How can I recover reasonably from a stroke?

  Modern rehabilitation medicine believes that the rehabilitation of the motor function of the hemiplegic limbs in stroke depends on the promotion of the nerve channel between the higher nerve center of the brain and the limbs, and the establishment of this channel can only be accomplished by the continuous and effective stimulation of the limbs. Therefore, stroke patients should start rehabilitation exercise as soon as their condition is stable (usually 3~5 days after the onset of stroke).  Initially, a bystander can help the patient to carry out passive activities on the joints of the hemiplegic limbs, massage and lift the muscle groups, and let the patient practice turning over and sitting up, then gradually transition to practice standing, walking with objects and grasping objects with hands, and let the patient slowly learn daily activities such as washing, brushing teeth, dressing, eating and going to the toilet.  Chinese medicine often says that the body should be nourished by stillness, but for stroke, it is not possible to be still, which will not only aggravate the symptoms of stroke but also lead to a variety of syndromes, so it is not advisable for stroke patients to be still. When caring for a stroke patient, it is important not to be too hasty. It is important to cooperate with the treatment of stroke and carry out reasonable rehabilitation training. The patient will gradually regain the ability to take care of himself.  So, since it is said that resting is not advisable, when is the most appropriate time for rehabilitation exercises for stroke patients? This is a question that many patients and their families are concerned about. Because there are too many concerns sometimes delay the best time for rehabilitation exercises, understanding the best time for rehabilitation exercises also plays a big role in preventing stroke complications.  In fact, when a stroke patient has passed the danger period, he can enter the rehabilitation exercise stage. At this time, patients mainly use certain ways of exercise to promote the functional recovery of paralyzed limbs, prevent contractures of paralyzed limbs, improve physical health, prevent complications, and make patients treat the disease with a positive attitude and improve their mental state. The main methods used are massage, passive exercise with the help of others and active exercise with the patient’s own participation.  Although we have always advocated that the earlier the rehabilitation exercise, the better, patients and family members are often still apprehensive about early exercise, especially for patients with cerebral hemorrhage, who are worried that early activity may cause rebleeding. In fact, the chance of rebleeding caused by rehabilitation exercises is very small. We concluded that rehabilitation exercises for patients with cerebral hemorrhage will not cause rebleeding as long as the blood pressure is stable and the movements are not violent, while rehabilitation exercises start too late to lose the role of preventing sequelae and complications.  There are also people who think that the rehabilitation of stroke patients is meaningless after half a year, and the patient’s body function will not recover more with further exercise. Many patients still have improved physical function 1 year after stroke, and do not insist on exercise, the function that has been restored often regresses.  In addition, some patients with other organ pathologies such as hypertension and coronary artery disease worry that exercise will cause blood pressure fluctuations and heart attacks. In fact, the symptoms of stroke rehabilitation exercise is gradual, as long as you avoid overexertion and excessive force, generally will not have these situations.