Walking After Injury - Non Weight Bearing to Full Weight Bearing

Sports Injury Physio
8 Dec 202314:07
EducationalLearning
32 Likes 10 Comments

TLDRThe video script offers guidance for individuals transitioning from non-weight bearing to full weight bearing after leg injury. It emphasizes the importance of a gradual transition to avoid injury and provides tips to overcome fear and build strength. The physiotherapist, Maryke, suggests using crutches initially and offers exercises to help retrain the brain for weight distribution and gait pattern. The video also addresses the psychological aspect of fear and pain, encouraging self-reassurance and gradual progression in a safe environment, such as the kitchen, to regain balance and confidence in walking.

Takeaways
  • 🌟 Transitioning from non-weight bearing to full weight bearing should be done slowly to avoid injury.
  • 🏥 Continue using crutches initially to maintain a proper gait pattern and build strength in the injured leg.
  • 🧠 The brain needs time to readjust to the new weight distribution, so practice with controlled movements.
  • 🚶‍♀️ Start with gentle exercises in a seated position to help the brain understand equal weight bearing.
  • 🧘 Practice standing with weight evenly distributed, and use a mirror or support like a kitchen counter for feedback.
  • 👣 Perform toe raises in a controlled manner, starting slow and gradually increasing height as comfort allows.
  • 🔄 Gradually progress to more challenging exercises like single-leg balances, but always under the guidance of a physiotherapist.
  • 💡 Fear and anxiety can increase pain, so use positive self-talk and choose activities that push boundaries without causing terror.
  • 🤸‍♂️ Incorporate these exercises into daily activities to reinforce proper weight distribution and movement patterns.
  • 🏋️‍♂️ In addition to these exercises, continue with your regular rehabilitation program to strengthen the leg and improve endurance.
Q & A

  • What is the main topic of the video?

    -The main topic of the video is about transitioning safely from non-weight bearing to full weight bearing after an injury, with tips and exercises to help with this process.

  • Why is it important to transition slowly from non-weight bearing to full weight bearing?

    -It is important because transitioning too quickly can lead to injury due to the sudden change in weight distribution and the muscles not being prepared for the full strength required for walking.

  • What role does fear play in the recovery process?

    -Fear can increase pain and make the recovery process more difficult. It is important to address and manage fear to ensure a smoother transition back to full weight bearing.

  • How can one overcome the fear of putting weight on an injured leg?

    -Overcoming fear involves using self-talk and reassurance, choosing exercises that push boundaries without causing terror, and reminding oneself that the medical professional would not advise full weight bearing if it wasn't safe.

  • What are the initial steps to start the transition process?

    -The initial steps include continuing to use crutches for support, gradually putting more weight through the injured leg while maintaining a normal gait pattern, and practicing exercises that help equalize weight distribution.

  • Why is the kitchen a good place to practice weight bearing?

    -The kitchen is a good place because it usually has a solid counter to hold onto for support, and it allows for practicing movements in a controlled environment.

  • What kind of exercises are recommended to help with weight bearing transition?

    -The exercises recommended include sitting and feeling equal weight distribution through both feet, standing and adjusting weight to find the midline, and practicing movements like going up on toes and shifting weight from one leg to the other.

  • How can one ensure they are standing with equal weight distribution?

    -One can ensure equal weight distribution by focusing on sensations through the feet and hips, using a mirror for visual feedback, and making corrections throughout the day whenever standing or getting up from a chair.

  • What is the significance of practicing stepping movements?

    -Practicing stepping movements helps the brain relearn how to coordinate walking patterns, especially useful for those recovering from serious injuries like ankle fractures.

  • What should one keep in mind when starting to bear weight on an injured leg?

    -One should keep in mind to start with gentle exercises that do not scare them, slowly ease into more challenging activities, and always consult with a physiotherapist to ensure they are not doing too much too soon.

Outlines
00:00
🚶‍♂️ Transitioning to Weight Bearing After Injury

This paragraph discusses the importance of safely transitioning from non-weight bearing to full weight bearing after an injury. It emphasizes the need to avoid sudden changes that could lead to injury and the psychological aspect of overcoming fear of weight bearing. The speaker, Maryke, a physiotherapist, introduces herself and her role in providing online physiotherapy. She stresses the gradual process of using crutches to maintain a midline while increasing weight through the injured leg, and mentions a detailed video on crutch walking techniques. The paragraph also addresses the psychological impact of fear on pain perception and suggests using self-talk and controlled exercises to regain confidence and reduce fear.

05:03
🧘‍♀️ Exercises to Adapt to Weight Bearing

The second paragraph focuses on exercises to help adapt to weight bearing after an injury. It starts with a simple seated exercise to understand equal weight distribution through both feet and progresses to standing exercises with the support of a kitchen counter. The importance of mindful exercise in restoring the brain's awareness of body position is highlighted. The speaker provides a step-by-step guide on practicing weight distribution, standing up from a chair, and performing gentle toe raises while holding on to a support. The paragraph also mentions the significance of using everyday activities to reinforce proper weight bearing and the necessity of consulting a physiotherapist for tailored advice.

10:08
🏋️‍♂️ Advanced Exercises for Weight Bearing Adaptation

The final paragraph delves into more advanced exercises for those who have become comfortable with the initial weight bearing exercises. It discusses the importance of strengthening the feet and legs and introduces exercises like balancing on one leg while holding onto a support. The speaker advises starting with shoes on to protect the foot and gradually building up to more challenging exercises. The paragraph also covers the two components of stepping and how to practice them, especially for those recovering from ankle fractures. The speaker emphasizes the need to be cautious and to ease into these exercises slowly to avoid re-injury. The paragraph concludes with a reminder to consult a physiotherapist for further guidance and offers help through video consultations.

Mindmap
Keywords
💡Weight Bearing
Weight bearing refers to the act of supporting the body's weight through the legs and feet during movement or standing. In the context of the video, it is crucial for individuals transitioning from non-weight bearing to full weight bearing after an injury. The process must be gradual to prevent injury and to allow the body to adjust, with exercises and activities designed to help the body get used to bearing weight again.
💡Crutches
Crutches are assistive devices used to help individuals with mobility while one or both legs are injured and cannot bear weight. In the video, crutches are recommended for maintaining balance and supporting the injured leg during the initial stages of weight bearing. They help in maintaining a normal gait pattern and are used to gradually transition to full weight bearing.
💡Physiotherapist
A physiotherapist is a healthcare professional who specializes in the assessment, maintenance, and restoration of movement and physical function. In the video, the speaker, who is a physiotherapist, provides guidance on how to safely transition from non-weight bearing to weight bearing after an injury. They offer exercises and advice to help viewers regain their mobility and strength.
💡Fear
Fear, in the context of the video, refers to the psychological apprehension or anxiety that individuals may experience when they are afraid of causing further injury and are hesitant to put weight on their injured leg. The video addresses this fear and provides strategies to overcome it, such as self-talk and engaging in exercises that are challenging but not terrifying.
💡Pain
Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. In the video, pain is discussed in relation to the fear and anxiety that can accompany the process of beginning to bear weight on an injured leg. The speaker explains that fear can increase the perception of pain, and provides methods to help manage this, such as calming self-talk and gradual, controlled exercises.
💡Exercises
Exercises, as discussed in the video, are physical activities designed to help individuals regain their strength, mobility, and balance. After an injury, specific exercises are crucial for the transition from non-weight bearing to weight bearing. These exercises aim to equalize weight distribution, improve muscle strength, and help the brain relearn how to coordinate movements for normal walking.
💡Position Sense
Position sense, also known as body awareness or proprioception, is the ability to sense the location, movement, and action of parts of the body. In the context of the video, it is important for individuals to regain their position sense after an injury, as the brain may have lost accurate awareness of the body part that was not being used during the non-weight bearing period.
💡Gait Pattern
Gait pattern refers to the manner in which an individual walks, including the sequence of movements and the distribution of weight during walking. In the video, maintaining a normal gait pattern is important when transitioning to weight bearing, as it helps prevent limping and ensures that the body moves in a coordinated and balanced way.
💡Injury
An injury is damage to the body that occurs suddenly and is typically characterized by pain, swelling, and sometimes loss of function. In the video, the focus is on individuals who have sustained an injury to the leg and are in the process of rehabilitation, with the goal of safely returning to full weight bearing and normal mobility.
💡Rehabilitation
Rehabilitation is the process of restoring the strength, function, and overall health of an individual after an illness or injury. In the video, rehabilitation is the overarching goal, with the speaker providing a step-by-step approach to safely regain weight bearing after an injury to the leg, including exercises and strategies to help with this process.
💡Subconscious
The subconscious is the part of the mind that is not in immediate conscious awareness but can influence thoughts, feelings, and actions. In the video, the subconscious is discussed as playing a role in fear and pain perception, and the speaker provides strategies to help reassure the subconscious that it is safe to bear weight on the injured leg.
Highlights

The video provides guidance for individuals transitioning from non-weight bearing to full weight bearing after leg injury.

The importance of a gradual transition is emphasized to avoid injury.

The video introduces the speaker, Maryke, a physiotherapist from sports-injury-physio.com.

The necessity of maintaining the use of crutches during the transition is discussed to preserve a normal gait pattern.

The video explains the psychological aspect of fear and pain in relation to weight bearing after injury.

The concept of proving to the subconscious that the body is ready for weight bearing is introduced.

The video emphasizes the importance of self-talk and choosing non-frightening exercises to regain confidence.

The reassurance that a medical professional would not advise full weight bearing if it's not safe is highlighted.

The video is filmed in a kitchen to utilize a solid counter for support during exercises.

Starting with seated exercises to understand equal weight distribution is suggested.

The role of position sense in understanding body parts during movement is discussed.

Practicing standing with equal weight distribution is recommended to retrain the brain.

The video advises using a mirror for visual feedback during weight distribution practice.

Gentle toe raises while standing are suggested to practice weight bearing without causing irritation.

The video explains the importance of strengthening exercises alongside the practices for weight bearing.

Balancing on one leg while holding onto something is introduced as a progression.

The video concludes with advice on consulting a physiotherapist for personalized guidance.

Transcripts

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Related Tags
Injury RecoveryWeight BearingPhysiotherapyFear ManagementExercise RoutineBalance TrainingGait Re-educationCrutch WalkingFoot Strengthening