I. Early stage
Rehabilitation goals.
1.Control postoperative pain and help reduce swelling
2.Full flexion and extension exercises of shoulder and elbow joints
3.Early muscle strength exercises
Precautions: 1.
1. Pay attention to the frequency of activities, avoid too fast
2. Avoid hand activities when moving the shoulder and elbow joints Weifang Medical College Hospital Rehabilitation Department Fu Haiyan
3. Avoid pain during the exercise, to the limit of slight pain
4. Centripetal massage
Main training content
1.Active lifting, abduction and rotation of the shoulder: the early stage should be done with the assistance of the healthy hand, and gradually over to active movement
2.Active flexion and extension exercises of the shoulder and elbow, with obvious muscle contraction: hold at the maximum angle for 5 seconds
3.rotation exercises of the forearm: depending on the situation, the pain should be mild
4.Hand centripetal massage: gentle massage from the distal end towards the heart to reduce swelling and pain in the affected limb
Second, medium-term
Rehabilitation goals.
1, gradually began to close to the joint mobility of the amputated finger exercises
2.Control the pain to a slight pain
3.Strengthening of muscle strength exercises
Caution.
1.Pay attention to pain control during training
2.Progressive angle, not overly aggressive
3, continue muscle strength exercises
Main training content: 1.
1.Continue the above rehabilitation treatment
2.Active palmar flexion of the joint near the amputated finger: do palmar flexion of the wrist joint with the assistance of the healthy hand, to the extent of slight pain, do not force to the maximum angle
3. Active dorsiflexion of the joint near the amputated finger: do dorsiflexion of the wrist joint with the assistance of the healthy hand, to the extent of slight pain, not forced to the maximum angle
III. Recovery period
Rehabilitation goals
1. Gradually resume normal joint mobility exercises
2.Control the degree of pain
3.Strengthening of muscle strength exercises
4.Strengthen the mobility of hand function
Precautions: 1.
1.Continue the above rehabilitation training
2.Pay attention to pain control during training
3.Progressive angle and gradual recovery to normal
4.Continue the exercise of muscle strength
Main training content.
1.You can start the full range of motion of the hand or some light weight-bearing exercises
2.When the hand joints can be flexed or moved by themselves, resistance training can be added
3.Strengthen the training of finger and hand joint flexibility
4.Strengthen the training of daily life activities
Note: General training should be done three months after surgery to restore muscle strength and joint mobility, and to take care of oneself without the assistance of others. The exercise process should be based on 3-5 minutes of pain.