Shoulder Subluxation

Henry Hoffman
Tuesday, March 12th, 2024


Shoulder subluxation is a common complication that affects up to 80% of stroke survivors. It occurs when the upper arm bone, called the humerus, becomes partially dislocated from the shoulder socket due to muscle weakness, paralysis, or spasticity.

This condition can cause pain, loss of function, and difficulty performing daily activities, significantly impacting the quality of life for stroke survivors. This article will delve into the causes, evaluation methods, and treatment options for shoulder subluxation in hemiplegic (paralysis on one side of the body) patients. 

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Utilizing Robotics in Stroke Rehabilitation: A Deep Dive

Henry Hoffman
Tuesday, February 27th, 2024


Utilizing Robotics in Stroke Rehabilitation: A Deep Dive

Stroke rehabilitation has seen significant advancements over the past decade, with the integration of robotic technology being a major development. Robotic therapy has emerged as a powerful tool in the realm of stroke rehabilitation, especially concerning motor control recovery in the upper limbs. In addition, the latest research is showing promising results with combating learned nonuse while enhancing arm and hand recovery.

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Is Robotic Therapy Overrated?

Henry Hoffman
Friday, June 24th, 2022
Last modified on May 15th, 2023


Robot-assisted therapy has become increasingly popular over the last two decades.

In fact, it is so well-known that out of the 1,300 RCT’s (Randomized Controlled Clinical Trials) in UE stroke recovery, robotic research leads the pack with 112 RCT’s!

There is no doubt robotic therapy, in some form or fashion, is here to stay. However is it a must-have or a nice-to-have intervention?

Spoiler Alert: looking at the latest research, the jury is still out.

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Achieving Neuroplasticity: How Many Reps Does It Take?

Henry Hoffman
Wednesday, May 11th, 2022
Last modified on May 15th, 2023


The damage inflicted by a stroke is unique to every patient, and so is the recovery process. It is not a one-size-fits-all proposition. The brain consists of 100 billion neurons and 200 trillion synapses. It’s nearly impossible to grasp the complexity and power of this amazing organ!

During a stroke, 32,000 neurons die every second, totaling around 1.2 billion for the entire event. That’s a lot, but consider the total neurons in the brain, it’s around one percent. That means 99 percent of the brain is still intact!

A variety of exercises and movements can be used to provide cues to the brain and achieve neuroplasicity. Thanks to pioneers like Dr. Merzenich, who conducted landmark studies in the 1980’s that confirmed the adult brain is not hard-wired, practitioners have an opportunity to “rewire the brain”.

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Neurotherapists: Stop shouldering the blame. It’s time to rethink electrode placement for treating subluxation.

Henry Hoffman
Thursday, April 28th, 2022


Shoulder subluxation, defined as a partial or incomplete dislocation that usually stems from changes in the mechanical integrity of the joint (muscles, tendons, ligaments) is a common issue with hemiplegic stroke survivors. There are several protocols for treating subluxation, such as electrical stimulation, but it’s often done improperly due to misconceptions about what’s considered “standard practice.” 

Studies suggest that the supraspinatus and posterior deltoid muscles are the primary muscles to target when using electrical stimulation. Contrary to popular belief, this may not be the case. This blog aims to revisit what we already know about subluxation and proximal migration and challenge traditional beliefs many of us have embraced throughout our careers. 

Let’s dive into when to use electrical stimulation and what the optimal muscles are for targeting. 

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Best Stroke Hand Recovery Exercises Using Pens

Henry Hoffman
Tuesday, March 29th, 2022
Last modified on May 15th, 2023


Strokes can be one of the leading causes of serious long-term disability. A stroke can lead to a reduction in mobility in more than half of stroke survivors from the age of 65 and older. Loss in hand function, strength, and dexterity can result from a stroke. These conditions and impairments are determined by the location and severity of the stroke. Today, there are many ways to regain hand function after a stroke or neurological injury.

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Foot Drop Treatment Using a Resistance Band

Henry Hoffman
Tuesday, October 12th, 2021
Last modified on May 15th, 2023


Want a quick fix to your foot drop problem?  This blog will share two techniques for helping lift your foot without using an ankle-foot orthosis (AFO).  These techniques are temporary and not meant as a long-term solution but are effective if done correctly. Please consult your physician or medical professional. They might have a better solution for you, like the SaeboStep.

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5 Easy Tests for Foot Drop

Henry Hoffman
Wednesday, September 22nd, 2021
Last modified on October 26th, 2022


5 Easy Test for Foot Drop

Think you suffer from foot drop after a stroke or neurological injury? In this post, we will cover five easy tests to identify foot drop. Foot drop is a common symptom of many neurological and orthopedic issues affecting the lower leg. Most commonly, the peroneal nerve is the affected culprit, causing the lack of ability to lift the foot or toes off the ground. This could lead to a person dragging their foot as they walk, increase the risk of tripping or falling while walking, or cause the person to alter their steppage gait. 

The following tests are simple tests that clinicians use to determine if foot drop, also known as drop foot, exists and if specialized tests by physicians are required for further analysis or diagnosis. These tests are easiest with an observer but can be performed alone by setting up a recording device with sound. In addition, click on the video below if you’d like to watch these tests in action. 

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Foot Drop Recovery: Definition, Causes, & Recovery Solutions

Henry Hoffman
Monday, August 16th, 2021
Last modified on September 28th, 2022


Foot drop, also known as drop foot, is the inability to raise the front part of the foot due to weakness or paralysis of the muscles that lift the foot (National Institute of Neurological Disorders). It can be a temporary or permanent situation, so address this as soon as you see any signs. Foot drop is not a disease but a symptom of an underlying muscular, neurological, or anatomical disorder. This blog will educate you on what foot drop is, common reasons that it occurs, and also possible treatment options.

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How to Treat Foot Drop with Electrical Stimulation

Henry Hoffman
Thursday, August 20th, 2020
Last modified on September 6th, 2022


foot drop treatment with estim

What is Foot Drop?

Foot drop, also known as dropped foot or drop foot, is the inability to raise the front part of the foot up toward the shin. This happens due to weakness or paralysis of the muscles that lift the foot (National Institute of Neurological Disorders). Patients who suffer from foot drop often scuff their toes along the ground; they may also bend their knees to lift their foot higher than usual or swing their leg out to the side to avoid hitting their toes on the ground. Electrical stimulation has been proven to help patients manage symptoms associated with foot drop.

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