Rehabilitation for Parkinson’s Disease

Parkinson’s disease at present is not curable, but does not mean that the negative treatment of it, positive exercise can significantly slow down the development of the disease, to maintain a high quality of life: 1, facial movements exercise Parkinson’s disease patients with special face is “mask face”, is due to facial muscle stiffness, resulting in dull facial expression, so do some facial Therefore, it is necessary to do some facial exercise: (1) frowning action: try to frown, and then force to show the eyebrows, repeated several times; (2) force to open and close the eyes; (3) puffing exercise: first force to puff up the cheeks, and then try to inhale the two cheeks; (4) showing teeth and whistling action, try to expose the teeth, followed by a whistling action; (5) in front of the mirror, so that the face to show a smile, laugh, smile, show teeth and pouting. 2, head and neck exercise The neck of Parkinson’s disease patients is often tilted forward posture, very stiff, gradually aggravated by the increasingly serious hunchback. The following is a set of neck rehabilitation methods. Exercise should be gradual, gradually increase the amplitude of movement, movement should be slow and gentle: (1) up and down movement: head backward, eyes staring at the ceiling for about 5 seconds, then head down, jaw try to touch the chest; (2) left and right rotation: the head and face to the right and right back about 5 seconds, then the same action to the left. Repeatedly rotate and try to touch the shoulders with the lower jaw; (3) left and right swing: the head slowly to the left and right shoulder side leaning, try to touch the shoulders with the ears; (4) before and after the movement: the lower jaw stretched out in front of the hold for 5 seconds, and then inward for 5 seconds. 3, trunk exercise: (1) side bending movement: feet apart and shoulder width, knees slightly bent, right upper limb straight up, palms inward, trunk to the left side of the bend, back and forth a few times; and then repeat on the left side; (2) turn the body movement: feet apart, slightly wider than the shoulder, both upper limbs elbow bending flat end in front of the chest, turn the body to the right two times, the action should be elastic. Then repeat in the opposite direction; (3) abdominal exercise: lie flat on the floor or bed, both knees were bent to the chest for a few seconds. Then do this action bilaterally at the same time; (4) low back muscle exercise: lying down, abdominal extension, legs and pelvis close to the floor or bed, with the arms up to maintain 10 seconds. (5) Exercises for upper limbs and shoulders 4. Exercises for hands Parkinson’s patients have numerous joints in their hands, which are easily affected by muscle stiffness. The patient’s metacarpophalangeal joints are flexed, resulting in difficulty in unfolding the palm of the hand; while the small joints between the other fingers are straightened, making it difficult to make a fist with the palm of the hand. To deal with this situation, the patient should often straighten the metacarpophalangeal joints, spread the palm, you can use one hand to grasp the fingers of the other hand toward the back of the hand to move the pressure, to prevent the metacarpophalangeal joint deformity. You can also put the palm of the hand on the desktop, try to make the fingers touch the desktop, and repeatedly practice the action of separating and combining the fingers. In order to prevent the deformity of finger joints, you can repeatedly practice the movements of clenching fist and extending fingers. 5, the lower limbs of the exercise (1) legs slightly apart standing, knees slightly bent, bend down, hands as far as possible to touch the ground; (2) the left hand to support the wall, the right hand grabbed the right foot to pull back to maintain a few seconds, and then change the opposite side of the lower limbs to repeat; (3) the “Indian-style sitting”: the palms of the feet relative to each other, will be leaning on the floor knee, maintain and repeat; (4) the feet were (4) feet in a “V” shape to sit down, head successively to the right leg, between the feet and the left leg, each position to maintain 5-10 seconds. 6, gait exercise Most patients with Parkinson’s disease have gait disorders, lightweight manifested as shuffling, walking and lifting the feet, while the upper limbs do not swing the arm, there is no synergistic action. In severe cases, the gait is characterized by small steps forward, turning and difficulty in crossing the doorway. Gait exercise requires the patient to look straight ahead with both eyes, the body is upright, the toes of the feet should be lifted as high as possible when starting, the first foot follows the ground and then the toes of the feet on the ground, the stride should be as slow as possible and large, and the two upper limbs should try to swing forward and backward when walking. The key is to raise the foot and stride to be big. It is better to have other people present during the exercise, so that they can remind and correct the abnormal posture at any time. When the patient starts and walks, he or she often can’t take a step, just like sticking to the ground. In this case, the following method can be used: First, follow the foot to the ground, and stand upright with the whole body. After obtaining the balance, and then start walking, must remember to walk first with the foot following the ground, toe dorsiflexion, and then toe landing. 7, balance exercise Parkinson’s disease patients walking fast forward, encounter obstacles or patients suddenly stop when easy to fall, through the following balance exercise can be improved: feet apart 25-30 centimeters, to the left and right, before and after the center of gravity, and maintain balance. Rotate the trunk and pelvis to the left and right, and make the upper limbs swing with it, which is good for balancing the posture and relieving the muscle tension. 8, training for language disorders Patients often become more and more reluctant to speak because of language disorders, and the more they don’t speak, it will lead to more degradation of language function. The long-term absence of language communication with family members, coupled with the lack of expression in Parkinson’s disease patients, often results in emotional communication barriers and barriers between patients and their relatives. Therefore, patients must often carry out functional training of language. 9, tongue movement exercise to keep the tongue flexible is an important condition of speech, so we must insist on practicing the following actions: (1) tongue repeatedly out and back; (2) tongue between the two mouths as soon as possible to move left and right; (3) around the lips as soon as possible around the ring line of the movement of the tongue; (4) as soon as possible and accurately say “la-la-la”, (4) Say as accurately as possible “la-la-la-la”, “ka-ka-ka”, “ka-la-ka”, and repeat several times. 10, lip and upper and lower jaw exercises: (1) slowly and repeatedly do open mouth and shut up; (2) upper and lower lip forcefully closed for a few seconds, and then relax; (3) repeatedly do upper and lower lip pout, and then relax; (4) as soon as possible to do open mouth and shut up; (5) as soon as possible to say “吗-吗-吗-吗…… “. Read aloud Slowly and loudly read a Tang poem, a Song poem or a modern poem, according to your preference. Poetry has a rhythm of rhythm and staccato, and it is a good way to read aloud, not only to cure speech impediment, but also to cultivate sentiment, and good poetry can also inspire your fighting spirit. 12, singing exercises Singing is a very good method. You can choose your favorite songs to practice. Speaking can be significantly improved. What’s more, singing can exercise the lung capacity, which is conducive to improving the feeling of speaking insufficient air, and can also prevent the occurrence of pneumonia.