♪ Bob and Brad ♪
♪ the two most famous ♪
♪ physical therapists on the internet. ♪
(knocks)
- Hi folks.
I'm Bob Schrupp, Physical Therapist
- Brad Heineck, Physical Therapist
- And we are the most famous physical therapists
on the internet
- In our opinion of course, Bob.
- Hey Brad, you wanted to talk about the "can do"
I like that we will do, can do a MVP balance system.
- Exactly
- Which is what we're holding right here.
Really the best exercise
for ankle rehab, range of motion and balance, right?
- Right, exactly.
You know, it's therapist talk proprioception
but this is one of those things.
You got a simple little device.
I mean just a flat piece of plastic, you know, you could
- Yeah
- you know, I've made these out of plywood already.
These work a little better.
- Well made.
And, and then we have some spheres
- Interchangeable
- Right, some round balls on the bottom
to make something wobbly.
- That you can put on different spots.
By the way, Brad, we should say right away too
this is not just for ankle rehab.
This is for knee and hip.
- Right.
- Very good for proprioception.
- Right, exactly.
- Especially after you've had like an ACL or any type
of ligament injury,
- Yep
- You're gonna want to get on this thing.
I don't know, do you think
we get people on their hands doing handstands.
- Oh, there is.
I have used these for shoulder rehab.
We can bring that up too.
- Sure.
- Another one.
- Great.
- All right
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All right, Brad.
Let's get started.
- Okay. Let, let's start out right to the exercise.
Now this, you can see, I have two balls.
If you look at it this way, they're half spheres.
They, they come on and off.
Bob will show you that.
- Yeah, real easy.
They just screw on and off like that.
Really nice.
I mean, that's where the quality comes in.
- Right
- Cuz you can see
it's just nice and solid.
- These will last forever unless you burn 'em.
Um, so this one has two balls.
This is considered the rocker board.
This one has, if you put it in the middle
it becomes a
- [Both] Wobble board.
- And this one can do that too.
So let's look at this. If you...
- The final option, Brad, would be
to put it, um, actually on the side here.
- Ah
- I don't know.
Is this an uneven wobble board then I would maybe call it?
- Well that's the advanced protocol, Bob.
- Yeah, that's the advance.
This is gonna be phase three.
We're gonna go phase one, phase two, phase three.
This is phase one, the rocker board
- Right? For physical therapists out there.
I've been using these for as long as I've been a therapist.
And I can say that this system is
you're not gonna find a better system
for wobbling' and, and rocker boards.
You might find something that good, but I don't
think you're gonna find anything better for sure.
Where you got a piece of carpet down here because
if you don't do it on carpet and you do it on tile
- It does slide.
- It does slide, but easily remedied
by a piece of very inexpensive shelf
- [Both] Shelf liner
- [Brad] Yep.
- [Bob] Or dycem, that's the professional stuff
that we use, right?
- Yeah.
That's kind of expensive
- But this is an inexpensive.
- Yeah. You can just go
down the Walmart and pick it up for, you know, a few bucks
and it lasts a long time and, and then it, it, it sticks
- [Bob] It sticks and stays in place.
- [Brad] Yeah. So I'm gonna go back to the carpet just
because it's easier for Lonnie to, to focus on it.
So if someone's recovering from a knee, hip or ankle sprain
I'll do this one first and make it the pro
or the rocker board.
And you'll see why just a little bit, just kind of hang on.
Be patient, be patient.
Bob's a very patient person.
- That's right, I am.
- I'm not, but if we go like this,
- You can see he's rocking back and forth
- Yeah.
Working range of motion.
Start with two canes and in the clinic
- [Brad] I have someone in the parallel bars.
- [Brad] Okay. Whoa
- [Bob] So they got bars on each side.
- [Brad] Exactly. So hold onto something.
You can do it holding onto a cupboard at home
or back of a chair.
And then we also want to get range of motion forward
and backwards.
This is not, this is not too wobbly.
It's actually relatively stable except
for the plane that you're working.
So I would call it a rocker board
- [Bob] And you're gonna wanna start that way
because I mean, after again, you've had surgery or injury.
- [Brad] Yep
- [Bob] You want to make sure you're fairly stable.
You don't want, I mean, safety first here
Always safety first.
- [Brad] Oh, yes
And then I'll progress.
If my right leg is involved side whether it's knee, ankle
or hip first, both legs.
When it feels pretty good, then I would go to one leg.
Okay. And we'll work it for 30 seconds to a minute
until we feel the fatigue when it gets too easy on one leg.
That's when we advance to
- [Bob] Sure.
- [Brad] The single ball, and
- [Bob] Well, once you also maybe would you try this
without canes, Brad, or not?
- Yeah. Yeah. (coughing)
- I mean, you could advance
to the point where you're maybe using one cane.
- Sure. Yep.
Good, good point, Bob.
I would just go to one cane and you know
and if you're an athlete, you're high level
then you might go
- Go to that point.
- Right, it gets harder and harder.
And if I go this way, it really
this is good for like soccer players
or football players that are cutting right and left.
Uh, tennis players.
- And then the advanced ones
you're gonna have 'em juggle when you do that. Right?
- Yes. Juggling is always part of the advanced protocol.
- So when we're going to the wobble board
you're first probably gonna start with a smaller one
right? Brad, maybe,
- Right
- Maybe you start with a red one?
- You can see all the size balls we have here, the black
the black, the blue, the green, the yellow.
And it goes on, the nice rainbow color effect. But uh,
- You tightened that one up on me, Brad.
- Well, yes, Bob, I like to keep my, you know
I like to keep 'em tight.
(coughing)
- So, all right.
So you know, this would be a lot easier one to
do obviously a smaller one to start off.
- Sure. Yep.
- And so now you have the
the wobble board cuz it's wobbly in all directions
- And because this is a, a wider board, Brad
it's gonna be more stable than this smaller board.
- Exactly.
- So this is the one you'd wanna start
off with the wobble board
and the same thing, you know, I can, I can start now.
Do you want me to do the phases, Brad?
- [Brad] Sure.
- [Bob] Gimme a five minute drill.
- [Brad] Yep.
- [Bob] All right.
Brad likes to do this five minute drill with people and
and again, it doesn't matter which side I'm rehabbing,
both sides are getting the work out here.
So we start off
with just going back and forth for one minute.
- [Brad] Yep.
- [Bob] So forward and back for one minute.
And then we're gonna go side to side for one minute.
- [Brad] One thing I like to do,
we can't do it on the carpet, but
if you have it on a hard surface, I always
tell a person make sure it goes click, click.
It'll click on the
on the floor to make a little PIP, pop PIP pop.
- [Bob] Sure
- It gives you some audible to focus on
- [Bob] Sure.
And then I'm gonna go circular clockwise.
- [Brad] Yeah.
- See, look with the knee motion.
he's getting in here and you work on the hips
- [Bob] And the hips
- [Brad] And you do that for a minute.
So I think we're on minute number three.
- [Bob] And then go the other way.
- [Brad] Other direction,
- [Bob] For a minute
- [Brad] Clockwise and counterclockwise.
- And then what do I do for my final minute, Brad?
- The last one you hold it level.
- So you just try to hold it low.
- Yep. Yep.
- Which is difficult to do.
- Yep. It is.
Although, you know, if you're
in parallel bars, it helps, but the key
- Now I got it
- Is to make it a little harder
Now...
- So the, the progression from that would be
- One foot.
- Oh one foot or one cane?
- Well, you could do it with one cane.
- Yep.
Just do it like a few clicks on each way.
- [Bob] So same thing going in all directions
- Yep
- [Bob] And the one circular, circular, and then balance.
Do, would you try it without it then at that point?
- No. Then I'd probably go to one foot, but you could
I guess it's up to the therapist or individual
- [Bob] OK, one foot I'm gonna go back to two canes.
- [Brad] Yeah. Go back to two.
It's not as hard as you think.
Cuz you're right in the middle.
You gotta get your foot in the middle.
- [Bob] Yep
- [Brad] There you go.
- [Bob] And now this leg is working a lot harder.
- [Brad] Yeah.
This is where you get some proprioception
and a lot of strengthening going on.
- [Bob] Yeah. This is a lot harder with one leg.
- [Brad] Yep.
- [Bob] And then of course the progression
from that would be, I mean, taking away canes.
- [Brad] Right, exactly.
- [Bob] But then you go to a larger ball.
- [Brad] Yes.
- [Bob] Which would be a lot harder
- Exactly. Now I don't know if we wanna max out on this
but if we go even to the, the blue ball
which is not the largest
- A larger ball and a smaller board.
- Oh yeah.
Let's let's make Bob work.
Try that Bob.
- Oh, sure, have Bob do it.
I notice Brad's not jump...
- Well
- Brad's not jumping up.
Yeah. This is a lot harder.
- Yeah.
- And remember 57 years old here, so
- Oh, Bob age is just part of the mind.
- [Bob] Just a number, right?
- [Brad] Yes, yes.
Just, just going forward and back.
- [Bob] I'm not tired at all.
Circular circular. And then holding in the middle
- [Brad] Now for, to strengthen that one leg that is really
got is weak.
And let's say you're doing a lot of cutting right and left
Whether it's soccer.
- So this would be phase three now we're in
- Yeah, this is now we're going
to the advanced protocol.
Look at that.
We put the ball off center, but all by itself.
- This is, what's nice about this system, Brad
cuz you can't do this with other boards.
- Exactly.
- I mean it's set in the middle.
They have one size
- Right
- So this just gives you just a multitude of options.
- Exactly.
That's what makes it such a nice system.
So what's what I like about this.
Brad is, okay, so this is
we're gonna consider this my rehab leg
or the leg that's weak and I can really
it's gonna work a lot harder, but I feel a lot safer
because I got my good leg in here helping me out.
- [Brad] So this one is doing a lot to control
- [Bob] This one's helping,
but this one is doing all the work.
- [Brad] Okay.
- [Bob] By far by far, it's doing all the work.
This one's just helping balance it
- [Brad] Sure, I see that, yep yep.
So that makes a lot of sense.
- [Bob] So I can go forward back.
I can do our whole system here, circular, circular.
It's just, this
this likes fatiguing out much rapid, more rapidly.
- [Brad] And I, I think you
you can probably feel those little muscles in your ankles.
- [Bob] Yeah, yeah, you can
- [Brad] You fatigue,
- [Bob] It is, that's exactly right.
It works out really well for that.
So, so really nice system.
Like I said, it gives you more options
and I'm sure after we work with this even more
there's probably gonna be the therapists will come
up with other ideas.
- Oh right. Yeah.
You know, therapists are typically creative
and there is a multitude
of options that can we just got touch the what is it?
The, the, the scrape, the ice or yeah
- We just touch the outer surface.
- Scratch the surface?
- Scratch the outer surface.
- Yeah.
- Wow are we good today?
- We're not, we're not English majors.
- All right.
This is again, this was sent to us by FEI.
They're not paying us, but they gave us a nice system.
- Yep
- So, and Fabrications Enterprise Incorporated
they have a website which I'll link below.
They have a different, um,
I think they have places that actually sell this in stores.
- Oh it could be.
I was just on the internet and I found a number
of different sites.
I have these on and they have a large variety
of combinations.
You can buy just the board and one ball
you can buy the whole set.
There's a square board actually.
You know, a lot of this is mostly
for the therapists or fitness centers where
- Yeah, I was gonna recommend Brad, if you are a therapist
I would go ahead and get their catalog there.
You know?
- Sure.
- Just you can go out to their website and sign up
and get their catalog.
Cause it has a lot of stuff in the catalog that I don't
you know, that it's not easy to find on the website.
Sometimes you gotta really dig.
- Right.
- Where here you can just go like this.
- Well, if you
- I'm old fashioned
- And if you're our age, it's nice to page through something
- Right
- With something in your fingers, but uh
- Right.
- Yeah. Very good product.
And I'm really not sure if these can get into our
what we're really after Bob, that, that thing we can
we can fix just about
- We can fix just about anything except for a broken heart.
- Right.
But maybe this will fit in somehow.
- I don't know.
We'll work on it.
- All right.
- Thanks a lot.