Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label gluteus medius. Show all posts
Showing posts with label gluteus medius. Show all posts

Saturday, June 27, 2026

5 bed exercises adults over 55 can use to rebuild leg strength

 In case your incompetent? doctor didn't get your legs fully recovered!

5 bed exercises adults over 55 can use to rebuild leg strength

The 8-Minute Bed Routine That Restores Leg Muscle Faster Than Weight Training After 55

As you age, muscle strength becomes increasingly important. Without it, daily activities can become more and more challenging. You count on your leg muscles more than you'd think, and they keep you balanced and independent. Just consider how often you run errands, lift things up off the floor, and walk up and down stairs each day.

It's important to keep your leg muscles strong, because as early as your 30s and 40s, you lose muscle by a natural process known as sarcopenia. The loss even revs up after 65. That means your body repairs your muscles less, and they can even decrease in size.

Getting in the right amount of exercise is essential to keep your leg muscles in check, so we spoke with Jaqueline Gavino, MPH, CHES® & Director of Fitness at Pritikin to help you out.

"The goal of a bed-based routine is to activate muscle groups without joint stress or equipment," Gavino tells us. "What makes bed-based routines especially effective for this age group is the consistency factor. By removing every barrier, no commute, no equipment, no balance risk, people are far more likely to follow through daily. In older adults, adherence and frequency are ultimately what convert muscle stimulus into lasting strength gains."

Try this eight-minute bed routine that can help get the job faster than classic weight training after 55.

1. Supine Glute Bridges

"Electromyographic (EMG) research shows the supine bridge produces strong gluteus maximus activation at approximately 33.8% of maximal voluntary isometric contraction (MVIC), with a favorable glute-to-hamstring ratio, making it highly efficient for glute recruitment while lying down," Gavino explains.

  1. Begin by lying flat on your back with bent knees and feet hip-width apart on the mattress.
  2. Place your arms at your sides with palms pressing into the surface.
  3. Press through your heels to lift your hips until your body forms a straight line from head to heels.
  4. Squeeze your buttocks, holding at the top for a moment.
  5. Lower your hips back to the start position.
  6. Perform 3 sets of 10 reps.

RELATED: The 6-Minute Chair Routine That Builds Leg Muscle Faster Than Squats After 60

2. Straight-Leg Raise

"Age-related strength decline tends to be more pronounced in the quads than hamstrings, and quadriceps strength is a key predictor of functional ability in older adults. The straight-leg raise loads the quads safely in a fully supine position. This is one of my favorites because it also mimics the correct way of walking, using so many functional muscles and improving posture," Gavino says.

  1. Start by lying flat on your back with your arms extended overhead.
  2. Keep one leg extended on the mattress and the other bent.
  3. Activate your core as you lift the extended leg off the mattress, keeping your lower back pressed into the surface.
  4. Hold for 3 seconds at the top.
  5. Use control to lower your leg.
  6. Repeat on the other side.
  7. Perform 2 sets of 10 reps on each leg.

RELATED: 5 Chair Exercises That Restore Leg Strength Faster Than Squats After 60

3. Lying Leg Curl

(Interesting that lying face down I can engage my left hamstring fully, no other position works! Ask your doctor to explain.)  

"Research confirms the lying leg curl produces the greatest hamstring activation and the highest hamstring-to-quadriceps EMG ratio compared to squats, deadlifts, and hip thrusts, making it uniquely effective for hamstring isolation horizontally," Gavino explains.

  1. Begin by lying flat on your stomach on the mattress with legs extended behind you.
  2. Place your forehead on a pillow or your hands for support.
  3. Bend one knee and bring your heel toward your glute.
  4. Curl it as far as you're comfortably able to while pressing your thigh into the mattress.
  5. Hold briefly at the top, squeezing your hamstring.
  6. Return to the start position.
  7. Perform 2 sets of 12 reps on each leg.

RELATED: If You Can Do These 8 Lower-Body Moves, Your Leg Strength Is Elite

4. Side-Lying Hip Abduction

"The gluteus medius is critical for gait stability and fall prevention, a top concern for this age group. This movement targets those lateral hip muscles with zero joint loading," Gavino points out.

  1. Start by lying on one side of your body with your legs stacked.
  2. Lift your top leg slightly back and up.
  3. Perform 2 sets of 12 reps on each leg.

RELATED: This 5-Minute Morning Routine Builds More Strength Than Hour-Long Workouts After 50

5. Ankle Pumps

"This exercise activates the calf muscles and supports venous return, especially important first thing in the morning, and serves as a warm-up before progressing to more demanding movements," explains Gavino.

  1. Start by lying flat on your back in bed.
  2. Keep your body relaxed and your legs extended or slightly bent.
  3. Pull your toes back toward your shins, flexing at the ankles.
  4. Continue to switch between pointing and flexing.
  5. Perform 2 sets of 20 reps.

Read the original article on Eat This Not That.


Sunday, June 21, 2026

If you can do these 6 balance exercises after 60, you're in good shape

 If you can't do ALL of these immediately upon leaving the hospital, your doctor IS A FAILURE! The proper response would be to show them the door.

Pictures at link.

If you can do these 6 balance exercises after 60, you're in good shape

Balance often serves as one of the clearest indicators of overall fitness after 60. Strong balance reflects much more than the ability to stand on one foot. It requires coordination between the muscles, joints, nervous system, vision, and core stability. When balance remains strong, everyday activities like walking, climbing stairs, reaching for objects, and changing direction feel smoother and more confident. When balance declines, the risk of falls, injuries, and reduced independence increases significantly.

Many adults focus exclusively on strength or cardio while overlooking balance training. However, balance frequently determines how effectively strength translates into real-world movement. Someone with strong legs but poor balance may still struggle with daily tasks that require stability and coordination. That’s why fitness professionals often include balance assessments alongside traditional strength and endurance tests when evaluating healthy aging.

The six exercises below challenge different aspects of balance, coordination, stability, and body control. If you can perform all six with good form and confidence, your balance ability ranks well above average for your age group. You do not need perfection. The goal is controlled movement, steady posture, and the ability to maintain stability throughout each exercise.

1. Single-Leg Stand

(I've failed the one leg standing test of the Berg Balance Scale from the 

beginning, now 20 years later(age 70) I still fail and will until the day I die.) 

The single-leg stand remains one of the simplest and most effective balance assessments available. Standing on one foot forces the ankles, knees, hips, core, and stabilizing muscles to work together continuously. Many adults over 60 discover weaknesses quickly because the body loses small stabilizing muscles with age and inactivity. Strong performance on this exercise often correlates with better walking stability and lower fall risk. If you can hold the position comfortably without excessive wobbling, your foundational balance remains strong.

How to Do It

  • Stand tall near a wall or chair
  • Shift your weight onto one foot
  • Lift the opposite foot off the floor
  • Keep your chest upright
  • Focus on a fixed point ahead
  • Avoid leaning excessively
  • Hold for 20 to 30 seconds
  • Repeat on both sides.

2. Heel-to-Toe Walk

(Partially doable, my doctor and therapists NEVER ADDRESSED my 15 degree left angle of my left foot

Heel-to-toe walking challenges dynamic balance while strengthening coordination and body awareness. The narrow walking pattern forces the body to maintain stability with a reduced base of support. Many adults struggle with this movement because it exposes weaknesses in hip stability and core control. Strong performance demonstrates excellent lower-body coordination and walking mechanics. This exercise closely resembles the balance demands encountered during real-world movement.

How to Do It

  • Stand tall
  • Place one foot directly in front of the other
  • Touch heel to toe with each step
  • Walk slowly and deliberately
  • Keep your eyes forward
  • Tighten your core gently
  • Continue for 10 to 15 steps
  • Turn around and repeat.

3. Standing Marches

(Lack of hamstring ability and I can't get the left leg to hip height(unless I'm in a pool), failure of my doctor and therapists to notice and address that!.) 

Standing marches strengthen the hips, core, and stabilizing muscles while improving single-leg control. Every time one foot leaves the floor, the body must stabilize entirely on the supporting leg. Many adults lose this ability gradually because daily movement becomes less demanding over time. This exercise restores balance while reinforcing proper walking mechanics. Strong control throughout the movement reflects good coordination and lower-body stability.

How to Do It

  • Stand tall with feet hip-width apart
  • Tighten your core gently
  • Lift one knee toward hip height
  • Lower slowly with control
  • Alternate sides continuously
  • Keep your chest lifted
  • Avoid leaning backward
  • Perform 20 total marches.

4. Clock Reach

(Failure. I've failed the one leg standing test of the Berg Balance Scale from the 

beginning, now 20 years later(age 70) I still fail and will until the day I die.)

The clock reach challenges balance while forcing the hips and core to stabilize through multiple directions. Unlike simple standing exercises, this movement requires the body to maintain control while reaching outside its normal base of support. Many adults notice weaknesses immediately because the exercise demands strength, coordination, and mobility simultaneously. Strong performance reflects excellent lower-body stability and body awareness. It also mirrors many real-life situations that require reaching and bending safely.

How to Do It

  • Stand on one leg
  • Imagine a clock surrounding you
  • Reach the free foot toward 12 o’clock
  • Return to center
  • Reach toward 3 o’clock
  • Return to center
  • Reach toward 6 o’clock and 9 o’clock
  • Repeat on both legs

5. Side Leg Raises

(Doable but not very high. This one will be done since my gluteus medius complains at times and needs to be strengthened.)

Side leg raises strengthen the hip muscles responsible for lateral stability. These muscles help keep the pelvis level while walking and standing on one leg. Weak hip stabilizers often contribute to poor balance and increased fall risk. This exercise improves control while strengthening the glute medius, one of the most important muscles for balance after 60. Adults who perform this movement confidently often demonstrate stronger walking mechanics and better lower-body stability.

How to Do It

  • Stand beside a chair or wall
  • Hold lightly for support if needed
  • Shift your weight onto one leg
  • Lift the opposite leg outward
  • Keep your torso upright
  • Lower slowly with control
  • Complete 10 to 12 repetitions
  • Repeat on the opposite side.

6. Sit-to-Stand Without Using Your Hands

(This is not hard. I know how far under the feet need to be and the upper body movement to get that weight situated over my feet to smoothly stand up. This is only possible from a chair since you can get your feet under the lip of the chair. Any couches or Adirondack chairs, this won't work, will require pushing off with the good hand.)

Few exercises test practical balance and lower-body control better than standing from a chair without arm assistance. The movement requires strength, coordination, stability, and confidence all at once. Many adults rely heavily on their hands because the legs and core no longer generate enough force independently. Successfully performing this exercise demonstrates strong functional fitness and excellent balance during movement transitions. It directly reflects the abilities needed for everyday independence.

How to Do It

  • Sit near the front of a sturdy chair
  • Place your feet shoulder-width apart
  • Cross your arms over your chest
  • Lean slightly forward
  • Press through your heels
  • Stand up smoothly
  • Pause briefly
  • Lower back down with control

What Your Results Mean

(Maybe 2+ are ok, but my balance is fantastic considering the rough trails I walk on and the deep water I wade through.)

If you can perform all six exercises with good control, minimal wobbling, and steady posture, you’re in good shape for your age. Your balance, coordination, lower-body stability, and core control likely exceed those of many peers over 60.

If one or two exercises feel difficult, don’t worry. Balance responds exceptionally well to regular practice. Just a few minutes of targeted balance training several days per week often produces noticeable improvements within a short period.

The biggest takeaway isn’t whether you perform perfectly. It’s whether your body can maintain control, stability, and confidence while moving. Those qualities play a major role in preserving independence, reducing fall risk, and supporting an active lifestyle well beyond 60.

Tyler Read, BSc, CPT
Tyler Read is a personal trainer and has been involved in health and fitness for the past 15 years. Read more about Tyler 

Friday, January 24, 2025

Comparison of cognitive functional therapy and neurofeedback training on kinetic gait in patients with chronic non-specific low back pain: a randomised controlled trial

 My left side low back pain is because the gluteus medius is overworked because my gait is off, no pushoff and my left foot angles 15 degrees to the left due to spasticity. None of which my doctors or therapists told me would occur and not do anything about it!

Comparison of cognitive functional therapy and neurofeedback training on kinetic gait in patients with chronic non-specific low back pain: a randomised controlled trial

Received 07 Aug 2024, Accepted 05 Jan 2025, Published online: 22 Jan 2025
 

Abstract

Purpose of the article

Walking disorders are a significant issue for patients with low back pain. The aim of clinical trials is to compare the effects of cognitive functional therapy (CFT) and neurofeedback training (NFBT) on gait kinetics in chronic non-specific low back pain (CNSLBP) patients.

Materials and Methods

Sixty females with chronic non-specific low back pain were recruitment for clinical trials. They were randomly divided into experimental and one control groups (Each group 20 patients). The experimental group received the relevant interventions for eight weeks. The primary outcome was pain, kinesiophobia and disability. The secondary outcome was vertical ground reaction force (VGRF) parameters. Two-Way Repeated Measures ANOVA statistical method was used for data analysis.

Results

Within-group comparisons showed that neurofeedback training and cognitive functional therapy groups experienced significant improvement in pain intensity, disability and kinesiophobia after eight-week (p < 0.05). However, the cognitive functional therapy group improved the vertical ground reaction force parameters better than the neurofeedback training group (p < 0.05).

Conclusions

cognitive functional therapy intervention had a greater effect on the vertical ground reaction force parameters. The reason for the greater effect of cognitive functional therapy intervention on vertical ground reaction force parameters can be partially explained due to the multimodal therapy used through cognitive exercises and motor control.

IMPLICATIONS FOR REHABILITATION

  • Cognitive functional therapy and neurofeedback training was shown to reduce pain intensity, disability, and kinesiophobia, Consequently improving vertical ground reaction force parameters in patients with Chronic non-specific low back pain.

  • Among the psychological interventions used, the cognitive functional therapy significantly showed more effectiveness in improving the vertical ground reaction force parameters of patients with chronic non-specific low back pain.

  • Our research may inform clinical decision-making and guide the development of therapeutic interventions for patients with chronic non-specific low back pain.

Thursday, April 21, 2022

Hip muscle pain

My walking is causing my left rear hip muscle to ache. I'm sure it's because my walking is so bad. I should be able to go to any physical therapist in the world and get an OBJECTIVE diagnosis of what is wrong and then EXACT protocols to fix the problem. But I'm not even going to try that way because I'm sure it won't tell me anything useful. So I'll be looking up the gluteus medius and see what I can find.

And lo and behold:

How do you rehab a strained gluteus medius? 

Step 1: Lie flat on your back, with your knees bent and your feet flat and hip-width apart. 

Step 2: Gently tighten abdominal and gluteus muscles to raise the pelvis off the ground. 

Step 3: Hold the position for several seconds, then slowly release back towards the ground. Repeat eight to ten times once a day.

Strengthening Exercises for the Gluteus Medius:

  • Standing Squats (Perform this exercise with a versa loop band resistance) ...

  • Monster Walks (Perform this exercise while using a versa loop band) ...

  • Side lying clam shells (This can be done as bodyweight clams or with using a versa loop band)

 The gluteus medius seems to be the one that is strained.