♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
- 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.
- I forgot to warm up Brad.
- Oh yeah.
- Okay, Brad, we're going to talk
about hand and finger exercises,
range of motion and strengthening that you can do.
We're going to show you a progression,
show you some exercises you can do at home,
and then we're going to show you a set here
that was actually provided to us by FEI again.
- FEI.
- Fabrication Enterprises, Incorporated.
This is their catalog. If you are a therapist,
I would highly suggest that you grab one and get one.
- Sure.
- You can go to their website. We'll put that link below.
- Right.
- But they gave us all this stuff.
We're not getting paid for this.
- Right.
- But we don't get paid for anything, do we, Brad?
- No, but we do,
we only like to represent quality or products that we like.
They're good quality products,
and we feel good about giving a little bump to them.
- A little plug to them, yeah. - Mmm hmm.
- Okay.
By the way, they provide some of these products
to retailers too and stuff.
- Sure.
Yeah, these will probably use mostly for therapists.
I don't think people are going to buy these
for an individual at home
if they had an accident or rehabbing.
But then you at least you'll know what you're looking at
when you go to a therapist and they have these.
- Yeah, and maybe you'll buy some of these.
- Yeah. Those for sure, actually.
- Yeah, I could see that.
Well, we'll get to that. - Right.
- By the way, we're going to introduce
our skeleton again here.
Napoleon. Not Leopold.
Napoleon Bone Apart.
- Oh yeah, Napoleon.
- And one of our patients thought it was fun
that she was going to go ahead and decorate it.
And she's kind of creative in that regard.
And it says I'm with these bone heads.
So, I thought it was creative, anyway.
- Yeah. I like what she's got down there.
You can't, maybe you can't see that the knee,
she's got the the reflex hammer down there by the kneecap.
- Yeah. And the weight tied into the hand.
- Yeah. - So, yeah.
- Yeah, we'll get him,
we'll get him rehabbed.
- Yep.
All right. So let's go ahead and start talking about
your hand after, maybe it was in a cast, you broke it.
- Sure.
- Maybe you have arthritis.
Maybe you've had a stroke, something.
It's weak. It's not got the motion it should be.
This is where you're going to start.
- Sure.
- Now, one of the things that you might try
if you have access to is a Parrafin Bath.
This works out really well for someone who's having pain.
Look at that, Brad's going to go ahead.
We did a whole video on this.
We won't take too much time on this right now,
but you just dip it in the Paraffin wax,
and it just envelopes the whole hand
and really provides a good source of heat.
Really nice for arthritis.
Really good for moisturizing the skin too.
- It feels great. Bob did it last time.
And I wanted to make sure I got in on this.
- [Bob] Brad wanted to get in on it, so.
- Yeah.
- [Bob] Alright. While Brad's messing around with that,
why don't I go ahead and start off--
Oh, let me get the laundry done here first.
- Yeah. Let's get that out of the way.
- If you are new to our channel,
I'm going to look over there
like I'm pretending someone just came in.
Hi!
Please subscribe to us.
We provide videos, how stay healthy, fit, pain free,
and we upload every day.
- Wow, wow. What did you eat this morning?
- I'm getting the energy level up here in the house.
- Holy cow.
- And also if you have a moment,
wander over to Facebook and like us.
Please don't make us beg.
We really want you to like us.
- Right, yeah. We feel better.
- Yeah. We feel better about ourselves whenever you do that.
- I feel better with my hand now. This is great.
- So how are you going to do exercises now?
- Well, just wait, Bob. Let's start with this one.
- Yeah. All right.
We're going to start off.
This is called the six pack.
I went to, I did my schooling at the Mayo clinic,
and they used to call it the six pack there.
I don't know if they invented it,
or it's just one that everybody uses.
- In Rochester, Minnesota.
- Yes. Yeah.
- Let's do the six pack.
- All right, first one is six exercises.
So you're going start off with what we call the tabletop
or some call it the duck.
Does it look like a duck?
- Let's just get on with it, Bob.
- All right. So you go from that,
and then you can go to up to the claw, which is number two.
Down, and number two.
Now you can do these 10 times.
- Okay. What's next Bob.
- Okay. Now, this is called the P I P joint, right, Brad?
You're just going to bend that one.
- Ooh.
So you know, these,
after an injury or a stroke or something of that nature,
these might be real difficult to do.
- Right.
- You may not be able to, you may have to--
- You might only get partial way,
and then there's some more advanced things you can do
as far as, you know, holding one joint
and working on trying to get more bend to it.
So next one, number four.
Now this one you're going to go ahead
and just completely flex everything
and completely extend everything.
Completely flex.
Completely extend.
Okay. It's quiet in here today.
- Yeah, I like it.
- It's kind of nice.
All right, the next one,
you're going to make an O with each finger.
- Oh, O!
- Oh! (chuckles) - O.
Good.
And then sometimes what they have you do
is slide to the bottom of this finger,
and then go back, start again.
- Oh. - Yeah.
- If you've got an itch on your finger,
you could itch it with your thumb like that.
- So...
...again, surprisingly Brad,
when you don't use the hand a lot in that certain fashion,
the hand actually gets tired.
- Yeah. I can feel those muscles working.
There is no doubt about it.
- All right, next one--
is the timer, right?
- Yeah. Oh yeah, it's right.
- Okay. Next one, we're going to go ahead,
and last one, you're going to do
what we call finger abduction.
So you're bringing the finger out like this.
- Now that my hand is warmed up from the wax, Bob,
I'm going to try it with this hand.
- Oh, look at that.
- It is amazing.
- Yeah.
- Even with a healthy hand, you could feel
how much more movable it is.
- Look at the erythema on there, by the way.
Unfortunately, by the time this video is aired,
we are giving away one of these on Facebook,
which is another reason to like us on Facebook,
we give away a lot of stuff.
But by the time this airs,
it's already going to be given away.
Sorry. - Oh, bummer.
- Yeah. All right.
So, now that we've got the range of motion,
we're going to start doing some strengthening.
And FEI has a whole bunch of strengthening things here,
there are kind of some standards here.
This is the Digi-Flex.
And this is the whole rack of them that they have.
And it goes from the easiest one which is the tan one,
and each one of these little finger,
what would you call that?
(chuckles)
- See, we're not occupational therapists.
They work with this more than,
by far, more than we do.
- Well, just this little knob here.
It's like a trumpet.
- Well, it's for your finger.
- Yeah. - Yeah.
For your finger flexors.
- So anyway, by pushing just the one finger,
that's just 0.75 pounds of pressure.
- Sure.
- If you do the whole hand, it's 2.5.
Now moving up to like the red,
that's three pounds per finger
or 10 pounds per the hand.
And if you go all the way to the most difficult one,
try even the gray one, Brad.
These are very difficult.
This is 13 pounds per finger, and I can't even--
- Ooh. Yeah, right.
- You know, I can't even hardly push that down.
- Right.
- And especially when you get down to the pinky.
- Yeah. Yeah. - Oh my God. That just--
- But when you do all of them together,
it's amazing how much more, you know,
strength you can get with the cumulative--
- Yeah, it pushes me to the limit though.
You know, that's 43 pounds.
- Sure. Right. - And so.
It's got a nice contour here for the palm.
So this is a set that,
it just works out really well for progression.
- He always puts them in upside down.
- Oh, did I put them in upside down?
Yeah. Brad's,
Brad's more of...that way.
- Yeah. (chuckles)
- If you know what I mean?
All right, this is a Digi-Extend,
and this is just a real simple device.
And what provides the resistance on here is rubber bands.
I want to show some,
a lot of the different rubber bands, Brad.
So, this is one of the easiest ones.
And you can see, I can get all the fingers
and we're working on extending,
working on extending the fingers.
And, you know, you can get more resistance
by using a heavier band.
- The darker the color typically,
and that's way it is on this product,
the darker the color, the more resistance.
And you simply,
it takes a little time to change the rubber band out.
So we're not gonna take the time to do that.
- And not that you have to necessarily change it.
You could put two in it at the same time.
- Oh. Sure, and double up the resistance.
- Yep, and the thing about that is,
yeah, now it's going to be really tough.
Here, I just got it on. Two of them, or one of them there.
And that one is really working now.
- Right. - So.
- Yeah.
- So you can get plenty of resistance.
- Right.
- I don't care how tough you are.
So the product that I really like Brad, is this Digi-Flex,
it's called, Multi-Progressive Exercise System.
- Yeah.
- This is really cool, and the reason it's really cool--
Now, again, we start with the yellow, which is only 1.5,
but you can interchange these.
So if you're finding one of the fingers is a little bit weak
you can actually put in a heavier dose in there.
So they just change easy, too.
You just pull them out.
I'm going to grab one of your black ones there
and slide it in, and you know, you're off and running.
This is a beautiful set. - Right.
- I really love this.
- This is, you know, the interchangeable inserts here.
And of course, again,
they're color coded by the resistance levels.
And you can keep them arranged in here.
So, you know,
this is something that at the professional level, you know,
occupational therapists or physical therapists
could really take advantage of for hand rehab.
- [Bob] To be honest, Brad, I already have,
my occupational therapist team has already been saying,
"Hey, can we get at this?"
And they have a patient they want to use it.
- Yeah, they want it.
- So I said, "No, we have to do the video today."
And now after that, they're going to go ahead and grab it.
So, all right.
So, very cool.
That's the, again, CanDo.
This is the brand name of this, Brad, by the way.
I like that. Can-Do it.
- Yeah. - CanDo.
- Yeah. Very positive.
- Digi-Flex Multi-Hand Exerciser.
I wanted to make sure I got the name right.
So, it's like a trumpet.
- That's what I was thinking.
If you're a trumpet player and you're rehabbing,
this would be ideal. (Bob laughing)
It would.
- All right, the last one here,
you've got a little display tray here.
Whoops. Look at that. - Oh Bob.
Why, Bob, why?
- I didn't stick them in there hard enough.
All right, this is the,
I want to, again, make sure I get it right,
the Digi-Extend and Squeeze.
- [Brad] Oh.
- [Bob] So what's nice about this
is that you're going to be able to work on flexion
and extension at the same time.
Or, you know, you can work one then the other.
But this is something you may want to buy
as a patient, even.
- [Brad] Yeah. This is something I could see.
- Because you know,
what it has is, it's got five different firmnesses.
That's what these five are.
I want to push this in here to make sure
it's not going to do that same thing again.
- [Brad] So the darkest ball is much firmer foam rubber.
- Much firmer.
- And the lighter color yellow is much easier.
- Yeah, this one's a lot easier.
- So you'd start with the yellow.
And as your hand gets stronger, progress up to the black.
- They also have three sizes,
and I don't know which size this is?
I don't know if this is the medium,
but they have small, medium, large.
So you can figure out which one would work out.
- Right. Depending on what size hand you have, of course.
- But let me just show you a few
of the exercises you can do with this.
One, you can, of course, just do full flexion.
You can work on just flexing the end, so the fingertips.
- Right. - Like this.
- So you get that pincher grip versus the full grip.
- And that's another one you can do, Brad,
is you can just do pincer like this.
- Sure. Yep.
- You put the two fingers together.
You can work pincer on each finger.
- Yep.
- You can actually work on just extension, of course.
And then you can even hook in here
and work on flexion like this, you know, individually.
So if you want to just work on flexion like this.
- Sure. Yep.
If you wanted to break it down that detailed.
So there's a lot of different things you can do with that.
So really cool set.
Again, you can look at the website below.
You know, right now, I'm afraid we've got to stop
and let our occupational therapists have their hand at it.
(Brad chuckles)
And remember, Brad and I can fix just about anything.
- Except for that broken heart.
I don't know if this is going to help with that.
- But we are working on it. - Yeah, it might, you know.
There you go.
- Okay. Thanks.