Forum
About_us
 
Register Chat
 
 
 


Reply
  Author   Comment  
arightious

Registered:
Posts: 4
Reply with quote  #1 
Can anyone give me some direction on how to use the OSG to rehab a stroke post-stroke client.

The trainer who was working with him is no longer with our club and I will be working with him now.
stevedavison

Avatar / Picture

Moderator
Registered:
Posts: 121
Reply with quote  #2 

seen the vedio, tell me about the right arm's mobility.  do lyou guys have a walker at the facility? Does he have a walker?

arightious

Registered:
Posts: 4
Reply with quote  #3 
seen the vedio, tell me about the right arm's mobility. do lyou guys have a walker at the facility? Does he have a walker?

The right arm mobility is very very limited. As he demonstrated the workout his previous trainer took him through on the Impulse, it was clear that he was not really using his right arm, rather using his body to create momentum...then his arm only followed, it did not initiate the motion.

The hand is very immobile. In order to grasp an object, the functioning hand has to place the object inside the immobile hands grip.

we do not have a walker...but could probably obtain very easily. not sure if he has one.

he cannot lift the arm very well. based on our first two sessions it appears that he has been allowed to favor the weak side. i.e.---using the strong leg to begin the motion on a leg extension then the affected leg kicks in after momentum has been gained.

not that strength is the goal. he can balance fairly well on the affected leg while holding my shoulder, so there is some stability and muscle strength.

I believe that coordination and retraining the muscle/brain connection is the biggest issue.

completely open to your thoughts on this, and suggestions...
stevedavison

Avatar / Picture

Moderator
Registered:
Posts: 121
Reply with quote  #4 

he's not gonna get anything like a functional walking gait untill he gets that right scap working. it appears to be 100% asleep.  can he flex and extend his right elbow? if so, can he hold the elbow at 90 degrees?  if so can he do external rotation of the shoulder at that position?

arightious

Registered:
Posts: 4
Reply with quote  #5 
I'll be seeing him again today. I'll look at these movements and see where he is at with them and post the results later today.
arightious

Registered:
Posts: 4
Reply with quote  #6 
he does have some scaption...not much, and like the other movements i mentioned, there is alot of momentum being used. he can flex the elbow to 90, but extends to about 5-10 degrees (not totally straight).

shoulder rotation is limited. I had him doing side lateral raises while sitting on a stability ball. for the affected side it turned out to be more like a front lateral raise.

his hand stays about 20% closed. He has to really focus to get it to release. I help his hand and gently pried it open while he closed his eyes to concentrate on letting go. He is able to do it.

in the leg, the biggest issue I can see is at the knee joint. he is able to extend at the hip, but cannot willfully flex and extend at the knee. While balancing on the one leg the knee may slightly buckle, and he struggles to straigten it.

I also had him do wall squats with a stab. ball. he clearly puts more weight on the unaffected side, but when cued to shift his weight over closer to 50/50 he did fairly well.

also, the shoulder rotation appears to be important.

last week i tried the ankle attachment on the impulse, but the balance issue made it more of a hassle for him than anything. maybe i can sit him in a chair next time.
Previous Topic | Next Topic
Print
Reply


Create your own forum with Website Toolbox!