There are currently 6 million stroke patients in China, of which 4.5 million are obviously disabled. Not only is stroke a serious disease with high morbidity, mortality, disability and recurrence rates, but also 75% of post-stroke patients are left with sequelae such as hemiplegia, speech impairment, swallowing difficulties, and urinary and bowel disorders. In such cases, medication alone does not solve these problems, and rehabilitation is playing an increasingly important role. However, many patients have misconceptions about rehabilitation, and even blindly rehabilitate themselves, which not only will not be useful for rehabilitation, but also counterproductive. Today, we will introduce you to the key words of rehabilitation. One of the key words of rehabilitation: before it’s too late Some people think that once cerebrovascular disease appears, they should keep infusing fluids and rehabilitation is useless, or wait until they stop infusing fluids and then do rehabilitation. Rehabilitation therapy does not conflict with medication, and the sooner rehabilitation therapy intervenes, the better. Patients with cerebral thrombosis or cerebral infarction can take rehabilitation therapy after 48 hours when they are clear, their vital signs are stable and their condition is no longer developing; patients with cerebral hemorrhage are clear and their vital signs are stable, and rehabilitation therapy is usually carried out after 10-14 days. If you wait for rehabilitation treatment after stopping the medication, you will miss the best period of rehabilitation treatment. A large number of cases prove that early rehabilitation is the key to reducing the disability rate. So, what does “early” mean? According to some sources, “rehabilitation treatment should be started 3 days after the onset of cerebral infarction and 5-7 days after the onset of cerebral hemorrhage”, which are called early. In some countries, scholars have proposed the concept of ultra-early rehabilitation, i.e., starting rehabilitation treatment on the first day of onset, in parallel with clinical drug treatment. As far as the current understanding of the level of rehabilitation cognition in China is concerned, rehabilitation training can generally be carried out as soon as the disease is stable. Patients with cerebral infarction can start rehabilitation training about 5 days after the onset of the disease, and patients with cerebral hemorrhage can start rehabilitation training about 10 days after the onset of the disease. Rehabilitation Keyword No. 2: Science Other people think that rehabilitation is simple, that it is all about activities. Therefore, even without rehabilitation, it is enough for family members to help the patient to do some simple activities or forcefully practice walking. This kind of thinking is wrong. Rehabilitation must be done in a scientific way. For example, people know that they should “move early” after a stroke, but there is a lack of proper guidance on how to do so. If you only practice pulling, gripping, kicking, early forced walking, etc., you will develop a “hemiplegic gait” – upper limbs like a basket of vegetables, lower limbs walking in circles on tiptoe – and it will be difficult to correct. These problems could have been overcome with proper early rehabilitation. In the process of functional recovery of paralyzed limbs, spasticity of the affected limbs is bound to occur. If attention is paid to the good position of the affected limbs during the acute bed rest period, timely passive movement and other timely rehabilitation measures may avoid or reduce the occurrence of spasticity and eliminate the appearance of disuse syndrome, which can greatly promote the rehabilitation process and achieve twice the result with half the effort. In addition some complications of stroke, such as shoulder pain, shoulder dislocation, shoulder-hand syndrome, choking on drinking water, unfavorable speech, etc., also need early rehabilitation functional training. Under the guidance of specialized technicians, approximately 80% of patients in the acute phase or early recovery period regain independence or walk with the support of crutches in 3 months. Rehabilitation Keyword No. 3: One-on-One According to statistics, after systematic and scientific rehabilitation treatment for cerebrovascular disease, 90% of patients can resume walking and self-care, and more than 30% of limb functions can be basically restored, and they can participate in some simple labor and work, or even fully resume work. Patients should build up confidence. So how to carry out systematic rehabilitation after stroke? Rehabilitation is carried out in stages according to different periods of the disease, mostly using “one-to-one” manual exercise therapy, and the content of rehabilitation training varies for each patient in each stage and period: 1. 2.Recovery phase rehabilitation: mostly performed 1~3 weeks after the disease (2~3 weeks for cerebral hemorrhage and 1 week for cerebral thrombosis), with the aim of controlling muscle spasm and abnormal movement patterns and promoting the emergence of dissociative movements. 3.Recovery in the posterior period: mostly 1 year after the onset of the disease. Patients in this period are left with various sequelae to varying degrees, such as spasticity, muscle weakness, contracture deformity, ataxia, postural abnormalities and even floppy state. The purpose of rehabilitation is to continue training and use of residual functions, prevent functional degeneration, environmental modification, and strive for maximum self-care.