Occupational Therapy restores arm function after stroke

Trying to get this scapula the bone
back here like sucked down onto your chest wall, it
doesn’t want to move. I’m just trying to what we call
mobilize it. Try to get it. Let me know if I cause you pain alright. See
how it’s just loosening up. Now all of a sudden I can just move it that much more. There you feel that one
circle. It does feel a little looser. These muscles here have a tendency to get tight and that’s
exactly what that is there. I look at that and I didn’t even, I’m not
going above this at this point but just by mobilizing that scapula look
how much easier to lift that arm up. I feel it easy. Yeah look at that, you ok? Ok, ok., Come right back down just like that. You ok? Alright, more anticipation? Well yeah I would actually want it.
That muscle pull yeah, or stretching I can feel that stretching.You can feel it stretching. Stretching is ok. I try to breathe in to it. Right. It
shouldn’t be a painful stretching it should just feel like it’s stretching. Just
go in here. I’m just trying to release some of the fasciae cause it is so tight in the pecs (pectorals) Do you feel that
like release in there? It feels like its. I can feel that muscle not as tight, yes
So now were going to come out sideways and you’ve tried to bring it down on your
own. Gorgeous and then come back to your
stomach nice and slow, slow controlled don’t let it drop. Now a drop hurts, actually, a drop hurts yeah, yeah,. Yeah, nice and slow yeah No pain right? Yessss! Try going straight up in the air. Right
up to the target. Nice and then come down, nice, yeah nice
and slow come down, good. There’s your circle. Sometimes having the
target to look for and to aim for gives you, it’s beautiful that you reposition your
shoulder. What’s happening in here is because you
have this swelling, everything is thick, it’s like glue so
the joints are not moving as well, so we want to mobilize these joints by
mobilizing those joints hopefully then once we start moving again you won’t have that pain, but definitely
just actively moving it, actively using it, like you said you’re doing the dishes all that stuff is also going to help
with pulling that swelling out. Try opening and closing all the way down
go go go go go go all the way, get those fingers all the way down. So what I”m doing here is when you are
laying down I worked on what we call forward flexion right, OK trying to loosen up the shoulder
and then I’m loosening up external rotation and now we’re sitting up and
putting it to functional use and that’s exactly what we’re doing right here. So what I want to do here is just get your brain body connection, you’re coming across and coming
across, beautiful. Reach, any pain in that shoulder? No pain, OK, now next time what I want us to do
is I want you to keep your arm, your body, and I want you to stretch across all the
way across, across. And reach across, OK ready reach across nice

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