hi I'm Bob Shrum physical therapist rad
Hynek physical together.we on the most
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oh and our Peter of course Bob Bob has
issues anyway let's get on with the
topic strengthening exercises on someone
that's wheelchair-bound there in the
wheelchairs or the legs for the legs
exactly a top three actions right people
that aren't able to get up walk by
themselves or they do very little
walking and there they are might be a
family member might you might be a CNA
in a nursing home you want to learn how
to do exercises and how to do some
efficient ones refined nursing assistant
right exactly
okay so here bob is the person in a
wheelchair and those legs are weak okay
the three basic ones first one we're
going to do is kicks okay okay go ahead
Bob oh here you go kick that up now hold
on there you go I want you to kick it up
high sometimes you put a target out here
like a hand is a good idea
now sometimes you get people that want
to do it like this they kick up and then
they just go up and down like this that
is really not what we want right we want
to have neat get it slow yeah tall and
you could touch here and say yeah bring
the foot all the way down to the floor
so a little hand contact here and here
that is a good quality but you know
there's a lot of people that will not
have that range of motion you might have
any tight hamstrings so show some of the
tight hamstrings Bob they might only
come up that high and that's okay you do
the best he can and generally you start
without weight right exactly I could
actually already feel that right yeah
those muscles are working aren't you Bob
now if the person go ahead and popped in
off pretty good then it might be time to
get an ankle weight on probably start
with one pound if they're stronger use
your judgement you can get two poems or
even three pounds I've got someone right
now he uses five pounds been working at
it and again the one you can do sets of
10 this is good you can go up to 15 yeah
10 to 15 and they should feel like their
muscles are tired after that yep
there should be no pain in the joints no
sharp pain time to get to the last one
they might be shaking a little right
that's good that means you're hitting
about the right right amount of stress
about 10 to 15 on each leg if you they
want to do more you can go ahead and do
two sets the next exercise is hip
flexion going
Bob can you demonstrate just simply
lifting up the knee called seated
marching now a lot of times you could
just do alternate yeah just like that
get in good balance to it and if you I
now remember you got to count these one
two three four if you're going to do 10
out of leg that's 20 right Bob I used to
get confused on that Wizard here now if
they're able to do that quite easily
then put weights on their ankle and have
them do the same number you know exactly
make sure they're giving good posture
they're not going like yes yep exactly
always working with that cheering on a
little bit say good job Bob yeah thank
you
okay and the last one is we want to work
the muscles in the thigh okay the inner
thigh and if you take a ball that's like
this put it between the knees and you're
going to squeeze and relax squeeze and
relax you can do 10 to 15 of those as
well now this ball is kind of firm and
if they're too firm I don't think
there's good you can use them but I'd
like to throw that one out and then
you're going to get a flat ball and you
can use a football - and this one
happens to be a boy is this for is this
professional football Hannah
but anything squishy go ahead and it
feels better for the person they get
little better quality strengthening I
think and if you really want to get a
gun you get a Green Bay Packer ball
that's a lot better squeezing the head
of the Green Bay
wheezy eyeball right elevation oh yeah
hit it once in a while go a little
stress relief there's a bonus one for
the like strengthening - Brad you bet
what is it then that's just to get some
hip extensors and stuff like that as you
can actually just work on doing
sit-to-stand repeated sit to stands with
the patient and this is actually a good
functional one to do it
obviously depends on the patient's
ability they're not able to do that
obviously it's going to be a Debray they
should be able to do that independently
or just a little bit of help right
pushing up from the chair nose over the
toes yeah and working on it ten of those
ten of those okay so once again we can
really help fix anything in the body bob
except a broken heart a broken but we're
working on every Bob I got red duct tape
we're going to take some night classes
we're
read a couple books but we're not going
to give up yeah yeah and we're going to
get it thanks