Cerebrovascular disease is commonly known as stroke, including cerebral hemorrhage, cerebral infarction, subarachnoid hemorrhage and a series of cerebrovascular diseases. According to statistics: China’s annual new stroke of nearly 2 million people, each year died of cerebrovascular disease of about 1.5 million people; the survival of the patient about (including those who have been cured) 6 to 7 million; and about 75% of the survivors become disabled, recurrence rate of up to 41% within 5 years. High mortality, high disability and high recurrence have become the most typical features of these diseases. Hemiparesis, dysphagia, language impairment, cognitive impairment, vascular dementia, etc. are the most common sequelae of stroke; at present, the only effective method for the treatment of these sequelae is comprehensive rehabilitation therapy, early, formal and comprehensive rehabilitation therapy can not only maximize the recovery of the patient’s limb function, language function, but also maximize the improvement of the patient’s daily life ability, reduce the burden of family care, and maximize the recovery of work ability. It can also maximize the patient’s daily life ability, reduce the burden of family care, maximize the recovery of work ability, and eventually return to the family and society in a normal way. However, the wrong rehabilitation treatment is not only useless to the patients, but also very harmful, the following are the major misconceptions of stroke rehabilitation. Myth 1: No need to do rehabilitation, injection and medication can cure hemiplegia The best way to treat stroke hemiplegia, can’t speak, can’t eat is to take injections and medication, most of the Chinese people basically think so, and take it for granted that there is a disease that needs to be injected with medication in order to be cured, and even the doctors and nurses including those from the Department of Neurology, the Emergency Department and the Department of Neurosurgery of large hospitals are all of this opinion. In fact, for cerebral infarction, if the cerebral blood vessel blockage causes brain cells to persist in ischemia for more than 6 hours, irreversible necrosis will occur, and now there is no drug that can save these brain cells, that is to say, injections and medications have no effect, but of course, the acute phase of some of the medications, such as dehydrating medications, antiplatelet aggregation of medications, regulating lipids of drugs to prevent the patient from re-emerging, stabilizing the Sickness is effective, but also necessary, in the disease within 6 hours can also be thrombolytic therapy, which is currently the best way; and cerebral hemorrhage there is no drug can be cured. Rehabilitation therapy is currently the only effective method for the sequelae of stroke hemiplegia, aphasia, dysphagia, etc., which is clinically proven, foreign countries have long been popularized, foreign patients who have had a stroke 7 days after the hospital rehabilitation department should be transferred to the rehabilitation department for rehabilitation, about a month after the transfer to the community rehabilitation centers for further rehabilitation treatment. China’s slow development of rehabilitation medicine, the vast majority of areas do not have community rehabilitation centers, and even most hospitals do not have a rehabilitation department, coupled with the people have no concept of rehabilitation, resulting in a stroke not to go to the rehabilitation training, but rather a shot of medicine, the result is a mess of treatment, spending money in vain, on the recovery of the recovery does not help at all. Myth 2: Rehabilitation should wait until the after-effects period to start A lot of stroke patients and their family members have the wrong idea that rehabilitation should be started only after the after-effects period, one month after the disease, or even three months after the rehabilitation treatment. In fact, the earlier the formal rehabilitation training starts, the better the rehabilitation effect, but many people miss the best time for rehabilitation (within three months of the onset of the disease) because of this view. As a matter of fact, no matter whether the patient has cerebral hemorrhage or cerebral infarction, as long as the condition is stabilized, the rehabilitation training can start. Generally speaking, patients with cerebral infarction can be rehabilitated after 48 hours as long as their consciousness is clear, vital signs are stable, and their condition is no longer developing, and the amount of rehabilitation can be gradual from small to large. Most of the cerebral hemorrhage rehabilitation can be started 7 to 14 days after the disease. Myth 3: Rehabilitation is very simple, is to move the arm, pull the leg This is the most serious error. Rehabilitation training must be under the guidance of rehabilitation physicians, rehabilitation therapists and rehabilitation nurses and other professionals, according to the specific circumstances of each patient, and then develop a targeted treatment program, by the therapist in accordance with the steps of the training, the specific can be accurate to each muscle, each action of the training, are not arbitrary, otherwise, there will be problems, such as a lot of patients have a shoulder joint subluxation, shoulder joint subluxation, shoulder joint subluxation, shoulder joint subluxation, shoulder joint subluxation, shoulder joint subluxation, and so on. For example, many patients have shoulder subluxation, shoulder pain, shoulder-hand syndrome and other problems, which is not in accordance with the requirements of the rehabilitation physician and therapist to do due to, and the consequences are very serious, because once the shoulder-hand syndrome, basically said that the patient’s arm, this hand on the crippled. Therefore, rehabilitation therapy should not be carried out on your own initiative, but in accordance with the instructions of doctors, therapists and nurses. Myth 4: Excessive force causes joint damage When the body’s sensory function and muscle tone is normal, the movement of the limbs will be instinctively self-protection. For example, an elderly due to the aging of the ligaments and joint capsule, usually the arm forward when lifting the shoulder joint range of motion can only reach 150 degrees. If the arm continues to be lifted upward by an external force, shoulder pain will be felt, and at the same time there will be reflexive contraction of the muscles to counteract the inappropriate movement. This is self-protection. If the protective mechanism is no longer present and the shoulder joint is allowed to be pulled by an external force to a range of motion that is normally unattainable, the muscles, tendons, and other tissues around the joint will be injured, and stroke hemiplegics are in such a state early in their illness. If family members or untrained caregivers care for the patient and hope that he or she will regain his or her motor function as soon as possible, and hastily help him or her to do too much passive movement when the affected limb cannot do all kinds of movement actively, it is very easy to cause the patient’s soft tissue injury, and even dislocation of the joints and bone fracture. Although some of the injuries are relatively minor, and redness, swelling, bruising and other phenomena cannot be seen from the outside after the injury, these injuries can unknowingly cause chronic inflammation and adhesion within the joints. Such injuries most often occur in the shoulder and hip joints. Myth 5: Repeatedly practicing spasticity aggravation Many patients know the importance of rehabilitation training, but also very hard work hard exercise, but to pay attention to the method, the method is not right, it will only be futile, or even harmful. Most hemiplegic patients paralyzed side of the limbs will appear muscle spasm, appropriate rehabilitation training can make this spasm is relieved, so that the limb movement tends to be coordinated. However, if the wrong training method is used, such as practicing forceful grasping with the paralyzed hand, it will aggravate the muscle spasm of the affected upper limb that is responsible for joint flexion and make it difficult for the fingers to open, which in turn will form a more serious obstacle to the recovery of hand function. Hemiplegia is not only a problem of muscle weakness, but also an important cause of motor dysfunction due to uncoordinated muscle contraction. Therefore, rehabilitation training should not be mistaken as strength training. Myth 6: The sooner you walk on the ground, the faster and better your recovery will be. Normal people walk when the joints of the lower limbs extend and flex in a coordinated sequence according to a certain pattern, alternately completing the actions of supporting the body and taking steps. If a hemiplegic patient is rushed to start walking without reasonable training, a typical hemiplegic gait will appear. Normal people can coordinate the flexion of hip, knee and ankle joints to the appropriate angle when they need to step forward, thus “shortening” the length of the lower limb on that side and lifting the foot off the ground easily. On the other hand, hemiplegic patients have all joints in a rigid state, and the toes of the feet droop, which makes the affected limbs “lengthened”, and it is difficult to lift them off the ground, and they can only use the force of tilting the torso to the opposite side and lifting the pelvis to pull the lower limbs upward with great effort. The amplitude of this pulling up is very limited, and it still cannot make the lower limb step forward smoothly, and it needs to make an arc to the outside and then fall back to the front of the body. This is the “circle” gait commonly seen in hemiplegic patients, which is a typical manifestation of the misuse syndrome. The root cause is that improper training aggravates the spasm of the muscles responsible for the extension of the joints of the lower limbs, making it difficult to complete the joint flexion movement. If regular rehabilitation training can be started at the early stage of hemiplegia, and walking training can be carried out on the basis of motor coordination of the affected limbs, a walking posture closer to normal can be formed and walking efficiency can be improved.