My brain aneurysm hit sometime after midnight January 18, 2005; they called it a “left cerebral hemorrhage secondary to rupture of an AVM”, and
after an
emergency surgery, I was in a coma for about three weeks and went through a “prolonged operative course" all of which was followed by weeks of inpatient rehabilitation. I still have “right-side spastic hemiparesis” which simply means I can’t do much with my right arm or leg. I’m only able to elevate my right arm 30-40% and my hand-grasp is weak. I ambulate independently using an ankle foot brace and require some assistance for daily living activities, particularly those that require
fine motor skills. I’ve had my share of PT, OT, speech and cognitive therapies for my hemiplegia and aphasia at numerous facilities here in the New York area. Electrical stimulation, EMG, biofeedback, botox injections, Saebo, Bioness, Neuromove… ‘been there, done that… and here I am, still putting-up with the frustrations of a spastic right hand and leg. Before 1/18/05, I was a keyboard pianist.
There’s no question that most of the therapists that have worked with me have gone over and beyond the call of duty for me, and I am eternally indebted to each of them for their untiring dedication. But I also trust that they will forgive me when I say nevertheless, that I believe most of the crucial advances I’ve made have come from utilizing ideas I devised on my own.
There’s no question that most of the therapists that have worked with me have gone over and beyond the call of duty for me, and I am eternally indebted to each of them for their untiring dedication. But I also trust that they will forgive me when I say nevertheless, that I believe most of the crucial advances I’ve made have come from utilizing ideas I devised on my own.
Let me give you an example; for the first two years after my AVM, I was totally dependent on others to get around outside. I couldn’t go for long walks without being wheel-chaired, even though my left leg was perfectly ok. Then I thought; why not try one of those adult tricycles I’d seen every once in a while. My left leg could push the peddle that would automatically force my right to do the same. Of course I’d need some customizing of the right peddle to prevent the leg from going where it wasn’t supposed to go, and one of the mechanics at my local bike shop was more than accommodating in cutting a piece of wood to the shape of my shoe and attaching a brace to keep the leg in place. Now my bike not only provides me with mobile independence, it serves as a vital form of my daily rehab regimen. Think about; couldn’t you do the same thing?
'Lot's of luck!
Yossi Federman yossifederman@gmail.com
I’m reaching out to all AVM and
stroke survivors to show you some of the ideas I’ve come up with, in
the hope that you can adapt these ideas for yourselves, and yes, maybe
you have an idea for me! Of course there’s a new custom designed rehab
robotic/electronic “toy” introduced every week, each guaranteeing that
it will make us walk and toss frisbees across the park, and some of
these may have made a difference for you, but, “our” ideas come from
“first hand/leg experience”; they won’t cost anywhere close to what the “toys” do…they’re simple, and work even better.
'Lot's of luck!
Yossi Federman yossifederman@gmail.com
National Aphasia Assoc. 800-922-4622
Stroke Connection Magazine 800-553-6321
Things I’ve learned on improving fine motor skills: You can create new pathways in the brain to compensate for injured areas. 1. The key is to use your affected side as much as possible and repeat stretches several times a day. 2. Remember; effects of practice are cumulative and can’t be measured by daily results. 3. A calm atmosphere is non-negotiable; try to live a structured life; establish routines. 4. Time yourself putting pegs into a pegboard and taking them out. 5. Shoot marbles into a carton several times a day. 6. Use rubber bands to exercise your fingers; place hand on table and loop rubber bands around finger. Use other hand to pull finger up/down. 7. Squeeze a rubber ball to strengthen your hand. 8. Practice making a fist. 9. Range of motion: Each day, raise your arm up/down with your other hand or via a helper. 10. Concentrate on moving one finger at a time. Fan-out all your fingers. 11-Push your hand/fingers against your mattress to strengthen. Here’s some more stuff ‘good to know: - Aloe vera/Vitamine E prevents rashes caused by body parts rubbing. - A 5” cushion helps in getting off of your chair. - Remove obstacles and sharp edges. - Cushion toe separators help muscles relax - Use key rings on your zippers Please let me know of ideas that work for you! |
