Modern people attach importance to investment, and Prof. Jianan Li mentions an idea that rehabilitation is one of the most valuable investments. Early and active rehabilitation is an effective means to improve patients’ quality of life and return to their families and society. The key points for effective rehabilitation are: 1. Correctly grasp the indications for rehabilitation medical treatment: stable condition, certain cognitive ability, certain communication ability, and certain physical strength. 2. Early rehabilitation.
Treatment can be started as soon as 48 hours after the patient’s vital signs are stable and neurological symptoms no longer develop. If the vital signs are unstable and there are serious complications (serious infection, cardiopulmonary insufficiency, etc.), active rehabilitation is not appropriate, but preventive means such as anti-spasticity positions and passive joint movements can be performed in all patients as long as they do not interfere with resuscitation. 3. Multidisciplinary collaboration: Rehabilitation itself is a team effort, including physicians, therapists, orthopedists, acupuncturists, etc. 4. Preventive rehabilitation: secondary prevention and rehabilitation are emphasized. It is much better to prevent “disuse” and “misuse” than to rehabilitate after “disuse” and “misuse”. In addition, control the various risk factors of stroke: such as hypertension, hyperlipidemia, diabetes, high homocysteine, smoking and alcohol consumption, etc., and lifestyle habits. Early intervention and strengthening of prevention and control of preventable risk factors are of great significance to reduce the incidence or recurrence, improve the quality of life of individuals and reduce the burden on society. 5. Active rehabilitation: Although it has been recognized that early stroke rehabilitation is the key to restoring patients’ motor ability, the traditional treatment mode based on manual therapy, physiotherapy or passive limb training cannot work directly on patients’ damaged brains, and therefore cannot meet the urgent need of patients for brain rehabilitation during this period. It is emphasized that active movement is the only purpose of hemiplegia rehabilitation, and passive training should be replaced by active training as soon as possible. 6.Comprehensive rehabilitation: multiple impairments (sensory, motor, speech, cognition, emotion, swallowing, diaphoresis, etc.) should be considered comprehensively. 7, comprehensive rehabilitation: not only physical level, but more importantly, mobility level and participation level rehabilitation. 8.Long-term rehabilitation: brain plasticity exists throughout life and needs to be carried out persistently. 9.Effective prevention of complications: If complications occur during the inpatient rehabilitation of stroke patients will slow down the rehabilitation process to varying degrees. Infection, insomnia, constipation and bruises are some of the more common complications.