Rehabilitation after cervical spine surgery–Chinese medicine rehabilitation

Rehabilitation training for cervical spondylosis patients after surgery is very important and directly affects their future work, study and life. After the traumatic reaction period of surgery, if the patient’s condition is stable, rehabilitation training can be started. (Lung complications are a common complication after cervical spine surgery. During the postoperative bed rest period, patients should be encouraged to carry out deep whistling and active sputum coughing training to prevent pulmonary atelectasis and lung infection, and should be encouraged to get out of bed as soon as possible when conditions permit. Patients with cervical spondylosis can get out of bed under the protection of cervical collar in 3-5 days after surgery, and the time of wearing cervical collar is generally 8 weeks. (The maintenance of cervical curvature of cervical spondylosis patients after surgery is of great importance to the effect of surgical treatment. Within 3 months after surgery, patients should lie down with pillows as much as possible; when lying on the side, they can put thin pillows to avoid excessive lateral flexion of the neck. For patients who underwent posterior cervical spine surgery, because the paraspinal muscles need to be peeled off during the operation, the power of cervical spine extension is weakened, so the strength training of the collar and back muscles should be carried out as early as possible after the operation to ensure the physiological curvature of the cervical spine. When cervical spine exercise is carried out, the position of both shoulders should be basically fixed. Specific programs are as follows: 1, cervical spine single movement The so-called cervical spine single movement refers to the running direction of the basic movements when performing cervical spine exercise. Cervical flexion: keep the body in a standing position, shut up, bow the head, lower jaw inward as close to the chest as possible, both eyes look at the chest; inhale with force, cervical flexor muscle to maintain tension, whistle cervical flexor muscle relaxation. Repeat the exercise several times and then return to the preparatory position. Cervical extension: keep the body in the standing position, shut up, raise the head, and look backward and upward as much as possible; exert oneself when inhaling, keep the cervical extensors tense, and relax them when exhaling. Repeat the exercise several times and then return to the preparatory position. Cervical extension there is another action, its action and the above requirements are basically the same, but only requires the practice of the mouth to be slightly open. Lateral flexion of the cervical spine: the head is tilted to the left (or right) side, and the eyes are looking forward; the lateral flexors of the cervical spine are exerted during inhalation, and relaxed during whistling. Repeat the exercise several times and then return to the preparatory position. Cervical rotation: head to the left (or right) side, eyes to the back of the same side. Exert when inhaling and relax when exhaling. Repeat the exercise a few times and resume the preparatory posture. The so-called cervical spine combination movement is to flex, extend, lateral flexion and rotation of the basic movements in order to carry out the two-two combination, the purpose is to pull different parts of the muscles and ligaments that are seldom exercised to improve the coordination of the cervical spine, so as to achieve the purpose of all-around exercise of the cervical spine. 3, cervical spine mixed movements The so-called cervical spine mixed movements, that is, a number of basic movements and combination of movements coherent practice, the main purpose is to improve the coordination of the cervical spine. (Most patients with cervical spondylosis have a decline in fine motor skills of both hands and walking ability of the lower limbs, and the corresponding functional training should be strengthened after surgery. Especially hand activities, such as finger-pairing, finger-splitting, grasping and other movements should be emphasized in the training. Walking ability should be gradually transitioned from walking with help to independent walking. At the same time, the patient should carry out homework therapy and self-care training.