What are the common rehabilitation treatments for stroke hemiplegia?

1.Massage and passive exercise For early bedridden patients, family members should massage their paralyzed limbs to prevent muscle atrophy, and make passive movements such as flexion and extension of knees, flexion and extension of elbows, and bending and extension of fingers to avoid stiffness of joints. Patients who can move a little can do activities such as leg lifting, knee extension and standing with the help of others on a stool and chair to prevent cardiovascular decompensation. 2, gradually open walk and do upper limb exercise After the basic consolidation of the above stage, you can often do something to hold things to stand, the body to the left and right, squatting and other activities; can also step in place, take turns to lift both legs, holding the edge of the table, the edge of the bed, etc. to the left and right side to move walking, one hand to support people and one hand holding a cane to walk forward. 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, elevated, uplifted and other exercises to improve blood circulation, eliminate swelling, flat bed can take the initiative to flex the arm, wrist extension and flexion, and together, propping up fingers, hand grasping ping pong balls, small iron balls, etc. 3, gradually strengthen the functional exercise, to achieve self-care After being able to walk on their own, walk with the leg elevated, do straddle gait, and gradually cross the threshold, walk on the slope, up and down the stairs and other exercises, gradually lengthening the distance; patients with better recovery of the lower limbs, can also run small distances. For the upper limbs, the main exercise is to train the flexibility and coordination of both hands, such as combing hair, dressing, unbuttoning, planning to write, washing face, etc., as well as participating in activities such as playing table tennis and shooting leather ball, so as to gradually achieve self-care in daily life. In addition to functional rehabilitation exercises, reliable medication should be adhered to, and acupuncture and massage can also be used. Note that in addition to building up the patient’s confidence in recovery, the accompanying family members should also have patience and persistence, and should not be too hasty or bored and discouraged to give up halfway. As long as adhere to the majority of ischemic stroke patients can receive the desired results. 4.Movement exercise (1)Washing action: wash face, rinse mouth and comb hair with the healthy hand at the beginning, and then gradually use the affected hand to assist the healthy hand. (2) Dressing action: the clothes should be wide and soft, and the style should be simple. When dressing, wear the paralyzed side first, then the healthy side, and when undressing, take off the healthy side first, then the affected side. The order of putting on the pants is the same as putting on the top. (3) Bathing action: Initially, someone must assist, shower or tub bath is acceptable, bathing time should not be too long, gradually increase the number of times, and then gradually let the patient try bathing alone. (4) Eating action: Feeding should be practiced in the early stage of the disease, then gradually try to feed oneself, and semi-liquid is also appropriate in the recovery period, and gradually move towards normal diet. Those with swallowing difficulties should use nasal feeding, and later can practice self-mouth feeding with nasal feeding tube. Still use liquid or paste diet, and remove the nasal feeding tube only when there is no choking and coughing or reflux when eating. (5) Defecation training: If there is constipation, urinary retention or urinary and fecal incontinence, the patient needs to be treated accordingly. Patients usually defecate in bed at an early stage, and are assisted by family members or trained in relevant movements, and then are left to take care of themselves. (6) Household work: On the basis of partial self-care, patients can engage in simple household work, such as folding quilts, washing dishes, opening and closing doors and windows, or sunbathing outdoors, planting flowers, etc. Ischemic stroke rehabilitation exercise method. Stroke is a chronic disease caused by multiple causes, diet and other home care rehabilitation measures will play a role in supporting drug therapy, but not for the cause of the role of treatment, so the most critical rehabilitation methods for chronic diseases such as stroke is the scientific prevention and treatment of drugs for the cause, to improve the symptoms of stroke at the same time, to reduce the high recurrence rate of stroke. 5, language training There is a stimulation therapy, that is, through the verbal stimulation of various senses, for example, to learn the word “apple”, you can write out the apple, read out the apple, present the apple, and finally can taste the apple taste, multi-sensory stimulation, repeated stimulation, to have enough listening stimulation. If necessary, the elicited responses can be corrected, encouraged, and praised so that they are reinforced. Patients should be trained in four aspects: listening, speaking, reading and writing, from simple to complex, from easy to difficult, from words and phrases, short sentences to long sentences, in a gradual manner. For example, patients with cerebral infarction have dysarthria, difficulty in finding words, difficulty in expressing statements, difficulty in listening comprehension, and difficulty in reading or writing. Training can also be done in these areas. Rehabilitation training is needed during the recovery period of cerebral hemorrhage, and improving blood circulation through massage is useful for patients’ limbs. Such as finger joint flexion and extension exercises, the patient’s affected elbow joint flexion 90 degrees, the family fixed one hand on the affected wrist, the other hand to hold and the affected fingers, to carry out adequate passive metacarpophalangeal joint flexion and extension training, but also the proximal segment, the distal interphalangeal joint flexion and extension exercises. Flexion and extension of the wrist joint and lateral deviation exercises: the patient’s elbow joint on the affected side is flexed and extended by 90 degrees, the family member fixes one hand on the forearm near the wrist joint, and the other hand holds the metacarpophalangeal joint, passively flexing and extending the affected wrist joint and passively ulnar deviation and radial deviation activities of the affected wrist joint. In severe cases, it is recommended to take medication to unblock the meridians and activate blood circulation and remove blood stasis. Hands can hold fitness circle or hand ball, walking can be slowly exercise, and so on after some good practice walking similar to fashion steps, that is, two feet forward, the pace in a straight line. After walking steadily, you can practice jogging. Family members should now be mandatory not to help, in order to exercise the patient’s ability to take care of themselves. This is how the hospital’s rehabilitation department does it.