HOW TO POSITION A HEMIPLEGIC/PARALYSIS PATIENT IN SUPINE LYING (PART-1)

For Advanced Paralysis treatment and consultation by Dr. ABHISHEK SHARMA ,
contact: ADVANCED NEUROREHABILITATION CENTRE (ANRC,DEHRADUN)
[phone]
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[@arishakakakhail1295]

I am a physio from Pakistan very talented Indian physio u r I wish I can learn from you in real-time

[@sabahameed9560]

Sir you are blessing for patients as well physiotherapist world wide .

[@bhaskarbannerjee504]

Júí4

[@Anilkumarrangavajhula]

Sir, my son is a hemiplegia patient having 11 years age. No PT given this type of guidance to me...Thank you so much.

[@abhilaalexanderpt4456]

Thank you sir for clear understanding and making concept more precise with reasoning.Thanks lot for pnf videos.

[@shivagangapuram1831]

The way you explain is very neat and clean sir👌❤

[@ranasardar4360]

Very good video sent, thanks a lot

[@salihaozdemir998]

Sir i have been watching your videos from Turkey and i find that so your videos are very efficent and effective and please add english subtittle or Turkish subtitle. Greetings

[@ramabordawekar495]

Sir you are amazing and a boon for all the physiotherapists😊

[@tannumai3096]

Thanks for your information very beneficial and helpful

[@purusaxena397]

All steps are helpful or superb we can add a pillow or bed railing side pillow at foot because in hemiplegia foot is dropped😊

[@PhysioClassroom]

Yes surely we can do that as long as the limb is flaccid. 😊🙏

[@ranasardar4360]

Very good videos thanks sir

[@chandrakantadebata2968]

Thanks a lot for ur knowledge

[@SajidAli-gt9vm]

Sir hemiplegia ka patient agar speech and strength ke liye kese physiotherapy management and treatment kiya hoga plzz sir iske liye koi video updoad kariye

[@ridewithduke2502]

Great but sir plz explain us on real hemiparetic patient ... it would be more knowledgeable to us

[@philosebastian3837]

Exactly

[@sumeshsounds6363]

Could you please provide subtitles for your videos in Hindi please? TQ Sir. Keep up the great job. :)

[@shubashdamekar8027]

Thank you doctor aap Babut acchi taraha samajate hain main patient huu. Main karleti huu doctor. 🌹🌹🙏🙏🙏🙏🙏👌👌👌👌👌🌹🌹

[@bidyutray3885]

sir foot ka position kaisa hoga?

[@sanlapkundu]

Can we also dorsiflex the foot by keeping the patient at the edge of the plinth and keep it on a footrest?

[@PhysioClassroom]

Yes we can but only till the limb is flaccid. A spastic limb when placed that way would result in further exaggeration of stretch reflex and thereby further increase in tone.

[@anilbhandare4038]

Sir agar hath muda huva ho to ye tarika ajmanese thik ho sakta hai kya please bataye

[@muhammadwaqaskhan7311]

Sir hum foot k liyah splint use kr sakty Hy?

[@ishaagrawal5799]

If patient had ipsilateral proximal femur nailing on POD 3 what we can add on and unka knee alrealdy flexion contracture me jaa raha ha then what to add on in this

[@azharwani-sc1vx]

Sir ji mere nani ko ischemic stroke aaya hai __jis ke wajah se uska left side paralise hogya hai_aur ba wo mooh se kuch kha rhe hai__ 80 years uski age hai _kya wo recover hojayege

[@kajalkumari-lt1rs]

You're a blessing sir thank you so much 💫

[@himanshumaurya1570]

Spinal cord injury ke karna peralallis ho gaya he kamar se per tak kaam nhi kar raha he uske liye kis pojisan pe soye

[@paka.g3439]

The caregiver has no time to adjust position again and again... then what we can?

[@drmomeenchauhanphysiothera9482]

Yadi patient apna head paralysis side rkhta ho to kya use b sidha Krna chahiye ya usi side rkhe

[@dr20231may]

Patient details Age : 83 male Moderately obesed One day All of a sudden Can't walk , can't talk, can't lift arms ,can't eat by himself (needs help) i will try your tips on him ,wish him good luck May God give all of us the power To be everything , give time

[@amitkhastogir]

Fantastic sir

[@mmurali2172]

Sir my name is murali brain strockpashont left saide parlyaysmy left lagsaide gum gaya outneka nati horahe please reply me what possishon karna

[@rajputsusingh4739]

More important for Occupational Therapy and Hemiplagic patients which r more prominent and treated by Neuro Ergonomists then any other profession With VT, MVF OT/Ergonomists Treat patients which can't be cute by any other one

[@novaarcade2995]

Hello sir aapki video excellent h m bhi left side paralysis patient hu mujhe aap guide kigiye ki leg aur arm ki movment m kaman h Puri tarah se power increase nahi ho rahi aap kuch guide kiJiye ki kaya karna h m aap ki sari video dekh rahi hu un excersize ko karti hu m 4 month se bed par hu November se start hua tha

[@Life_Thoughts28]

Now it's recovered?

[@shameerhashir3589]

Assalamu alikum sir mery father ko swallow krny ma bahut problem Hy. Plz is pa b video banain. Or wo bolty b nhn Hain. 1.5 month ho Gaya Hy unko paralysis howy.

[@adilsdmcollegeofayurvedaan2270]

Thank you for the better explanation 👏

[@mohdanwar7959]

Sir ji mere elbow ka opration huwa hai aur roz haath sheedha karta hun aur fhir waise ho jata hai kiya main aise haath rakh sakta hun jaise aap ne bataya

[@PhysioClassroom]

HELLO THERE 🙂 , THANKS FOR REACHING US🙏🏻 , WE WILL PROVIDE YOU AN ONLINE APPOINTMENT AT A SUITABLE TIME FOR YOU TO MEET AND TALK WITH DR. ABHISHEK REGARDING YOUR ISSUE OR ADVICE/SUGGESTIONS THAT YOU MAY WANT TO TAKE.📩 WE WILL ARRANGE VIDEO CALLS ON DIFFERENT PLATFORMS FOR YOU TO MAKE IT MORE COMFORTABLE. 👍🏻 THERE WILL BE A REASONABLE CONSULTATION FEE WITH A FIXED TIMMING FOR VIDEO SESSIONS. THE MOST FAMOUS PRICE OF OURS IS (Rs. 250)INR FOR CONSULTANCY. WE ASSURE TO PROVIDE BEST OF OUR SERVICES🌟 Whatsapp - 9458966063

[@saurabhabnave.2105]

Thank you Sir for giving such ideas .

[@chanchalchouhan3628]

This is a Very nice and informative video thank you for this great information ♥️

[@shailashreesujeetkamatagi8100]

1year ke badame achha hota hai kya ji

[@MrArunjot]

Sir I have one question. As you know that after stroke scapula gets protracted due to tight pectoralis minor....so why did you said that scapula/shoulder will be in backward postion while the patient is in supine line?....you the shoulder will remain in backward position in supine lying as the pectoralis minor muscle gets tight ....thank you

[@sairamphysioacademy4858]

the positioning has a very minimal impact on the overall outcome so it doesnt matter at the end. Its more vital how he moves rather than he rests.

[@PhysioClassroom]

Its good to have different schools of thought. I believe both are important till the first 4 weeks of stroke onset. Once the patient's motor control start improving then positioning is no longer required as you correctly mentioned.

[@sairamphysioacademy4858]

True I agree but I tried answering to the question regarding pectoralis minor. I feel that specific muscle doesn't have much role in quality of movement. But I have a different idea regarding positioning sir. Not to offend you sir, as we both have good motive, but in my experience and knowledge through motor control I feel any passive action will not influence voluntary control. Please discuss.

[@PhysioClassroom]

Any passive motion/ positioning will not improve voluntary control. The above statement is very correct docsaab 👌👍🏼

[@anukoolhardia2207]

@@sairamphysioacademy4858 sorry to interrupt but as far as my knowledge and practice is concern, therapist give vigorous passive movement to generate motor respons in flaccid hemiplegic... One of the protocol reach to max spasticity..

[@dodod666]

Sir my FIL has haemorrhagic stroke ... Main difficult we r facing is chest he has lot of secretion in there which he is not able to cough out ... What can we do for that .. plz give ur inputs

[@sanjaylangoti794]

Mujhe Sir right side stroke so can you sleep on right side

[@uzmakamran4530]

Thanx,now I can guide my hemiplegic aunt accordingly

[@zeshankhan-db1ck]

Doctor sahab DJ mujhe to aap patient ka aisi kaun si exercise hai iske liye

[@hbpowercreator2996]

Sir meri Aankh Ka Palak open nahi ho raha to kya karun please sir help me🙏

[@jmjkfh33]

Thank you sir for the wonderful class...PT from Kerala

[@PhysioClassroom]

Thanks for watching Physioclassroom 😊❣️ Do share our channel videos with your contacts and help us in reaching out to maximum number of people 😊❤️

[@fatimamurtaza7189]

Sir 65 above age k lady hn 5 months ago un k right sided hemi plegia hoa tha physical therapy knowledge na ho k vja se ab start krvae he Condition un k ab ese he k right hip depressed and knee flexion k sath internal rotated he ur spastic condition. could you please guide me what should i do.as a care giver

[@trymagix.inspirationalbook6172]

Thank you sir... Most useful video

[@chayahphysiotherapy6488]

Thank you very much for your illustrations. But is it possible to do another video in English for people like me, who don't understand Hindi language? I am a physiotherapist from Nigeria.

[@deepjyotinath7508]

Thanks a lot sir

[@PhysioClassroom]

Most welcome

[@shivamrawat8287]

Good

[@mehrmakhan5108]

Mari mother ko 2 sal o gy wo paralized han kindly UNki recovery kesy o ge

[@blessing4u682]

Sir my aunt has left side paralysis but she sleeps on left side kindly tell me right position

[@arindambhattacharjee841]

Very nyc sir and helpful

[@PhysioClassroom]

Thanx.

[@Anilkumarrangavajhula]

How to get regular videos of your channel sir

[@njeganilovette1779]

Sir,kindly make an english version of this video

[@thephysio8151]

sir can we use this positioning in quadriplegic patients (bilaterally)

[@monabharadwaj7776]

Sir ur videos are very helpful

[@PhysioClassroom]

Thanks for watching 😊 Do share with your contacts 🙏

[@zaffarkhan3864]

Very helpful......thank u dr sahab

[@Tribhuvan123]

I'm physiotherapy 3rd year student from Bihar Patna

[@DeepakYadav-ti1ne]

Hiii mujhe physiotherapy karwana hai ap karoge

[@PhysioClassroom]

Hello, I have rehabilitation setup where patients get treated by qualified Physios. I work in a medical college and do only consultation and teaching.

[@charleslubrica2593]

I admire your work. But No english subtitles? :(

[@PhysioClassroom]

By end of this month you will get English subtitles 😊🙏 Thanks for watching Physioclassroom 😊❣️

[@charleslubrica2593]

@@PhysioClassroom ♥

[@mitaksharameet]

I have no words to thank u. Well done.

[@hifzazaidi1951]

Very helpful vedio

[@irtazanaqvi6422]

Sir mere baba ko hua h hemiplegia on right side plz mje btaen ye kb tk recover ho jae ga r ziada dangerous to ni hota

[@irtazanaqvi6422]

Sir reply me must

[@shidayoussefizad3086]

Hello Sir; I need translation in English as subtext when you are speaking in your native language. I wonder why you havnt already done it.

[@surajsinghchauhan9846]

Bahut good

[@AyshaVA]

if the elbow is extended and forearm is pronated at the same time, wouldn't that initiate an extensor spasticity in the patient?

[@PhysioClassroom]

Upper limb is not prone for development of extensor spasticity. ( Flexor spasticity is predominant in upper limb and extensor in lower limb). Watch upper and lower limb synergy pattern videos to know more ( Brunnstrom therapy playlist).

[@AyshaVA]

@@PhysioClassroom okay thank you

[@raymondomuk4806]

Hope you have sub titles watching from Philippines

[@HUMAN28284]

Sir i have a dought ..in this video patient hand in internal rotation..?is this make spactic

[@PhysioClassroom]

It's the shoulder not the hand you are talking about. ( Internal rotation movement is not used to describe hand position) If you observe carefully again the shoulder has been kept in partial abduction with neutral rotation (neither IR nor ER). Keeping shoulder in full ER is not always possible. It's good for you to have doubts. Thanks for watching the video. Do share with others. 😊

[@HUMAN28284]

Thank s for the reply sir? Is any problem if shoulder is placed in abduction external rotation at all time in above 90fegree? In supine position

[@PhysioClassroom]

Hello, Don't place the shoulder above 90 degrees as the glenohumeral rhythm is disturbed in stroke patient. The scapula will not rotate outward to maintain alignment of glenoid cavity with the humeral head during abduction beyond 90 degrees. So it can cause shoulder pain and also compromise joint stability.

[@HUMAN28284]

@@PhysioClassroom thank youu sir you are great 🥰😘🤗I hope you will clear all my doubts thanku sir 💯

[@PhysioClassroom]

Don't forget to share our channel videos with your contacts on whatsapp and facebook. 😊 Thanks for watching our videos.

[@ridewithduke2502]

Hand position should be in midprone or supine ?

[@PhysioClassroom]

Supine is not always practically possible. Prefer supine but if not possible then midprone.

[@dumaniyaravi4882]

Sir can we use this techniques in on ICU bad?

[@PhysioClassroom]

Yes definitely. Just pay attention to other factors like raised ICP, lung pathology etc and modify positioning accordingly. Do share our videos with your contacts and help us in reaching out to maximum people. 😊 Regards Dr. Abhishek

[@aanchalpatel25]

Awesome video sir👌👌

[@PhysioClassroom]

Studying in which College?

[@aanchalpatel25]

Dolphin college sir😐

[@PhysioClassroom]

Ok. See you sometime.

[@aanchalpatel25]

Sure sir..thank you 😊

[@aanchalpatel25]

Physio Classroom sure sir thank you 😊

[@falgunisharma2457]

Sir your videos are very helpful.... Please make videos on MMT and mobilization also. Thanks sir. U teach amazing.

[@PhysioClassroom]

Thank you for your feedback. Do help us in reaching out to Maximum number of physiotherapy students and professionals by sharing our channel videos on whatsapp, facebook and other social media. Thanks again. 😊

[@jeevikaupadhyay1966]

@@PhysioClassroom sir AAP k centre kaha hai

[@sandushachandiwade4764]

ऐसा करने से ठिक होगा क्या.

[@ashvinapatel1603]

Sir please make a video on how to assess voluntary control grading..

[@PhysioClassroom]

Sure👍

[@rahulpaswan4942]

Thik hone ke..bare mai batayea..plz sir

[@arindambhattacharjee841]

Sir can u submit some hemiplegia physio treatment series??? Full... Please sir

[@PhysioClassroom]

Hemiplegia rehab approaches will also be covered. 😊

[@fahadfahad2575]

Sir agr kb walk krnye lagye aor phr be foot bar jye tu ab kya kryn

[@fahadfahad2575]

plz rply sir

[@jagdishlakare8392]

Gbs के पेशंट के लिए कृपया कोई एक्ससईज बताए.

[@PhysioClassroom]

HELLO THERE 🙂 , THANKS FOR REACHING US🙏🏻 , WE WILL PROVIDE YOU AN ONLINE APPOINTMENT AT A SUITABLE TIME FOR YOU TO MEET AND TALK WITH DR. ABHISHEK REGARDING YOUR ISSUE OR ADVICE/SUGGESTIONS THAT YOU MAY WANT TO TAKE.📩 WE WILL ARRANGE VIDEO CALLS ON DIFFERENT PLATFORMS FOR YOU TO MAKE IT MORE COMFORTABLE. 👍🏻 THERE WILL BE A REASONABLE CONSULTATION FEE WITH A FIXED TIMMING FOR VIDEO SESSIONS. THE MOST FAMOUS PRICE OF OURS IS (Rs. 250)INR FOR CONSULTANCY. WE ASSURE TO PROVIDE BEST OF OUR SERVICES🌟 Whatsapp No. 9458966063

[@Ff-qq5gl]

Could you please add english subtitle 🙏🙏

[@arunkamra3901]

Thanks you sir for video

[@devdebbo8040]

Agr gum pahala sa position thik sa na karo after aisa position karna ma improve hoga?

[@PhysioClassroom]

HELLO THERE 🙂 , THANKS FOR REACHING US🙏🏻 , WE WILL PROVIDE YOU AN ONLINE APPOINTMENT AT A SUITABLE TIME FOR YOU TO MEET AND TALK WITH DR. ABHISHEK REGARDING YOUR ISSUE OR ADVICE/SUGGESTIONS THAT YOU MAY WANT TO TAKE.📩 WE WILL ARRANGE VIDEO CALLS ON DIFFERENT PLATFORMS FOR YOU TO MAKE IT MORE COMFORTABLE. 👍🏻 THERE WILL BE A REASONABLE CONSULTATION FEE WITH A FIXED TIMMING FOR VIDEO SESSIONS. THE MOST FAMOUS PRICE OF OURS IS (Rs. 250)INR FOR CONSULTANCY. WE ASSURE TO PROVIDE BEST OF OUR SERVICES🌟 Whatsapp No. 9458966063

[@ajaychhabra_]

Quite different.i am taking care of my dad since last 6years..but didn't tried such position

[@PhysioClassroom]

HELLO THERE 🙂 , THANKS FOR REACHING US🙏🏻 , WE WILL PROVIDE YOU AN ONLINE APPOINTMENT AT A SUITABLE TIME FOR YOU TO MEET AND TALK WITH DR. ABHISHEK REGARDING YOUR ISSUE OR ADVICE/SUGGESTIONS THAT YOU MAY WANT TO TAKE.📩 WE WILL ARRANGE VIDEO CALLS ON DIFFERENT PLATFORMS FOR YOU TO MAKE IT MORE COMFORTABLE. 👍🏻 THERE WILL BE A REASONABLE CONSULTATION FEE WITH A FIXED TIMMING FOR VIDEO SESSIONS. THE MOST FAMOUS PRICE OF OURS IS (Rs. 250)INR FOR CONSULTANCY. WE ASSURE TO PROVIDE BEST OF OUR SERVICES🌟 Whatsapp No. 9458966063

[@anilnegi7459]

Sirji cerebral palsy adults exercise bataye

[@kunwarnripendrasinghrautel7685]

Exceptionally awesome

[@paulalexdaniel6460]

Please upload with English subtitles

[@shivkaranshah7619]

Full body peralisis ke liye video btaye sir

[@rockstargamesvideos8594]

Hloo sir starting me patient ko kya krvana h please bataye mere papa ko h

[@PhysioClassroom]

HELLO THERE 🙂 , THANKS FOR REACHING US🙏🏻 , WE WILL PROVIDE YOU AN ONLINE APPOINTMENT AT A SUITABLE TIME FOR YOU TO MEET AND TALK WITH DR. ABHISHEK REGARDING YOUR ISSUE OR ADVICE/SUGGESTIONS THAT YOU MAY WANT TO TAKE.📩 WE WILL ARRANGE VIDEO CALLS ON DIFFERENT PLATFORMS FOR YOU TO MAKE IT MORE COMFORTABLE. 👍🏻 THERE WILL BE A REASONABLE CONSULTATION FEE WITH A FIXED TIMMING FOR VIDEO SESSIONS. THE MOST FAMOUS PRICE OF OURS IS (Rs. 250)INR FOR CONSULTANCY. WE ASSURE TO PROVIDE BEST OF OUR SERVICES🌟 Whatsapp No. 9458966063

[@suhaspatil6256]

Nice information

[@sanchitaroy1272]

Sir my mother has been paralysed for 2 years..her left side is paralysed after brain tumor surgery..Is there any possibility she can get well?

[@dharmrajsingh4823]

Visit him

[@tribalcommunityandculture357]

Sir patient ko chair pe bithate hain ta unka spine age ki aur jhuk ja raha he ,baitha ne ka sahi tarika batayen

[@PhysioClassroom]

HELLO THERE 🙂 , THANKS FOR REACHING US🙏🏻 , WE WILL PROVIDE YOU AN ONLINE APPOINTMENT AT A SUITABLE TIME FOR YOU TO MEET AND TALK WITH DR. ABHISHEK REGARDING YOUR ISSUE OR ADVICE/SUGGESTIONS THAT YOU MAY WANT TO TAKE.📩 WE WILL ARRANGE VIDEO CALLS ON DIFFERENT PLATFORMS FOR YOU TO MAKE IT MORE COMFORTABLE. 👍🏻 THERE WILL BE A REASONABLE CONSULTATION FEE WITH A FIXED TIMMING FOR VIDEO SESSIONS. THE MOST FAMOUS PRICE OF OURS IS (Rs. 250)INR FOR CONSULTANCY. WE ASSURE TO PROVIDE BEST OF OUR SERVICES🌟 Whatsapp No. 9458966063

[@anandkoshti5130]

@@PhysioClassroom sir is surgery patitent cureable

[@qhamzag6114]

Very informative video

[@abduljalilmengal4112]

سر ہمارے ایک پیشنٹ ہے اس کا پورا باڈی کام نہیں کرتا ہے اس کے بارے میں آپ ہمارے رہنما ئی فرما ئیں

[@Jaghvi-si4pu]

Thankew sir

[@Pahadiboy100k]

Very nice video

[@PhysioClassroom]

😊🙏

[@prakashakkala8508]

Very good pronunciation and teaching

[@drqamerasma812]

Ma sha allah sir jazakallahu qair

[@aartisaini9082]

From starting to how many months we use this position

[@PhysioClassroom]

Hello, Use the positioning till patient does not regain movement recovery. Once the patient can move the shoulder and elbow joint then discontinue

[@vandanavaishnav3635]

I missed sir.my fingers r not opening since a year.sir pls upload video

[@medicover123]

Ekkadanunchi andi reply me I will help you

[@ruqaiyasaleem1765]

Plz give me advice I m from Pakistan

[@zallamzallam1641]

Sir I love you from pskistan

[@zaffarkhan3864]

Sir kindly share a vedio for D1, D2 flexion ,extension pattrn

[@arunkamra3901]

Plz also make videos of exercises for best recovery

[@sagrikapathak3462]

Thank you so much for this information 😊✌️

[@PhysioClassroom]

Thanx😊 Do share our channel videos with your contacts.

[@doctorsstudy]

To pillow kidhr jaye ga