What rehabilitation exercises are available after cervical spine surgery

  Rehabilitation training for patients with cervical spondylosis after surgery is very important and directly affects the patient’s future work, study and life. After the trauma reaction period of surgery, rehabilitation training can be started if the patient’s condition is stable.  I. Respiratory function training Pulmonary complications are a common complication after cervical spine surgery. During the postoperative bed rest period, patients should be encouraged to perform deep breathing and active coughing training to prevent pulmonary atelectasis and pulmonary infection, and patients should be encouraged to get out of bed as soon as conditions permit. Patients with cervical spondylosis can get out of bed under the protection of cervical collar in 3-5 days after surgery, and the wearing time of cervical collar is generally 8 weeks.  The maintenance of postoperative cervical curvature in patients with cervical spondylosis is of great significance to the effect of surgical treatment. Within 3 months after surgery, the patient should lie as flat as possible with the pillow removed; when lying on the side, a thin pillow can be used to avoid excessive lateral flexion of the neck. For patients undergoing posterior cervical spine surgery, the posterior extension strength of the cervical spine is reduced due to the stripping of the paravertebral muscles during surgery, so the strength training of the collar and back muscles should be carried out as early as possible after surgery to ensure the physiological curvature of the cervical spine.  The position of the two shoulders should be basically fixed when cervical spine exercise is performed. The specific items are as follows: 1. Single action of cervical spine: The so-called single action of cervical spine refers to the running direction of the basic action when performing cervical spine exercise.  (1) cervical flexion: the body maintains a standing posture, shut up, head down, jaw inward as close to the chest as possible, both eyes look at the chest; inhalation force, cervical flexor muscle to maintain tension, exhale when the cervical flexor muscle relaxation. After several repetitions, resume the preparatory posture.  (2) cervical extension: keep the body in a standing position, shut up, lift the head, and look back up as far as possible; inhalation with force, cervical extensors remain tense, and relax the cervical extensors when exhaling. After several repetitions, resume the preparatory posture. Cervical spine stretch there is a movement, the action and the above requirements are basically the same, but requires the practice of the mouth to be slightly open.  (3) cervical lateral flexion: head to the left (or right), eyes forward flat; cervical lateral flexor muscle force when inhaling, relax when exhaling. After several repetitions, resume the preparatory posture.  (4) Cervical spine gyration: head to the left (or right), eyes level to the same side and back. Inhale with force and exhale with relaxation. After several repetitions, resume the preparatory posture.  2, cervical spine combination action: the so-called cervical spine combination action, that is, under reasonable conditions of movement, the basic action of flexion, extension, lateral flexion, gyration in the order of two or two combinations, the purpose is to pull different parts, so that the usual little movement of muscle ligaments to get exercise, improve the coordination of the cervical spine, and then achieve the purpose of a full range of exercise on the cervical spine.  3, cervical spine mixed action: the so-called cervical spine mixed action, is to put a number of basic movements and combination of movements in a coherent exercise, the main purpose is to improve the coordination of the cervical spine.  Third, limb function training Most patients with cervical spondylosis have a decline in the fine movements of the hands and the walking ability of the lower limbs, and the corresponding functional training should be strengthened after surgery. Especially the hand activities, such as finger pairing, finger splitting, grasping and other movements should be trained. Walking ability should be gradually transitioned from walking with the help of walking to independent walking. At the same time, the patient should undergo occupational therapy and self-care training.  Fourth, for patients with sphincter dysfunction can be solved together with the relevant departments in consultation