[Disclaimer] 00:00:01.07\00:00:14.15 Stay tuned for Body and Spirit! 00:00:14.20\00:00:15.55 Today we're going to be talking about 00:00:15.60\00:00:16.68 how to set up an exercise program for those 00:00:16.73\00:00:18.98 who might be confined to a wheelchair! 00:00:19.03\00:00:21.55 [ Music ] 00:00:21.87\00:00:50.18 Hello I'm Dick Nunez 00:00:50.23\00:00:51.20 Wellness Director for the 00:00:51.21\00:00:52.18 Black Hill and Education Center. 00:00:52.19\00:00:53.95 Welcome to Body and Spirit! 00:00:54.00\00:00:55.88 Today we're going to talk about a topic that 00:00:55.93\00:00:57.68 I never see addressed. 00:00:57.73\00:00:58.98 I think the exercise shows that you watch on 00:00:59.03\00:01:01.28 some of the major stations 00:01:01.33\00:01:02.52 and that's a program for those who 00:01:02.57\00:01:04.08 might be confined to a wheelchair. 00:01:04.13\00:01:06.12 This is a very serious topic. 00:01:06.17\00:01:07.38 I know there are a lot of people out there 00:01:07.43\00:01:09.55 that are confined to wheelchairs 00:01:09.60\00:01:11.32 that wish that they could do something 00:01:11.37\00:01:13.38 to exercise their body. 00:01:13.43\00:01:14.40 They're still interested in being healthy. 00:01:14.41\00:01:16.25 There are some who might be in wheelchairs 00:01:16.30\00:01:18.25 only for a temporary time. 00:01:18.30\00:01:19.27 Maybe there's something they can do to get themselves stronger 00:01:19.28\00:01:21.58 and might be able to get out of the wheelchair. 00:01:21.63\00:01:23.92 So we're gonna try and address all of that today. 00:01:23.97\00:01:26.08 If we look at what the Bible says, 00:01:26.13\00:01:27.72 Jesus talks about it in Matthew... He said, 00:01:27.77\00:01:30.08 "bring the people to me and I will heal them." 00:01:30.13\00:01:33.12 So we want to claim the promises 00:01:33.17\00:01:34.52 and know that He has great things in store for us 00:01:34.57\00:01:37.08 if we simply do our best 00:01:37.13\00:01:38.88 to follow His teachings 00:01:38.93\00:01:40.75 and His ways. 00:01:40.80\00:01:42.58 He will bless us. 00:01:42.63\00:01:43.60 We need to claim that promise as we start our program today. 00:01:43.61\00:01:45.32 Because of the sensitivity of the topic 00:01:45.37\00:01:47.45 and what we're doing. 00:01:47.50\00:01:48.72 I'm going to be doing this program by myself 00:01:48.77\00:01:50.48 but, obviously I have a chair handy. 00:01:50.53\00:01:52.12 So, we can get started with our workout! 00:01:52.17\00:01:54.62 I have a towel with me because 00:01:57.50\00:01:59.95 whenever we look at training at home, 00:02:00.00\00:02:02.95 I always try to make sure people can do this without 00:02:03.00\00:02:05.85 going out and buying lots of equipment. 00:02:05.90\00:02:08.22 Obviously if you have dumbbells 00:02:08.27\00:02:09.62 or some type of flexy bends that are very popular 00:02:09.67\00:02:14.22 or dynabands, 00:02:14.27\00:02:15.24 those can be helpful tools for exercise as well. 00:02:15.25\00:02:18.32 But everybody has towels 00:02:18.37\00:02:19.85 and so it makes it very easy 00:02:19.90\00:02:20.95 and you can get a very good workout just using that, 00:02:21.00\00:02:24.08 regardless of whether you are watching this 00:02:24.13\00:02:27.25 and you still want to get a regular workout, 00:02:27.30\00:02:29.22 you can still do so but we'll have to make sure that 00:02:29.27\00:02:32.68 this is going to be something that people who 00:02:32.73\00:02:35.62 are in wheelchairs can do from start to finish. 00:02:35.67\00:02:39.12 So we're still going to loosen up. 00:02:39.17\00:02:41.12 Same way as we always do. 00:02:41.17\00:02:42.45 We're going to get the arms moving around 00:02:42.50\00:02:45.35 and try and get the circulation going. 00:02:45.40\00:02:46.65 It's a key element to make sure the body's warm 00:02:46.70\00:02:51.42 before you get into any type of strenuous exercise. 00:02:51.47\00:02:54.72 By doing so you open up the blood pathways 00:02:54.77\00:02:58.28 and once the muscle is warmed up it's much more 00:02:58.33\00:03:01.18 affective at contracting. 00:03:01.23\00:03:02.42 Now we're going to go the other direction. 00:03:02.47\00:03:07.85 You never want to lose the ability to 00:03:07.90\00:03:09.35 rotate the shoulders around. 00:03:09.40\00:03:12.15 Bring the arms up... 00:03:12.20\00:03:13.48 I've experienced restrictions in my own body 00:03:13.53\00:03:16.65 from very serious exercise related injuries 00:03:16.70\00:03:20.05 where I actually lost 90% of the strength 00:03:20.10\00:03:22.85 in my right arm in one night. 00:03:22.90\00:03:25.05 It took me ten years to rehabilitate it! 00:03:25.10\00:03:26.22 So I'm well aware of what can happen when 00:03:26.27\00:03:28.58 a neuromuscular condition takes us out. 00:03:28.63\00:03:31.88 We're going to take our towel, 00:03:31.93\00:03:32.90 we're going to do various ranges of motion. 00:03:32.91\00:03:34.68 We're going to start by just bringing it back 00:03:34.73\00:03:36.62 to the chest and pushing it out. 00:03:36.67\00:03:38.95 Now, while we're doing this we want to be 00:03:39.00\00:03:43.05 pulling the towel apart as much as we can 00:03:43.10\00:03:46.75 and focus on the form coming back. 00:03:46.80\00:03:49.62 The chest is up... you're touching your chest 00:03:49.67\00:03:52.85 and pushing out. 00:03:52.90\00:03:54.32 This is simulating like a bench press motion 00:03:54.37\00:03:59.82 and we're going to do 15 repetitions this way. 00:03:59.87\00:04:03.25 There's 9 and 10. 00:04:04.20\00:04:07.38 Keep the chest up! 00:04:07.43\00:04:08.65 11, 12 00:04:08.70\00:04:10.95 And three more. 00:04:11.00\00:04:12.72 13, 14, 15 00:04:12.77\00:04:17.28 Now we're going to change the angle 00:04:17.33\00:04:19.32 and I'm going to go upwards 00:04:19.37\00:04:21.68 and I'm going to attempt to do 15 repetitions again. 00:04:21.73\00:04:25.48 If you have dumbbells 00:04:25.53\00:04:26.65 feel free to use that! 00:04:26.70\00:04:28.62 If the coordination is difficult at first, 00:04:32.63\00:04:35.78 just hang in there! 00:04:35.83\00:04:37.22 The more you do this the better it will become. 00:04:37.27\00:04:40.82 Now we're pulling apart and we're going to get 00:04:40.87\00:04:42.38 some shoulder activity in there as well. 00:04:42.43\00:04:45.78 Those who are in wheelchairs have to use their arms a lot 00:04:48.03\00:04:51.62 so we're going to try to really focus on that. 00:04:51.67\00:04:54.12 Now we're going to try to just do 00:04:54.17\00:04:56.35 a nice hard squeeze here. 00:04:56.40\00:04:57.78 This is the static contraction of the chest 00:04:57.83\00:04:59.92 and we're going to hold that 00:04:59.97\00:05:01.88 for about a 15 second time period. 00:05:01.93\00:05:07.22 Hold for five more seconds... and relax. 00:05:07.27\00:05:13.25 Okay now we're going to do it again, 00:05:13.30\00:05:16.38 push hard! 00:05:16.43\00:05:17.68 Nice steady contraction. 00:05:17.73\00:05:19.68 The arms should be parallel to the floor 00:05:19.73\00:05:22.12 as we push hard with the palms of the hand. 00:05:22.17\00:05:25.45 Nice steady push... 00:05:25.50\00:05:27.45 And five more seconds... 00:05:27.50\00:05:33.22 and relax! 00:05:33.27\00:05:35.18 Okay now using our towel again, 00:05:35.23\00:05:36.85 we're going to be doing some pulls from over the head. 00:05:36.90\00:05:43.12 This is a simulated pull over motion. 00:05:43.97\00:05:46.52 It's going to be very beneficial for 00:05:46.57\00:05:48.62 maintaining flexibility of the rotator cuff area 00:05:48.67\00:05:55.05 of the shoulders 00:05:55.10\00:05:56.58 and also we want to be stimulating 00:05:56.63\00:06:00.48 the muscles between the scapula. 00:06:00.53\00:06:05.85 We're going to be working 00:06:05.90\00:06:07.05 the upper back here 00:06:07.10\00:06:10.32 and we're going to try and do five more. 00:06:10.37\00:06:15.25 .Remember if it's difficult at first... 00:06:15.30\00:06:17.92 Just stay with it, 00:06:17.97\00:06:18.94 you never want to get discouraged! 00:06:18.95\00:06:20.68 You want to keep going boldly forward! 00:06:20.73\00:06:25.82 Two more... 00:06:25.87\00:06:31.88 Okay. 00:06:31.93\00:06:32.90 Now we're going to hold it up 00:06:32.91\00:06:33.88 over our head and bend down to the side 00:06:33.89\00:06:36.35 now all the way down to the other... 00:06:36.40\00:06:38.72 This is accentuating the upper back as well. 00:06:38.77\00:06:44.88 We had a young man come to our center 00:06:44.93\00:06:46.78 who had spinabifida 00:06:46.83\00:06:49.38 and he was determined to do whatever he could! 00:06:49.43\00:06:52.32 In fact, at first, he didn't even want to come! 00:06:52.37\00:06:54.65 But then he saw that we had an exercise program 00:06:54.70\00:06:57.32 that he could personally do! 00:06:57.37\00:06:59.32 He got very excited about the fact 00:06:59.37\00:07:00.68 and started working out on a real regular basis 00:07:00.73\00:07:03.95 and was determined to do it every single day 00:07:04.00\00:07:06.28 because he wanted to get as much out of it as he could. 00:07:06.33\00:07:09.35 It really changed his whole attitude of life! 00:07:09.40\00:07:11.58 He became very optimistic where at first 00:07:11.63\00:07:14.32 he was very pessimistic. 00:07:14.37\00:07:16.92 And to this day, 00:07:16.97\00:07:17.94 he tries to keep his exercise program. 00:07:17.95\00:07:19.75 In fact he emails me quite regularly and says 00:07:19.80\00:07:22.18 "I wish I could exercise as much as I want to." 00:07:22.23\00:07:25.08 But the reality is he doesn't have somebody 00:07:25.13\00:07:27.22 who can always help him. 00:07:27.27\00:07:30.72 But people who are in wheelchairs 00:07:30.77\00:07:31.82 can do so much more than they imagined if they simply 00:07:31.87\00:07:35.98 set their mind to getting as much out of life 00:07:36.03\00:07:40.62 as they can! 00:07:40.67\00:07:42.35 Okay we're going to relax here 00:07:42.40\00:07:44.12 and we're going to stretch the muscles we just worked 00:07:44.17\00:07:48.18 by reaching back and grabbing the elbow 00:07:48.23\00:07:50.48 and we want to hold for a nice steady contraction. 00:07:50.53\00:07:54.95 We are going to do five more seconds. 00:07:55.97\00:08:00.65 Okay... then the other side. 00:08:00.70\00:08:07.32 A good steady pull. 00:08:07.37\00:08:10.08 And we're going to hold for nine more seconds. 00:08:10.13\00:08:14.05 Just keep a steady pull. 00:08:14.10\00:08:15.92 Don't bounce it. 00:08:15.97\00:08:17.92 Don't jerk it. 00:08:17.97\00:08:19.78 Good. 00:08:19.83\00:08:21.12 Okay relax. 00:08:21.17\00:08:22.14 Just let the arms shake out a little bit. 00:08:22.15\00:08:24.05 Okay we're going to do some shoulder work. 00:08:24.10\00:08:28.25 We're going to do that 00:08:28.30\00:08:29.27 by just raising our arms out to the side 00:08:29.28\00:08:31.82 and back down. 00:08:31.87\00:08:32.95 We're going to do a sequence of exercises here. 00:08:33.00\00:08:35.92 This one's called the lateral raise. 00:08:35.97\00:08:38.32 This can be done with weights. 00:08:38.37\00:08:40.08 You can have a couple of Clorox jugs in your hand, 00:08:40.13\00:08:42.98 you can have some cans of soup, 00:08:43.03\00:08:45.28 whatever you want! 00:08:45.33\00:08:46.72 Just something that will give you some resistance. 00:08:46.77\00:08:50.55 I know for many just using the weight of their arms 00:08:50.60\00:08:53.68 is going to be plenty of resistance. 00:08:53.73\00:08:57.58 Okay let's do five more this way. 00:08:57.63\00:09:06.25 Two more. 00:09:06.30\00:09:09.98 Okay now from a seated position we're going to 00:09:10.03\00:09:12.98 alternate pushing up and down with the arms. 00:09:13.03\00:09:16.22 This is simulating a shoulder press. 00:09:16.27\00:09:21.68 If you do have dumbbells, 00:09:21.73\00:09:23.35 continue to use those with this 00:09:23.40\00:09:25.72 or your soup cans, 00:09:25.77\00:09:27.75 or your Clorox jugs. 00:09:27.80\00:09:29.12 Whatever you might have that's consistent weight 00:09:29.17\00:09:31.38 that you can work through. 00:09:31.43\00:09:34.62 We want to focus on the shoulders as we press. 00:09:34.67\00:09:40.25 Nice steady range of motion. 00:09:40.30\00:09:46.32 And we're going to do ten more each side. 00:09:46.37\00:09:49.12 There's 1 and 2 and 3 and 4 00:09:50.00\00:09:58.48 5, 6, 7, 8 Two more! 00:09:58.53\00:10:08.72 9 -Last one... 00:10:08.77\00:10:11.12 and 10. 00:10:11.17\00:10:12.15 Okay! Now with the arms at the side again 00:10:12.20\00:10:14.82 we're going to go back out. 00:10:14.87\00:10:17.02 Continue doing some of the lateral raise motion 00:10:17.07\00:10:23.58 and then we're going to do ten more of those. 00:10:23.63\00:10:27.65 We're trying to get a good fatigue factor on the shoulders. 00:10:27.70\00:10:31.28 When people are in wheelchairs 00:10:31.33\00:10:32.58 they have to use their shoulders a lot. 00:10:32.63\00:10:37.35 We wanna make sure we have good development. 00:10:37.40\00:10:44.52 Now we're going to alter it a little bit. 00:10:44.57\00:10:46.32 We're going to lean forward. 00:10:46.37\00:10:47.88 Now we're gonna raise back a little bit and this 00:10:47.93\00:10:49.98 will be accentuating the posterior aspect of the deltoid. 00:10:50.03\00:10:55.55 The deltoid goes into three different bundles of fibers. 00:10:55.60\00:10:58.95 Front, the middle and the rear. 00:10:59.00\00:11:03.12 By doing this now, 00:11:03.17\00:11:04.14 we put the focus on the rear deltoid. 00:11:04.15\00:11:09.22 We'll try and do 15 in this position as well. 00:11:09.27\00:11:12.95 Remember don't get discouraged! Hang in there! 00:11:13.00\00:11:15.05 If you have to stop and rest that's okay as well. 00:11:15.10\00:11:19.12 Otherwise, proceed boldly forward 00:11:19.17\00:11:21.95 and try to get as much out of it as you can. 00:11:22.00\00:11:25.15 Okay. Now we're going to sit back again 00:11:25.20\00:11:26.95 and we're going to raise both arms out at the same time. 00:11:27.00\00:11:31.98 This is working the anterior deltoid. 00:11:32.03\00:11:42.32 Have a nice consistent rhythm as we do these. 00:11:42.37\00:11:50.98 Then we're going to make one more switch here 00:11:51.03\00:11:54.15 after we do five more. 00:11:54.20\00:11:55.72 This should be a little easier motion. 00:11:55.77\00:11:58.85 Three more. 00:12:02.07\00:12:07.08 Last one. 00:12:07.13\00:12:08.72 Okay we're going to go to the side one more time 00:12:08.77\00:12:11.92 and do 15 more repetitions here. 00:12:11.97\00:12:14.18 Then we're going to do a static hold. 00:12:14.23\00:12:17.28 If you do need to rest 00:12:17.33\00:12:18.82 then please put your arms down and let it relax until 00:12:18.87\00:12:22.78 you feel the lactic acid subside. 00:12:22.83\00:12:25.15 What happens is as we go through exercise; 00:12:25.20\00:12:27.52 if we push it through then we get this buildup 00:12:27.57\00:12:30.55 of lactic acid which causes a burning sensation, 00:12:30.60\00:12:32.82 which makes it so the muscles cannot continue on 00:12:32.87\00:12:37.58 and the body will naturally just stop. 00:12:37.63\00:12:40.62 We're going to do one more. 00:12:40.67\00:12:42.62 Now we're going to try to hold that for 30 seconds. 00:12:42.67\00:12:45.82 When somebody does aerobic exercise, 00:12:45.87\00:12:47.25 then we get into an oxygen transport system 00:12:47.30\00:12:49.92 and then we can keep going for long periods of time. 00:12:49.97\00:12:53.02 But, when our body gets to the lactic acid buildup 00:12:53.07\00:12:55.52 then it's going to stop us down. 00:12:55.57\00:12:59.12 People often times think lactic acid 00:12:59.17\00:13:01.32 is what makes us sore. 00:13:01.37\00:13:02.85 Actually it's not, actually 00:13:02.90\00:13:03.87 it's minute disruptions of connective tissue 00:13:03.88\00:13:08.38 and although it may sound bad the reality is that 00:13:08.43\00:13:12.15 a little bit of soreness isn't bad. 00:13:12.20\00:13:13.65 We just don't want it extensive. 00:13:13.70\00:13:15.22 We're going to do five more seconds here... 00:13:15.27\00:13:19.88 ...starting now. 00:13:19.93\00:13:21.28 1, 2, 3, 4, 5 00:13:21.33\00:13:26.08 Okay. 00:13:26.13\00:13:27.48 Now we're going to try and row up row up and push down. 00:13:27.53\00:13:31.45 This will be a little bit awkward having to 00:13:31.50\00:13:32.78 work around a chair but it still gives us a range of motion 00:13:32.83\00:13:37.75 for that upper trapezius area. 00:13:37.80\00:13:43.38 Now the shoulders should be getting pretty fatigued 00:13:45.63\00:13:53.05 Okay and we're going to do ten more! 00:13:53.10\00:13:56.62 Hang in there! 00:13:56.67\00:13:57.64 It's almost done for the shoulders 00:13:57.65\00:13:59.68 but once again it's a very important area! 00:13:59.73\00:14:01.28 In fact, this whole presentation is very important. 00:14:01.33\00:14:04.65 My heart goes out to people that have been confined to 00:14:04.70\00:14:08.52 wheelchairs because that's not what they want! 00:14:08.57\00:14:12.38 They want to be up walking around. 00:14:12.43\00:14:14.42 They want to have something that they can do. 00:14:14.47\00:14:18.42 They don't know where to start. 00:14:18.47\00:14:23.72 Okay relax. 00:14:23.77\00:14:24.74 Okay now we need to stretch those muscles out. 00:14:24.75\00:14:27.15 We're going to pull the arm across 00:14:27.20\00:14:29.45 and just hold it for a nice steady count. 00:14:29.50\00:14:31.68 We're going to hold it for just 15 seconds. 00:14:31.73\00:14:35.45 Feel the stretch in the shoulders? 00:14:35.50\00:14:38.98 And five more seconds... 00:14:39.03\00:14:40.78 1, 2, 3, 4, 5 Switch! 00:14:40.83\00:14:47.62 Again we're going to hold for 15 seconds. 00:14:48.07\00:14:52.98 Don't bounce your stretch at all. 00:14:53.03\00:14:54.55 Just a nice steady pull. 00:14:54.60\00:14:57.45 3, 2, 1 Relax! 00:14:57.50\00:15:01.02 Okay now we're gonna try and use our towel. 00:15:01.07\00:15:03.92 It might be a little awkward 00:15:03.97\00:15:07.88 but we're still going to try to get to the arm training here. 00:15:07.93\00:15:09.75 We're going to pull up and extend down. 00:15:09.80\00:15:12.05 We can really dictate how hard we go here. 00:15:12.10\00:15:14.98 So, if we really want to put some effort into it, 00:15:15.03\00:15:18.32 we can! 00:15:18.37\00:15:20.32 Or if you find that the towel is too "bundle some", 00:15:20.37\00:15:24.58 just go with the palm. 00:15:24.63\00:15:27.68 This is acceptable as well. 00:15:27.73\00:15:32.78 We're going to do 20 repetitions this way. 00:15:32.83\00:15:35.32 You can make this really difficult if you want. 00:15:35.37\00:15:37.52 You can make them really slow 00:15:37.57\00:15:40.48 giving yourself a lot of resistance 00:15:40.53\00:15:42.75 or you can have more of a steady repetition. 00:15:42.80\00:15:47.12 The thing you want to avoid is just popping them off 00:15:47.17\00:15:50.12 because then you don't near the benefit you do if 00:15:50.17\00:15:52.92 you keep the repetition slow 00:15:52.97\00:15:55.18 and good concentration! 00:15:55.23\00:15:58.28 We're going to go one more time. 00:15:58.33\00:16:01.08 Good! Okay. 00:16:01.13\00:16:02.22 We're going to switch over to the other side. 00:16:02.27\00:16:04.72 We'll start with the towel here 00:16:04.77\00:16:06.18 and do a few repetitions of that. 00:16:06.23\00:16:12.72 Again, if that's uncomfortable when you switch over 00:16:12.77\00:16:16.62 then just use a hand. 00:16:16.67\00:16:25.72 Then we're going to do 20 repetitions 00:16:25.77\00:16:30.82 and then we're going for 10 more. 00:16:30.87\00:16:36.78 Often times you see people who are confined to wheelchairs 00:16:36.83\00:16:39.85 who develop very strong upper bodies because they 00:16:39.90\00:16:43.02 have been determined to carry on. Regardless of it! 00:16:43.07\00:16:46.58 I think it's fantastic that they have programs like 00:16:46.63\00:16:52.15 marathons for wheelchair people! 00:16:52.20\00:16:57.82 Good. 00:16:57.87\00:16:58.84 Okay now we're going to try to do the triceps. 00:16:58.85\00:17:00.98 The way we're going to do this is we're gonna lean back 00:17:01.03\00:17:04.85 just a little bit. 00:17:04.90\00:17:05.95 Put the towel up over our head, 00:17:06.00\00:17:07.72 and we're gonna pull down 00:17:07.77\00:17:09.32 and extend the arm up! 00:17:09.37\00:17:12.28 Again, we can dictate how hard we go. 00:17:12.33\00:17:15.02 The key element is we want that arm to go all the way 00:17:15.07\00:17:17.42 straight at the top. 00:17:17.47\00:17:25.25 As you can see as I go up, 00:17:25.30\00:17:27.12 my arm goes all the way up to a straight position. 00:17:27.17\00:17:34.32 We're focusing on the triceps (the back of the arm). 00:17:34.37\00:17:37.78 We're going do ten more. 00:17:37.83\00:17:46.12 Try and bring it down so you get as much 00:17:46.17\00:17:48.58 range of motion as possible. 00:17:48.63\00:17:53.75 And three more! 00:17:53.80\00:18:00.75 Good. 00:18:00.80\00:18:01.77 Okay even though I can do a lot of weight that still hurts 00:18:01.78\00:18:04.18 if I put the effort to it. 00:18:04.23\00:18:07.62 Okay we are going to do the opposite side now. 00:18:07.67\00:18:10.55 It's very important to contract both sides equally 00:18:10.60\00:18:14.22 because we want the muscles as balanced as possible. 00:18:14.27\00:18:18.28 Again, we want a good full range of motion. 00:18:18.33\00:18:21.55 Way down... way up. 00:18:21.60\00:18:26.38 Let's go for 20 repetitions. 00:18:26.43\00:18:29.12 I'm on number 8 and I'm already starting to feel it! 00:18:29.17\00:18:34.82 .Okay 00:18:34.87\00:18:36.02 Ten more! 00:18:36.07\00:18:42.75 Down to 7 and 6! 00:18:42.80\00:18:47.75 We've got five more! 00:18:47.80\00:18:50.22 1, 2, 3, 4, 00:18:50.27\00:18:57.45 and 5 Good! 00:18:57.50\00:19:03.25 Okay now that got my arms tired; 00:19:03.30\00:19:04.38 Now we're going to focus on the legs as much as possible. 00:19:04.43\00:19:07.02 I understand that some that might be 00:19:07.07\00:19:09.05 confined to their chairs can't move their legs at all. 00:19:09.10\00:19:12.95 But some of you can! 00:19:13.00\00:19:14.28 So while we're in this position 00:19:14.33\00:19:15.72 we're going to try and do a couple of things here. 00:19:15.77\00:19:18.42 The first one is we're just going to try to 00:19:18.47\00:19:20.55 raise our leg up and down as much as you can. 00:19:20.60\00:19:24.28 Even if you just feel! 00:19:24.33\00:19:26.62 Try and contract the leg. 00:19:26.67\00:19:29.25 Now obviously if there is no feeling there at all 00:19:29.30\00:19:32.35 I understand you're not going to be able to do anything. 00:19:32.40\00:19:36.25 But this is a start! 00:19:36.30\00:19:37.27 Just try to lift the leg as much as you can 00:19:37.28\00:19:38.62 for those who are able to contract their thighs still. 00:19:38.67\00:19:44.05 We're going do six more. 00:19:51.27\00:19:59.55 And two more. 00:19:59.60\00:20:02.65 Okay let's go to the other side. 00:20:02.70\00:20:07.05 We're keeping the leg at a steady bend here. 00:20:07.10\00:20:10.08 I'm not extending the leg out. 00:20:10.13\00:20:12.18 Simply lifting it up, trying to feel the 00:20:12.23\00:20:14.88 contraction up in the quadriceps region. 00:20:14.93\00:20:18.32 If you can hardly move it at all even just making 00:20:18.37\00:20:22.35 the fibers start to contract that's alright! 00:20:22.40\00:20:26.82 You have to have a starting place. 00:20:26.87\00:20:29.35 Try and encourage your leg to do as much work as it can. 00:20:29.40\00:20:36.78 Some may have a problem that they may have been 00:20:36.83\00:20:39.48 amputated from the knee down but yet they're still attached 00:20:39.53\00:20:42.38 from the hip to the knee. 00:20:42.43\00:20:46.28 This is also good! 00:20:46.33\00:20:47.30 You should continue to exercise 00:20:47.31\00:20:49.05 the area that you still have. 00:20:49.10\00:20:51.68 Okay you've got five more to go. 00:20:51.73\00:20:57.32 And two more. 00:20:57.37\00:21:00.25 Okay now we're going to try to extend the leg 00:21:00.30\00:21:02.75 as much as possible 00:21:02.80\00:21:03.77 and once again you might not be able to do this at all 00:21:03.78\00:21:05.82 or you may have to just extend your leg or yourself 00:21:05.87\00:21:08.68 and try to let it drop back down 00:21:08.73\00:21:13.22 (or control it drop back down I should say). 00:21:13.27\00:21:16.52 You want to try and get a good contraction at the top. 00:21:23.83\00:21:29.72 You might find yourself just going up 00:21:29.77\00:21:30.75 and you might feel like your leg's just falling back down. 00:21:30.80\00:21:34.58 It's okay, keep trying to hold onto it, 00:21:34.63\00:21:36.98 try and hold onto it and let it down slowly as you can. 00:21:37.03\00:21:41.75 You'd be amazed at how much you might progress 00:21:41.80\00:21:46.98 by just giving it a good effort. 00:21:47.03\00:21:49.15 The thing you want to always remember is 00:21:49.20\00:21:51.52 don't give up! 00:21:51.57\00:21:53.58 Good! 00:21:53.63\00:21:54.62 Let's switch sides. 00:21:54.67\00:21:55.64 When we get to the top we want to flex as much as we can. 00:21:58.80\00:22:11.22 You want to focus on the thigh. 00:22:11.27\00:22:14.35 Squeeze it. 00:22:14.40\00:22:17.68 We've got eight more to go! 00:22:17.73\00:22:19.22 There's 1, 2, 3, 4, 5, 00:22:19.27\00:22:29.02 6, 7, 8 00:22:29.07\00:22:34.42 Good! 00:22:34.47\00:22:35.44 Now however you might be able to brace yourself whether 00:22:35.45\00:22:37.15 it's against your chair 00:22:37.20\00:22:38.98 or just reaching out a little bit; 00:22:39.03\00:22:41.08 I want you to pull your leg back in a static contraction. 00:22:41.13\00:22:45.48 We'll do one leg first. 00:22:45.53\00:22:47.62 Just keep a constant pull against it 00:22:47.67\00:22:48.95 so you feel the muscles of the hamstrings contracting 00:22:49.00\00:22:53.15 and we'll try and do this for 30 seconds. 00:22:53.20\00:23:00.22 Okay there's ten. 00:23:00.27\00:23:01.24 You want to feel a nice steady contraction. 00:23:01.25\00:23:03.02 I'm pulling back with my -my heel's dug into the carpet 00:23:03.07\00:23:06.95 and I'm pulling back hard. 00:23:07.00\00:23:08.62 For those at home who are not in wheelchairs 00:23:08.67\00:23:11.95 but are just maybe having trouble getting around; 00:23:12.00\00:23:14.48 if you're just sitting there you can still do this 00:23:14.53\00:23:18.52 and get this good contraction of the quadriceps. 00:23:18.57\00:23:23.42 Okay. 00:23:23.47\00:23:24.44 I'm going to switch to the other side. 00:23:24.45\00:23:25.42 Again, I've dug my heel into the carpet and I'm pulling 00:23:25.43\00:23:27.78 and I'm flexing in the muscles of the hamstring area. 00:23:27.83\00:23:32.22 There is three of them there: Semimembranosus, 00:23:32.27\00:23:35.45 Semitendinosus and biceps femoris. 00:23:35.50\00:23:38.05 They all work together making up that hamstring group. 00:23:38.10\00:23:42.72 I'm pulling hard for five more seconds. 00:23:42.77\00:23:49.05 Okay we're going to do one more if we can. 00:23:49.10\00:23:51.65 We're just gonna try and turn the leg in and out. 00:23:51.70\00:23:55.02 We're gonna try and work internal 00:23:55.07\00:23:57.02 and external rotation of the hip. 00:23:57.07\00:24:00.25 Again, I understand some might not be able to do this. 00:24:00.30\00:24:03.48 However, some of you probably can! 00:24:03.53\00:24:05.85 I don't want to eliminate you either. 00:24:05.90\00:24:08.68 Okay and two more. 00:24:12.57\00:24:17.38 Okay good! 00:24:17.43\00:24:18.40 Now let's do the other side! 00:24:18.41\00:24:19.98 We're just internally and externally rotating the foot. 00:24:20.03\00:24:23.08 It might be difficult at first. 00:24:23.13\00:24:24.98 The thing I try and help people think about is 00:24:25.03\00:24:27.02 think of your foot as a windshield wiper. 00:24:27.07\00:24:30.12 You're just trying to go back and forth. 00:24:30.17\00:24:36.15 Ten more. 00:24:36.20\00:24:39.55 3, 4, 5, 6, 00:24:39.60\00:24:44.15 7, 8, 9, 10 Good! 00:24:44.20\00:24:49.78 Now we're going to try and do some crunching 00:24:49.83\00:24:51.82 from the abdominal area. 00:24:51.87\00:24:53.18 We're gonna sit back as much as we can. 00:24:53.23\00:24:54.52 We're going to blow out and just try and crunch forward 00:24:54.57\00:24:58.82 and lean back. 00:24:58.87\00:25:00.12 ...blow out... 00:25:00.17\00:25:01.78 ...crunch forward... 00:25:01.83\00:25:03.18 ...lean back... 00:25:03.23\00:25:04.38 ...blow out, crunch forward. 00:25:04.43\00:25:06.12 ...inhale through the nose... 00:25:09.30\00:25:11.15 ...exhale through the mouth. 00:25:11.20\00:25:13.65 We're just trying to shorten up points, 00:25:16.37\00:25:18.45 we're trying to draw in as we do it. 00:25:18.50\00:25:20.92 Try and do 12 more! 00:25:31.60\00:25:37.12 Ten more! 00:25:37.17\00:25:38.14 You probably hear my breathing 00:25:44.67\00:25:46.05 and that's a key component of this. 00:25:46.10\00:25:48.52 You want to make sure you get that good exhaling 00:25:48.57\00:25:52.52 as you come forward into that crunch. 00:25:52.57\00:25:55.98 Okay three more. 00:25:56.03\00:26:02.88 Okay now we're going to try to sit towards the edge 00:26:02.93\00:26:05.32 of our chair as much as we can. 00:26:05.37\00:26:07.38 We're just gonna turn our body 00:26:07.43\00:26:09.92 and you can use your leg or chair 00:26:09.97\00:26:13.12 to give you a little extra turn there, 00:26:13.17\00:26:17.48 Now let's go in the other direction. 00:26:17.53\00:26:21.55 Feel that stretch? 00:26:21.60\00:26:26.08 Okay! 00:26:26.13\00:26:27.62 Again, turn... 00:26:27.67\00:26:34.62 and turn one more time! 00:26:34.67\00:26:40.32 Okay good! 00:26:40.37\00:26:42.12 Okay I'm going to stand up now and that should be 00:26:42.17\00:26:45.05 a good workout for us today! 00:26:45.10\00:26:48.28 The message I want to have for you is 00:26:48.33\00:26:50.05 the message of hope. 00:26:50.10\00:26:52.28 I know that some are paralyzed 00:26:52.33\00:26:53.95 and they have no hope again of walking 00:26:54.00\00:26:55.52 on this Earth until the Lord comes. 00:26:55.57\00:26:58.48 But that is a wonderful promise! 00:26:58.53\00:27:00.35 That you will walk again! 00:27:00.40\00:27:01.37 You will leap for joy and of praise for His name! 00:27:01.40\00:27:05.38 We can't wait for that day! 00:27:05.43\00:27:06.88 In the meantime, I know, there are some of you out there 00:27:06.93\00:27:09.55 who can rehabilitate yourselves still. 00:27:09.60\00:27:12.35 There is still life in your legs if you will. 00:27:12.40\00:27:14.92 The nerves are working and the reason you're in the 00:27:14.97\00:27:16.95 wheelchair is because you haven't taken care of yourself. 00:27:17.00\00:27:20.98 You've let your body go! 00:27:21.03\00:27:22.00 You've gotten too heavy, maybe you've developed diabetes 00:27:22.01\00:27:24.22 along the way or some other type of problem. 00:27:24.27\00:27:26.52 There is hope for you as you continue working out 00:27:26.57\00:27:30.28 and claiming the promises of the Bible. 00:27:30.33\00:27:32.48 In Philippians 4:13 it tells us; 00:27:32.53\00:27:34.85 "we can do all things" 00:27:34.90\00:27:36.22 and I want to emphasize 00:27:36.27\00:27:37.48 "all things through 00:27:37.53\00:27:38.78 "Christ who strengthens us!" 00:27:38.83\00:27:40.15 As we claim his promises of what He has in store for us 00:27:40.20\00:27:43.88 great things can happen! 00:27:43.93\00:27:45.48 Stay with it! 00:27:45.53\00:27:47.38 God bless you 00:27:47.43\00:27:48.62 and I'll see you next time. 00:27:48.67\00:27:49.64 [ Music ] 00:27:50.10\00:27:52.95