Welcome to the ARNI Stroke Charity website for stroke survivors, families and healthcare professionals: providing specialist rehabilitation and exercise support after hospital and community physiotherapy finishes.
Please click on the 2023 ARNI Newsletter
Your Stroke / Brain Injury Recovery Starts Here
ARNI home-based training and guidance for your rehab is POWERFUL. Accept no substitute.
Exercise: Heel striking (or ‘Keystone Cops’) Remember that heel striking (and dorsiflexion) is essential to correct walking. Asking a stroke survivor with dropped-foot to heel strike takes effort, and body contortions, so this technique is called ‘Keystone Cops’ (a series of silent film comedies featuring an incompetent group of policemen produced between 1912 and 1917). The only thing missing is that you probably won’t feel like jumping up and clicking both heels together like they did on film! This exercise, done right, is very challenging. The aim is to start dramatically and even look silly, but for the first time actually achieve a heel strike on the affected foot as you go. The aim is that very shortly, once your brain gets used to the fact that importance is being placed on heel-striking, you will find that your movements no longer have to be quite so dramatic. It may not work, but it may help you to plantar-flex less so please persist with this exercise along with the others. It was a favourite of one of my clients, Bob, and he used to go round the training area 20 times doing just this. It paid dividends for his walking.
Figs. 1 - 4. Start by shifting your balance over onto the good side (Fig. 1), then step out with the affected leg. You are going to be trying to bring your affected foot up at least a foot from the floor (Fig. 2). Then try your very hardest to visualise pulling your toes towards your shin. Now bend your good knee quickly and sink down. At the same time, bring your affected foot down to the floor (Fig. 3). By pulling your hip back, you will have managed to heel strike purposefully. You may even have to do a one-legged squat as you go onto your good leg (Fig. 4) in order to do a heel strike. You may think you look quite silly but who cares? If done correctly, you should hear a ‘double tap’ (nothing to do with SAS style shooting) as your heel strikes first, then the ball of your foot. Even though your affected foot may not come down parallel to the good foot (it may curve in significantly towards the midline), this is ok; you are heel striking. The aim is to build up the perception of the need to heel-strike for efficient walking, and then to incorporate a more toned down version of this into your normal gait. It helps if you can build even a microsecond more of heel strike into your gait.
Ammarrah Siddique, a research student from Bolton University, needs to understand, from survivors of brain injury and their carers about the real life outcomes of traumatic brain injury on social cognition. The evidence reveals that as survivors' social cognitive abilities are decreased, this can impact every aspect and quality of life. For example, loneliness and social isolation can increase and the individual may choose to withdraw rather from society. Contributors would be contributing to the understanding of how severe social impacts can be... please get in touch with her asap: many thanks! www.arni.uk.com #traumaticbraininjury#boltonuniversity#neurorehabilitation#socialcognition#neuroplasticity#tbisurvivor#ARNIstrokerehab... See MoreSee Less
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I am convinced that bi-lateral training combined with hard concentration and then active relaxation incorporating strong, mental imagery are good keys to eventual useable extension of fingers and thumb.