Rehabilitation training for patients with cerebral hemorrhage is mainly based on different periods.
1. Acute period: usually refers to 1~2 weeks after the onset of the disease, the training includes body position and placement of the affected limbs, turning over every 2 hours, passive activities of hemiplegic limbs, and some bedside activities, such as cross-handed grip lifting exercises, turning over and bridge exercises.
2. Subacute phase: 3 ~ 4 weeks after the onset of hemiplegia, the training includes bed and bedside activities, such as upper limb lifting exercises, bedside sitting and bedside standing exercises. Other training includes seated training and seated balance training, standing activities and standing balance training, up and down steps training, parallel bar walking training, as well as eating, changing clothes and other homework activities and speech therapy training.
3. Recovery period: generally refers to 1 ~ 6 months after the onset of the disease, including therapeutic activities for the upper and lower limbs and hands, such as mandatory exercise therapy, writing exercises, dressing and undressing of pants and shoes and socks, housework activities, community walks and other occupational therapy, as well as cognitive function training and other rehabilitation therapeutic activities.
4. Rehabilitation treatment in the sequelae period: the damaged functions will not be significantly improved for a considerable period of time, some 6-12 months after the onset of the disease, mostly 1-2 years after the onset of the disease. The recovery of residual and existing functions, i.e. compensatory functional training, should be strengthened, including the application of orthopedic devices, walking frames and wheelchairs, etc., as well as environmental modification and necessary vocational skills training.
Patients with cerebral hemorrhage should go to the hospital in time and actively cooperate with doctors in early treatment to promote the recovery of limb function and improve the ability of self-care.