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Showing posts with label stroke. Show all posts
Showing posts with label stroke. Show all posts

Tuesday, December 29, 2020

Core Exercises for Stroke Patients to Improve Balance and Walking (Gait)


https://youtu.be/dGBqTLtdVuA 



Seated Core Exercises


https://youtu.be/twZ1hnetOP8


13.9K subscribers

The best way to improve balance after stroke is with core exercises. You can also download 13 pages of free rehab exercises here: https://flnt.rehab/2JGii7r

These core exercises for stroke patients are guided by Cassi, DPT (Doctor of Physical Therapy).

Cassi's core exercises are relatively easy and will help you improve your balance and gait (manner of walking).

To get more information on stroke recovery, download our FREE ebook here:https://flnt.rehab/2zg3yt0

Best Hand Exercises for Stroke Patients at Home

https://youtu.be/i0JYsLyJEnE 

These hand exercises for stroke patients are guided by Barbara, OTA. You can also download 13 pages of free rehab exercises here: https://flnt.rehab/2JGii7r



Best Stroke Recovery Hand Exercises - Stage 1


https://youtu.be/ZKR1nOtCNKU 

Dr. Scott Thompson shares the best stroke recovery hand exercises. Use these hand exercises and hand therapy tools to advance your stroke recovery. 

Full Body Rehab Exercise Guides

Thanks for signing up for our free stroke rehab exercises. To download the PDF exercise guides ebook, click the button below:

Download My Free Rehab Exercise Ebook!

We hope you get good use from the ebook!

Now let's back up a bit... Who is the company behind the stroke recovery blog and ebook?

Hello there!

We are so happy to have you here. We are Flint Rehab, and we're pretty passionate about stroke rehabilitation.

And we're even more passionate about helping stroke survivors just like you achieve a higher recovery.

Because we believe that...

  • ...You can defy the odds and achieve a higher recovery - if you believe in yourself.
  • ...Stroke education is of the utmost importance because it can help you achieve that higher recovery. 
  • ...Emotional healing is just as important as physical healing, so we always talk about both.
  • ...Regaining movement after stroke does not have to be boring.

That's why we pour so much energy into both maintaining an extensive stroke education blog and creating fun, effective rehabilitation devices.

What to Expect from Us

To help boost your stroke education, we send a newsletter every Monday that contains brand new stroke recovery articles.

Two of them are usually brand spankin' new, and the other 3 are goodies pulled from the archives.

Since our archives contain 300+ stroke recovery articles, our Monday newsletter is the best way to stay on top of our best stuff.

Do you think we're a good match?

If so, we'll help catch you up to speed by sending you a quick lesson on the best way to massively improve movement after stroke.

If you aren't interested, we understand. You can opt out here or at the bottom of any email at any time. No hard feelings!

For those who stick around, we're really happy to have you here!

Your resource for recovery,
​The team at Flint Rehab

Sunday, December 27, 2020

That calf of yours


These calf raises required no equipment and one of the simplest exercises to tone your muscles - photo: 123rf.com


STOP Calf Pain | Best Stretches For Calves

https://youtu.be/D327Pwt-ONs

11 Easy Exercises to Slim Your Legs In 2 Weeks

https://youtu.be/YGTCKQU4E7Y


 

Some like them big, some like them small, but either way, the size of your calves can tell a lot about your health.

MEN take pride in having them big, but women want them slender.

It’s a skeletal muscle group that’s difficult to bulk or trim, even though it’s one of the most used in daily tasks.

If you’re unsure which muscles these are, I’m referring to the calves.

Genetics and anatomical structure play a significant role in how the muscle is shaped and how large it can grow.

The calves comprise of two main muscles: the outer gastrocnemius (known as the calf belly with two “heads”, i.e. medial head and lateral head), and the underlying soleus, which is the smaller of the two.

Together, they are responsible for bending the ankle joint upwards (dorsiflexion) and straightening it to point your toes (plantarflexion).

These two muscles taper and merge at the base of the calf muscle, and attach to the heel bone (calcaneus) via the Achilles tendon.

During walking, running or jumping, the calf muscles pull the heel up to allow the body to propel forward.

There is also another small muscle that runs beneath the gastrocnemius and soleus, called the plantaris.

It has a short belly and a long, thin tendon that connects to the Achilles tendon.

Functionwise, the plantaris muscle assists the gastrocnemius, but not significantly.

In fact, in 10% of the population, this muscle is completely absent.

Bigger or smaller?

Basically, the size of your calf muscles is determined by how far your heel bone (calcaneus) projects backwards, i.e. its length.

The longer this bone is, the smaller your calves.

In one 2011 study, researchers studied individuals of similar height, weight, lower limb length and foot length, and discovered that the ones with shorter calcanei had bigger calves.

Meanwhile, those with longer calcanei had more slender calves.

They also looked at the muscle recruitment patterns and found that people with shorter heels and big calves were using their medial gastrocnemius muscle more than the lateral gastrocnemius muscle while walking.

In contrast, those with longer calcanei had more evenly distributed calf contractions.

People with skinny ankles (small girth) will not be able to build bulk in their calves, although they have a lot more agility than their counterparts with thicker ankles.

Sprinters generally have bigger calves due to the extraordinary amounts of explosive power required to sprint short distances.

Long distance runners, on the other hand, tend to have slender, toned calf and leg muscles.

In fact, the calves in animals that move fast are practically non-existent.

Sausage legs

There is no ideal or normal proportion for the calves and ankle – it depends on what is beautiful to the eye.

Aesthetically, we are all wired to desire ankles that are smaller than the calves.

However, there is a condition where the ankle is just as thick or slighter thinner than the calf, making the lower leg look like a cylinder.

This “cankle” – a combination of the words “calf” and “ankle” – is not a medical term, but a word made popular in 2001 when Jason Alexander’s character in the movie Shallow Hal used it to criticise an overweight woman’s lower leg, saying, “It’s like the calf merged with the foot, cut out the middleman.”

When you have cankles, you’ll find it hard to differentiate the calf from the ankle. Some people call this “sausage legs”.

Women are more prone to this as it seems to run in the female line, with mothers, sisters and other female relatives tending to have the same lower leg shape.

Unfortunately, there is just so much you can do to alter it through natural means besides losing the fat that is covering the ankle.

Sometimes, however, these cankles are due to medical conditions like excessive water retention, kidney disease, bad sprains and surgery.

The calves are prone to tightening and cramping, especially after a workout, so be sure to stretch them out.

If your ankles remain swollen over a long period, do seek medical advice as it could be the sign of something sinister, like heart failure.

Managing those muscles

If you’re genetically predisposed to having big calves and don’t want to bulk further, the best you can do is to scale back on high intensity, skipping, plyometric and heavy weight-bearing exercises as they contribute to hypertrophy or muscle growth.

Also, don’t walk, hike or run up on an incline (e.g. hills or uneven surfaces) as these activities force your calf muscles to work harder.

They will definitely get stronger, but could also get bigger.

Instead, stick to running on flat surfaces.

To build your calf muscles, there are only two types of effective, yet simple exercises: heel or calf raises with knees straight (for the gastrocnemius) and with knees bent (for the soleus).

Start with one set of 12-15 repetitions with your feet parallel first.

Then turn your feet out (toes pointed out or away from the body) for the next set.

For the last set, turn your feet in. This forces your muscles to work from different angles.

To target the soleus muscle, repeat the entire sequence seated, perhaps with a light dumbbell on your thighs.

Do three sets, but only with your feet parallel.

You may not see noticeable bulk, but you’ll see some tone and more definition.

Stretch and soak

The calves are prone to tightening and cramping, especially after a workout, so be sure to stretch them afterwards.

The simplest way to do this is to stand at the edge of a step and place the balls of your feet on it.

Keep your legs straight (use the wall or railing for support) and reach your heels to the floor until you feel the stretch in your calves and Achilles tendon. This stretches your gastrocnemius muscles.

To stretch your soleus, do this with one knee bent, then repeat on the other side.

In addition, you can try soaking your lower leg in warm, salt water for 15 to 20 minutes before patting dry with a towel.

Then, apply some oil or lotion to self-massage the calves using stroking motions towards your hip.

Depending on your preference, you can use your fingers, palms, heel of your hand or knuckles.

Strong pressure reduces tension and pain in your muscles, while using a light pressure is more relaxing, especially before you retire for the night.

Benefits in all sizes

Fret not if your calves are big because there are some health benefits associated with it, according to a 2008 study published in the Stroke journal.

Apparently, regardless of age, gender, body mass index (BMI) and other vascular risk factors, those with bigger calves have fewer fatty deposits known as plaques built up in their arteries, thus lowering their risk for stenosis, carotid artery disease and strokes.

Researchers suspect this may be because big calves give the body another place to store fat that could cause problems when they’re floating in the bloodstream.

At the same time, people with bulky calves could also be more prone to non-alcoholic fatty liver disease as the calves act as a proxy for fat deposits.

In a 2013 study in the Journal of Physical Therapy Science, researchers concluded that the smaller a person’s calves are, the higher their resting heart rates might be.

In general, high resting heart rates, or anything above 100 beats per minute, have been linked to an increased risk of death, regardless of physical fitness.

A normal resting heart rate for adults ranges from 60 to 100 beats per minute.

A lower heart rate at rest implies more efficient heart function and better cardiovascular fitness.

So, all is fair whether you have big calves or small.

On that note, here’s to a brighter 2021!

By Revathi Murugappan, who is a certified fitness trainer who tries to battle gravity and continues to dance to express herself artistically and nourish her soul. For more information, email starhealth@thestar.com.my. The information contained in this column is for general educational purposes only. Neither The Star nor the author gives any warranty on accuracy, completeness, functionality, usefulness or other assurances as to such information. The Star and the author disclaim all responsibility for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such information.

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Related posts:

Exercises for Stroke Patients 

When A Stroke Strikes

Attacking the brain

Sunday, July 26, 2020

Attacking the brain

Stroke kills more women than men each year but there are preventive steps you can take to minimise your risks.



IN Malaysia, strokes are the third leading cause of death for women, following heart attacks and pneumonia.

For some unknown reasons, many women choose not to join a post-stroke rehabilitation programme.

It is more deadly to women than breast cancer, and if it doesn’t kill you, can leave you with permanent disabilities.

A stroke is sometimes known as a “brain attack.”

It occurs when blood flow to a part of the brain is blocked by a blood clot or plaque, and brain cells begin to die.

Here are some facts about how strokes affect women differently from men:

> More women have strokes later in life.

> After age 85, stroke affects many more women than men.

> It is twice as common for women between 20 and 39 to have a stroke compared to men of the same age.

> Having a history of problems during pregnancy like gestational diabetes or preeclampsia.

> Using hormonal birth control while smoking.

> Being on menopausal hormone therapy during or after menopause.

> Experiencing migraines with aura, atrial fibrillation (irregular heartbeat), and diabetes.

Many strokes are preventable and treatable.

By knowing your risk factors and making healthy changes, you can minimise your risks of experiencing a stroke.

Three types of stroke

Ischemic stroke is the result of blockage of blood flow to the brain. This is the most common type of stroke, and it happens most often when a person has a blood clot or atherosclerosis, a condition when an artery is clogged with plaque

Hemorrhagic stroke, caused by bleeding into the brain.

This type of stroke happens when a blood vessel in the brain bursts, and blood bleeds into the brain.

An aneurysm, which is a thin or weak spot in an artery that can burst, is responsible for this type of stroke.

Mini-stroke, also called a transient ischemic attack or TIA, can happen when, briefly, less blood than normal flows to the brain.

TIA usually lasts only a few minutes or up to several hours. Many people aren’t even aware that they had a stroke.

Stroke affects different parts of the brain, and depending on which part, you may experience problems with speech, movement, balance, vision or memory.

Division of brain

The brain is divided into four main parts: right hemisphere; left hemisphere; the cerebellum; which controls balance and coordination; and the brain stem, which controls all of our body’s functions that we don’t think about, such as heart rate, blood pressure, sweating and digestion.

A stroke can happen in different parts of the brain.

In the right half of the brain, a stroke can cause:

> Mobility issues on the left side of your body.

> Problems with misjudging distances. This can cause falls, or inability to guide your hands to pick something up.

> Short-term memory loss. You may be able to remember events from 10 years ago, but may forget the directions to your regular grocery store.

> Misjudgement of abilities to do things and unusual behaviour such as leaving your house without getting fully dressed.

In the left half of the brain, a stroke can cause:

> Mobility issues on the right side of your body.

> Difficulty completing everyday tasks quickly.

> Trouble speaking or understanding others.

> Memory problems, or a tough time learning new things.

In the cerebellum, a stroke can cause:

> Dizziness, nausea (feeling sick to your stomach), and vomiting.

> Stiffness and tightness in the upper body that can cause spasms or jerky movements.

> Balance problems.

> Eye problems, such as blurry or double vision.

In the brain stem, strokes are most harmful.

Impulses that start in the brain must travel through the brain stem on their way to the arms and legs, so individuals that suffer a stroke in the brain stem may also develop paralysis.

Beware of these symptoms

Some women are more at risk because of certain health problems, family health history, age and habits. These are called risk factors.

There are certain risk factors that cannot be changed, such as age, race or ethnicity, or family history. The only thing that you can do is to control other stroke risk factors, such as high blood pressure, diabetes, smoking and unhealthy eating.

Common symptoms of stroke include:

> Trouble seeing in one or both eyes.

> Severe headache with no known cause.

> Trouble walking, dizziness, or loss of balance or coordination.

> Numbness or weakness of face, arm, or leg, especially on only one side of the body.

> Confusion or trouble speaking or understanding.

Recovering from stroke

The process of recovery can take a lot of time and depends on many factors, like the type of stroke you had, the area of your brain affected, and the amount of brain injury.

Recovery begins once you are medically stable, and this is within a day of suffering the stroke.

Your next steps will involve changes in everyday habits, medicines and rehabilitation.

In some cases, surgeries may be needed to lower the risk of another stroke.

The first step is to learn about your condition and what you should do during recovery.

Your doctor, nurses and physical therapist can answer questions you may have about about the treatment and rehabilitation.

The next critical step is to take steps to prevent another stroke from happening.

Stroke patients are always at a higher risk of having another down the road, so you need to:

> Identify and control your personal risk factors.

> Be consistent with your treatment plan. It is designed to help you recover from your stroke and prevent a recurrence.

> Continue taking medications even if you feel better. Discuss with your doctor before making changes. Also, determine the rehabilitation services you will need.

For unclear reasons, many women do not join a post-stroke rehabilitation programme.

After a stroke, you will often recover some function in the first few months. This is part of the body’s natural healing process.

But women who do go to stroke rehabilitation reap the following benefits:

> Regain as much independence as possible.

> Relearn skills and abilities that were damaged or lost.

> Learn to cope with any remaining limitations.

Setting a goal
Settling a goal can motivate you to measure your progress - TNS
Another important step is to set goals for your recovery.

You need to set realistic and measurable goals for recovery in every area of your life that has been affected.



Stroke recovery may be fast in the first few months, but it may slow down eventually.>>

When you set goals, it can motivate you to maintain progress.

Create a timeline for achieving long-term goals.

Take a multi-step approach for each goal and celebrate the short term wins when you gain them. And finally, don’t give up! The aftermath of a stroke can make patients feel powerless.

Part of your recovery is determining how to live as independently as possible.

Be reasonable with yourself, and be prepared to face challenges as you adapt to the differences in how your body works.

The road to stroke recovery may not be easy, but by focusing on celebrating your progress at every step, you can reach your goals.

Ensure you also have adequate nutrition and nutritional supplements to expedite the healing and recovery process.

Datuk Dr Nor Ashikin Mokhtar is a consultant obstetrician and gynaecologist, and a functional medicine practitioner. For further information, email starhealth@thestar.com.my. The information provided is for educational and communication purposes only and it should not be construed as personal medical advice. Information published in this article is not intended to replace, supplant or augment a consultation with a health professional regarding the reader’s own medical care. The Star does not give any warranty on accuracy, completeness, functionality, usefulness or other assurances as to the content appearing in this column. The Star disclaims all responsibility for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such information.

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Read more:

How to recognise signs of a stroke, and what to do ...



Remember "FAST": “Face” (does the face look uneven?), “Arms” (is one arm weak or numb?), “Speech” (does the speech sound strange?), and "Time" (4.5 hours before brain damage). If you notice these signs of a stroke, get the person to a hospital as quickly as possible. — Filepi


Boosting your brain function as you age




Brain Attack (Stroke) - UCLA Neurosurgery, Los Angeles, CA



Brain Attack: Stroke or Brain Attack is a disease that involves the blood vessels that supply blood to the brain - UCLA.



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