Fix a Step-To Walking Pattern

[@karenlambert4973]

I want you to know Tara, you are changing lives!! Thank you!

[@FJRMarty]

"...quality of movement...no, just keep walking..." So what 'your' profession as a whole is recommending, and in fact what I experienced, is to learn to walk poorly, and do it over and over again until you get really good at walking poorly. Ran into this with my old therapy group, both arm and leg have a flexoral synergy patterns. They worked on my strength, not my technique, and long after being dismissed for 'plateauing' I still struggle with my gait - lead with my toe, cannot get a heel strike. Arm is still not much good either. So, Dr. Tara, I must continue to watch your videos, it's the only way I can help myself improve. 😁

[@rehabhqofficial]

Unfortunately you are experience the "implementation" of this new practice guideline. I am hearing similar experiences from so many people and I will admit it is extremely disheartening. But I will do my best to keep educating giving you the tools to practice "quality movement".

[@dancers1113]

Another hit Dr. Tobias I’m walking better but I’m still on my cane but I’m still trying to get back to normal! Thanx again Dr. Tobias

[@rehabhqofficial]

Hi Michelle! Great to see you this week! Thanks for the update on your progress! Getting off the cane is a "catch 22". "Quality walking" might require a little support from an AD. So I say, keep working on normalizing your walking. I hope that helps!

[@bassman4588]

Trying to find ways to help my wife be able to walk unassisted again. This channel is so informative! Thank you.

[@arwarouini770]

Hi dr Tara. Thank you for your helpful videos❤️. My sister had an hémorragique stroke 4months ago ,she is 28years old. She is interested with your videos and she is wondering if you can make individual online sessions for her treatment.

[@faisalahmad3309]

Praying for your healing. Her video s I watch over and over again then it subconsciously help s when I excercise it improving over time I conscious ly think while excercise I'm a 60 year old male Stay well we move forward

[@Leo24_MyStrokeVlog]

Hi dra. TARa est excercise of stroke who suffer shoulder subloxation.

[@dawnmitchell9142]

Hyperextension is my worst enemy! Lol. I have been trying to not lock my knee but no one showed like you did. Thank you!

[@katescott1984]

Well those statistics are a load of crap 100% agree! I am so disassociated from how my muscles should work after a brain stem tumour ( benign and operated on 4 weeks ago) so I was told to do normal things. Well I have just tried walking to recalibrate my balance , and my brain has reverted to the balance issues before I had surgery as it is what it remembers. Definitely in need of some specialised neurological rehab because just walking does not work. I am in Australia I wish you were here to help me! I love your videos. I spend all day trying to understand things. So please done ever stop explaining the why and how everything works ! Thnkyou so much for your expertise delivered to us who are struggling at home alone to make our bodies work again!

[@jackielackey3757]

I have a problem moving my good leg to move, they keep saying I need to work on my hip I broke to get stronger. I had a mass remove from my back and was told I couldn’t walk again but have worked for 10 years. Your tape helps me to understand how to work on my walking .

[@edwinacosta3046]

Thank you Dr. Tobias I'm learning a lot from you on my recovery More power and blessings to you.

[@rehabhqofficial]

Great to see you this week Edwin! Keep going!!

[@mgee669]

Tara you're asking a lot I had a stroke in 2018 unable to walk etc etc just now beginning to recover using a cane the idea is it's hard to comprehend some of the complicated movements that are advocated so just saying take a walk it's a simple way of understanding with aphasia which keeps your body moving all you have to think about is move the juryy is still out and I get what you the chief difficulty is that when your helpers are there doing their best to support you are encouraging you to keep walking thinking they're doing it what's good for you so it's hard to tell them to forget about it very hard

[@juliecreed1271]

Hi Dr Tara, I have a step to walking pattern and didn’t realize it til I watched this video. None of the therapists I’ve worked with have ever explained things the way you do thank you so much for the way you explain things! I’m a brain cancer and two small strokes survivor. Love your videos.

[@teresacollinsporterfield5488]

As usual! You are are spot on Dr. Tobias. Thank you as always for your time...we appreciate you. Have a wonderful week!

[@rehabhqofficial]

Hi Teresa! Glad to see you this week! I didn't forget about you. You questions will be answered soon 😊

[@teresacollinsporterfield5488]

@@rehabhqofficial I know you haven't. Thanks so much 😁

[@tjharris6530]

Thank you for another video Dr Tobias!! I hope you have a great week!!! God Bless you!!!

[@rehabhqofficial]

Hi tj! Great to see you this weekend you found something in this one you can add to your program. Have a great week!!

[@tjharris6530]

@@rehabhqofficial Absolutely! One other one I came up with is I use a personal trampoline, I try to have fun and really vary my rehab to break up the monotonousness of it all and stand with my uninvolved leg on the trampoline and my involved leg on the ground, seems to be helping a ton especially with balance and confidence for me.

[@rehabhqofficial]

@@tjharris6530 Oh I love this idea!! Thank you for sharing!!

[@SweetCarolineeeee]

As always, putting out the video EXACTLY when i need it ! Do you do private consultations? I’d love to send you a video of my walking for your clinical opinions of my gait pattern

[@netteleverett4871]

Thank you kindly! The guidance and information is priceless!🌟💗

[@rehabhqofficial]

Hi Nette! Thanks for watching. I hope it helps!

[@netteleverett4871]

@@rehabhqofficial You’re welcome! I do have a question….. can an adjustable ROM knee brace be just as appropriate as the Swedish knee brace? I am in the process of ordering supplies and I want to make the wisest decision. Thank you in advance!

[@alisaadat4474]

Completely agree with you, love you

[@darkodarkovic7827]

As usual, a very detailed problem. Now the mechanism is completely clear to me. I don't have such problems anymore, in the earlier phase due to fatigue it happened to me, after climbing the stairs it would stop. I didn’t understand why, but the brain had obviously and subconsciously solved the problem. I realized it helps, and now I know why. Thanks for the explanation, have a nice day.

[@baberumerragay9171]

Thank you dr

[@SAMEERBIALA]

Great video. I’m nearing my 20-month mark after my stroke, and I’m right in the middle of issues that u described. Hyper extension of Knee is been my biggest challenge, and thankfully, I think that there are some developments I’m seeing on the positive side. Thanks for the tips in the video, and I’ll try to incorporate as much I can.. thanks a ton. You’re a lifesaver.🙏

[@rehabhqofficial]

Thanks for watching and for sharing your story! I am glad you are noticing some positive changes in your movement. Keep going!

[@pattrudeau2335]

I have been rehabbing since June 2020 and making a lot of progress. But my walk isn't perfect yet. My wife is a physiotherapist assistant who work with stroke rehabilitation. Intensive rehab for 2 or 3 years and less acute now because unable to deal with acute strokes since my incident. She keep telling me the samething you always say. Quality movement over reps. If you keep repeating a compensatory patent. You will have harder time to get rid of it to have a normal walking patent again . She had watered me very early on in rehab that walking using a cane to make sure I kept proper walk was important. But what does she knows??? Well I have to use the cane now to regain a normal walk. So I am a lucky man but I need to listen more lol. Thank you for all your good work we are using soo many of your exercises and I just keep improving very well. Despite the Dr's prognosis or disability insurance opinion. I keep proving everyone wrong . They keep telling me that an advance cares paramedic cannot return to work in full duty after a bilateral stroke caused by a bilateral internal carotide dissection within few hrs. But like you said it before in multiple video. Mental part of brain injury rehabilitation is just as important. Fortunately for me I just never surrendered to the idea that I wasn't gonna return to work in something I have been doing for 20 years. The only thing I can't be sure of just yet is how much longer before I am ready to return.but I developed an amazing resiliency to stuff I have no control on like time. But if this is my worse issue. I am golden. Thanks and keep posting videos. Unbelievable how many peoples you help.

[@Nina_2288]

Dear Dr. Tara, 💜💜 Super video. I agree totally with your call for quality. 💜💜 I had this in the beginning and overcame it with your exercises from earlier videos like stepping over a small yoga block with left and right. My PT also let me walk a lot backwards, that trained a lot. Now I do muscle rebuildup through leg lifting in bed back, side, front, straight, bent each 10 times, twice a day. It is really hard but the walking practice gets so much easier now. So many greetings over the pond. We never met or spoke, but you are such an angel for my recovery 🙏🙏

[@rehabhqofficial]

Hi Nina! Glad to see you again this week!! Yes! Walking backwards. That is another excellent exercise for this issue. Thanks for sharing this! Also, thanks for sharing how this channel is helping you. It means the world to me to know that. 🙏🙏🙏 Chico and I sending you many well wishes 🐶😊

[@saraht4973]

So appreciate that you share such information. I believe you ! Have had therapy from some who anxious to help younger patients. Your information helps me to help myself and to know when I am NOT being helped. Thank you 🙏

[@thefamilychannel615]

Super mam.. helpful information..Thank u 🙏🏻🙂

[@markwrightutube]

thank you once again please keep up the super videos. and I am super pleased to see in your latest uploads you have endorsed my belief in intermittent fasting. I have been trying to get endorsement on this from my rehab doctor and neurologist but they have been reticent and I have been frustrated. my argument has been that if I loose weight and get back to somewhere near my comfortable weight I used to be before my stroke. then everything will be easier and mobility and walking will improve as well but no one has tackled the problem of how to loose weight when ones activity level has dropped dramatically. intermittent fasting has been good for me I am able to drop weight but maintain good nutrition and make sure I get a proper balanced diet with all the nutrients and vitamins my doctors have been worried that a traditional diet would restrict. and yes I find the 18/6 diet works best as it is very easy to fit into normal daily routine and therefore keeping it up is easy the 18 hour fast gives you a decent amount of time in the fat burning and autophagy zone so the benefits really kick in. if I go longer lets say over20 hours and reach a state of fasted ketosis I have found that I am much better at working at my computer when previously my concentration levels had dropped and I had experienced brain fog while in ketosis I am much sharper with no brain fog or confusion I guess my brain likes to run on acetone not glucose I have commented before with you and you helped me with my 'Soas' flexibility issues. but this communication is mainly about saying thank you and please keep it up you are touching and helping a great deal of people such as I and you deserve all the thanks and rewards due to you you are a beautiful soul.thanks again xx

[@beckyharvey6694]

Hi Dr Tobiaa i love yr videos makes so much sense! I live in the UK and have MS, i wish i had a physio like you! As it is i dont have anything like that so im doing my own rehab!! Trouble with balance and walking,, any helpful tips/ excercises??

[@fredkotthaus1518]

Another awesome, informative video a take away for me is to start with the good leg first really appreciate your insights thanks again.

[@rehabhqofficial]

Hi Fred! Great to see you this week. I like that take away! Have a great week!

[@bernadettekoch321]

That was great Tara! Struggling with heel strike of involved leg in walking. This video nails it . Explaining the flow with strengthening and gait. It helps to know about midline midline befor starting . Thanks again❤️

[@larantoto7900]

Thank You Ms.Tara.Your video make me as a guide for walking improve ment. More Power

[@larantoto7900]

Watching from Philippines asia.18 mos hemharagic stroke survivor Thank You..

[@mylovshells2135]

I love all of your videos Thank you

[@celessburton2640]

I have Ataxia & also hyperextended with the right knee! Thanks for the videos

[@krispcuts5460]

This is perfect for my hyper extended leg… thank you so much, I got rear ended on my motorcycle, L1-L4are fused plus my S1 was being pinch( witch the fixed)…

[@nphy171]

Thank you for your beautiful videos. I had a T10 incomplete SCI in 2019, I am on crutches and mostly find it difficult to lift my legs, and my feet mainly point down and sometimes my knees lock forcing me to move my leg outwards before swinging it forward. Where can I get the tools you mention in your videos in South Africa? I mainly need to improve my balance and relaxation of my muscles

[@JulianOwens]

Great video just discovered psych coming up on one year how do I having a stroke left side not working no major brain damage thank you again working really hard with

[@JulianOwens]

Your videos are highly informative and learning a lot thank you

[@snehapandey3091]

Thank you for all the videos and explanations that you give ..

[@gwendolynmillionaire]

Thank you for this info. When I walk my involved heel rarely hits my he floor. What should I work on?

[@chillmediatv4768]

This a great video where you talk about center of balance, been to several physio therapists but none have ever tested or corrected my balance

[@usbly]

Thanks for your Guidance ..

[@pattonkirkpatrick6521]

I'm practicing exactly that! Walking w a normal stride, not dragging.

[@LUCKYB.]

Thats the hard part not dragging Your foot . I find that when Im turning cornors and turning around

[@pattonkirkpatrick6521]

@@LUCKYB. yes Lucky, exactly!

[@fashasCookinglifestylevlog]

Thank u for your 🙏will try for my sister n hope she gets better result🙌

[@yaronkl]

i CERTAINLY HAVE THIS PROBLEM. thank you doctor.

[@rawnsleyquilapio9688]

@Tara - thank you so much for all these videos. These are GOLD! The breakdown of movement is so important. I apply it when appropriate with my neuro patients. Question - is it best to wear the AFO or not when performing these exercises? Thank you.

[@asmaaslam4978]

Same question

[@stevemaddox7004]

I agree that I tire easily walking step to I hadn’t been taught any other way in inpatient rehab

[@louisaa3911]

Good evening thanks for exercises that you are demonstrating please I have question how can I correct my arm is shifting back while I am walking what should I do not to happen

[@oliviatulay9067]

Dr T. Thanks for these tips and videos they are blessings to me.

[@marcushall96]

I've been doing it wrong this whole time trying to focus on my strong side treating my affected side as a prosthesis is exhausting trying to keep balance through spasticity

[@Sharla1213]

I just tried stepping forward with my uninvolved leg. Wow that feels weird! I will try to remember to do this thank u

[@cseivard]

Thanks. I learned a bunch of things.❤

[@rizvanaisya5229]

Hi Dr Tara, thank you once again for this great video this is exactly what I needed. Everything is trying to come together and it's very messy so now I know where I need to pay attention but your right hard work pays off, I must admit its a very slow recovery but I am getting better and better and stronger 😍😍. Thank you for your great exercises you are my physiotherapist 😊😊. Thanks once again

[@rehabhqofficial]

Hi Rizvana! I am so glad this one resinated with you. I love your mindset about your rehab. Yes, hard work definitely pays off! Keep going. You got this!!

[@emmyjcvthus]

All are appreciated.....thank you so much for all your videos.....Can you please share full chronic transverse myelitis physio program

[@nolaigmckaigney7135]

Oh how I would love to walk into your clinic.this clip tailor made for me. Would love more info on articulated AFO

[@mh73ful]

Hi Tara, watching from Ireland,I have m.s do I step first with my weak leg, when walking.

[@Sharla1213]

In the video she is suggesting to step first with your strong leg and have your weak leg come up to meet it. I’m trying this

[@Emkowsky]

I like when you mark with bright tape or band which ever is working or effected leg otherwise it confusing somotimes.Thanks

[@tyson4396]

This is the video that I've been waiting on. Thankyou Doctor!!!!

[@rehabhqofficial]

Yay! I hope it helps!

[@tyson4396]

@@rehabhqofficial I've noticed that I walk fine when I'm by myself but when I get around a group of people my leg will freeze up and I'll walk with a very bad limp. What's the connection between the brain and walking while nervous? Do you have a video about this problem. THANKS

[@donaldjeromeostrander2443]

ty. your voice deos are so good nfurmative. I'll watch more now.

[@elizabethgochua4909]

Sooo love this video!!! Very important excercises that I should do so I can have painless and enjoyable, correct quality walk everyday. Thank you Dr Tabias, this video troubleshoots my stepping problems.

[@raghvendergupta4514]

Hi Dr Tara. thanks for valuable information 🙏

[@raulruizruiz9608]

Can you share any surgical treatments that can help reinforce dorsiflex to equate to a normal walking gait?

[@TaFast93]

😊very helpful and I'll put your advice to work every step 🚶‍♂️ I take

[@aylaamiri96]

It's great and useful video same as always, thank you Dr Tobias.🙏🙏👏👏👏👌👌🌹🌸🌺🌻💐

[@ericsalinas1839]

Much appreciated 🙏

[@SD-de4do]

terrifically clear

[@salwashenouda783]

Please Adress freezing gait syndrome. Thank you

[@reynaldocrisostomo8181]

lord thanks!again for the blessing!

[@elvinmari251]

Hey Tara can you go step by step on th Brun strom 7 stages of stroke recovery and maybe do a 2 part subseries on it. Thank you so much

[@jeffreyraymondarthur230]

An Honest approach is a better approach

[@Sharla1213]

My AFO is articulated would it be worth trying an non-articulated one if it’s not sufficient to control my knee hyperextension? Or just add knee cage?

[@reynaldocrisostomo7197]

you are helpingme a lotwith your videos.aGAIN THANK YOU VERY MUCH AND GOD BLESS YOU!

[@timsmith2088]

Hi.you spoke sometime back about a hand brace you were working on. Did you complete It? If so where can I see or order one. Thanks for all the info you share.

[@yy-1133]

Best walking sticks?

[@ahmedjendi3491]

Hi I have ms i love your videos so much to learn so thankful

[@rehabhqofficial]

Hi Ahmed! Thank you for watching and for sharing your story. I am glad you find these videos helpful. :)

[@Simon_Aesthetic]

Great . Love this Content all the TIME !

[@vinodbajaj3708]

How to tackle confidence issue

[@meenapillai5289]

Hi dr. Tara after a brain surgery my left hand and leg are weak. I walk with a n afo. Got all the problems for which you have given exercises in this video. Thanks. My left hand is a problem as it is still in contracture , doing physio for both. Can you share a video to help with breaking the contracture an get my hand functional. thanks

[@physio-careptrehabgroup4136]

Make a video on dystonic dyskinetic cerebral palsy and it's management

[@glenwest1911]

Hello,Dr. Tobias! I'm late this week.

[@rehabhqofficial]

Hi Glen! Never too late 😊 Glad to see you this week! I hope this one helps!

[@glenwest1911]

I'm not at this point yet.

[@MaticN91]

I have a stiff leg while walking. Have MS (multiple sclerosis) since 2007. While walking it sounds like when a diver comes from the sea and stamps down with his flippers. Any advice on that??? thank you in advance :D

[@timsmith2088]

If not is there one you suggest

[@markangelocinco7693]

Hi Tara, Good day. I learned plenty of insights in this video today. I just want to make sure if I got this correctly, "Swedish knee brace" did I get that right? Can that be used long term to train your involve leg? Where can we find that? Or is it still better to follow the half bent knee walk? Thank you and more power. Keep them coming.

[@flipperc6042]

Doc, what will help with an involved leg that tends to “be sleepy “ or not engaging after I sleep or sit for a period of time? Is this just a matter of strengthening and time??

[@virtuosoproductions4589]

Main problem to achieve normal gait is lack of control of ankle, knee and hip; in that order. Sadly recovery is in reverse order. It's a catch 22 situation. I have worked on my recovery for six years; 5 days a week, 3 plus hours a day. It's a slow recovery.my hyperextension of knee is sideways perpendicular to the direction of travel.

[@mgeimer5780]

Hello. My hemorrhagic strike was in 2017. I'm 55, and walk like I'm

[@mgeimer5780]

...@75. Still in my prime, but this event has humbled me. Hypertension, spacticty, lack of confidence especially from several falls. Now to everyone at could be much worse. I am blessed. Thank you Dr. Tobias for your knowledge. To all be well.

[@harimdh]

Thanks Doctor 🙏

[@rehabhqofficial]

Thanks for watching! I hope it is helpful.

[@ManyangoMulbah]

Thank you so much

[@christinejacobarozenboom1389]

I was putting the wrong foot down first, thank you for that

[@robarbour3982]

Hi doctor Tara.. I'd like here your suggestions about visual defects like peripheral vision loss or in my case it seems slow to come in mostly. I have only sight in my right eye and its the left side peripheral area that's my problem

[@kimberlylivingston4066]

Where can I order the band pulley thingy?

[@nitinyadav6562]

Thanks .. I got head injury resulting paralysis...

[@oliviatulay9067]

Hi Dr Tara, please is there an exercise to do with my back that feels like is unstable which makes me not stand a long time or stand for a long time. Sometimes my right hip feels like it's dropping off my body. Please help me .

[@nehasaraf4292]

But I have been having tremendous lower back ache after first doing the exercise. Been there for 3 weeks. Hope it gets better.

[@mrstevek118]

Nailed it.I can’t figure out how far to step past to have my foot land flat on the floor

[@LaverneCKelly]

Hi Dr. Tobias. I have been watching your videos for quit some time now. I tried a few of the exercise but none seems to work for me. I have been diagnosed with MS or Peripheral Neuropathy which affected me for over 3 years now not able TO walk without a walker. I have foot drop, nerve issues, spasticity and balance issues. What or where do you suggest I start from or what could be my concern of getting back to normal walking?

[@rehabhqofficial]

Hi Laverne! Thanks for watching and for sharing your struggles. I would start by searching videos I have on spasticity. This might answer a lot of questions and give you more direction as to where to start. I hope that helps!

[@darrylowens59]

Thank you dr. T

[@reneespooner8262]

Talk about ataxia, is there a cure ?? Is there rehab

[@jeanafraser451]

I have neuromuscular condition that causes spastity (tightness) in the back of my legs from hamstring to ankles. This tightness that at times can be real bad where I do that step to which does make me very tired.

[@vibhasave]

My husband is having hemiplagia since last three years when he is walking left foot is not properly touching the floor and while walking his left foot's edge touch is the floor so he can not walk properly. What the excercises you suggest.

[@alkagupta9256]

Great video

[@simonap.s4977]

I have a patient that has been walking with this pattern for over 25 years , after her stroke. I finally managed to ' make'her walk normally, but it works only when she really concentrates. When i m not close to her she returns to her old pattern. How can i do to implement for good the normal walkign pattern ?

[@chrischang1949]

Cant find link for swedish knee cage

[@faisalahmad3309]

RESPECT. Thanks

[@kathleenpelaez9176]

Im done laminectomy last year december. But i cant walk without walker. I have spasticity and when i straightened mg legs its hard to straight it

[@pattrudeau2335]

Your video are amazing

[@revdocrandy]

Thanks for another helpful video! I love the exercises, but I have a question about the first one (sit backs in kneeling position). I have not been on my knees too much since the stroke, but I’ve noticed that when I am, it can be uncomfortable/painful in one/both knees. Is that just a matter of developing strength after non-use? Thanks!

[@rehabhqofficial]

Hi Randy! It is hard for me to say without doing an assessment. Sometimes pain is ok and sometimes it isn't.