Restore Reaching Post Stroke
In this article, we will explore effective methods to restore forward reaching motion through a series of exercises as explained by Tara, a neurologic physical therapist. With a focus on empowering rehab and promoting overall health, Tara introduces a structured model involving mobilization, activation, and functional exercises.
The first component in restoring your reach begins with a support-based forward reaching movement, typically learned in rehab settings. This method involves steady placement of your arms on a table to allow gravity-assisted elongation of shoulder joint structures.
Instead of abandoning this exercise post-rehab, continued practice at home can significantly enhance shoulder mobility. Align your arms and aim to prolong the angle extension around your shoulders. Tara emphasizes the importance of maintaining this angle for an extended time, around one minute per set.
Activating the right muscles effectively involves using any object with wheels to push across. Maintain an upright posture and focus on coherence between both arms’ movements. Many struggle with perfecting the push action straight outward, but it's imperative to aim for symmetry with the unaffected arm.
Here, introducing targets, such as cones, becomes a useful motivation. The slippery grip of cones encourages pressing and sliding, simultaneously reinforcing grip grip ability and control avoidance in the hand. Through this, work toward maintaining intended reach paths without deviation.
- Select targets brought progressively close to ease early stage reaching
- Regular touch - release drills prompt desired motion consistency
A majority tend to shy away from failing perfect movements due once-prone perfectionist tendencies. Tara guides us to place emphasis on activation without tarnishing assessments with errors in orientation and reach patterns.
"Any movement is good movement."
Whether your precision sways slightly, accountability is built as neural paths reawaken through habitual templates. Consistency defines growth trajectory.
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