How To Open A Tight Hand After Stroke

Experiencing a tight or clenched fist after a stroke is common. It's often caused by spasticity, which occurs in around 25-39% of stroke survivors. This video shows a progressive plan to open a tight fist after stroke.
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Time Stamps:
00:00 Intro
00:21 Splinting
01:14 Positioning
03:14 Botox Injections
04:09 Stretching
06:24 Exercise
08:07 Outro
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Medical Disclaimer: All content on this channel is for general informational purposes only. It is not intended to serve as a substitute for medical advice or treatment from a physician or qualified healthcare provider. Talk to your doctor before starting a new exercise or therapy regimen.

[@DrOTGuy]

I usually have good success opening up the hand by first getting the thumb out and then flexing the wrist. Awesome video. Love your channel, you've given me great additional ideas and tips to help my patients as well.

[@PostStrokeOrg]

@dr.otguy, thanks very much for sharing what has worked for you and your patients! And thank you for sharing the content you do on your channel ❤️

[@ba8yluvs]

Thank you and another fantastic video!! My stroke was 2/19/2021 and I had discovered you a couple months afterwards.

[@PostStrokeOrg]

@ba8yluvs, Thank you so much for your kind words! I hope you're doing well and continuing to make progress in your recovery journey ❤️

[@isobelmiller1835]

U r amazing and i am indebted to you for all the information you are providing.

[@patriciawalz7022]

As a stroke survivor, I would like to see a stroke survivor on the video doing the therapies it would also show the way some of this really does not work very well.

[@PostStrokeOrg]

@patriciaWalz, Thanks very much for your feedback. This is something I'd like to pursue, however, with the pandemic ongoing that has made it difficult.

[@MoniqueShaq22]

Thank you so much I know I asked on Facebook a few weeks ago if you had this video so happy you made one and it was so helpful.

[@PostStrokeOrg]

@moniqueshaq22, Yes! My goal is to always answer people's requests for topics if it's something I can answer! I also have another video coming out soon that will take you through a real-time, daily stretching routine for hand spasticity. You may find that one helpful, too ❤️ And if you have any other requests, let me know! I love to hear from y'all!😊

[@andylim3810]

good video Elyse, with clear instruction

[@PostStrokeOrg]

@andylim, Thank you so much and I appreciate the feedback!

[@poojahm120]

. thank you so much for sharing the above.

[@themartyd]

Brilliant explanation as usual ..my hand is the last thing to to come back for me extension is all I can think about these days.keep up the good work xx

[@PostStrokeOrg]

@martindillon, Thanks for your kind words. You keep up the good work, too! 😊

[@poojahm120]

Thank you so much for sharing the above video. Very much needed. God bless you

[@PostStrokeOrg]

❤️

[@williamokuda8882]

Great video.

[@PostStrokeOrg]

@williamokuda, Thank you so much! 😊

[@laurieyonge1851]

Thanks!

[@PostStrokeOrg]

Thank you so much! We can't tell you how much we appreciate you! ❤️

[@khaledabdelhak4393]

Thank you doctor

[@PostStrokeOrg]

@khaledabdelhak, you're very welcome ❤️

[@clivekempson4411]

Another great video Elyse, I can resonate with a lot of this one. I receive Botox in my forearm and finger flexors which does help

[@PostStrokeOrg]

@clivekempson, Thanks so much for your kind words and thanks for sharing your experience with Botox!😊

[@nileshhindlekar2018]

This video helped me to breakdown clinched feast. I am able to open and close all fingers except my ring finger. Doc please help

[@samanthasims7123]

Thank u maam

[@PostStrokeOrg]

@samanthasims, You are so welcome!

[@ahmeddaanouni9268]

Tnks u very match

[@PostStrokeOrg]

Very welcome!😊

[@sonia68ish]

I am an OT and recommend the saebo stretch

[@PostStrokeOrg]

@sa, Thanks for sharing your recommendation! 😊

[@heatherguill9614]

Thank you so much. I wish I had had this video a year ago when I had my stroke, but so happy to have it now.I have just received my second round of Botox injections, and my fingers are finally not in a clenched fist. I’m still not able to really use them at all, but I hope with time that will change. Can you do a video on supination? I can do inactive supination but I can’t make it happen on its own even with the Botox in those areas. I appreciate you and all your great videos

[@PostStrokeOrg]

@heatherguill, Thanks so much for all of your comments! I love hearing from you and others on what you'd like to see. That's how I choose the topics for my videos most of the time 😊 And thank you for sharing what your experiences have been with Botox. I'll add a forearm video to the docket ❤️

[@edgaresteban2666]

How do I get one of those gloves?

[@torrielemell6708]

What about if it’s been over a year since you’ve worn the splint and your hand isn’t improving?

[@HeatherS-wo3ti]

I can’t find the link for the splint

[@sajanninan4520]

❤️❤️❤️❤️❤️

[@yvonnerooiland2061]

Yvonne Rooiland

[@babajicharannayak6475]

Respected Elyse madam,I'm 69.After having 2tia followed by a cva my left side paralyzed and due to spasticity and weakness my left hand elbow,wrist and fingers are not working properly. Please send me some videos regarding this. Thanks. The span of the stroke is going to be 1 year and 2months .

[@user-wn1ck2vz8q]

The way I found to unclinch my fist was tto unclinch my pinky finger first , then the rest were able to follow

[@poojahm120]

Please share the link for the hand splint . Thank you

[@poojahm120]

The fingers just curl up

[@poojahm120]

Please share the name of the brace .

[@kennyadams8748]

Help

[@mpampistsotsos3629]

Im five years post stroke my arm not strong

[@bret8491]

hi mam Elyse does the botox can help the strengthening of your weak hips. My balance affected because of my weak hips.

[@PostStrokeOrg]

@bret, Botox won't necessarily help strengthen weak hips. It's meant to relax tight muscles due to spasticity. You may want to consider trying my seated balance video if you're struggling with balance: kzbin.info/www/bejne/eGGXk6Srf8yCY8k Or my seated leg strengthening video: kzbin.info/www/bejne/h4q5nmWOfJV3Z6s

[@user-wn1ck2vz8q]

The way I found to unclinch my fist was tto unclinch my pinky finger first , then the rest were able to follow!

[@PostStrokeOrg]

Thank you for sharing!!

[@CortezMusical]

I mentioned the botox alternative to my Dr and he frowned on it, even said it was counterproductive because it paralyzes my already immobile arm.. I think I need to find a Dr that specializes with stroke victims 😞

[@PostStrokeOrg]

@vicky, Everyone is different and certain interventions may not work for everyone. But it's always good to get a second opinion!

[@sreekumar1359]

How to straighten the fingers

[@PostStrokeOrg]

@sreekumar, You may find this video helpful: kzbin.info/www/bejne/gaPXfpWnjpx9o6M

[@cemalgol859]

bu faydali videolari turkce anlatacak kimse yokmu bu ulkede.

[@sajanninan4520]

👍👍👍👍♥️

[@PostStrokeOrg]

😊❤️

[@AllInone-ev6pi]

I'm suffering from stroke since last 9month ago am only 23yr old and my fingers can't open I can't hold object so please suggest me exercise for its

[@PostStrokeOrg]

@allinone, I'm sorry to hear about your recent stroke. You may find this video helpful: kzbin.info/www/bejne/q3PMZa1nnceVd7M

[@ernestreid9296]

Good Vidio. I tried BOTOX. I t didn't' help ME much. I found PT worked better. We are all different. I found a trick that helped my clenched fist. At night when I sleep on the side of my affected hand. I keep my hand spread on the mattress with my other hand holding it down. When I sleep on the other side, I keep my hand spread out flat on the mattress. It works. My hand use to be in a tight fist. Now it is loose enough so I can tie my shoes. (Not very well but I still am able to do it)

[@poojahm120]

Awesome video, very much needed. Thanks a million zillion. You are an angel in disguise ❤❤❤

[@christiannaguit7618]

Why does botox always need to start at the elbow (biceps)and not in the wrist and hand specifically(the hand is the only immobile tho

[@PostStrokeOrg]

@christiannaguit, Hmm. I don't know that botox injections always start at the elbow. However, actually administering injections isn't within my scope of practice, so this may be a better question for a neurologist! I'm sorry I couldn't be of more help with this question, but thank you for asking 😊

[@anthonycarney907]

My hand is like a hat I put a ball in my hand and i stecting my fingers the NHS should be showing ur blogs comingxx here happy to l AVE u got n bed

[@JKdeSydney-oo1ch]

Thanks!

[@PostStrokeOrg]

Thank you SO much!!☺️❤️

[@sajanninan4520]

❤️❤️❤️❤️❤️