Treatment
1.Regulated exercise therapy
Patients with muscle atrophy-induced limb movement disorders can significantly reduce or mitigate the sequelae of paralysis after regular exercise therapy.
2.Inappropriate treatment is prone to “misuse syndrome”
Some people mistakenly regard exercise therapy as particularly simple, and even equate it with “exercise”, which often results in half-hearted efforts and leads to joint and muscle injuries, fractures, shoulder and hip pain, increased spasticity, abnormal spasticity patterns and abnormal gait, as well as foot prolapse and inversion, i.e. “misuse syndrome”.
3. Emphasize muscle coordination training
Inappropriate muscle training can aggravate the spasticity, and appropriate rehabilitation training can relieve the spasticity, so that the limb movements tend to be coordinated. Once the wrong training method is used, such as repeatedly practicing hard grasping with the affected hand, it will strengthen the flexor muscle coordination of the affected upper limb, making the muscle spasm responsible for joint flexion aggravated, resulting in flexion of the elbow, flexion of the wrist rotating forward, flexion of the finger deformity, making it more difficult to restore hand function. In fact, muscular dystrophy limb movement disorder is not only a problem of muscle weakness, but also the uncoordinated muscle contraction is an important cause of motor dysfunction. Therefore, it should not be mistaken that rehabilitation training is strength training.
4. Low or medium frequency electrical stimulation, neurotrophic drugs, together with acupuncture/electro-acupuncture and tui-na.
Examination
1.Electromyography (EMG).
2.Nerve conduction velocity, including motor nerve conduction velocity, sensory nerve conduction velocity, F wave, H reflex.
3.Evoked potentials: including brainstem auditory evoked potentials, visual evoked potentials and upper and lower limb somatosensory evocation.
4.Unarmed muscle strength examination.
5.Muscle tone examination.
6.Muscle circumference measurement.
Self-treatment
In addition to medical treatment, self-treatment is very important for patients with myasthenia gravis.
1.Maintain an optimistic and happy mood
Strong long-term or repeated mental tension, anxiety, irritability, pessimism and other emotional changes can make the balance of cortical excitation and inhibition process is out of balance, prompting the development of myasthenia gravis.
2, reasonable deployment of dietary structure
Patients with myasthenia need high protein and high energy dietary supplements to provide substances necessary for the reconstruction of nerve cells and skeletal muscle cells in order to enhance muscle strength and muscle growth. In the early stage, high protein, vitamin-rich, phospholipid-rich and trace element foods are used, and they are actively combined with qi-supplementing and spleen-strengthening diets, such as yam, astragalus, white lotus, Chenpi, princely ginseng and lily, etc. Spicy foods are prohibited, and smoking and alcohol are abstained. For patients in the middle and late stages, high protein, high nutrition, energy-rich semi-liquid and liquid food is the mainstay, and less and more meals are used to maintain the patient’s nutrition and water-electrolyte balance.
3. Combine labor and rest
Avoid forced sexual exercise, because forced sexual exercise will be due to skeletal muscle fatigue, and is not conducive to the recovery of skeletal muscle function, muscle cell regeneration and repair.
4, prevention of colds, gastroenteritis
Myasthenia gravis patients due to their own immune function is low, or there is some kind of immune deficiency, myasthenia gravis patients once the cold, the condition is aggravated, the course of the disease is prolonged, myasthenia gravis, muscle jump aggravated, especially ball palsy patients prone to complications of pulmonary infection, if not timely prevention and control, the prognosis is poor, and even endanger the lives of patients. Gastroenteritis can lead to intestinal strain dysfunction, especially viral gastroenteritis has different degrees of damage to the anterior horn cells of the spinal cord, thus making myasthenia gravis recurrent or aggravated. Maintaining normal digestive function in patients with myasthenia gravis is the basis for recovery.