now

you're gonna have to have the weak side

up like this down here like this and

this has got to push a little bit right

so you don't want to try this until you

got some push in this leg or so I'm

going to bring it up over this way and

push I'm going to roll over onto it

right so he's pushing you can see the

hip comes off the table too far I'm on

to my bike here but mm-hmm so that's the

seven exercise you can do and start and

it becomes functional because you're

learning how to roll right bad and

that's always the first step right so I

would say ten repetitions of each is

good it's going to take you some time to

get through all those until you get used

to your routine and there's a lot of

neurological background with the PMF

that we didn't get into unless if you're

a therapist you know what you understand

why we're these things but on re and you

just have to trust us right so all right

good luck with it I'm good luck