Rehabilitation of cerebrovascular disease

  Cerebrovascular disease is a general term for brain diseases caused by various vascular origin etiologies. Epidemiological research studies have shown that cerebrovascular diseases, together with heart disease and malignant tumors, currently constitute the three leading causes of death from human diseases. Cerebrovascular diseases are divided into two categories: hemorrhagic and ischemic. Ischemic cerebrovascular diseases are divided into cerebral infarction, TIA, and cerebral embolism. Hemorrhagic diseases are divided into cerebral hemorrhage, subarachnoid hemorrhage and so on.  In Chinese medicine, it is called “stroke”, which is characterized by sudden fainting, paraplegia, distortion of the mouth and eyes, and speech with a clear voice or no speech. It is characterized by rapid onset. It is also called “stroke” because of its rapid onset and rapid change. Because of the rapid onset of the disease, it is “like a rock in the midst of a vector, like the rapidity of a storm.” The clinical symptoms vary and are similar to the characteristics of the natural world “wind is good at moving and changing”, so the ancient doctors took the analogy and named it “stroke”, which started in the Han Dynasty in “The Essentials of the Golden Horoscope” and has been called “stroke” since then. The disease is more likely to occur at the age of 40 or above. Before the onset of the disease, there are mostly aura symptoms such as dizziness, headache and numbness on one side of the limbs. There is often a history of dizziness, headache, palpitations, etc. The onset of the disease is mostly triggered by emotional disorders, improper diet, or exertion.  For the prevention of cerebrovascular disease, epidemiological studies have established interventional risk factors such as hypertension, hyperlipidemia, diabetes, smoking, asymptomatic carotid lesions, and sickle cell anemia; risk factors to be further confirmed include obesity, lack of exercise, increased fasting glucose, malnutrition, alcohol abuse, homocysteinemia, drug abuse, hypercoagulable states, estrogen replacement therapy or oral contraceptives, inflammatory process, sleep apnea, etc.  Cerebrovascular disease is a disease with a high mortality and disability rate, but early rehabilitation training can reduce its disability rate and degree of disability. Ninety percent of patients who underwent systematic formal rehabilitation training were able to resume walking, and 25 percent had basic restoration of upper and lower extremity function. Many patients’ families do not know that keeping the patient in a good posture during hospitalization can lay a good foundation for the patient to stand up and walk one day earlier, and they only know about the medication and the misconception that the medication is not used for nothing, so that the best rehabilitation period is lost.  Patients also have to start active training as early as possible. When the patient is conscious, the patient with cerebral infarction for 24 to 48 hours and the patient with cerebral hemorrhage for about a week, active rehabilitation training can be started. The best period for rehabilitation treatment is within three months, three months to six months is the effective rehabilitation period, more than six months is less effective, and more than two years, there is little hope for rehabilitation.  It is a multi-functional clinical discipline featuring traditional rehabilitation methods such as Chinese medicine, acupuncture, physiotherapy and pharmacotherapy, and at the same time drawing on the essence of modern medical technology, integrating functional assessment, physiotherapy and acupuncture treatment. In recent years, the Department of Rehabilitation has introduced international advanced treatment models and new concepts of international treatment, and has closely coordinated the work of rehabilitation physicians, nurses and rehabilitation therapists to provide all-round and whole-process rehabilitation treatment for each patient.  After years of efforts and struggles, the department has gradually formed its own characteristics and advantages in the field of neurological rehabilitation by combining traditional rehabilitation methods with modern rehabilitation for motor disorders, cognitive disorders, language disorders and swallowing disorders, and in scientific research. The department has advanced rehabilitation physiotherapy equipment, and also carries out free consultation and guidance. The purpose of the department is to enable every cerebrovascular patient to recover self-care and return to family and society as soon as possible.