Recovery period (1st to 3rd month post-op)
Recovery focus goals
1.Mental recovery: to treat the child’s inferiority complex, emotional depression, “fright, fear, fear” and other problems caused by surgery and anesthesia.
2. Physical recovery: to solve the problems of weak resistance and poor tolerance of the child and the impact of general anesthesia and surgery on the body.
3.Adjust muscle morphology, improve blood circulation and muscle tension reflex.
4.Improve muscle strength, muscle tone, excitability, fatigue resistance, etc., so as to lay a good foundation for the rehabilitation of the ascending period.
5.Prevent joint edema and ligament adhesions.
6.Goal: muscle strength recovery to 2+～3 levels; muscle tone decrease amplitude 0.5～1 level.
Key rehabilitation treatment items.
Main rehabilitation devices.
Suspension; plate; standing frame; quadriceps trainer; hip abduction and adduction orthosis; lower limb joint exerciser.
Main physical therapy items.
1.Wax therapy, ultrasound, ultrashort wave, extracorporeal antibo, medium frequency, biofeedback, etc;
2.Acupuncture, Tui Na, Chinese medicine foot soak;
3.PT.
Special attention.
1, 1 to 2 months after surgery, can not go down to the ground, only in bed or equipment training.
2.In the 3rd month, you can do plate standing training.
3.Normal muscle strength is grade 5 and muscle tone is grade 1.
4.The training intensity should not be too high to avoid mechanical injury to tendons, muscles, incisions and joints.
5.Nutrition must be strengthened and scientific meal preparation.
6.Physicians need to select and adjust physical therapy items and rehabilitation equipment according to the rehabilitation evaluation.
Progressive period (4th-6th month after surgery)
Rehabilitation focus goals.
1.Consolidate the rehabilitation effect of the recovery period.
2.Regulate motor muscle tone: ensure continuous and smooth muscle movement (no trembling, twitching and spasm), so that the stability and flexibility of the body can be well improved.
3.Rapidly improve muscle strength: improve the coordination and balance of the body, and lay the foundation for walking.
4.Goal: muscle strength recovery to 3-4 level; muscle tone decline amplitude 0.5 level; to achieve standing and squatting – walking with assistance – independent walking
Key rehabilitation treatment items.
Main physical therapy projects.
1.On the basis of the recovery period, add: cerebellar stimulator and magnetic vibration instrument;
2.Acupuncture and Tuina: continue to strengthen, individual patients can be twice a day;
3.PT: continue to strengthen, individual patients can be twice a day.
Main rehabilitation equipment.
Inclined plate; foot pedal; foot bicycle; four-combination trainer; Others: Physicians select and adjust rehabilitation equipment according to the rehabilitation evaluation.
Special attention.
The physician increases the intensity, frequency and duration of training moderately according to the physical recovery of the child.
Strengthening period (7th-9th month after surgery)
Rehabilitation focus goals.
1.Training muscle power (explosive power): impedance training (including isometric training, isometric training and isotonic training)
2, correction of walking gait and posture
3, the goal: muscle strength recovery to 4 ~ 4 + level; muscle tension decline of 0.5 ~ 1 level or close to 1 level (normal); restore the normal gait and walking posture, so that the walking to achieve isometric, isometric speed.