Precursors to the recovery of the hemiplegic hand

The precursor of hand recovery in hemiplegia is when the upper limbs and hands show separation of movements, such as the upper limbs can be flexed forward by 90° and the hands can be placed behind the waist; in sitting position, the heel touches the ground and the ankle can be dorsiflexed. After hemiplegia, the separation of hand and foot movements usually starts in 4 to 12 weeks, for example, the upper limb can be flexed 90° forward and the hand can be placed behind the waist; in sitting position, the heel touches the ground and the ankle can be dorsiflexed. The co-movement pattern begins to be broken, and there are separated movements from the co-movement pattern, spasticity is reduced, and the late stage of recovery begins. During this period, corresponding rehabilitation functional exercises should be carried out, and therapeutic activities of the upper limbs should be performed. 1. Reduce the tension of the flexor muscles of the upper limbs and fingers, using reflexive inhibition mode, while actively or passively performing scapular anterior extension, as well as wrist extension and finger extension activities. 2. Upper limb motor control training: maintain elbow flexion, forearm rotation forward and backward with the help of therapist; elbow extension, shoulder flexion 90˚; rotate the hand backward to the waist and spread the fingers. It is recommended that hemiplegic patients should consult a doctor in a timely manner and perform hand function training under the doctor’s guidance to avoid delaying their condition.