Recovery time from stroke and abnormal hemiplegic patterns

Time to start rehabilitation for stroke. As long as the condition of ischemic stroke is stable, early rehabilitation can be started after 48-72 hours. Rehabilitation therapy for hemorrhagic stroke can be started relatively later than that for ischemic stroke, but bed rest should not be more than two weeks, and the earlier the better, depending on the condition, or else there will be a “useless state”, such as muscle atrophy, osteoporosis, reduced responsiveness of the nervous system, deterioration of cardiovascular function, etc., and even deep venous thrombosis, decubitus ulcers, joint contracture deformity and other serious problems. Even deep vein thrombosis, decubitus ulcers and joint contracture deformity are serious problems. Recovery pattern of hemiplegia Brunnstrom’s 6-stage theory Stage I: flaccid paralysis, no muscle movement. Stage II: palpable muscle activity, joint reaction, spasticity at the beginning. Stage III: Co-movement can be elicited at will, spasticity further aggravates and reaches a peak. Stage IV: spasticity is reduced, and separation movement begins to appear. Stage V: spasticity is significantly reduced, detached from the co-motor pattern, and adequate separate movements can be performed. Stage VI: spasticity basically disappears, and coordinated and rapid movements can be performed. The common movement pattern of hemiplegia The common movement pattern of upper limb is dominated by flexor muscle pattern, which is manifested as scapular retraction, elevation, shoulder joint posterior extension, abduction and external rotation; elbow flexion, forearm rotation, wrist and finger flexion. In the lower limbs, the extensor co-movement pattern was dominant, manifested by hip adduction and internal rotation; knee extension; and ankle dorsiflexion and internal rotation.