hi I’m Bob Shrum physical therapist rad Hynek physical together.we on the most famous physical therapist on the Internet oh and our Peter of course Bob Bob has issues anyway let’s get on with the topic strengthening exercises on someone that’s wheelchair-bound there in the wheelchairs or the legs for the legs exactly a top three actions right people that aren’t able to get up walk by themselves or they do very little walking and there they are might be a family member might you might be a CNA in a nursing home you want to learn how to do exercises and how to do some efficient ones refined nursing assistant right exactly okay so here bob is the person in a wheelchair and those legs are weak okay the three basic ones first one we’re going to do is kicks okay okay go ahead Bob oh here you go kick that up now hold on there you go I want you to kick it up high sometimes you put a target out here like a hand is a good idea now sometimes you get people that want to do it like this they kick up and then they just go up and down like this that is really not what we want right we want to have neat get it slow yeah tall and you could touch here and say yeah bring the foot all the way down to the floor so a little hand contact here and here that is a good quality but you know there’s a lot of people that will not have that range of motion you might have any tight hamstrings so show some of the tight hamstrings Bob they might only come up that high and that’s okay you do the best he can and generally you start without weight right exactly I could actually already feel that right yeah those muscles are working aren’t you Bob now if the person go ahead and popped in off pretty good then it might be time to get an ankle weight on probably start with one pound if they’re stronger use your judgement you can get two poems or even three pounds I’ve got someone right now he uses five pounds been working at it and again the one you can do sets of 10 this is good you can go up to 15 yeah 10 to 15 and they should feel like their muscles are tired after that yep there should be no pain in the joints no sharp pain time to get to the last one they might be shaking a little right that’s good that means you’re hitting about the right right amount of stress about 10 to 15 on each leg if you they want to do more you can go ahead and do two sets the next exercise is hip flexion going Bob can you demonstrate just simply lifting up the knee called seated marching now a lot of times you could just do alternate yeah just like that get in good balance to it and if you I now remember you got to count these one two three four if you’re going to do 10 out of leg that’s 20 right Bob I used to get confused on that Wizard here now if they’re able to do that quite easily then put weights on their ankle and have them do the same number you know exactly make sure they’re giving good posture they’re not going like yes yep exactly always working with that cheering on a little bit say good job Bob yeah thank you okay and the last one is we want to work the muscles in the thigh okay the inner thigh and if you take a ball that’s like this put it between the knees and you’re going to squeeze and relax squeeze and relax you can do 10 to 15 of those as well now this ball is kind of firm and if they’re too firm I don’t think there’s good you can use them but I’d like to throw that one out and then you’re going to get a flat ball and you can use a football – and this one happens to be a boy is this for is this professional football Hannah but anything squishy go ahead and it feels better for the person they get little better quality strengthening I think and if you really want to get a gun you get a Green Bay Packer ball that’s a lot better squeezing the head of the Green Bay wheezy eyeball right elevation oh yeah hit it once in a while go a little stress relief there’s a bonus one for the like strengthening – Brad you bet what is it then that’s just to get some hip extensors and stuff like that as you can actually just work on doing sit-to-stand repeated sit to stands with the patient and this is actually a good functional one to do it obviously depends on the patient’s ability they’re not able to do that obviously it’s going to be a Debray they should be able to do that independently or just a little bit of help right pushing up from the chair nose over the toes yeah and working on it ten of those ten of those okay so once again we can really help fix anything in the body bob except a broken heart a broken but we’re working on every Bob I got red duct tape we’re going to take some night classes we’re read a couple books but we’re not going to give up yeah yeah and we’re going to get it thanks