The choice of rehabilitation training for hemiplegic patients is based on the limb’s flaccid paralysis stage, co-motor stage, spasticity stage, recovery stage, etc. They should be treated with symptomatic care of the good limb position, hemiplegic comprehensive training and prevention and treatment of complications, respectively.
1. If hemiplegia belongs to the soft paralytic stage or the condition is not stable in the bed-ridden stage, the main focus is on the placement of the good limb and the prevention of complications such as decubitus ulcers, crushing pneumonia, deep vein thrombosis of the lower limbs, etc., and physiotherapy such as regular turning, vibration and expectoration, and pneumatic therapy can be given the main focus.
2. When the paralyzed limb belongs to the co-motor stage, and obvious muscle contraction is seen in the affected limb or muscle strength is gradually recovered, passive or active limb training is needed, and the rehabilitation of the affected limb is carried out according to Bobath’s theory, PNF theory, and Root’s technique, etc., which induces and strengthens the active movement and inhibits the erroneous movement pattern.
3. Along with the recovery of muscle strength, or the cause of the lesion, the muscle tone gradually increases, and in the limb spasticity stage, if the muscle tone is too high to affect the normal limb activities or to form muscle spasm, the spasticity should be relieved by using spasticity instrument, muscle pulling technique, oral muscarinic medication such as baclofen, and so on.
4. When hemiplegia is in the recovery period and muscle strength is further recovered, balance training, gait training and homework training can be started gradually to improve active control of limbs and self-care ability in daily life.
If hemiplegic patients need rehabilitation training, they should go to the hospital and have their rehabilitation indexes assessed by the doctor and a treatment plan formulated.