Treating Spasticity after Stroke

Dr. Judy Gooch, a rehabilitation doctor talks about treating spasticity after a stroke. Treating spasticity can improve function and quality of life after a stroke.

[@knuftobor]

I recommend "Stronger After Stroke" a book by Peter Levine. Fortunately, I recovered or I am still recovering from a stroke before reading the book. This book explained how the brain can grow new neurons and even repair damaged ones. I need to work on strength but I am completely functional on both sides. I think what helped me was that while I lay in the hospital, I visualized myself walking. When it came to physical therapy, my left leg was so heavy that I could not stand. But on the second day of therapy which was several days later, I stood up. Used a walker for about a week then a cane for a couple of weeks and then no cane. They followed me walking with a wheelchair so I could take breaks. Now I have physical therapy at home. So if you know someone who had a stroke, let them know that if they can think, they can recover.

[@UtahNeuroRehabilitation]

Thank you for these suggestions. It is good to hear how much recovery you have had. On the Utah Neuro Rehabilitation channel I posted a video called "My Life after Stroke: Never Give Up." This person has your same attitude.

[@chapin727]

knuftobor I see he has 3 books does it matters witch one?

[@knuftobor]

@@chapin727 I didn't know he did but the one I read was titled " Stronger After Stroke".

[@chapin727]

knuftobor thank you

[@joselitoalcantara4550]

@@knuftobor e

[@pindhumathi9166]

Very nice so kind mam u r replying to all questions

[@lyndelbeckwith1706]

Thank you!

[@spandanpate]

There is roods approach and PNF dtretches diagonal patterslns which are adopted by physiotherapist to counter spasticity

[@samanthasims7123]

Thank u

[@kiduswardsnowden_bd]

Hey I had an urgent question, so if you do a spasticity reduction procedure will that post-op increase the chance of restoring function to the hand and arm? Cause isnt the reason stroke patients don’t wiggle and voluntarily move our effected limbs properly is because of lower blood circulation to the extremity, nerve problems and spasticity?? So if you fix spasticity isn’t all that’s left to fix is blood circulation??

[@UtahNeuroRehabilitation]

After a stroke, people may have difficulty with voluntary movement because the movement part of the brain is injured. Spasticity can make movement even more difficult because it is so hard to move tight muscles. It can help to treat the spasticity. But it is also important to work on movement. Other videos on the Utah Neuro Rehabilitation KZbin channel talk about this. They are: My life after stroke: never give up, Improving arm use in hemiparesis, Brain plasticity to improve function, Recovery after stroke in childhood.

[@harshadpatwari8100]

Wow nice mem

[@kellytimms129]

I’ve tried all that and fixing to have surgery and hope it works!!! What have I got to lose?

[@mohamedorayith4626]

could you please send the link for the stretches for arms and legs> thank you

[@UtahNeuroRehabilitation]

The Rapunzel ones we made for kids. But they work for anybody. kzbin.info/www/bejne/gaTMo5KDZdCNgNE kzbin.info/www/bejne/Z2HEpq2kotmUmZo kzbin.info/www/bejne/j5LbqoqsZtyNrK8 kzbin.info/www/bejne/maPPpmigmJZ1lc0

[@mohamedorayith4626]

@@UtahNeuroRehabilitation thank you very much

[@katestrophes8799]

Great video! quick question tho: Why does muscle tone increase when the part of the brain that controls it is damaged?

[@UtahNeuroRehabilitation]

That is an excellent question. We do not know specifically. But the theory is that the brain inhibits the spinal reflexes. It calms the reflexes. So when you lose or decrease this inhibition, the reflexes and muscle tone increase.

[@katestrophes8799]

@@UtahNeuroRehabilitation That makes so much sense, thank you!

[@bharatjangam3955]

My grandma had right side parasis and she had RT on her nose , she is not able too eat with her mouth .can u suggest me for this. She is 75 years old. And she is disabled to move her right side.

[@aliali-cd7kg]

Big thanks for u Dr . How I training my fingers to move a lone because they move together always

[@UtahNeuroRehabilitation]

Do you have access to a piano or to a musical keyboard. Sometimes that helps. You may not sound great, but just working on it can help.

[@abiimotu577]

i have moving disability. calcium deposited in my hips joint ,so it fixed i sit on high chair,it has long back support and shoulder rest (handle) ,tell me upper body exercises that i can do. I cannot move by my own ,stand with someone's support. I had brain hemorrhage (Brain aneurism) can you help in balancing and hand coordination

[@UtahNeuroRehabilitation]

Check out a couple of other videos on the Utah Neuro Rehabilitation KZbin channel called: Building Balance as We Age and Improving Arm Use in Hemiparesis.

[@daviankalopez7818]

Does anyone have ideas about how much Botox is our of pocket. I have Kaiser and the doctor refuses to give Botox. The baclofen isn’t really working for me. I do have some movement in my arm but it’s getting harder and harder to move it due to spasticity. My ot massages me for 45 minutes before I can even start trying to move it. I’m only 33 years old and I just had a baby. I’m desperate to try any remedies to help with my recovery

[@UtahNeuroRehabilitation]

Depending on how much you need, it can cost anywhere to about $700 to $3000 out of pocket. Can you see a doctor specializing in physical medicine and rehabilitation or neurology? Also, Dysport is less expensive than Botox. The companies have financial assistance programs also.

[@mui25]

@@UtahNeuroRehabilitation is dyport is as effective as botox,,?

[@missannabannana]

@@mui25 similar effectiveness compared to botox

[@jamesmanning6115]

How can I get help after my stroke the doctors are hopeless no help to me

[@UtahNeuroRehabilitation]

Are there any doctors specializing in physical medicine and rehabilitation near you? They can often help. If there are not, I can try to help you find someone. If you are comfortable telling me the town in which you live, I can research it.

[@lanapatche1778]

Hello James, how are you doing now?

[@MrJbee1982]

A rehabilitation doctor?

[@UtahNeuroRehabilitation]

Yes, I am a doctor specializing in Physical Medicine and Rehabilitation. Check out this video to explain it: What is PM&R kzbin.info/www/bejne/hXzVdHtpp6uGZ68

[@gudaiyasingh9969]

Post stroke treatment

[@sanketgupta5271]

How much time does it take to completely cure arm spasticity with mere exercises?

[@UtahNeuroRehabilitation]

I have never seen spasticity cured with mere exercises. I have seen it improve with stretching exercises.

[@chapin727]

What medicine this she mention? Had my stroke a month ago

[@UtahNeuroRehabilitation]

Botox or Dysport for injections. Baclofen is an oral medication that can help.

[@chapin727]

Utah Neuro Rehabilitation thank you

[@RashadSims-bh3zz]

@@UtahNeuroRehabilitation hello doctor my name is rashad I was wondering what's a good exercise after stroke my mom just had a stroke she can walk but can't talk yet what's a good exercise after stroke thank u

[@redhum9713]

Are u a physical therapist??

[@UtahNeuroRehabilitation]

I am a physician specializing in Physical Medicine and Rehabilitation

[@redhum9713]

K..... because i am a physical therapist...... so i asked... thank you....

[@adeshshrivastav3901]

How to contact you

[@UtahNeuroRehabilitation]

Go to Brainstormforbraininjury.com

[@RashadSims-bh3zz]

Thank u

[@manishabatra9373]

Can you tell me the gait of your patient

[@UtahNeuroRehabilitation]

It is a hemiparetic gait

[@shahidafreedi3779]

This exercise is helpfull for recovery ?

[@UtahNeuroRehabilitation]

Treating spasticity can help with recovery. Check out these videos for other ideas for recovery: kzbin.info/www/bejne/g5y8d4pno6uqrNk, kzbin.info/www/bejne/ZpvSiIWIgNB6d6c

[@eysimanuel3470]

Hello, my father had a stroke almost last two years from now and he have this spasticity. Doc, can you tell me what are the important things to do for treating him? And when will he be able to use his both right legs and arms again? What are the best ways to treat him? How could I teach him to walk again?

[@UtahNeuroRehabilitation]

Without seeing him, I cannot really say. Is he getting therapy? That helps. A couple more videos on the Utah Neuro Rehabilitation channel might help. You can go to the stroke playlist. Also, a few of the individual videos that might help are: Brain plasticity to improve function, Life after stroke, never give up, improving arm use in hemiparesis, Mirror therapy.

[@margaretamaj6718]

Can you show it

[@UtahNeuroRehabilitation]

Show what?

[@karmayeshi5042]

Can therapy reduce post stroke pain? I mom would scream and cry while doing therapy. So should i continue her therapy even she feel pain while doing it?? Plz help me mam

[@UtahNeuroRehabilitation]

That is hard to know. Post stroke pain can come from many things. Has she seen a physical therapist? They may be able to help.

[@karmayeshi5042]

@@UtahNeuroRehabilitation yeah i started therapy for her after one month of no therapy. There was rapid increased of covid case here one month ago. We had gone through lockdown. So she couldn't see therapy for one month. Now its been few days since unlocked . Therapist told me that her muscle are stiff and tone because of one month break. He told me that she is going through spasticity and her pain will go after few sessions of therapy by doing stretching. She would cry and scream during therapy. I feel so pity when i see her crying n going thru pain. My question is what i can do to her to reduce pain during therapy sessions? Plz suggest something so that my mom would feel less pain.

[@raghugali5557]

My leg fingers are not moving because of cp with spasticity how to moving solution to me

[@UtahNeuroRehabilitation]

The Utah Neuro Rehabilitation KZbin channel has a cerebral palsy playlist with many videos on how to improve.

[@glaikahusmalaga]

My auntie got stroke, can she speak again?

[@UtahNeuroRehabilitation]

Does she see a speech therapist?

[@glaikahusmalaga]

No ma'am.

[@UtahNeuroRehabilitation]

There are things you can do to help speech. Try to get her to sing along with songs. They should be simple and ones that she already knows and likes. This can help the brain to relearn to talk. Also, if she cannot talk at all, work with her to say vowels. Let me know if this works or not.

[@glaikahusmalaga]

We will try it. I'm from Philippines and I appreciate your help. Thankyou ma'am! :)

[@lovepreetdhimanz]

My mom peralisis patient plz help me

[@Zerimara23]

Find a physio therapist.. Or physical therapist..

[@mughalmughalmughalhina5127]

plZ mujhy rrply zaroar dena

[@garywalling4341]

Treatment ok, what about a cure?????????????? I'm in hell, pain, can't move, had botox several times, not really helping. Until the medical fraternity tackle the cause, which is brain damage we've just got to suffer in silence. If the government fronted enough money into research as they spend on funding wars (that don't have anything to do with us ie, Ukraine vs Russia) we might make some progress. Stop fighting and help us.............please!

[@sauroman1]

Meat and junk food kills

[@UtahNeuroRehabilitation]

Agree, they are not so good.

[@zishanhasmi2546]

Is there oral medication ialsthere

[@UtahNeuroRehabilitation]

Baclofen and a few others.