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BEST 3 Foot Drop Tests to How to Walk Normal Again (After Stroke, Nerve Damage, or Weakness)

October 11, 2019


♪ Bob and Brad ♪ ♪ The two most famous ♪ ♪ Physical therapists ♪ ♪ On the internet ♪ (Bob clapping) – Hi folks, I’m Bob
Schrupp, physical therapist. – Brad Heineck, physical therapist. – Yeah, we are the most famous physical therapists on the internet. – In our opinion of course, Bob. – And we have the best
three foot drop tests and a how to walk normal again. So this is after a
stroke, or nerve damage, or what else Brad? – Right, you could just
have weakness from a injury, you know, if you, car accident, maybe injured your legs in a. – Neuropathy would do it.
– Yeah, oh there ya go. – There’s lots of ways
you can get foot drop. By the way if you’re new to our channel, please take a second to subscribe to us. We provide videos how to stay healthy. – [Both] Fit, pain free. – And we upload every day, also you want to join us on
our social media channels, and also, our website, www.bobandbrad.com, ’cause we’re always givin’ somethin’ away. Not today, sadly.
– Not today. – But tomorrow, you go on Sunday. – Yep
– We’re gonna be giving away a mattress.
– Yes. – You want to sign up for that. SleepOvation. – You say it Bob. I’m not gonna sing that. – All right, if you want a
shorter version of Bob and Brad, go to Twitter and Instagram,
there we do like one minute versions of us,
– Right, right. – And we don’t ramble on like this. – Did you say they can? – Yeah, they can go to Facebook
too and sign up for our, the giveaway, there too.
– The giveaway, the mattress. – There’s always a pin at
the top of the page, so. – All right Bob, so we
talked about the foot drop, the common causes, and I don’t know, I think I probably work with
it most with stroke people but I’ve certainly worked
with it with people with a back injury. – My mom has it.
– Yep. – And she had nerve damage
– Sure, sure. – from a back injury, yep. – So, if you think you have it, one of the tests is very
simply, when you’re walking, if you find that foot,
like your toe catches, and you’re stumbling and
you can’t figure out why. I have a pair of shoes that does this. I’m pretty sure I don’t have foot drop, but for some reason, I’ll do that every now and then. But if you find your foot dropping or like you’re gonna fall ’cause your foot catches on the floor, that’s the sign of foot drop. Then you should go to
one of the next tests. – Well it could also be a foot slapping. – Oh, sure good point. – You might hear a sound on one side, kind of making the sound – Right.
of a slap on the floor. – Yep. – Just on one side. – Just on one side, right. – So I’m gonna… – demonstrate one of the tests – Yep, the first one. And this is what tests
that they use all the time, you go to the doctor, even
at a general physical, they’ll say, “Can you walk on your heels?” – Yep. And what they’re looking
for is anterior tib, which is L5, is that correct? – Sure.
– Yeah. One way or another, it is a test. Now if you have foot drop, the strong leg, if your left leg is strong, it’ll be fine, and this one’ll kinda fall. I’ve just worked with
someone just like this that couldn’t hold that toe up. And that’s a pretty positive sign. – Were they surprised? Or did they know it? – Well, there was a lot
of other issues going on, so it was kind of,
– Just a minor – Yeah, it wasn’t surprising to me. – Sure. – And I didn’t. Yeah. – But I was just saying,
’cause I had a patient who, I mean, he was a runner. – Yeah. – And he had foot drop
and he didn’t know it. I mean it was really surprising to me. – Compensating very well then.
– Right, right, he was. – The third test, is a simple manual one.
– So the first test was hearing it or seeing it.
– Yep, just watching someone watching yourself.
– Catching yourself. – Yep, is your foot
dragging, are you slapping? And then do the heel walk.
– Sure. – And then number three,
is a manual muscle test, that all therapists are all familiar with, but it’s simple enough I think. – Yes.
– Anybody could do this. – Have somebody, a friend
or a partner there, – Yep. – That’s gonna have to… You
got some weird color socks on. – I gotta go to work Bob, I couldn’t put my nice fancy ones on. – So you’re gonna have, yeah.
– They’re gargoyle – look at that. – Yeah, argyle. – All right so we’re going
to go ahead and he’s going to take his toe and bring it towards him. – Right, so I’m going to
pull it up as hard as I can. I’m going to hold it. – And I’m just going to go and pull on it. And this is a strong muscle normally, so you can pull as hard as
possible and if it holds, it’s doing fine. – Right. – If you go like this and it
gives way, there’s a problem. – And it may be a partial thing, maybe they can’t even do this,
– Why? But they may be able to get it up. But when you pull, it breaks. – Yeah, it breaks. – And it should be equal on both sides. – Right, they’re not able to hold it. – So between those three tests, I think you get a fairly
good, this is not one of those proud things well you’re going
to have to be a therapist to figure it out.
– Right. It’s pretty clear between those three I think if you’re positive on all three. – And you might have some numbness and tingling along with it too. – Right, yep it’d be
indicative of nerve damage. – Sure. – So how are we going to treat this? We got to work on getting
the anterior tib muscle, right here get those socks out of the way. I shoulve known better today. Anterior tib muscle that pulls that up, which is right there. There’s a lot of different
ways to treat it. As a matter of fact I’m not going to go through a lot of them, just one. Because it’s my favorite way to do it, particularly with stroke. We’ve got someone right
now, he’s had a stroke and we’re using it with him and it gets him to walk normal
so that he can walk normally, doesn’t compensate. – And you’re hoping then
that other parts of the brain will start kicking in
– Right. and helping out and learning
to hold that foot up. – There are just strengthening exercises and if you go, we’ve go got a video just for anterior tib
strengthening for foot drop and it’s called, if you
Google Bob and Brad, 10 exercises for foot drop, that specific video should
come up and you can view that. This is on there as well,
at the end of the video. – So he’s got a big length of what we call TheraBand or exercise band. – Yip, it won’t work
very well with tubing, you should have the flat band. – Sure. – You could try it with
tubing but it won’t work on the foot as well.
– And you can get this – on Amazon. And then extra lengths.
– Yeah, if you can get it in – lengths. You should get, bought 10 foot length. Cause it needs to be about
this long when it’s slack. And you’re going to take it like this, step on it in the middle on the forefoot, not on the heel, but it has to be over the forefoot, over the toes, put a little stretch on it, cross it once, cross it twice. it works better if you cross it twice. And then get the cross down by your foot. As you can see I’m down there. And then, this is the hard part. Sometimes you may need help doing this, going behind your foot, you
cross it behind the leg, actually but just below the knee level, and then you’re going to
make a cross in front, over the quadriceps. So you’re going to pull it,
not real tight, but snug. It should feel snug. And then from here, you cross it there. You’ve got to go between
your legs, around here. Oops, I’m sorry, we don’t
go between the legs, we go over the hips.
– Over the legs. Sorry about that.
– There we go. I’m a little nervous you know
its my first time on camera. (laughing) And so you can see what
the back looks like. And you go around, and this is important that we get the pressure on the thighs. And if you can get this to come up over the hip a little
bit, that can help start give the hip flexors
some indication to work. There we go. And don’t tie this real
tight like a big knot, because you got to get it undone. – Yeah, and you’ll be
difficult to get undone. You’ll end up cutting it off. – (laughing) Exactly. So what happens here is everything works together,
helps get the quadriceps going as you step through, it pulls up the toe to help that dorsiflexion. And the gentleman that we’ve worked with, he’s really dragging his foot. We’ve put this on him and
all of a sudden he’s, well he’s not perfect normal, but about 80% improvement with this. – Are you getting some help
with your hip flexor too with this? – Yeah, I think so. It’s probably not as much, but that’s why you get as much as you can.
– Yeah, I was going to say. – So what I’m saying is it’s helping lift the leg up like this and Brad saying yes, right. – Yes, and this one is the
key one for that coming up, that’s why you want to over that pack as much as possible.
– Over the front of the, yeah. So obviously you’re not going
to wear this all the time, but it’s a good way to get started. – It’s a good training tool. And again remember safety first always on these things,
make sure if you’re unstable if you have somebody as a belt on. – Right, not doing this by yourself. So if you work this and you’re
working other exercises, to strengthen that tib. And if you’re doing it for
probably four to six weeks and you’re not gaining anything
and maybe longer than that, you may need to get an AFO. And typically a custom
AFO which means Ankle. – Foot Orthosis. – Right, this is just
kind of a generic one, but this is actually custom fit. And these, they make them
now, this is a little older, but they’ll make them that
don’t look so obvious. – Right, bulky, they have
some very sleek ones now. – Yep. – Carbon fiber, they look nice. You will have to get
it probably custom fit. I don’t know if you’re gonna find anything off the shelf. – Sometimes they’re off the shelf and they make minor adjustments to them. – Sure, they’re coming a long
way, and I’m not going to go into too much detail for that. – But this one that has
a hinge on it actually and it’s molded, it’s for a
larger person as you can see. – Right. We used to actually just have people wear high top tennis shoes sometimes. – Sure just a little support. – Yeah if they are minor,
its a minor foot drop, you can get away with that.
– Exactly. Or boots. – Right.
– Cowboy boots. Do you own cowboy boots? – I did when I was 24, I
went out bought a pair, I was going to be the Rhinestone cowboy or something like that.
– (laughing) But it never worked out. One way or another I didn’t
have foot drop with them. – Yippee ki-yay! So thanks everybody for watching. – You bet. – Is there anything else to say? – Well Bob, once again
we can fix anything. – Except for a broken heart.
– There you go. We’re working on it.

39 Comments

  • Reply Ricky October 6, 2019 at 2:09 am

    How tall is Bob

  • Reply Captain America America October 6, 2019 at 2:12 am

    POSTS VIEWS HERE ARE DROPPING WAY LOW

  • Reply Dr. Youki October 6, 2019 at 2:12 am

    Hey Bob & Brad, many thanks for the incredibly helpful and consistent advice! Great content.

  • Reply S Oak October 6, 2019 at 2:26 am

    After I broke my leg I had some nerve damage. It took me a year of concentrated effort with every step to walk with out a limp because of foot drop. I'm going to check out your exercises because I still run with a limp and maybe that will help. …it can't hurt! Although at 60 I'm not running too fast for too long. .lol. .anyways ….thanks guys!👍

  • Reply Em Fisher October 6, 2019 at 2:29 am

    Thank you so much.. Definitely will go to your website for mattress giveaway, in need of that also

  • Reply glenn dion October 6, 2019 at 2:31 am

    I've had a bilateral foot drop for over thirty five years and have been wearing Turbomed AFOs for about four now and they've been life changing for me, can't recommend them highly enough. https://turbomedorthotics.com/

  • Reply Earth October 6, 2019 at 2:32 am

    3:44 Three times FAST: “Argyle Gargoyle”
    I BET YOU CANT! 😆
    -Arguy gogle, Argle gargle, agga gagga… I can hear you tryin’! LMAO
    Hard to say it fast even once!

  • Reply Liz Allen October 6, 2019 at 2:39 am

    I had my stroke 4 years ago. I don’t have foot drop but I have the tingling in the right foot still and the leg. So I know I have nerve damage is there away to stop the tingling feeling or do I have to live with that?

  • Reply Em Fisher October 6, 2019 at 2:45 am

    What you need to look for in a shoe or boot to help with foot drop issues, is a hard or solid sole. Meaning that the bottom of the shoe doesn't bend much, it's not flexible or its as little as possible flexible or pliable

  • Reply Lisa Skaggs October 6, 2019 at 2:49 am

    This looks great but there would be no way I could get my 83 year old dad do all that rapping, it would just be to much for him and he's the one that needs it with out a doubt, he drags the side of his big toe sometimes really bad!!!

  • Reply Aaron Oyster October 6, 2019 at 2:55 am

    I've had foot drop for over 11 years after my last TBI. Yes, I wear an AFO. I can walk without it (so long as I don't have the weight of a shoe dragging it down). Should I err on the side of caution & only do this exercise while wearing the AFO?

  • Reply AbundantlyClear October 6, 2019 at 3:17 am

    I had foot drop, because of nerve damage, from porphyria. I ingested methylcobalamin, a form of B12, and P5P, a form of B6. I put the sublinguals under my tongue, every 6 hours, until my foot started working again. I take one, of each, every day, since. I started in the year 2000. I can tell I still have some nerve damage, because that foot does not act like the other. God is good! I used natural means to recover. I, also, took other supplements, and have kept the porphyria monster at bay, for a very long time.

  • Reply Julie Marvin October 6, 2019 at 3:22 am

    I wish I had a dr that would help me . I just tried to walk on my heels and I couldn't do it. I don't have good balance and I am going to look harder for a dr to listen to me. Thanks guys. I got my recliner set up to almost like a hospital bed. It's very comfortable. 😅😁

  • Reply granny sweet October 6, 2019 at 3:27 am

    👍👍👍

  • Reply Doug Davis October 6, 2019 at 3:30 am

    Hi guys, this question is off topic but we can use your help please, my wife has poor circulation in her legs and we were wondering have your heard of the magnetic system from JAPAN to help with her problem? or what do you recommend to help, she uses a small massage ball before she goes to bed and it helps somewhat, and I massage her calves to help.

  • Reply Suresh Manikandan October 6, 2019 at 4:04 am

    Gud its a de- rotation strap ,it’s helps to facilitate t pattern of gait.

  • Reply Kerry Parks October 6, 2019 at 5:22 am

    My back needs a new mattress! VA doesn't provide them.

  • Reply Slim Dawg October 6, 2019 at 5:29 am

    Bob and Brad are amazing!

  • Reply Noshirm October 6, 2019 at 5:31 am

    Howdy-doody, pardners? Another really helpful video. Grazie! 🙂

  • Reply agyei david October 6, 2019 at 5:39 am

    I still don't haven't had enough money to go to the hospital to check the pain in my waist when I exercise to get strength in my ankle muscle . So am still disgustingly walking like that around.

  • Reply Mike nhgoldprospector October 6, 2019 at 6:28 am

    I have foot drop and had many instances where I've gone ass over tea kettle. Never addressed it but it is clearly a problem.

  • Reply Logan Hodges October 6, 2019 at 6:50 am

    Omg this wrap technique is great! I’m so thankful it’s going to help me out tremendously when I go in for my bone marrow transplant on Monday oct 7th. We are required to walk everyday and I’m not going to want to wear my brace when I feel like crap so this will be wonderful.

  • Reply Alicia Padget October 6, 2019 at 9:30 am

    I think Brad is so cute. I really enjoy your videos guys! I have patients with foot drop. Thanks!

  • Reply Amber Schiwi October 6, 2019 at 10:00 am

    Gargoyle Socks 🤣🤣🤣 lmao

  • Reply Amber Schiwi October 6, 2019 at 10:01 am

    Love your shirt, Brad 👍🏻

  • Reply Amber Schiwi October 6, 2019 at 10:10 am

    Hey, Bob&Brad, re. 7:12 – not tying the knot too tightly – you can use a clip for kitchen plastic bags to squeeze the ends together, but it has to be a clip that actually secures itself.
    I think Thera Band sell clips like that as well [probably not in the kitchen-clip price range, though]

  • Reply Ria’s Mane Event October 6, 2019 at 10:19 am

    I have MS and that this is such a useful video – I have left side damage and foot drop is one of my regular issues, thanks x

  • Reply O. H. W. October 6, 2019 at 12:37 pm

    Which one is Bob and Brad?

  • Reply Lisa D October 6, 2019 at 1:11 pm

    I have foot drop (actually, you could call it leg drop) due to MS. Nothing is ever going to improve this.

  • Reply Lisa Robinson October 6, 2019 at 1:28 pm

    Good morning, I was wondering if you all had any ideas on how to improve balance with someone who has an anoxic brain injury? My husband had an allergic reaction to Lisinopril November 2017. We went from being told that he had no brain activity to now he is home and can do so much. He does have a lot of deficits but I’m thankful he is still here. He uses a walker but needs help. I quit work to be his caregiver. Our adult children had started a go fund me because we cannot work now and he had no insurance when it happened because he had been laid off. Now we are hearing he may lose his insurance again. He has had in home therapy and outpatient therapy. He gets sick when we go anywhere so we stay home. He is only 55 years old. Is there anything you can suggest to help? Thank you and I love watching y’all.

  • Reply Clarence Calkins October 6, 2019 at 1:50 pm

    6:30 Pretty sure l saw this on the Ed Sullivan Show!

  • Reply marlene kerrmarlene October 6, 2019 at 3:01 pm

    you guys always have good advice -keep up the good work-m,k wis

  • Reply Lolly Alwazxmas October 6, 2019 at 3:04 pm

    Very cool!

  • Reply Isabel M October 6, 2019 at 3:04 pm

    Hello I seen your advertising about the pro and cons of CBD OIL. When will you be posting it.

  • Reply I Can fit these Jeans! 59 October 6, 2019 at 5:48 pm

    Have you ever heard of apos therapy? It's a shoe that looks like a sneaker that's supposed to make you walk normal again

  • Reply IrminZ October 6, 2019 at 7:09 pm

    Get one of these https://turbomedorthotics.com/en/products/turbomed-xtern-external-ankle-foot-orthosis best AFO ever, tried others and nothing comes close

  • Reply Peter Christo October 7, 2019 at 2:16 am

    Seriously you guys are awesome….
    I've been watching your channel since I stop working cause of my Multiple sclerosis….but I tune to your channel for help and tips.
    As well I recommend your channel to others where one did a simple exercise on her shoulder everyday for two weeks and now has more movement and pain free( not using pain free drugs and didn't go surgery).

    I know everyone is different but I say watch these awesome guys first and see if their advice works(mind you, you must be dedicate the time and push yourself).

  • Reply Just for Fun October 7, 2019 at 10:03 am

    Lmmfao!

  • Reply Trayne1837 October 11, 2019 at 5:36 am

    What if you can't heel walk at all.
    When I walk I notice that I make slapping sound with both feet??

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