Common sequelae of cerebral hemorrhage and rehabilitation exercise methods

  Cerebral hemorrhage is a common disease, but also a disease with a very high rate of disability and death, and its common sequelae are: 1. The most common sequelae of cerebral hemorrhage is hemiplegia, which is manifested as a loss of muscle strength, unfavorable activity or complete inability to move one side of the limb, often accompanied by sensory impairment such as hot and cold, pain and other sensory loss or complete ignorance. Sometimes it can also be accompanied by ipsilateral facial palsy and visual field loss.  2, mental and intellectual disorders: larger or multiple recurrence of cerebral hemorrhage accident, can be left with mental and intellectual disorders. Such as personality changes, negative pessimism, depression, depression, agitation, etc.  3, aphasia: cerebral hemorrhage sequelae type aphasia mainly includes three aspects: (1) motor aphasia is manifested as the patient can understand the words of others, but can not express their own meaning; (2) sensory aphasia is no language expression disorder, but can not understand the words of others, but also can not understand what they say, manifested as a non-answer, self-talk; (3) naming aphasia is manifested as seeing an object, can say its (3) Naming aphasia is manifested as seeing an object and being able to tell its use, but not being able to call it by name.  (4) Other symptoms: Other symptoms of cerebral hemorrhage sequelae include headache, dizziness, nausea, insomnia, dreaminess, inattention, tinnitus, blurred eyes, excessive sweating, palpitations, unsteady pace, neck pain, fatigue, weakness, loss of appetite, memory loss, dementia, depression, etc.  The main methods of rehabilitation exercise for cerebral hemorrhage sequelae are: 1. Functional exercise for facial palsy: use your thumb to press slowly from between the two eyebrows through the arch of the eyebrows, through the temple to the inner canthus of the eyes, and then down through the side of the nose, the nasolabial groove, the corner of the mouth to the angle of the jaw until it becomes hot and sore.  2, language function training: be patient and careful to practice word by word, when practicing, attention should be focused, emotionally stable, the pace of speech should be slow, first from the simple single word, word practice. Encourage the patient to talk with others boldly, which is also a way of language exercise.  (1) Massage and passive exercise: For patients who are bedridden in the early stage, family members should massage the paralyzed limbs to prevent muscle atrophy, and make passive exercises such as flexing and extending the knee, flexing and extending the elbow, bending and extending the fingers and other joints to avoid joint stiffness.  (2) Strength exercise: the patient should be assisted to sit on a stool and chair and do activities such as lifting the leg, extending the knee and standing on the object, moving the body to the left and right sides, squatting, etc. He can also step in place, take turns to lift the two legs, hold the edge of the table, the edge of the bed, etc. to move to the left and right sides and walk forward with a cane in one hand. Exercise, should intentionally make the affected limb weight-bearing, but pay attention to the amount of activity should gradually increase, mastering time should not be overworked. At the same time, the upper limb of the affected side can be lifted flat, elevated, uplifted and other exercises. You can take the initiative to flex and extend your arm, extend and flex your wrist, put your fingers together, and grasp ping pong balls and small iron balls. After being able to walk on their own, they raise their legs when walking, do straddle gait, and gradually carry out movements such as crossing the threshold, walking on slopes, going up and down stairs, and gradually lengthening the distance.  (3) Flexibility and coordination: The main exercise for the upper limbs is to train the flexibility and coordination of both hands, such as combing hair, dressing, unbuttoning, washing face, etc., as well as participating in activities such as playing table tennis and shooting a ball, so as to gradually achieve self-care in daily life. Lower limb exercise can be done by having the patient sit on a stool and roll back and forth on a bamboo tube.  (4) Training in activities of daily living: such as the ability to eat and drink independently, how to dress and undress by oneself, how to perform personal hygiene and cleanliness, self-reliance in defecating, bathing, doing housework, etc. In addition to motor rehabilitation, attention should be paid to calculation, synthesis, reasoning, cognitive, psychological, vocational and social rehabilitation.  Functional rehabilitation should be accompanied by reliable preventive medication, especially blood pressure control, and if possible, hyperbaric oxygen, acupuncture, massage, etc. Note that in addition to building up the patient’s confidence in rehabilitation, the accompanying family members should also have patience and perseverance, and should not be too hasty or bored to resume the heart and give up halfway. As long as the rehabilitation training is adhered to, most of the post-stroke paralysis patients can receive relatively satisfactory results.