New Treatment for Weak Arm After Stroke, Shoulder Subluxation, and More

New Treatment for Weak Arm After Stroke, Shoulder Subluxation, and More


♪ Bob and Brad, ♪ ♪ the two most famous
physical therapists ♪ ♪ On the internet ♪ (clapping) – Hi, folks. I’m Bob Schrupp, physical therapist. – Brad Heineck, physical therapist. – And we are the most
famous physical therapists on the internet. – In our own opinion of course, Bob. – Today we have a new treatment for weak arm after stroke. This is especially good for shoulder subluxation and more. – Which is pretty common after a stroke. – This is one of the cool things about having this channel, Brad. We get kind of exposed to this, some of the new equipment that’s coming out there. – Sure. – And we think if it’s worthwhile, we pass it on to you. We have no financial bearing on this. And we get no remuneration but we think it might
help some of the people that have had a stroke. – Exactly. – By the way, if you’re new to our channel, please take a second to subscribe to us. We provide videos on how to stay healthy, fit, pain free, and we upload everyday. Also, you wanna join us on
our social media channels cause we’re always giving something away. What are we giving away right now? We don’t know. – We don’t know. – Because this is a future video. – But it’s gonna be good. – It’s gonna be really good. So, go to bobandbrad.com, go to the giveaway section, and let us know what it is. – Or the Facebook. – Or go to Facebook, BobandBrad on Facebook, and if you want a short version of us, a shorter version of our videos go to Twitter and go to Instagram. – There ya go. – All right, so we’ve
been sent this device. It’s called the Sable Stem One. We’ve had products from Sable before. Really high quality organization. They do a good job. In fact, I got another one coming from them. – Oh, good. – Yeah, for the hand. But after stroke, many patients have a paralysis of the shoulder muscles. And basically what happens, after a while– – Oh, we’re gonna show them on Sam. – Yeah. – Good idea. – The shoulder actually starts to come out of joint a little bit. Just slightly. So you got the ball and you got the socket. It actually drops a little bit. And you can actually feel a little gap there. – Right. You’ll feel on one side, here it’s tight, here you can get your
whole finger in there. Course there’s skin there, but it’s very clear, you can oftentimes see it. – Yeah, you can see it. It’s called the sulcus sign. And Brad, if I were to do it on you, do you mind just rolling up your sleeve once? – I’ll do it for you, Bob. See if we got a sulcus sign in there. – I can actually pull down like this and you can often see it actually goes down and you can see a little movement there. – If they don’t have a lot of soft tissue underneath the skin, it’s a little more obvious. But we want to keep that muscles active so that doesn’t happen, because that creates pain. – Absolutely. – And it limits function, once the muscles do regain strength. – Perfectly said Brad, and it affects up to 81% of the stroke patients, so this isn’t a minor problem. The other thing is that this system can actually be used almost anywhere on the arm for helping re-educate the muscles. – Keeps that thing moving in the right direction. – So pretty simple to use. It comes with the main device here, and then it comes with little wings, they call them. – Oh yeah. Well, it looks like wings. – Yeah, they look like wings. They even flap like them. And it has a charger, so it charges up really easily actually. – Yeah, I’m impressed with that. It just easily– – And then plug it in. – It goes right where it’s supposed to, right into your USB port, we call that. – Or a computer, yep. – I’m catching onto this stuff, Bob. – That’s a computer term for you. So anyway, I’m gonna snap it onto the wings, very easily to do. And then, when the wings, you have to actually put on the pads on the wings. You’re gonna show that, Brad. – These are replacement pads, they stick to your skin. If you have used TENS or anything like that, you know that, after so many times, you need to replace it. And these are all nicely packaged so that you can, it’s probably going to
be hard to see this, but you can replace the pads. This is a nice system, I like this system. – Tends to run about 10 to 12 treatments, the pads do. And you can extend them a little bit but putting a little water on them. – Right, just to clean them up, it helps. It doesn’t make them like new but it gives it a little more time. – I’m gonna have you hold this Brad, just for the fact that we’re on film right now. Well do you want to put it on this one? – Sure. – So you’re gonna put it right across like that. And we’re getting the deltoid. And they found out, interestingly enough Brad, is that the deltoid works more from pulling the humorous up into the socket than the supraspinatus. – Oh, well that is interesting. – So they figure by
stimulating the deltoid, you can do a better job. So I’m just pushing the center here and holding it for three seconds. You hear a little beep? – Little indicator light comes up. – And now I’m going to go ahead, if you push on top. There we go. If we push on top, that turns it up. Ooh, I can feel it. You see it? – Here, let me hold it Bob. – Don’t! – Ooh, there we go. – Okay, we’re high enough! – Definitely got the
muscles to fire there. You can see, now it’s going on and off how often? – Eight seconds on, eight seconds off. The thing is, when you charge this, it’ll last for 24 hours of treatment. But this machine, this little unit, runs for an hour and then it pops off. I asked, “What’s the recommendation for how often you would use this?” And they would say usually once or twice a day. – A full hour each time? – Yeah, a full hour each time. – You can really see those deltoids working there. – Now, we don’t like to recommend anything unless there’s some research behind it, and boy, the research
really supports this. I was really surprised Brad. I found everything was
positive supporting it, saying it works well to decrease the incidents of subluxation, and also increases function. Now, it didn’t say as much about pain, but if you reduce subluxation, you’re gonna reduce pain. In my mind. – It certainly fits together. – So now let’s say you want to go ahead, I’m gonna let it go one more time just to give you one more shot of it. Boy, that really does fire. So I’m gonna turn it off. – Do you have to hold it? – Yep, I’m gonna hold it for three seconds. And you hear a beep-beep. So now Brad, do you mind just pulling it off and putting it on my bicep? – Oh, yeah. We’re gonna do it carefully, we wanna grab the pads. – Now what’s nice about the wings, the wings actually flip a little bit so you can turn them like that, see? – Change the distance and the location. – Yeah, so if the bicep’s not that long, you can flip it a little bit that way, flip it a little bit that way, and then I go ahead and turn it on. – Pretty much covering
your whole bicep, Bob. – I need to work on that a little bit. – Just kidding. – Gonna hold it for three seconds, beep, it comes on. This will be interesting to see it. (laughs) – So it’s firing his bicep. You’re not doing that. – No, I’m not doing that. We’ll see how it goes this next time here after eight seconds. – Now, there are some precautions for people who should not use these. – Absolutely, thank you for bringing that up Brad. The normal precautions that you’d have with TENS or EMS, like if you have a pacemaker. – Then you’re not going to use it for sure. – You’re pregnant, you wouldn’t put it over the area of pregnancy. – And there’s a list of those. – Yeah, carotid arteries. I’m sure they probably have it on their website, too. So this is a way of trying to regain some function in the arm. It’s really quite clever. So this device, they have an introduction price of $99, they do want a prescription from your doctor though, too. Which I don’t think would be hard to get. (laughs) – What? – Well it’s just kind of wild, how it just does it’s own thing. It’s like some of the people I know in my life. – Where you going with that Bob? – I don’t know. – This deserves a “Why Bob?” – So you can put it here, you can put it on your tricep, you can put it on to get your wrist. They even showed it that you can put it down below here to help with foot drop. – Right, which is a
very common side effect of a CVA or a stroke. Get that into your tib work. – So we’ll have a link below, take a look at it and thank you to Sable Stem for sending us the product. – You bet. – So take care.

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