♪ Bob and Brad, ♪
♪ the two most famous physical therapists ♪
♪ On the internet ♪
(clapping)
- 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 own opinion of course, Bob.
- Today we have a new treatment
for weak arm after stroke.
This is especially good
for shoulder subluxation
and more.
- Which is pretty common after a stroke.
- This is one of the cool things
about having this channel, Brad.
We get kind of exposed to this,
some of the new
equipment that's coming out there.
- Sure.
- And we think if it's worthwhile,
we pass it on to you.
We have no financial bearing on this.
And we get no remuneration
but we think it might help some of the people
that have had a stroke.
- Exactly.
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- There ya go.
- All right, so we've been sent this device.
It's called the Sable Stem One.
We've had products from Sable before.
Really high quality organization.
They do a good job.
In fact,
I got another one coming from them.
- Oh, good.
- Yeah, for the hand.
But after stroke,
many patients have
a paralysis of the shoulder muscles.
And basically what happens,
after a while--
- Oh, we're gonna show them on Sam.
- Yeah.
- Good idea.
- The shoulder actually starts to come
out of joint a little bit.
Just slightly.
So you got the ball
and you got the socket.
It actually drops a little bit.
And you can actually feel
a little gap there.
- Right.
You'll feel on one side,
here it's tight,
here you can get your whole finger in there.
Course there's skin there,
but it's very clear,
you can oftentimes see it.
- Yeah, you can see it.
It's called the sulcus sign.
And Brad,
if I were to do it on you,
do you mind just rolling
up your sleeve once?
- I'll do it for you, Bob.
See if we got a sulcus sign in there.
- I can actually pull down like this
and you can often see
it actually goes down
and you can see a little movement there.
- If they don't have a lot
of soft tissue underneath the skin,
it's a little more obvious.
But we want to keep that muscles active
so that doesn't happen,
because that creates pain.
- Absolutely.
- And it limits function,
once the muscles do regain strength.
- Perfectly said Brad,
and it affects up to 81%
of the stroke patients,
so this isn't a minor problem.
The other thing is that
this system can actually be used
almost anywhere on the arm
for helping re-educate the muscles.
- Keeps that thing moving
in the right direction.
- So pretty simple to use.
It comes with the main device here,
and then it comes with little wings,
they call them.
- Oh yeah.
Well, it looks like wings.
- Yeah, they look like wings.
They even flap like them.
And it has a charger,
so it charges up really easily actually.
- Yeah, I'm impressed with that.
It just easily--
- And then plug it in.
- It goes right where it's supposed to,
right into your USB port,
we call that.
- Or a computer, yep.
- I'm catching onto this stuff, Bob.
- That's a computer term for you.
So anyway,
I'm gonna snap it onto the wings,
very easily to do.
And then,
when the wings,
you have to actually put on the pads
on the wings.
You're gonna show that, Brad.
- These are replacement pads,
they stick to your skin.
If you have used TENS
or anything like that,
you know that,
after so many times,
you need to replace it.
And these are all nicely packaged
so that you can,
it's probably going to be hard to see this,
but you can replace the pads.
This is a nice system,
I like this system.
- Tends to run about 10 to 12 treatments,
the pads do.
And you can extend them a little bit
but putting a little water on them.
- Right, just to clean them up,
it helps.
It doesn't make them like new but
it gives it a little more time.
- I'm gonna have you hold this Brad,
just for the fact that we're
on film right now.
Well do you want to put it on this one?
- Sure.
- So you're gonna put it right across
like that.
And we're getting the deltoid.
And they found out,
interestingly enough Brad,
is that the deltoid
works more from pulling the humorous
up into the socket than the supraspinatus.
- Oh, well that is interesting.
- So they figure by stimulating the deltoid,
you can do a better job.
So I'm just pushing the center here
and holding it for three seconds.
You hear a little beep?
- Little indicator light comes up.
- And now I'm going to go ahead,
if you push on top.
There we go.
If we push on top,
that turns it up.
Ooh, I can feel it.
You see it?
- Here, let me hold it Bob.
- Don't!
- Ooh, there we go.
- Okay, we're high enough!
- Definitely got the muscles to fire there.
You can see,
now it's going on and off
how often?
- Eight seconds on,
eight seconds off.
The thing is,
when you charge this,
it'll last for 24 hours of treatment.
But this machine,
this little unit,
runs for an hour and then it pops off.
I asked, "What's the recommendation
for how often you would use this?"
And they would say
usually once or twice a day.
- A full hour each time?
- Yeah, a full hour each time.
- You can really see those
deltoids working there.
- Now, we don't like to recommend anything
unless there's some research behind it,
and boy, the research really supports this.
I was really surprised Brad.
I found everything was positive supporting it,
saying it works well to
decrease the incidents of subluxation,
and also increases function.
Now, it didn't say as much about pain,
but if you reduce subluxation,
you're gonna reduce pain.
In my mind.
- It certainly fits together.
- So now let's say you want to go ahead,
I'm gonna let it go one more time
just to give you one more shot of it.
Boy, that really does fire.
So I'm gonna turn it off.
- Do you have to hold it?
- Yep, I'm gonna hold it
for three seconds.
And you hear a beep-beep.
So now Brad,
do you mind just pulling it off
and putting it on my bicep?
- Oh, yeah.
We're gonna do it carefully,
we wanna grab the pads.
- Now what's nice about the wings,
the wings actually flip a little bit
so you can turn them like that, see?
- Change the distance and the location.
- Yeah, so if the bicep's not that long,
you can flip it a little bit that way,
flip it a little bit that way,
and then I go ahead and turn it on.
- Pretty much covering your whole bicep, Bob.
- I need to work on that a little bit.
- Just kidding.
- Gonna hold it for three seconds,
beep, it comes on.
This will be interesting to see it.
(laughs)
- So it's firing his bicep.
You're not doing that.
- No, I'm not doing that.
We'll see how it goes this next time here
after eight seconds.
- Now, there are some precautions
for people who should not use these.
- Absolutely,
thank you for bringing that up Brad.
The normal precautions that you'd have
with TENS or EMS,
like if you have a
pacemaker.
- Then you're not going to use it
for sure.
- You're pregnant,
you wouldn't put it over
the area of pregnancy.
- And there's a list of those.
- Yeah, carotid arteries.
I'm sure they probably have it
on their website, too.
So this is a way of
trying to regain some function in the arm.
It's really quite clever.
So this device,
they have an introduction price of $99,
they do want a prescription
from your doctor though, too.
Which I don't think would be hard to get.
(laughs)
- What?
- Well it's just kind of wild,
how it just does it's own thing.
It's like some of the people I know
in my life.
- Where you going with that Bob?
- I don't know.
- This deserves a "Why Bob?"
- So you can put it here,
you can put it on your tricep,
you can put it on to get your wrist.
They even showed it that you can put
it down below here
to help with foot drop.
- Right, which is a very common side effect
of a CVA or a stroke.
Get that into your tib work.
- So we'll have a link below,
take a look at it
and thank you to Sable Stem
for sending us the product.
- You bet.
- So take care.