Walk Better! Understanding the Posterior Kinetic Chain

[@drawntofashionillustration9596]

6:15 crossed leg bridge arm pull 7:46 seated crossed leg, single arm pull back 9:00 Kneeling band wrapped around shoulder, rotation away from weaker hip. 20:15 one leg band pull while kneeling 21:27 standing arm pull, one leg in front of the other

[@Idahomie]

glad you r cataloging exercises..gd luck..never give up'.

[@moe485]

Hochinteressant! Spannend und super gut erklärt. Und soviel geballtes Wissen.... Ich verschlinge deine Videos.... Die beantworten mir unzählige Fragen die über solch einen langen Zeitraum unbeantwortet blieben. Das Große Ganze kommt nun endlich zusammen. Ich werde so Einiges in meinem täglichen Leben und Trainingsprogramm aufnehmen, ausprobieren und umsetzen. Ich hatte so lange viele kleine Puzzle Stücke vor mir, die nun dank dir Dr. T' allmählich zu einem Bild werden. Danke für deine Videos. Priceless! 🥰

[@1080-v4v]

I watch you everyday! You have helped this old man more than you can imagine!

[@shezafool2]

Can't thank you enough for your detailed comprehensive explanations. I stroked a little over 6 mos. ago. Weakness left side, but walk, talk, & chew gum at the same time, however, I notice I waddle (compensatory?) unless I put that Posterior Kinetic Chain to work. Now I know why. And this is a video I need to re-watch a time or two to get my new neurons working around some of the concepts you are giving us. But from the bottom of my heart Thank You for what you do. I felt so abandoned 3 mos ago. If it hadn't of been for you and your videos.... I'd hate to think of the result. You saved me. Thank You

[@rehabhqofficial]

Hi Eileen! Thank you for watching, for sharing your story, and for being gracious enough to share how these videos are helping you. Knowledge is power. I know. A little cheesy, but it is SOOOO true. Once you know how the body moves, it is one more stepping stone to restoring normal movement (and losing the waddle 😊). I am 1000% cheering you on!!

[@bensturges7412]

Really like the deep dive because it explains what I am feeling and helps me target specific areas that are troublesome. Learning more than ever...

[@darkodarkovic7827]

Thanks for this, quite demanding, but well-explained video. I reviewed some parts again and tested to see if I understood correctly. I didn't know that they were called kinetic chains, but I felt them and called that connection for myself the force of action and reaction according to the physical principle. When I slowly relax my hand and walk due to spasticity, I would say naturally as you explained, it is much harder and more tiring than when I put the affected hand in my pocket or fix it with the other hand. I’m sure these exercises will help me get rid of stiffness and can walk relaxed naturally. Thanks a lot, I'll steal your cute puppy. Have a nice day.

[@rehabhqofficial]

Hi Darko! Yes, this is one you might need to watch a couple of times to fully understand this. But once you understand this, I am super confident that you will come up with a whole bunch of movements to practice to improve your walking :)

[@lanetterippeto3730]

I love the dog too

[@lanetterippeto3730]

My involvedknee won’t bend

[@premanandpatel3245]

Thanks for your message on the walk better

[@lucagian9801]

excellent explanations! clear and utmost usefull! thanks so much!

[@teresacollinsporterfield5488]

Hello Dr. Tobias: I've been gone for two weeks. When I got back home, I've reviewed all your videos I've missed. I am so excited to begin working on these. Thank you so much!

[@rehabhqofficial]

Hi Teresa!! I am so glad to see you back :) Can't wait for you to share your experience with these variations!

[@jintzie1950jth]

Very good. Very clear and understandable.

[@leslieptrp2005]

I applied more closed kinetic chain exercises to my stroke patients for very long time and it's really helpful for them. I really like all your videos, you added some ideas to my practice. I'm looking forward to see videos about pusher syndrome and thalamic stroke. Thanks, you are one of the best neurologic physiotherapist. Keep up the good work.❣️

[@rehabhqofficial]

Hi Leslie! I am glad I am able to give you some fresh ideas! I like to take old concepts and look at them with "fresh eyes". :) I plan to do one on pusher syndrome this month. Stay tuned! As far as thalamic stroke, where are your sticking points? In other words, what are the barriers that you have come across when progressing your patients? Pain, stiffness, a specific movement problem...etc.

[@cherlgolja5402]

Love your videos it’s really helpful with my rehab after spit femur fracture from skiing (⛷🎿I’m 69) I’m old and bold ,your are amazing 🌹👍

[@zitaorosz1975]

The biggest mistake I made during my recovery was not doing the bridge exercises sooner. Once I started doing bridges I noticed right away that my walking changed .

[@janiceeweci]

I’m almost 4 years from my stroke and have finally incorporated bridges into my abs workout routine. Wish I had done it sooner

[@glenwest1911]

Yea!! You're back!

[@rehabhqofficial]

Hi Glen! Glad to see you this week. I hope this one was helpful!

[@khalilahmad8424]

Thanks for all efforts helping me against fighting spasticity

[@rehabhqofficial]

Hi Khalil! I hope it helps 😊

[@khalilahmad8424]

@@rehabhqofficial I always wait for your videos. Listen many many time. Try to understand. I am not a doctor. But I watch you videos to fight against spasticity

[@stockop2006]

Great video. Love the deep dive regards anatomy chain. Thank you for everything Dr. Tara.

[@rehabhqofficial]

Hi Daniel! Thanks for watching. I hope it was helpful. :)

[@naturalepiphany]

I really needed this. Thank you so much.

[@secretariatgirl4249]

Thanks for this amazing video!

[@Nina_2288]

🧡🌞🧡 Super explanations Dr. Tara, thank you so much for getting us educated!!! I love how you take us serious and really get into science and not just child talk like so many others. 🧡🌞🧡 Have a wonderful autumn with doggie Chico!!

[@rehabhqofficial]

Hi Nina! Great to "see" you this week. Glad you liked this one :) Yes, trying to help you all "think like a therapist" is my mission 😊 Sending well wishes across the pond!

[@Sunshine-hv1eu]

This is wonderful and valuable information-thank you so much. My question is how to stabilize the weak leg in the kneeling exercises. My 84-yr old dad had a stroke and is working hard to get back his mobility. Would you point me to any videos on modifications for these exercises for those who haven’t regained enough strength to kneel…? Thank you so much in advance

[@anibalmessina8004]

Muy didactica la explicacion. Muchas gracias comenzare con sus ejercicios.mi cadera izquierda esta mas debil que la derecha.

[@ShyamSundaresan]

incredibly interesting. Thanks.

[@greg9255]

Thank you Dr Tobias for your wonderful information please keep it coming

[@rehabhqofficial]

Hi Gregory, thanks for watching! I hope it was helpful!

[@EZGlutenFree]

These videos are so informative.

[@fredkotthaus1518]

Thanks for another fantastic, informative, inspirational video, I'm so looking forward for next weeks video

[@rehabhqofficial]

Hi Fred! I hope you can use something in this one!

[@fredkotthaus1518]

@@rehabhqofficial yes ma'am I can always find something of value from these videos, thanks again for your time and consideration

[@privatenexus5764]

I have gotten SOOOO many exercises from you, I would have to do it 24/7 to fit them all in. I try each one, and repeat the ones I can not do. As thats obviously a weakness.

[@lbobry]

EXCELENT EXPLICATION........LOVETHE DOG;#))😊

[@sigridomeara5658]

Thank you so much once again there is always so much to learn. Now it makes sense why the arm swing is also important, even though I was told dont worry about that it will never come back for you but I think that's wrong because if you do put some focus on it something might come back I think.

[@rehabhqofficial]

Hi Sigrid! Yes, that is why arm swing is so important :) I talk more about this in next weeks video. Stay tuned!

[@Idahomie]

good explanation....exercises. Anatomy pics big help. i have Adult ADD and easily get bored so to make me do workout' more ' i like spending as much of my working' day as possible on the ground ..on carpet or other pad of some sort . ..it makes me work my body exercise in an infinite ways just to do my basic ADLs. Granted i do have some good ideas about healthy body mechanics.. letting my intuition guide me and my discomfort /pain to guide me. i use Couches and chairs furniture, countertops to modify exercise keeping Tara's conceopts in mind.

[@revdocrandy]

Pretty intense, but good explanation. I watched it this morning before I got up, then later had to watch the exercises multiple times to make sure I was doing them properly. The hardest one was the kneeling exercise punching with my weak arm/hand. Also noticed that my weak foot wants to curl on the exercises where I use my strong leg to cross over (spasticity). Not too bad for the first time. Thanks!

[@rehabhqofficial]

Yay! Randy! I am so happy for you. Thank you for sharing your experience and how you worked through the problems. :)

[@revdocrandy]

@@rehabhqofficial Thank you! Just to follow up. So glad I pushed through it the first day (felt like it took forever), because today (second day) felt like a breeze compared to the first. Certainly hope & believe this will make a difference over time! Also, thought this was a great follow up to last week’s video on mobility hacks. It helped with starting to get more comfortable with getting on/off the floor & squatting from a low seat! 😎 Thanks again!

[@roshannoor1801]

Another perfect video, thanks a lot🙏

[@markreynolds3850]

Thanks 👍

[@toneysisk1585]

Excellent videos! I've already started walking better! One thought: do you have a video that discusses how the chains work when walking up and down stairs? Thanks again, Toney

[@josephpimatulac9182]

Hello Dr Tobias, great videos, would be nice to see some actual volunteer patients in action on some of them.

[@virtuosoproductions4589]

Agreed

[@pauline627]

Thanks for this video. Very good 👍🏽

[@mobymoby274]

Thanks doctor, your exercises have helped me a lot. Thanks again.👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍

[@norajones3675]

I have loved every one of your videos. Where do we find the charts?

[@iamrisingphoenixx]

do you have any videos on walking on unleveled surfaces

[@tjharris6530]

Thank you once again Dr Tobias, although I am walking pretty well it's not perfect yet and I'm a big believer in whole side fascia connection or improving the whole affected side to improve both the leg and arm, though it is often easier to become hyper focused on what doesn't work yet in my case my wrist and hand.

[@rehabhqofficial]

Hi TJ! This is a perfect video for those of you who are further along in your rehab. These "posterior chain exercises" can get rid of those little "quirks". I have been using these types of exercises (more recently) with patients who are in this category. A small "hitch" when trying to bring the leg through, or a little "jerk" mid swing. Getting that posterior chain activated in a standing position has been really helpful. But back to your comment, don't give up on that hand and wrist!! Keep working it. Follow "Neo" (aka "the_road_to_recovery_2020) on insta. He is so creative in getting that hand working!

[@revdocrandy]

@@rehabhqofficial Ah, I appreciate the recommendation to follow Neo for the wrist/hand work! 😎

[@tjharris6530]

@@rehabhqofficial Thank you for the suggestion. I am still working very hard on my hand I was just saying that its easier some times to focus on what doesn't work at all and forget about working to still improve what is already functional like walking

[@HalfWarrior]

Your dog is so cute. Waiting for you to get done;or wanting to play it seems.

[@rehabhqofficial]

Both 😊

[@Anesthesiapookie123]

thank u for so much information. my question as a self referred patient would be, what type of people you treat? apart from neuro patient, any one with pain with walking, knee, hip or SIJ dysfunction can also do these exercises ? or these are high level activities? does this require any basic level of strength. I mean older clients can do it easily

[@janiceeweci]

This was great.

[@saultopaul3981]

Good! Walking is my issue. 😊

[@michaelangelodavin1989]

Hi ma’am, I’ve been a stroke patient for about a year ang 2 months. Do u recommend a AFO still? I haven’t had one

[@usbly]

Nice Explanation...

[@rehabhqofficial]

Thank you! I hope it helps :)

[@linturner8658]

Hi Tara I found these exercises difficult on herma side as i cannot feel these muscles move, even after 5 yrs and exercising every day, so very tiring. I have Hip surgery on Left hip 2 wks ago, so still quite sore to move that area. I do the closed chain exercises in bed before i get up or if i wake through the night. Thanks Linzi New Zealand.

[@rudolfwester758]

Hi Dr. Tobias. Can you make a video on exercises to turn your affected hand palm up? I'm 6 years post an ischaemic stroke and still cannot turn it up. Looking forward to that video. Thank you.

[@virtuosoproductions4589]

Doesnt marching with exaggerated arm swings accomplish the same thing?

[@sarburgthepoet5768]

I. Have a spastic jaw, do you recommend any specific exercises for that?

[@sebastianjakobsen548]

hello. What exercises would you do if you have a overactive shoulder that wont relax and was hike up. only on 1 side.

[@saltycrunch]

Please never stop talking about walking!! :)

[@rehabhqofficial]

Hi "Saltycrunch"! one of my fav topics to dissect. So no worries on it every going away :) Thanks for all your support!!

[@ramzanmohamed5786]

Hi Dr. Thank you for all the excellent videos. Can I know the level strength of the band that I should use for all the exercises. One video on Toes please. Thank you. ❤️❤️

[@rehabhqofficial]

Hi Ramzan! Thanks for watching and for the excellent question. I would say you want resistance that is challenging without interfering with quality movement. I hope that helps!

[@juliecreed1271]

I am a stroke patient 2 small strokes in the right frontal lobe which occurred 20 years after brain cancer in that area in 199. I had successful brain surgery, chemotherapy and radiation to that area. No reoccurrence. I’m experiencing weakness in the left leg with tightness in the left gluteus Maximus and Minimus. Also tightness behind my left shoulder. So I’m confused why my left shoulder is trying to compensate for my bad leg. According to this video my right shoulder should be helping. Can you please explain. Why this might be happening. I am taking physical therapy for the issues and have been in therapy before but recently the left leg experienced weakness after wearing a walking boot for 12 weeks for a broken bone in my left foot. I would appreciate any advice.😊

[@cjnthn]

Can you, or have you done a video about a knee that extends too far when the leg is straight? I've heard several names for it, One being wrecker bottom?? I'm not sure about the spelling??

[@rehabhqofficial]

Thank you for watching and for the question. If you go to the youtube search bar and type "rehab hq and knee recurvatum" or "rehab hq and knee hyperextension" you will find a few videos I have done on this :)

[@cjnthn]

@@rehabhqofficial thank you!

[@michaelclark6154]

I have been struggling to find answers to what has been going on with my gait and feet. I have seen soo many people trying to find out what is going on and I even ended up having surgery on my right foot(tarsal coalition), and I am still having issues and have no answers. I am pretty sure now that I am overpronating causing flat feet. Not sure but thinking it could be related to something in my hips maybe(hip flexors, TFL, glutes, etc) I am in desperate need of help and some answers. Do you have any ideas of what I could do to figure this out.

[@khoadley5023]

Thanks for another great video. Just wondering… are kinetic chains and spiral lines the same? Related? I never knew “lines” crossed the body until a pt did some myofascial release on me and explained spiral lines. And I am extremely tight on my upper body nonaffected side. Can this tightness contribute to walking difficulties on my lower affected side?

[@rehabhqofficial]

I think the two terms have many similarties. Here is an article I just found. basicmedicalkey.com/the-spiral-line/ There is a soft tissue component beyond just muscle, however, I chose to only focus on the muscle component in this video. I hope that makes sense!

[@Sunshine-hv1eu]

Do you work both sides equally in these exercises? Or just the weaker leg/opposite arm?

[@rehabhqofficial]

Generally speaking, yes.

[@nneema72]

Thanks for the teaching My issue is I tend to drag my effected feet while walking (ME patient)

[@rehabhqofficial]

Thanks for watching and for sharing your story!

[@lyndaatherton-miles9026]

I got really confused which leg was the weaker leg during the exercises, it seemed to change through the different exercises, Also as someone with not great balance and a weak left arm and leg, how I would hold on a stick for example and pull a tension band with the same hand at the same time?

[@niky1609]

Hello doctor.. thank for this enlightening video.. was searching for something like this for months.. I got upper back injury not in spine but near spine, scapula and shoulder region .. left side I started feeling bouncy while walking after that.. and off balance as if dragging towards right side right before my right leg hit the ground Not able to understand if that is due nerve or muscle Also if nerve which part of brain is affected right or left.. since injury in right side and leg issue in left side.. I feel very less pain near scapula region.. Plz help

[@09ironman1]

Great video where do I get those stretch bands in those annals Those handles do you use

[@rehabhqofficial]

you will find all of my product recommendations here: www.amazon.com/shop/rehabhq I have 2 different handles I use. Both products are in the arm rehab recommendation list :)

[@binaaa2446]

Hey I will have hip replacement surgery next month cause my mobility is so limited, I do walk with short steps with that leg so how can I think while walking after surgery? cause my posture is weak and my upper body leaning forward while walking ..

[@rehabhqofficial]

Hi Binaaa! thank you for watching and for commenting! This is an excellent question. It is kind of hard to answer so I might consider making a video on this. Can you tell me, is it your "involved hip" (I am assuming you have had a stroke) or your uninvolved hip?

[@binaaa2446]

Rehab HQ hey thank you for ur reply . I have hip arthritis which lead to limited step and mobility one leg is walking normal meanwhile the involved leg is taking short step.

[@blueyedmule]

Where does the hamstring figure into all of this?

[@charleseddy6545]

Perrito is CLEARLY ready for Hollywood.

[@jkelly1701]

brilliant

[@jenniferwu2731]

What is your dooggo's name? He's going nuts at 22:10 lol

[@rehabhqofficial]

Hi name is Chico. And yes, he has itchy skin some days. :)

[@lanetterippeto3730]

My physical therapist told me the only way to fix an abnormal synergy pattern said the only way to fix is to have a baclifin pump. I’m not doing that

[@drmarkintexas-400]

🏆🏆🏆👍🇺🇲🙏 Thank you for sharing

[@rehabhqofficial]

Hi Dr Mark. Great to see you again this week. I hope there is something that helps you in your walking!

[@kelnoel74]

Thanks Dr. Tara! At least 80% of the folks I see have weak hips. Nice to have new tricks up my sleeve! As an aside, is your supporting actor ok? He seemed a little itchy. :)

[@rehabhqofficial]

Hi Kelly! I am glad you found this one helpful! As far as Chico, yes, he is ok. He has pretty severe allergies. Some days are just worse than others. I guess he was pretty distracting. Sorry about that. I don't notice it until I am editing.

[@kelnoel74]

@@rehabhqofficial Did not mean for that to come across as a complaint… I enjoy seeing Chico make an appearance.

[@rehabhqofficial]

@@kelnoel74 Hi Kelly, I did not take it as a "complaint". Your comment just made me remember that I did not edit those really "distracting itches" out. 🤦🏻‍♀️ I always LOVE your input. From one colleague to another, it is great to get the view points of other therapists :)

[@mrstevek118]

When I’m walking I don’t know what to do with my affected arm. It’s either tight against me or it’s hanging there, dangling I can’t get it to look normal 😑

[@rehabhqofficial]

Hi Steve! You are not alone. This is a pretty common problem. Here is a video (an oldie but a goodie :) ) kzbin.info/www/bejne/rYDPq5mGgdFgl7s

[@mrstevek118]

@@rehabhqofficial thanks

[@matthanseb4455]

I walked normally but my leg runs out of energy after about 5 hours what causes that and then the leg just doesn't want to work

[@rehabhqofficial]

Hi Matt! thanks for watching and for sharing your story. There are a variety of factors that can cause this. It really depends on the root cause to know how to address this issue.

[@matthanseb4455]

@@rehabhqofficial have to sit down for a couple of hours and then it's Twitches as I'm just sitting there. Not too sure what to do about it other than what I'm doing

[@mahendraahirwar4354]

I love you tara 😁😁😁😁😁

[@zitaorosz1975]

I love love love the posterior chain exercises. I couldn’t do the exercise where the stronger leg was across on top of the weaker leg while doing the bridge . Me ankle rolled and both of my legs fell to the side. I was able to do all the other exercises. It felt so great.I would like to ask how to get over being bothered everything being on my left ( involved side) while I am walking. I am walking without any assisting device inside my house, and use a walker for walking outside. I barely touch the handle of my walker.

[@rehabhqofficial]

Hi Zita! Thanks for this question. If I understand correctly, you are describing neglect? If so, I have a video on this that will post soon. Stay tuned!

[@zitaorosz1975]

@@rehabhqofficial Thank you for responding . I am sure it is related to the left sided neglect that I have.

[@reynaldocrisostomo7197]

❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤

[@raichurkhan9996]

👍

[@willemh3319]

and if you only have forward flex

[@Pskwhshgsgsg]

Люблю вас))

[@kimsimpson5237]

The sole of my feet is very smooth, when I walk I tend to till forward like a baby. What can I do to change that. I have NMO and is trying to recover from my 3rd attack.

[@steffihitzel-rider8936]

Hello Kim! I also have NMO. Good to know there is a fellow NMOer here. I was diagnosed in early 2013, but it took months for the answer to come. First acute attack in September 2012. Rituximab twice a year. Tara Tobias has helped me as much or more than anything. I’m so glad I found her about a year ago. I continue to make gains.

[@andreyrozhnov4791]

Dear Tara not every body hrre english speaking so Im russian and about 90 percent of given information was missed by difficulties to understand ehen you talk so could you be so kind and support all your video with text

[@rehabhqofficial]

Hi Andrey, thanks for the feedback. I will keep this in mind for future videos. :)

[@chrisdorset1762]

Yeah your cute

[@patrickaiken2021]

Excellent video. I am recovering from a stroke 2 years ago. I willl certainly be doing these exercises. Still working on my balance also. Thanks.

[@omarenriquecastillo4297]

# Toes

[@rehabhqofficial]

Hi Omar, Nice to see you this week. #toes....noted :)

[@omarenriquecastillo4297]

@@rehabhqofficial Thanks for this,

[@tomcochran9871]

Please get to your point and demonstrate faster. I stop listening way before you actually show your exercise. 🤦

[@rehabhqofficial]

Hmm. May I suggest not clicking on the video 🤷🏻‍♀️ Just a thought

[@tomcochran9871]

@@rehabhqofficial Perfect. You see you can get right to the point without rambling on. 👍