I realized that your mind has to rewire itself in order to progress or move forward. When you are rehabilitating you realize you took walking for granted. You never really thought about it. Now you overthink it... you get in the way.
This video is a year old and talks about quality movement vs just walking. I have a dog and literally walk several times a day and it’s gotten better than the beginning after my stroke but nowhere near normal.I found your videos because my walking is still slow with a limp and at times I lose balance and wobble. I’ve found d many of your suggestions helpful. More than simple repetitive walking. Thank you.
I am a spinal cord patient ,though I walk in walker ,I have no balance and also I have spacticty in my legs and hence find it difficult to walk even 30 ft. Please upload exercises which will help in balance. Thank you.
The final exercise in this video is what we were focusing on during the last few sessions of my PT, prior to me being dropped from coverage. Thank you so much for keeping this fresh in my mind and routine so I may continue to progress. I worked extremely hard to get to this point. The journey continues! Rock on Tara!
Fellow neuro PT here, love your videos!! Yes that is very disheartening to learn that will be taught in PT curriculum. In my opinion it seems that they need to further evaluate the long-term effects of abnormal movement patterns on the rate of orthopedic injuries, before jumping the gun. We don't treat orthopedic injuries that way, so why would we treat neuro pts that way? I'm with you!
Thank you so much! Hopefully I can use this to help my lower back. I’m walking 3 to 5 miles per day now, but need to go to a chiropractor because of the back pain. My wife said it was because of the way I’m walking and the chiropractor agreed today. I pray these exercises will help me!
This was fantastic! I was confused and frustrated. These movements put me back on track. Sooo glad I found this channel fifteen months ago! Still going forward . . . YOU ARE AMAZING
Thank you! I have mild CP and no one ever taught me this in my life. It would be the easiest thing to teach a child to sit on the edge of a bed in the morning and night and extend the knee, because it’s not like a difficult exercise. But people rarely teach disabled children to exercise effectively and enjoyably, it would become a chore and a punishment if someone was making them rather than doing it themselves. So we have to become adults and figure it out on RU-vid. I realized just now that I can straighten the uninvolved leg fairly well and the involved leg a degree less, both are pretty good but can use a little work. But my ankles do not dorsiflex at all. At all. So finally in my 50s, someone has bothered to tell me why I can’t walk correctly. Thank you.
I appreciate you picking apart the walking! I went to formal PT and had to do time walking each time. To me it’s not quality walking! I have MS and so love your your teaching! I do use a walker and would love to see some practice walking with a walker!
Quality movement helps with The Walking process, and reduces fatigue. I have been having trouble walking for about fifty years, and find your videos very valuable in improving my walking and making it easier. Thank you.
I do the exercises ( each and every one of them) at least once a day. You are an angel Dr. Tobias. I don’t know what I would have done without your videos. Your a blessing to us people with neuro deficiencies. Keep up the great work. 🥰
These videos have helped me so much in practicing orthopedic physical therapy. Breaking down movements into quality segments has given me new treatment tools for those who just did not seem to be responding as I thought they should. So appreciate your insights each week! Take care.
Just found your channel and LOVE the content. I'm a 26 year certified fitness & mobility coach who works closely with physical therapy assisting with post rehab therapies. Quality of movement is my focus for my clients and love your perspective and knowledge!!! Will be watching closely!
So good, thank you so much. I'm trying to recover from multiple back ops for stenosis and this video has given me new motivation. Expert and deep analysis, understanding and restorative action. Brilliant.
Dr , the way you both talk brief show us so much positivity. Also , a feel good factor that yes we can/ we will recoop. Mam I face a lot of fluttering in my left foot . Forgot the medical term . Please do share excercise to overcome the same. Dr Tara ( angel ) . You are a blessing in disguise 💗💗
Just came across your channel couple of minutes ago. Suffered a stroke lat August on the road to recovery hope this channel helps. Thank you because I can see there is a lot to learn.
Please do a video on Fixing limping issue. Most patient on our community has this problem. Will be great to be able to walk without limping again. Thanks Dr. Tara. Another great video.liked the new 3D Imaging to elaborate phases of walking.
After my stroke they put me in a research study group where I was walking walking and walking. Running and stair climbing for hours a day. I wish I hand some body like your for the initial training.
As usual.... Dr. Tabias, another fabulous video. Very informative and instrumental in improving my walking. Thank you for all your work and time in preparing these weekly videos.
HI Teresa! So happy to see you in the comments this week. Thank you so much for your encouragement. I am happy to do it knowing that it is helping you and others 😊
Thank you for all of this work you do for us. I will be implementing these excercises.. I like to do alot of walking but I really try to focus on the quality of my gait when I'm walking I also do quality movement exercises every day. And I have seen progress in my gait. So again.... thank you.
My favorite video yet! I'm in search for a PT that help me figure out where I'm at and what I need and to be like my coach through this. We'll see if that exists or willing to do this.
I had a stroke July 2020. Consistently in OT rehab, I've been taught quality of movement is much more beneficial than quantity of movements. This is in Arkansas . Seems it would apply to walking also. I glean good information from your videos! Thank you.
I love your videos. wish I had found them immediately after my surgeries for spinal stenosis. I have spasticity in my left leg and your videos have really helped!!!!!!
I love your videos! When I stand to brush my teeth, I sway back and forth. Additionally, when I get nervous about falling, my toes curl inside my shoes. Do you have any videos on that?
I have had many PTs and always mention my weak leg due to back surgery and the muscle loss...begging for gait training. NOTHING! Thank you for these videos. My leg DOES NOT RELAX...you nailed it!!
Great video. I had a spinal cord injury 5 years ago. I can walk short distances but my left foot has always stuck just as you described in video. So excited someone understands my problem. I can't thank you enough. You give me hope and inspiration to keep working. Thank you
Dr Tara, that is very impressive and I have learning a lot from this video. I believe a lot of people are looking forward for more on the quality walking gait.
Thank you 😊. I appreciate the fact that you work on quality movement. I was born with what people at that time called double jointed. Very flexible and at times I would over extend my legs (mostly). I definitely had somethings going on in one leg. Over tightness , and at the same time I felt like right around my knee things were too loose,😬. Anyways, I've been utilizing different exercises that you are sharing, they are really helping a lot. I enjoy working out hard, but when I do that without working on the small engaged exercises, I'm in trouble! So thank you. I'm sharing your channel with many people ☺️.
I've been through physiotherapy for over 18 months and I still struggle to walk normally. This being said, Icould stand up again just 2 months after the stroke. I find that the process is slow, knowing that I had high hopes as to my quick recovery! I know that going for walks can be very helpful, but still the exercises you're proposing can be very useful shortcutting the problem that so many like me struggle with... thank you for being so concise and explicit...
Hi Tara, thank you for producing and sharing these videos. I agree with you that exercises which focus on quality of movement (gait) are extremely important to an individual’s overall recovery vs. a focus on ‘speed of walking’. Because both should be used as a gauge to measure one’s recovery. Speaking from experience, being able to walk at 3.5 mph to keep up with the pace of average airport or commuter foot (people) traffic does not ensure that recovering subject’s movements are fluid and balanced. You mentioned equal standing time - I agree here too. There is a tendency to spend more time on the stronger leg and swing the weaker leg quickly (in sort of a slight hopping motion) to return to the stronger leg. This feels almost as if the weaker leg is used more as a standing or semi-stationary support, instead of an active articulated limb. I hope that makes sense to you. This is basically teaching the learning brain some bad habits. Do not be discouraged by the finding of this recent data; it is not correct. Your instructions are focused on the correct ‘path’! I will continue to watch, practice and benefit from your content. Thank you and Blessings!
Thank you so much for both explaining and working out . Will practice the same for sure . Also , had a doubt i invariably form a c ( initiating movement from my hip ) .
I completely agree with you. Without quality movement injury will occur. Whether in the form of arthritic changes or orthopaedic injury and I’d definitely like to avoid that!
I just found these today after an ent appt. I've had vertigo or cerebral ataxia post THC and TR in january. glad I found more videos to help for rehab! I used to ride my bike to work and would love to achieve that goal as well as being able to hike as well as working without restrictions as a nurse in a busy pacu.
What a great find to discover your channel! I have recently been diagnosed with MG which is affecting my balance and mobility. Your comments about quality movement are very encouraging as they reassure me that everything is related which some PTs seem to forget. I really like your wholistic, integrated approach. Your sessions are well paced, clearly demonstrated and explained.
Thankyou Dr. I am really stuck on this point, even though I am able to walk the movements are not smooth, will practice these and will update the progress. Thanks /Rajesh Ravindran
Time was more important than quality movement. Walking for 20 minutes "in a circle" taught me to walk for 20 minutes, but poorly. I learned to walk fairly well with a very strong extensor synergy pattern. Still trying to break it up despite my arthritis. Still need a cane. Still pressing on with your exercises, the ones I can do. Thanks, Dr. T, your heart must be this big, reaching out as you do and still care for your actual patients!
Hi Tara, I've been following for a few weeks now. Your videos and explanations are great and helpful. I'm diagnosed with GBS from waist down. My goal is to be Walking normal by end of the year. Thankyou so much
I have been practicing the exercises that you showed us for bent knee which has been my problem for the last year and my knee is straightening out more my foot reaches the ground the floor when I'm in my wheelchair so I believe I will be walking soon thank you to talk to Tara I watch all of your videos you're a great deal of help to me
I just wanted to share that since I am doing these exercises my walking improved tremendously. When My brother started crying when he saw how I can walk now . 😀
Zita, I am SOOOO excited for you! Thank you so much for taking the time to share this. I hope it gives others hope that they can do it too!! Keep going!!
Thank You. Not a day goes by without home therapy based on your videos. I decided that I will be an outlier just like you mentioned in the other video. 😀❤️
You are our shining star, great tips, Dr. Tara, thank you so much. Please keep making videos on walking, any piece of advice is a treasure for us! If you can, please consider changing direction whilst walking as a topic. Taking a turn, especially towards the uninvolved side. I also find sometimes that don't walk straight, probably I miss using some muscle around the hip.. so sometimes I feel like one of those shopping carriages at the supermarket that you keep pushing to the left but they keep pulling to the right. Is it caused by the glut muscles or hamstrings or some other muscle that I use incorrectly? Thank you again😊
Hi Andrea! Thanks for watching and for the suggestion. I have seen 2 comments in one day regarding turn steps. It might just be the next thing I talk about 😊 Stay tuned!
Your comments at the end are correct. I have mild CP and I have walked 3 miles a day many times in my life (the loop at my parents’ house was 1.5 miles and I would go twice.) But it only improved quality of movement insofar as it improved strength and maintained flexibility. Now I am just lying in bed doing nothing other than flexing and relaxing my knee and ankle over the edge, and I can see how it should help quality of movement since right now, my ankle barely dorsiflexes up. Thank you.
Another quality of movement thing that I’ve done for years is spending a few minutes before each day sitting cross legged. If I don’t do this, my right hip, knee and foot will turn when I walk since that’s how I walked as a kid. This has nothing to do with how far I can walk, but it improves quality of movement.
you are 100% right, i believe when you talk about the IMPORTANCE OF QUALITY MOVEMENT . the difference about stroke survivors and non stroke( i call them healthy people) is that our brain was injured long time, and theirs was not , i view quality in the sense that we are trying to RE LEARN our brain what he once KNEW.and that will not do on a finger snap. it takes quality to rewire correctly. thank you for the video. please put an emphasis on quality movement on all your channel videos, because all were trying to do is rewire the brain and quality movement is critical
Quality movement is the best. I learned how to walk quickly after a stroke 3 years ago but still don't walk properly because of poor learned habits, like swinging out the leg and lifting the hip of the my affected right leg. Learning the proper techniques is helping me walk so much better but its hard to unlearn the bad habits. Your videos are really helping. Thank you!!😂
@@rehabhqofficialI honestly dont know what I would have done without you! Dont get anywhere near this quality of knowledge or input from anybody else. I've passed you onto lots of stroke survivors. I've gone from a pretty severe intra cerebral heamoragic stroke in 2016 (52) that pretty much devastated my left side (and life). Over 5 years regained use of arm, hand and then leg/knee..... from hoists to wheelchair to crutches to walking with/and sometimes without cane. I believe meditation, visualisation and binaural beats have had their use. Use AFOs for footdrop/spasticity. Use the Xtern mostly at the moment (Ossur and Stepsmart too) but my goal is to not need them at all. Tried FES but didnt like the faffing about plus it hurt. I recently had botox in gastroc, soleus and interior ? .... working hard (using your exercises for spasticity rather than actual drop foot) to build up dorsiflex muscles whilst these have been turned down for time being. If I'm honest I still havent come to terms with what happened to me and all the other 'stuff' that comes along with the physical challenges. I absolutely detest this stroke - angry I didnt look after myself better. I know my brain can (and has) compensate and rewire. With your amazing expertise I will try and get these old bones and muscles to comply and do the right thing again! Thank you 💫
Thanks Dr Tobias, I am a newcomer to your site and so appreciate your expertise. I have trouble with foot drop and my hip hitching up. I have been working hard to strengthen and reposition my foot. I have no trouble with walking around the house. Rhythmic walking is a problem. Would walking poles be a good solution to walk outdoor and still work on positioning? Thanks, Elizabeth
🤩🧡🤩 A super video again, Dr. Tara, thank you very much. I love your drills and many if them are already part of my routine thanks to your prior videos. Thank you also for your emphasis on quality. Clearly the PTs here in Germany share your view. 🤩🧡🤩 Greetings to doggie Chico and all the best to you 🧡🙏🧡
Hi Nina! I am glad Germany focuses on quality. Unfortunately the US healthcare system is more incentivised to "prove" non-skilled treatments are MORE beneficial than treatment that would require more time and attention from the therapist (ie: movement retraining). (yes, I strongly believe a therapist walking you in a circle is not a skilled treatment intervention 😬🤷🏻♀️)
@@rehabhqofficial yes, most if them here follow the Bobath method, with lots of applications for daily life. The attention to detail is high. Running in circles is something everyone can practice at home alone. But you are exceptional in explaining every muscle and detail and that lifts the exercises to another level of understanding and quality.
Thank you for demonstrating these exercises in a calm and professional manner. Do you have prints outs that can be accessed on the exercises? I am hopeful these will held with my gait and balance issues. I am doing PT but have yet to do any of these table exercises. I will ask about doing these on my next visit.
thankyou. rehab put me on a treadmill with harness to do a stress test. i managed to keep going but the foot flapped on the floor. dorsi flexion standing is a challenge since stroke 20 months ago., i am trying to kick out the leg to land on the heel. seems that the ankle wants to collapse inwards a little bit. if i can strengthen the hip and outer quad, it should pull my ankle back into better alignment hopefully. Love your channel for the last 2 years, tremendous value
You since to be the only one on youtube and doctor Valerio Sarmati from Italy that really focus on Neuro Rehabilitacion involving the brain, concerning about neuroplasticiti and quality of movement. I am feeling sad that I pussed my brother so much to the point that he got angry and he did not want to continiou, I asked him to walk fast, and long distances with me, and now I see that I was affecting his mood, he was on pain, and depressed ask I was saying that it was not enough what he was doing. You should consider have thise videos over voice with spanish, as it is one of the languagues most spoken.
This video will be so helpful, thank you. I'm having a hard time walking without my affected hip stiffening up. It gets really stiff and the rest of my affected leg seems to follow that same pattern. Any suggestions for keeping my hip relaxed while walking? Thanks for so many good videos!!
I'm recovering from autoimmune tranverse myelitis due to an adverse reaction to immunotherapy. Love your channel. Your nails are always so cute. 😊 I posted this comment from my other channel where I watch most of your videos. Haha!
Thanks! I always appreciate your thoughtful videos. I hadn't thought about how tight my quads get. I have AMN a genetic spinal demyelinating disease that generally affects women with pain in lower back and hips. You are my go to for tips on improving my walking ability.
Thank you so much! Thank. you for your kind gift and for sharing your story! I am so glad you find these videos helpful. Please let me know if you have a suggestion for a future video. I am happy to put it in the cue :)
I’m a little confused about the last exercise when you’re stepping over the blocks do you keep your strong leg up or your weak leg up? Thank you for your videos they are so helpful I don’t get much help here in Pittsburgh California
Thanks for watching and for your question! I think I explain this pretty thoroughly in the video. Might be one of those things you need to watch a couple of times 😊
Hi Fred! I love the 3 wheel bike for exercise! Always work with a therapist before trying anything new but, generally speaking I think it is a great idea :)
My husband had a spinal cord injury in 9/2018. He's learning to walk again. He is waking on a walker but can't stand on his own. Can't balance himself. He has wealk butt, Armstrong and drop foot.
Hi June! Thanks for sharing! This is a pretty common problem with an incomplete spinal cord injury. Generally speaking, I usually notice it is a combination of weak "butt muscles" and weak thigh muscles (quadriceps) when someone can't let go of the walker. I showed a method of standing at the sink with knees blocked in this past weeks video. Here is the link: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-y5Bv7qRruZw.html (It is later in the video). He might want to try the method I show as it might give him more confidence to let go of the counter. I hope this helps!
I am a new subscriber! I belong to a Stroke group and the leader of the group Christopher Ewing showed us one of your videos today and I can’t wait to watch the rest of them😃
@@rehabhqofficial oh my goodness I just realized I commented with my husband’s channel somehow but my name is Cassie Thornburg my husband is Lee. i’m really enjoying your videos!
I had a serious fall 3yrs ago. The rt.leg weakness started slowly I didn't have health insurance I then had many falls after the serious 1st.one. Was not aware nor did PT pick up I had foot drop. MRI revealed disc bulges saw a chiropractor doing disc decompression in a perfect world I should have been in PT involved didn't happen I can't wear the "mask" so your vids helped tremendously
