When to start exercise after stroke
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
