When is it good to rehab for stroke hemiplegia?

Rehabilitation is not an independent process, rehabilitation should be started synchronously with emergency rescue, and preventive rehabilitation should be done well. Through preventive measures, not only can we promote the speedy recovery of damaged functions, but also prevent the occurrence of various complications. Rehabilitation treatment at this stage is mainly completed in the neurology department of general hospitals. Once a stroke patient is discharged from the hospital with stabilized condition, the next step of rehabilitation treatment needs to go to a professional rehabilitation institution for comprehensive and systematic rehabilitation treatment. More and more clinical observations and studies have found that the earlier the rehabilitation intervention, the better the patient’s recovery. Generally speaking, after ischemic cerebrovascular accidents, rehabilitation training should be carried out in time when the condition is stabilized for 2 to 3 days, while hemorrhagic cerebrovascular accidents can be postponed until the condition is stabilized for 1 week. At the early stage of hemiplegia, the limbs are still in the stage of weakness, at this time, with the help of the healthy limbs or relatives, through a certain way of exercise, to promote the functional recovery of the paralyzed limbs, to prevent the contracture of the paralyzed limbs, to promote health, to prevent the occurrence of complications, and to make the patient treat the disease with a positive attitude, to improve the patient’s mental state. Although we advocate that the sooner the rehabilitation exercise, the better, but patients and their families are often still on the early exercise concerns, especially patients with cerebral hemorrhage, but also worried about the early activities will cause rebleeding. In fact, the chance of rebleeding caused by rehabilitation exercise is very small, as long as the blood pressure is stable and the movement is not violent, it will not cause rebleeding, and rehabilitation exercise starts too late to lose the role of preventing sequelae and complications. Some people think that the rehabilitation of stroke patients is meaningless after half a year, and the patient’s body functions will not be restored more after the exercise, which is also wrong. Many patients still have improved body functions 1 year after stroke, and if they do not persist in exercising, the recovered functions will often regress. Therefore, we advocate that once a stroke patient’s condition is stabilized, he or she can exercise to promote recovery.