hello I'm Bob truck the skill center
Chris I'm Brad hanok physical therapist
and together we are most famous physical
therapist on the internet and now
opinion of course Bob Brad you've been
kind of a genius on providing us with
exercises on to do with people who after
their had a stroke and this is one if
you don't mind I'm saying if I say it
that you can really use it for our
people beyond a stroke to anybody who's
got kind of off one leg that's weaker
than the other right it might be after
an injury and this week late because
you've been out of crutches and in a
cast for six to eight weeks but it
definitely works well for stroke you
better believe it now this is something
you can do at home this is someone who
was recovered if it was a severe stroke
to the to the point where they can walk
right out real steady and that you know
that way get laid this week yeah
throwing you off balance put me on a
high potential for Falls sure okay let's
get to the three exercises and what I'd
like to do and enjoy these with a
patient right now that's had a stroke 61
year old and he's getting ready to go
home and we work on putting the Walker
Wow that's a good point we can use it
what's going to get in the way is this
is sit-to-stand round that's not only
good strengthening exercise Bob but it's
functional something to do all the time
exactly okay so this is for someone who
can already get up at that leg is weak
and they tend to go over to website or
they're losing their families so yeah we
did everything to do to have the Walker
front so you're saying the weak side the
left side yeah okay that's a good point
hold on right there but what he's going
to do is because people tend that he's
gonna flip them around when two people
tend to more weight on the strong side
as they're getting up so what he's going
to recommend is that you actually try to
focus on putting more weight on the weak
side as you get up and if you're doing
this at home and there's someone to help
get your 8 built up which you probably
have from the hospital if you have a
stroke if you haven't you could just use
a regular FD see if he comes first I'll
make sure that
you're not going to fall here and get
yourself back to square one right okay
the red tape represents the weak leg
from the stroke and of course their body
mechanics if there's arms or you can
push off from the arms to start with and
you don't want to grab the Locker and
pull up this way that's one thing you do
want to avoid okay I'm going to push
here because this is what I have on this
and I'm gonna come up leaning towards
the left yeah and that's all there is to
it oftentimes without even realizing it
this can happen so you're going to
consciously think it maybe have a
partner out once you come over here ba
sure so you're going to have your helper
over on this side and maybe have a hand
on the gate belt if you're having
difficulties but you're going to go
forward and purposely put weight on that
weak leg and get up they have that
blocker there you may not need it
depends on your balance at that time and
after you do that you're going to do it
again good control good posture you want
to avoid thing and really far forward of
course and you do have to lean forward
right you do have to lean forward you do
want a scoop or on a chair - it's
exactly good point five so it's not just
leaning for a pull the feet underneath
because if the leg is out here that's
going to be a problem underneath
lean forward but not really far forward
and add to that leg you only say no
one's over the toes they're always over
that I told there's the tallest okay so
weight bearing on that left side yeah
okay and do that ten repetitions
a good number to shoot for alright next
one is simply slops
okay so squats if you got a weekly a lot
of times people will tend to favor that
right side just because it's strong
there may have something collect which
is a common symptom of stroke so I'm not
going to get into that but when they
favor one side so Bob's got a hold on my
belt and I'm gonna really focus on
putting my weight if there was a scale
on this foot and on this foot it would
read 150 pounds here in 42 pounds there
I've got a lot more weight on this right
leg and good posture up tall or weight
on your left leg right is that what I
say Bob you said oh my god thank you
all right very good again 10 like that
foot is in if you know a new shallow
that's fine yeah yeah start off with
shallow but focusing on put it on the
left side right eventually you'll get
deeper and you're definitely once you
get down about this fire you don't need
to go any farther than that maybe you go
to the next exercise this is the big one
this is one that really helps that leg
and works on that balance as well you're
going to do lunges so if you're doing
with the right leg it's a strong leg
this is how you would do okay
straight down yeah so what he's doing
here it is the knee it should not go
past the toll pass the toe box first so
the knee should not bump into that so
that's vertical plumb line and I'm going
to keep it like that now some of this
has strokers had a weak leg is not going
to be able to do this very
hold on to something behind and start
off with so you do a walker they can
hold on to a counter top right yeah so
again this one forces you to put the
majority of the weight on that left leg
the weak leg and you're going to go up
the tip of that if ten gets to harder
you can spread the lunge out a little
bit farther but you know if you're
getting out like this you're going to be
going up and down stairs you're not
going to have a problem yeah you're
right about the average bump you might
just start out with baby ones like this
and that's perfectly fine and that's
what we encourage start out slow and
work your way up sorry when I encourage
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exactly 48 over and over that's what we
focus on because we are for you know
yeah we are not professional actors but
we are professional therapists we play
one on TV
okay thanks