WEBVTT 00:01.490 --> 00:03.990 (light music) 00:10.478 --> 00:13.061 (upbeat music) 00:32.403 --> 00:33.540 Wow, what a great day. 00:33.540 --> 00:35.250 And all bunch of information in my head 00:35.250 --> 00:37.500 was swimming this morning as I was listening. 00:38.490 --> 00:41.820 So as Aaron was saying, yes, I've been in physical fitness 00:41.820 --> 00:44.040 and wellness for about 20 years. 00:44.040 --> 00:46.920 And from there I decided I had to do more. 00:46.920 --> 00:48.510 I was working with a lot of clients 00:48.510 --> 00:51.480 who were coming post rehab. 00:51.480 --> 00:52.590 And so I decided to go ahead 00:52.590 --> 00:54.450 and further my education in physical therapy. 00:54.450 --> 00:57.870 And that's where I ended up working with stroke survivors 00:57.870 --> 01:00.520 and creating the program that I did with Easterseals. 01:01.680 --> 01:03.300 So I don't mean to be the Debbie Downer here, 01:03.300 --> 01:04.980 but let me talk to you just for just a minute 01:04.980 --> 01:07.173 about what it means to have a stroke. 01:09.810 --> 01:11.820 So just imagine your life, 01:11.820 --> 01:16.587 and suddenly you can't move one side of your body, it stops. 01:18.780 --> 01:21.750 What if you can't get outta bed, can't sit up, 01:21.750 --> 01:24.750 can't get dressed, can't go to the bathroom, 01:24.750 --> 01:25.860 and when you start talking, 01:25.860 --> 01:28.203 the words aren't coming out quite right. 01:29.460 --> 01:31.320 And then what if you all of a sudden can't do the things 01:31.320 --> 01:32.853 that you did automatically? 01:35.520 --> 01:37.890 And then what if the medical society 01:37.890 --> 01:39.067 or the medical community says, 01:39.067 --> 01:41.157 "We can't do anything to reverse this"? 01:42.810 --> 01:44.917 And then what if the doctors tell you, 01:44.917 --> 01:46.817 "This is as good as you're gonna get"? 01:47.970 --> 01:51.330 Hi, my name is Tony Cherry. 01:51.330 --> 01:55.663 I am 58 years old and had my stroke at 54. 01:57.870 --> 02:02.870 When I woke up from it, my neurologist asked me 02:03.750 --> 02:07.500 to move several of my extremities. 02:07.500 --> 02:11.610 When I was unable to, he told me 02:11.610 --> 02:16.610 that that was as good as I was going to get. 02:17.160 --> 02:20.133 Now, mind you, nothing moved. 02:21.870 --> 02:26.190 And now mind you also, this is a doctor. 02:26.190 --> 02:29.610 And I told him, "Bullshit. 02:29.610 --> 02:34.380 You don't know who I am and this is not gonna, 02:34.380 --> 02:38.607 I'm not gonna be like this for the rest of my life." 02:39.960 --> 02:42.930 So I'm gonna introduce a lot of my clients to you today. 02:42.930 --> 02:43.950 So my job today is 02:43.950 --> 02:46.080 to take all the wonderful sciences out there, 02:46.080 --> 02:48.450 all the wonderful information that we have, 02:48.450 --> 02:51.150 all the wonderful techniques that we've been given 02:51.150 --> 02:52.170 through the science world. 02:52.170 --> 02:55.530 And I'm gonna show you what they do and what I do 02:55.530 --> 02:57.690 with all that beautiful science that we have. 02:57.690 --> 02:59.880 I don't understand how it all works up here, 02:59.880 --> 03:01.480 but I do know it works out here. 03:02.610 --> 03:06.300 So as Tony was saying, that is the life of a stroke survivor 03:06.300 --> 03:07.773 and their caregivers. 03:08.640 --> 03:10.770 This is what they're left with. 03:10.770 --> 03:12.300 So the medical science is telling us 03:12.300 --> 03:14.640 that their best hope for recovery 03:14.640 --> 03:17.223 is within the six months to a year. 03:18.510 --> 03:23.070 And so insurance kind of drives the protocol in a way 03:23.070 --> 03:25.350 for our clients to get outta the hospital, 03:25.350 --> 03:27.180 to go to rehab, to go to home health. 03:27.180 --> 03:29.640 And what we teach them, which is very important, 03:29.640 --> 03:33.720 we teach them to do ADLs using their unaffected side, 03:33.720 --> 03:36.000 forgetting about the side that is affected. 03:36.000 --> 03:38.580 And we just kind of teach them to get them in, get them out. 03:38.580 --> 03:42.090 And that's really important. But that can't be the end all. 03:42.090 --> 03:45.870 You can't stop it there. They have to continue on. 03:45.870 --> 03:48.090 So what does recovery look like? 03:48.090 --> 03:51.300 Recovery looks like, let's get them moving, 03:51.300 --> 03:54.210 let's get their brain, their body to connect 03:54.210 --> 03:56.560 and then let's get them physically conditioned. 03:59.190 --> 04:01.590 So when I was working in therapy, 04:01.590 --> 04:03.390 one of the things that I began to see was 04:03.390 --> 04:06.450 that they were doing repetitive motion, 04:06.450 --> 04:08.850 boring, nothing to it. 04:08.850 --> 04:13.850 And I thought, "Oh my gosh, if this is what it's all about, 04:14.370 --> 04:17.340 it's boring for me, it's gotta be boring for them." 04:17.340 --> 04:19.260 And it was driving me crazy 04:19.260 --> 04:21.390 and I knew it was driving them crazy. 04:21.390 --> 04:26.130 So what I decided to do was take a program 04:26.130 --> 04:28.140 that was repetitive and make it 04:28.140 --> 04:31.110 so they could actually do recovery activities 04:31.110 --> 04:35.550 and do task-driven things with their hands, minds, brains, 04:35.550 --> 04:36.700 everything we could do. 04:40.680 --> 04:42.690 So when I was working with them, 04:42.690 --> 04:44.160 a lot of my clients came to me. 04:44.160 --> 04:47.730 And as you know, stroke clients, when they come to you, 04:47.730 --> 04:51.420 they usually have some sort of what we call spasticity 04:51.420 --> 04:55.410 or tone, high tone, which means their bodies don't, 04:55.410 --> 04:56.790 they don't have the mobility. 04:56.790 --> 05:00.060 So they're tight, their muscles are tight, 05:00.060 --> 05:01.210 their joints are tight. 05:02.310 --> 05:04.980 So when I watched these guys and I watched 05:04.980 --> 05:07.650 that we weren't allowing them to do what we thought, 05:07.650 --> 05:10.170 what I believed that they could do, 05:10.170 --> 05:12.420 I believe they could do more. 05:12.420 --> 05:16.080 So I believe truly that if we give them the opportunity, 05:16.080 --> 05:18.030 if we give them the structure, 05:18.030 --> 05:20.220 if we give them the motivation, 05:20.220 --> 05:22.650 and if we give them the chance, 05:22.650 --> 05:26.190 they will rise to the challenge. 05:26.190 --> 05:28.290 So just because these guys don't talk 05:28.290 --> 05:31.920 doesn't mean they don't think or understand. 05:31.920 --> 05:34.170 Just because they don't move well 05:34.170 --> 05:37.170 doesn't mean they can't learn to move. 05:37.170 --> 05:42.170 And in my world, because we're hesitant to challenge them, 05:42.240 --> 05:45.243 doesn't mean they won't work hard to rise to the challenge. 05:48.150 --> 05:51.390 So this is what I do. This is our studio. 05:51.390 --> 05:53.280 This is where they come and they do their work. 05:53.280 --> 05:57.900 They're with me anywhere from three to five hours a day. 05:57.900 --> 05:59.190 And these are some of my guys. 05:59.190 --> 06:02.250 And of course we do have a lot of fun and we do laugh a lot. 06:02.250 --> 06:04.710 I was just talking to Heidi and we were talking about, 06:04.710 --> 06:07.950 you know, giving out as a caregiver and as a provider 06:07.950 --> 06:10.950 and the energy we put out and do we get the energy back. 06:10.950 --> 06:14.253 And I gotta tell you, we do. We have a great time here. 06:17.190 --> 06:19.290 So what we've designed is a program 06:19.290 --> 06:23.400 where we wanna get their body moving, 06:23.400 --> 06:24.570 we've gotta get them moving. 06:24.570 --> 06:28.173 So without having good mobility, we can't get them to move. 06:29.760 --> 06:31.530 Then we work on connecting the brain. 06:31.530 --> 06:33.990 We work on the brain to the body, 06:33.990 --> 06:35.370 just like we've heard all day today, 06:35.370 --> 06:37.530 how important exercise is 06:37.530 --> 06:40.050 in the brain and the connection there. 06:40.050 --> 06:42.150 And then the last thing we do, we gotta get physically fit, 06:42.150 --> 06:44.010 because there is research out there that says 06:44.010 --> 06:45.330 they have got to work out, 06:45.330 --> 06:47.630 we've gotta get them cardiovascularly healthy. 06:50.670 --> 06:53.790 So again, the clients come to us with stiff joints 06:53.790 --> 06:55.877 because of the lack of mobility 06:55.877 --> 07:00.240 due to contractures or stiff joints. 07:00.240 --> 07:02.850 So before we can actually get going on the exercise 07:02.850 --> 07:05.580 and to get the benefit and have adequate exercise, 07:05.580 --> 07:07.710 we've gotta get them moving. 07:07.710 --> 07:11.700 So my physical therapist and I, we do joint mobilization, 07:11.700 --> 07:14.790 which kind of sounds scary and it's really not, 07:14.790 --> 07:16.530 but we're just trying to get those joints to loosen up, 07:16.530 --> 07:18.180 so we can actually get a range of motion, 07:18.180 --> 07:21.930 something that we can get the optimal movement we need, 07:21.930 --> 07:24.030 'cause without that we're not gonna get any cardiovascular 07:24.030 --> 07:25.653 or any exercises. 07:26.670 --> 07:30.030 We've also added in soft tissue mobilization, which is, 07:30.030 --> 07:32.340 as some of you guys would say was massage, 07:32.340 --> 07:33.570 but we actually get into the tissue 07:33.570 --> 07:35.790 and we actually move it around so that we can, again, 07:35.790 --> 07:36.870 get that range of motion. 07:36.870 --> 07:39.180 And then we are doing passive range of motion 07:39.180 --> 07:41.700 to what we call active range of motion. 07:41.700 --> 07:43.350 And then we are doing a stretching program 07:43.350 --> 07:44.700 'cause all the muscles need to be stretched 07:44.700 --> 07:47.050 so that we can keep the mobility of the joints. 07:49.557 --> 07:51.330 So once we get the the body moving, 07:51.330 --> 07:52.460 we got the joints moving, 07:52.460 --> 07:55.620 we got some more mobility, better range of motion. 07:55.620 --> 07:57.450 So what we've found in our research is 07:57.450 --> 08:00.150 that we're seeing a lot of improvement 08:00.150 --> 08:03.990 and some really good recovery through mental imagery. 08:03.990 --> 08:06.090 So we've been starting to practice with a lot of this 08:06.090 --> 08:09.240 and we've just started doing this about eight months ago, 08:09.240 --> 08:10.320 and we're seeing some really 08:10.320 --> 08:12.960 interesting fun things happening. 08:12.960 --> 08:14.400 So one of the things we're doing, 08:14.400 --> 08:16.980 this is called mirror therapy. 08:16.980 --> 08:18.990 And the, the premise behind this is 08:18.990 --> 08:23.310 that it will help create skill mobility. 08:23.310 --> 08:28.050 It actually helps decrease pain, possibly decrease neglect, 08:28.050 --> 08:30.540 and some sensory impairments. 08:30.540 --> 08:32.640 So this is Dave, this is one of my clients. 08:32.640 --> 08:37.380 He is doing both hand, upper extremity and lower extremity. 08:37.380 --> 08:39.270 He's basically looking into the mirror. 08:39.270 --> 08:42.640 His right hand, which is affected side is behind the mirror. 08:42.640 --> 08:46.680 His unaffected side is moving the object in the mirror 08:46.680 --> 08:49.683 and he's watching his hand in the mirror. 08:51.180 --> 08:52.800 And what that does is it kind of, 08:52.800 --> 08:57.800 the brain perceives the right hand meeting, the left hand. 09:00.997 --> 09:03.180 It's an interesting phenomenon. 09:03.180 --> 09:05.700 The first day we had him do this, 09:05.700 --> 09:07.470 he was probably 15 minutes into the activity 09:07.470 --> 09:10.860 and we'll do things like wash the table, 09:10.860 --> 09:15.860 we'll stack plates, we'll, you know, fold something up. 09:16.470 --> 09:18.060 And they were pressing down on. 09:18.060 --> 09:19.733 So we're trying to get different tactile feedback 09:19.733 --> 09:22.470 through his unaffected side. 09:22.470 --> 09:24.240 And he was doing this for about 15 minutes 09:24.240 --> 09:26.040 and he stops in the center of it. 09:26.040 --> 09:27.630 And he said, "Wait a minute." 09:27.630 --> 09:28.680 I said, "What do you mean wait a minute?" 09:28.680 --> 09:31.320 He goes, "There's something happening in my right hand." 09:31.320 --> 09:32.220 And I said, "What do you mean?" 09:32.220 --> 09:35.397 He says, "I don't know, my shoulder's tingly." 09:36.480 --> 09:37.440 And that's 15 minutes in. 09:37.440 --> 09:38.730 I'm just, I'm getting kind of excited. 09:38.730 --> 09:40.110 Of course, I don't wanna show too much excitement 09:40.110 --> 09:42.360 'cause we are just starting working on this stuff. 09:42.360 --> 09:43.380 But he started showing 09:43.380 --> 09:45.780 some really interesting movement patterns 09:45.780 --> 09:47.430 of his elbow and his hand. 09:47.430 --> 09:49.233 And he's got a very stiff hand. 09:50.940 --> 09:52.230 Little story about Dave here. 09:52.230 --> 09:53.400 He is a skier. 09:53.400 --> 09:56.610 We got him skiing after about a year of me working with him, 09:56.610 --> 09:58.260 I got him set up so he can go skiing. 09:58.260 --> 10:01.800 We did all adaptive ski exercises so he could go wall sits 10:01.800 --> 10:04.170 and you'll see him do that here pretty soon. 10:04.170 --> 10:06.240 But he was skiing and he came down the hill, 10:06.240 --> 10:08.520 was standing at the bottom of the hill and fell, 10:08.520 --> 10:11.433 not skiing, he fell standing still and broke his wrist. 10:12.630 --> 10:14.190 Sadly it was his affected side. 10:14.190 --> 10:16.170 And so he came to us and, of course, 10:16.170 --> 10:17.340 I was clapping when he came in 10:17.340 --> 10:18.570 'cause, well, at least you broke your arm 10:18.570 --> 10:19.970 doing something you enjoyed. 10:21.360 --> 10:22.193 But he's real stiff. 10:22.193 --> 10:24.420 But we started seeing some mobility of a wrist 10:24.420 --> 10:27.540 that actually had not been set quite right in the cast. 10:27.540 --> 10:28.830 And he's getting some mobility. 10:28.830 --> 10:31.980 And again, here's his feet. We're doing both legs. 10:31.980 --> 10:33.660 This was something we wanted to try 10:33.660 --> 10:35.040 'cause we've got lower extremity 10:35.040 --> 10:36.180 to work on in upper extremity. 10:36.180 --> 10:37.880 So we wanted to try with the legs. 10:39.660 --> 10:41.190 So this is another client, this is Don. 10:41.190 --> 10:43.440 He has been doing the mirror therapy as well. 10:43.440 --> 10:45.960 And then once we get through the mirror therapy thing, 10:45.960 --> 10:48.720 we really try to push the utilization 10:48.720 --> 10:50.370 of their affected hand. 10:50.370 --> 10:51.630 So in Don's case, he's been, 10:51.630 --> 10:53.490 he's still doing the mirror therapy, still doing. 10:53.490 --> 10:55.140 So we're kind of doing what we call, 10:55.140 --> 10:57.150 I hate to use the word forced use, 10:57.150 --> 10:59.700 but I'm forcing him to use his affected hand. 10:59.700 --> 11:01.143 So this is Don. 11:09.270 --> 11:10.470 If you notice his tremor. 11:10.470 --> 11:12.480 So this is the beginning of his exercise 11:12.480 --> 11:16.570 and he did this for about maybe 20 minutes 11:18.570 --> 11:20.883 after doing the therapy of the neurotherapy. 11:23.550 --> 11:24.723 And now watch. 11:34.380 --> 11:35.213 No tremor. 11:37.590 --> 11:41.583 So does mirror therapy work? Does forced use work? 11:42.480 --> 11:43.313 Yes. 11:44.520 --> 11:45.390 I'm real proud of Don. 11:45.390 --> 11:47.610 He also has started skiing, 11:47.610 --> 11:49.360 so we've got him up skiing now too. 11:52.350 --> 11:53.703 Okay. And this is Rudy. 11:55.170 --> 12:00.170 Rudy is a fairly involved right side effect. 12:00.780 --> 12:03.660 And I wanted him to practice some of the finer motor skills 12:03.660 --> 12:05.460 'cause he's pretty good with his left hand 12:05.460 --> 12:07.410 'cause he writes with it and everything. 12:07.410 --> 12:09.540 But he had so much problem with this, 12:09.540 --> 12:11.070 just using his left hand, 12:11.070 --> 12:13.220 again, his right hand is behind the mirror. 12:14.880 --> 12:18.810 You can kind of see how he's having difficulty doing that. 12:18.810 --> 12:21.150 But after a couple days he came back and was practicing. 12:21.150 --> 12:22.980 He came into me the next day and did again. 12:22.980 --> 12:25.560 And then the third day he came in and did this again. 12:25.560 --> 12:29.160 No problem. He just did it automatically. 12:29.160 --> 12:30.480 Just went right into it. 12:30.480 --> 12:34.590 So even using his unaffected side, looking in the mirror 12:34.590 --> 12:35.760 and I challenge you guys to go home 12:35.760 --> 12:37.080 and stand beside a mirror. 12:37.080 --> 12:38.610 Look in the mirror, don't look at your other hand 12:38.610 --> 12:39.630 and don't look at this hand 12:39.630 --> 12:41.550 and try to see if you can do that. 12:41.550 --> 12:43.020 It's actually quite interesting 12:43.020 --> 12:44.470 to go backwards and forwards. 12:47.280 --> 12:50.280 So once we've done all of the mirror imaging 12:50.280 --> 12:53.730 and we do the forced use, one of the things 12:53.730 --> 12:57.900 that a lot of stroke survivors have when they walk, 12:57.900 --> 13:01.710 they curl their toes or they internally rotate their legs 13:01.710 --> 13:03.600 or their knees are stiff or they walk, 13:03.600 --> 13:05.820 they come down into a lock position for stabilization 13:05.820 --> 13:09.000 when they stand, during the stance phase of their walk. 13:09.000 --> 13:09.840 So this is don. 13:09.840 --> 13:12.720 We, again, we've been doing the leg in the mirror, 13:12.720 --> 13:14.700 we've been doing weight bearing, 13:14.700 --> 13:17.970 and so on this particular day 13:17.970 --> 13:21.660 we decided we gotta stop curling his toes because it hurts. 13:21.660 --> 13:22.590 Try walking some time 13:22.590 --> 13:25.380 with your toes curled up in your shoes; it hurts. 13:25.380 --> 13:27.660 So we spent about three weeks of me 13:27.660 --> 13:29.970 crawling on the floor with him holding his toes up 13:29.970 --> 13:31.410 so he would stop curling those toes 13:31.410 --> 13:32.673 when he planted his foot. 13:33.900 --> 13:35.520 And we did this over and over and over 13:35.520 --> 13:37.153 and he was finally practicing at home 13:37.153 --> 13:38.910 and I got his wife to help us out. 13:38.910 --> 13:42.663 And this is the result of what happened. 13:58.140 --> 13:59.613 Now watch him go backwards. 14:02.400 --> 14:04.250 Watch him bend his toe. There you go. 14:23.645 --> 14:26.895 So again, we got the body mobile, okay? 14:28.230 --> 14:31.470 We're working with the brain through the mirror therapy. 14:31.470 --> 14:34.620 We do the tactile movement and then they practice. 14:34.620 --> 14:36.520 And this is one of the results we get. 14:37.530 --> 14:39.030 So there's additional research out there 14:39.030 --> 14:41.100 that talks about just visualization. 14:41.100 --> 14:43.470 The mirror therapy is part of that visualization thing. 14:43.470 --> 14:44.940 It's that imagery. 14:44.940 --> 14:47.700 But then we started talking about doing visualization 14:47.700 --> 14:48.837 and the power of the brain. 14:48.837 --> 14:50.310 And we've heard that all morning 14:50.310 --> 14:51.690 about the power of the brain 14:51.690 --> 14:54.240 and how it can do so much over the body. 14:54.240 --> 14:55.680 And again, I don't understand all the stuff 14:55.680 --> 14:56.850 that goes on up here, 14:56.850 --> 14:58.887 but we started doing some visualization 14:58.887 --> 15:00.360 and the way we start this is 15:00.360 --> 15:02.460 they either lay on the mat table or sit in a chair, 15:02.460 --> 15:04.560 it depends on what activity we're trying to get them to do. 15:04.560 --> 15:07.950 And we have them think about a task that they want to do, 15:07.950 --> 15:09.630 raise their arms, reach for a cup, 15:09.630 --> 15:12.000 whatever it is in their brain that they wanted. 15:12.000 --> 15:15.420 So we have them quietly sit still 15:15.420 --> 15:18.810 and they visualize that affected side reaching for 15:18.810 --> 15:21.600 or grabbing or whatever it is in their brain. 15:21.600 --> 15:22.710 They just think about it 15:22.710 --> 15:26.103 and they just visualize it happening, just visualize it. 15:27.060 --> 15:27.907 Then we come back and we say, 15:27.907 --> 15:29.610 "Now we want you to you to visualize this, 15:29.610 --> 15:33.180 but then we want you to try to move that affected side. 15:33.180 --> 15:34.013 Just try it." 15:34.980 --> 15:36.090 And most of the time, you know what? 15:36.090 --> 15:37.137 It doesn't move. 15:37.137 --> 15:41.670 And that's okay because I want them to feel that connection, 15:41.670 --> 15:43.140 like Heidi was having this student today, 15:43.140 --> 15:45.840 close your eyes, what do you feel? 15:45.840 --> 15:47.820 Do you feel the air around you? 15:47.820 --> 15:51.240 We're trying to get them to, to feel what's going on. 15:51.240 --> 15:52.740 And then the last step we do is 15:52.740 --> 15:54.450 we still keep their eyes closed. 15:54.450 --> 15:56.580 Then we take them through the range of motion physically, 15:56.580 --> 15:59.340 I actually physically move them through that range of motion 15:59.340 --> 16:01.800 that they're trying to create. 16:01.800 --> 16:03.903 So this last one here, this is Rudy, 16:05.280 --> 16:06.990 he was the one with doing the hand thing. 16:06.990 --> 16:08.430 And about six months ago, 16:08.430 --> 16:11.370 we started doing this exercise, again, it's visualization. 16:11.370 --> 16:14.670 I'm abducting his arm and I'm asking him to close his eyes 16:14.670 --> 16:18.030 and pretend to bring, you know, have him bring his arm in. 16:18.030 --> 16:21.690 So about, I don't know, 15 minutes after we did this, 16:21.690 --> 16:25.320 I came back to this again and he started doing about 75% 16:25.320 --> 16:27.870 of the movement with his arm without my help. 16:27.870 --> 16:30.870 And that was the day I cried because I could not believe 16:30.870 --> 16:35.870 after five years post-stroke, he's moving his arm, 16:36.120 --> 16:37.770 and he has never had any movement 16:37.770 --> 16:40.440 prior to this of that affected side. 16:40.440 --> 16:42.750 So does it work? Yes. 16:42.750 --> 16:46.110 Is the science that we're learning today work? Yes. 16:46.110 --> 16:47.730 I wish we had more. 16:47.730 --> 16:49.800 So this is Rudy and he's done a phenomenal job. 16:49.800 --> 16:51.123 He's my poster child. 16:53.580 --> 16:55.020 So now that we've got the brain 16:55.020 --> 16:56.790 connected through the visualization, 16:56.790 --> 16:59.100 we're doing the mirror therapy, 16:59.100 --> 17:01.650 one of my clients called me up 17:01.650 --> 17:04.080 and he has what we call a receptive aphasia. 17:04.080 --> 17:06.450 And receptive aphasia is where you can talk to him. 17:06.450 --> 17:07.800 And it's kinda like Charlie Brown, 17:07.800 --> 17:09.690 the wah-wah-wah-wah with the teacher. 17:09.690 --> 17:11.700 He can't understand the words we're saying, 17:11.700 --> 17:14.670 but he called me up and said, "I'm reading a book 17:14.670 --> 17:16.110 and I'm talking to my body." 17:16.110 --> 17:17.160 And I said, "Well, what do you mean 17:17.160 --> 17:17.993 you're talking to your..?" 17:17.993 --> 17:19.740 Says, "I want you guys to start doing this." 17:19.740 --> 17:21.540 I said, "All right, we'll start doing this." 17:21.540 --> 17:23.400 So we actually encouraging our clients 17:23.400 --> 17:26.250 to talk to or think to the extremity. 17:26.250 --> 17:28.140 Again, it's that visualization 17:28.140 --> 17:31.020 kind of brain/mind over the body thing. 17:31.020 --> 17:33.540 And what he told me was he started doing that 17:33.540 --> 17:36.540 and he woke up one morning and what he calls synced up, 17:36.540 --> 17:41.310 his shoulder didn't sink up and he was kinda laughing 17:41.310 --> 17:42.420 and he said, "It just didn't sync up. 17:42.420 --> 17:43.590 So I decided to go back to sleep 17:43.590 --> 17:45.870 and tell my body to do its job. 17:45.870 --> 17:48.960 And when I woke up, my shoulder was hooked up 17:48.960 --> 17:52.590 and my toes and my fingers on my left side were moving." 17:52.590 --> 17:54.420 And again, these guys don't move. 17:54.420 --> 17:56.673 Now can it be just an accident? 17:57.540 --> 17:59.040 I don't believe so. 17:59.040 --> 18:01.050 I don't believe it, because I've seen Gary, 18:01.050 --> 18:02.550 which you'll meet here in a little bit, 18:02.550 --> 18:07.550 I've seen him go from not walking, being in a wheelchair 18:07.860 --> 18:10.083 to walking with just a single point cane. 18:12.150 --> 18:13.650 So I believe it does work. 18:13.650 --> 18:17.130 Okay, so then we start adding in the physical piece of this. 18:17.130 --> 18:19.590 Now we have to go into the physical portion. 18:19.590 --> 18:23.370 So this is Tony and we're doing sit to stand exercises 18:23.370 --> 18:25.763 because we all stand up and sit down 18:25.763 --> 18:27.450 and stand up and sit down. 18:27.450 --> 18:29.820 And nine times outta 10 he will lean 18:29.820 --> 18:31.950 on his right side to get up. 18:31.950 --> 18:34.230 Well, that's going to destroy his knee one day. 18:34.230 --> 18:35.460 So we're working very hard 18:35.460 --> 18:37.920 and you can see my hand is really hard on his foot 18:37.920 --> 18:40.260 pushing to give him that tactile feedback. 18:40.260 --> 18:43.470 So we do the mirror therapy, we do the visualization, 18:43.470 --> 18:46.370 and then we're gonna do that tactile feedback of and work. 18:47.490 --> 18:48.663 And here's Tony again. 18:49.500 --> 18:50.820 We're teaching him to kneel, 18:50.820 --> 18:52.920 because he A, wants to get on the floor 18:52.920 --> 18:54.423 so he can be with his cats. 18:55.560 --> 18:57.150 And I'm thinking, okay, you gotta get off the floor. 18:57.150 --> 18:58.860 So we practiced kneeling at this level 18:58.860 --> 19:01.050 before I put him on the floor. 19:01.050 --> 19:03.270 And trust me, when we did this exercise, 19:03.270 --> 19:06.270 he was scared spitless, he was so nervous. 19:06.270 --> 19:08.790 He toned up and his leg went straight. 19:08.790 --> 19:10.470 And it was like, "All right, you gotta relax." 19:10.470 --> 19:12.607 So we played the visualization thing and I said, 19:12.607 --> 19:14.070 "I want you just to close your eyes, 19:14.070 --> 19:16.050 pretend you're bringing your foot up, bring it up." 19:16.050 --> 19:18.240 And we repeated that until he could actually get it up. 19:18.240 --> 19:20.010 And we got him kneeling. 19:20.010 --> 19:21.840 Once we got him kneeling, he thought he was done. 19:21.840 --> 19:23.880 I said, "Oh no, we're gonna work on your core strength." 19:23.880 --> 19:25.806 So again, here comes the strengthening piece, 19:25.806 --> 19:29.190 the piece of it that goes along with that physical exercise. 19:29.190 --> 19:30.600 So we're doing a reaching exercise 19:30.600 --> 19:34.020 which requires balance and core strength. 19:34.020 --> 19:36.510 And he's done a phenomenal job with this. 19:36.510 --> 19:38.550 This was after about three times of doing this 19:38.550 --> 19:40.050 and this is where we ended up. 19:42.840 --> 19:46.110 So now we put it all into that physical strength 19:46.110 --> 19:48.180 and endurance and everything. 19:48.180 --> 19:52.110 This is Dave, I told you we are doing ski sit, wall sits. 19:52.110 --> 19:54.210 And this is his ski exercise. 19:54.210 --> 19:56.010 So this is the beginning of his ski exercise. 19:56.010 --> 19:58.800 He's not quite ready to go on to the further. 19:58.800 --> 20:00.630 He's been not exercising like he should, 20:00.630 --> 20:02.040 but we were getting him up on his toes. 20:02.040 --> 20:04.290 So he actually has a right side effect and he'll that. 20:04.290 --> 20:07.170 And this is Rudy again you met with the hands. 20:07.170 --> 20:10.770 So this is about two and a half weeks ago. 20:10.770 --> 20:15.130 And if you watch his right hand, he's gripping on his own 20:16.350 --> 20:18.570 and he's pulling down using his laps. 20:18.570 --> 20:20.640 And when I met Rudy three years ago, 20:20.640 --> 20:23.190 Rudy was in a wheelchair, actually this has been five years. 20:23.190 --> 20:24.600 He was in a wheelchair. 20:24.600 --> 20:26.977 I saw his potential and said, 20:26.977 --> 20:28.620 "You're not staying in a wheelchair." 20:28.620 --> 20:30.690 So about three months later I got him up, 20:30.690 --> 20:31.740 started standing him 20:31.740 --> 20:33.930 and we got him walking on a hemi walker. 20:33.930 --> 20:35.430 So now he walks with a walker. 20:37.140 --> 20:40.140 So additionally then we add in the cardiovascular exercise 20:40.140 --> 20:42.240 and all these guys do some kind of cardio 20:42.240 --> 20:44.340 every single time they come in. 20:44.340 --> 20:46.470 We monitor using heart rate monitors 20:46.470 --> 20:48.194 and we maintain a safe heart rate 20:48.194 --> 20:51.213 based on the cardiac therapy protocol. 20:52.710 --> 20:54.460 So this is my guys all working out. 20:56.100 --> 20:57.750 And along with all the things we're doing, 20:57.750 --> 21:00.540 we're doing the mirror exercises, 21:00.540 --> 21:02.700 we're doing the the visualization, 21:02.700 --> 21:06.120 we're doing the mobilization, all these things all together, 21:06.120 --> 21:09.120 they're getting endurance, cardiovascular health, 21:09.120 --> 21:12.783 strength and stamina, which is huge for these guys. 21:16.380 --> 21:18.390 So when you take all of those things 21:18.390 --> 21:22.410 and you combine all of those things, the mobilization, 21:22.410 --> 21:25.830 the brain connect to the body, then we exercise 21:25.830 --> 21:28.380 and all of those things together, 21:28.380 --> 21:30.000 these are the results that we're getting. 21:30.000 --> 21:31.560 And I'm so proud of my clients. 21:31.560 --> 21:34.320 I can't tell you enough how hard they work. 21:34.320 --> 21:35.580 So this is Tony's paintings. 21:35.580 --> 21:37.860 He started painting about two and a half years ago 21:37.860 --> 21:40.610 and these are some of his oils that he's been painting. 21:42.990 --> 21:45.873 This is Gary that I was talking to you about, 21:47.490 --> 21:49.920 talking to his left arm to tell it to move. 21:49.920 --> 21:51.480 And if you'll notice his right hand, 21:51.480 --> 21:53.693 or sorry his left hand, it's actually on the bike. 21:53.693 --> 21:56.160 I dunno if you can see it. His guy's mitten on. 21:56.160 --> 21:59.853 But this is him in the Grand Tetons riding his bike. 22:02.850 --> 22:04.860 And just in about a month and a half ago, 22:04.860 --> 22:06.420 we took the client's rafting. 22:06.420 --> 22:07.920 Now if they weren't mobile, 22:07.920 --> 22:09.630 if they didn't have that brain body connection 22:09.630 --> 22:12.840 and they weren't physically fit, we couldn't have done this. 22:12.840 --> 22:14.550 But they're all willing to get in those rafts 22:14.550 --> 22:16.600 and head down the Colorado River with us. 22:18.900 --> 22:22.410 And this is Rudy. The first one is about a year ago. 22:22.410 --> 22:24.248 Say flamingo. 22:24.248 --> 22:25.081 Ligo. 22:26.879 --> 22:28.699 Fla. 22:28.699 --> 22:29.532 La. 22:31.366 --> 22:32.199 Fla mingo. 22:33.932 --> 22:34.765 Put together. 22:34.765 --> 22:35.682 Flamingo. 22:36.660 --> 22:37.493 Got it! 22:39.780 --> 22:42.199 Okay. And this is him about six months later. 22:42.199 --> 22:43.513 How are you? 22:43.513 --> 22:45.907 Fine, thank you. How are you? 22:45.907 --> 22:46.888 Fine. 22:46.888 --> 22:49.471 (Karen laughs) 22:50.720 --> 22:53.400 So he has gone from speaking single words 22:53.400 --> 22:55.020 to sentences with inflection. 22:55.020 --> 22:57.767 I dunno if you notice his voice in "I'm fine. Thank you." 22:58.636 --> 22:59.469 And this is Don. 22:59.469 --> 23:00.870 Remember I told you I had some clients 23:00.870 --> 23:03.030 who were driving and skiing. 23:03.030 --> 23:03.903 This is Don. 23:05.370 --> 23:09.063 And look at him getting in this He-Man truck. (chuckles) 23:19.680 --> 23:20.703 And there he goes. 23:22.380 --> 23:25.110 And this is one of my other clients which I have introduced. 23:25.110 --> 23:26.790 And this is Diane and her husband. 23:26.790 --> 23:28.653 They hadn't danced in five years. 23:33.600 --> 23:35.520 So now, she's dancing. 23:35.520 --> 23:39.030 And this is just one more proof of the science 23:39.030 --> 23:43.320 that we're doing does work out here in the physical world. 23:43.320 --> 23:45.903 It happens in here, but it happens out here. 23:49.500 --> 23:54.270 So I'd like to leave you with this. We can't stop. 23:54.270 --> 23:57.600 Please, don't stop the science, get more funding, 23:57.600 --> 23:59.550 let's work with the legislation, let's get more funding 23:59.550 --> 24:02.350 to learn more about the brain so we can help these guys. 24:04.260 --> 24:07.893 There is really true recovery for stroke survivors. 24:09.180 --> 24:10.023 It's there. 24:11.340 --> 24:15.750 However, just doing mobilizations 24:15.750 --> 24:19.214 and just doing the combination of the brain/body working 24:19.214 --> 24:22.590 and the physical exercise is not quite enough. 24:22.590 --> 24:26.090 These guys have to have consistent work, hard work, 24:26.090 --> 24:29.010 as a matter of fact, very hard work. 24:29.010 --> 24:32.730 They have to be able to have the science behind 24:32.730 --> 24:33.720 what we're doing for them. 24:33.720 --> 24:36.570 So they feel like they are getting somewhere. 24:36.570 --> 24:37.830 And they have to have motivation. 24:37.830 --> 24:39.783 And that's our job is to motivate them. 24:40.650 --> 24:44.220 And based on that and all of that, all that combined, 24:44.220 --> 24:48.870 I know and I truly believe that stroke survivors can recover 24:48.870 --> 24:53.703 and they do truly have a substantiated reason to hope. 24:54.990 --> 24:56.078 Thank you. 24:56.078 --> 24:58.911 (energetic music) 25:10.688 --> 25:13.271 (light music)