Rehabilitation training for Parkinson’s patients

Parkinson’s disease is a rare degenerative disease of the nervous system, more common in the elderly, the onset of the age of about 60 years old, younger Parkinson’s disease starting under 40 years old is less common. The prevalence of PD in people over 65 years of age in China is about 1.7%. More patients with Parkinson’s disease are cloacal cases, and less than 10% of patients have a family history. The most important pathological transformation of Parkinson’s disease is the degeneration of dopamine (DA) neurons in the substantia nigra of the brain, which causes a marked increase in DA content in the striatum and causes the disease. The exact cause of this pathological transformation is still unclear, genetic factors, situational factors, aging, oxidative stress, etc. may be involved in the degenerative death process of PD dopaminergic neurons. The next step is to introduce you to several rehabilitation methods for Parkinson’s. The most complete rehabilitation methods for Parkinson’s 1, respiratory hammering Stop breathing deeply and slowly from time to time. The abdomen bulges during inhalation and relaxes during exhalation, and try to relax the whole body. Repeat this training for 5-15 minutes. 2, facial hammering Parkinson’s disease patients have a special look for the “mask face”, because the facial muscles are stiff, resulting in sluggish facial expression, so we must do some facial training movements. Such as frowning, cheek puffing, showing teeth and whistling action training. And often let the face to show a light smile, smile, smile with teeth, pouting, whistling, cheek puffing and other actions. Head tilted back, looking at the ceiling for about 5 seconds, head up and down movement; and then head down, jaw touching the chest as much as possible. Then the head moves slowly from side to side, turning the head and face to the right and looking back to the right for about 5 seconds, and then the same move to the left. Repeat the slow lateral turn of the face to the left and right shoulders and try to touch the shoulders with the lower jaw. Left and right movement head slowly to the left and right side of the shoulder side leaning, only with the ear to touch the shoulder. Forward and backward activities jaw forward stick for 5 seconds, and then inward for 5 seconds. 3, the trunk exercise Should often carry out side bending, turning movement. And pay attention to the exercise of the abdominal muscles and the exercise of the lumbar back muscles. Legs slightly away from standing, both knees slightly bent, bending down, hands open, palms try to touch the ground. Left hand catch the right foot slowly pull back, and then change the opposite side of the lower limb to repeat the action. Repeat the exercise. 4, the hammering of the lower limbs flattening the palm of the hand, can use one hand to catch the fingers of the other hand to the back of the hand to move pressure, to prevent palm finger deformity. Can also repeatedly train the fingers to leave and merge the action. To prevent finger pivot deformity, you can repeatedly train to make a fist and extend the finger initiatives. 5, the hands of the hammering two shoulders only to the ears to shrug up, and then make two shoulders down. The arms are straight, raised high above the head and held back for 10 seconds. Hands down in the face of the clasp, the future pull 5 seconds. Repeat the movement. Arms placed on top of the head, elbow joints slowly bend inward, catch the opposite elbow with both hands, the body repeatedly and slowly curved to both sides. 6, the upper limbs and shoulders of the hammer 7, gait exercise Most Parkinson’s disease patients have walking disorders. The gait exercise requires the patient’s eyes to look ahead, the body as upright as possible, start with the toes as high as possible, the heel first to the ground and then the toes, the stride amplitude as large as possible, the pace to slow. Try to swing your hands back and forth in a walking rhythm. It is best to have someone else present when Parkinson’s patients are doing gait training to remind them of the correctness of their posture at all times. 8, balance exercise Parkinson’s disease patients show postural reflex disorders, through the balance exercise can improve the focus on symptoms. Spread the feet 25-30 cm apart, move the center of gravity to the left, right, front and back, and maintain balance. The trunk and pelvis rotate left and right, and make the upper limbs swing with it in a big way, which has a good effect on balancing posture and relieving muscle tension. 9, training of language disorders Parkinson’s patients often become more and more reluctant to communicate with people because of language disorders, and thus increasingly do not speak with people, resulting in more degradation of the patient’s language function. Therefore, patients’ speech training must be practiced frequently, as well as oral exercises, such as practicing tongue re-stretching, moving left and right up and down in the mouth, and the exercise of lips and upper and lower jaw are essential. Singing can exercise lung capacity, which is extremely useful to improve the lack of breath in speech, and can also prevent the occurrence of diseases such as respiratory pneumonia.