Home rehabilitation treatment for cerebrovascular disease

  1.Walking exercise for hemiplegic patients with cerebrovascular disease Walking rehabilitation is an important step for independent living and a leap in the rehabilitation process. Early prevention of joint deformity and muscle atrophy, after planned exercise during the recovery period, enable patients to stand up in order to achieve independent living. (1) Preparation work should be done before walking, including psychological preparation and balance training. Psychological preparation:For patients who are seriously ill and bedridden for a long time, the mind should be prepared before walking to avoid mental tension. Balance training: start sitting on the bed, then sit on the edge of the bed with your legs down, then sit on a chair later, each time you can insist on 10 min, then practice standing balance, and finally walking practice. (2) Walking training includes standing training, stepping exercises and up and down step exercises, pay attention to each step should be gradual, do not be too hasty, the beginning have to have an assistant to assist, strictly prevent falls. If the patient’s blood pressure is more than 200/120mmHg or less than 80/50mmHg, and there is often headache and dizziness, the exercises should not be performed.  2, rehabilitation of language disorders Patients with cerebrovascular disease can cause various types of language disorders, rehabilitation of language disorders is a very important part of the rehabilitation of patients with cerebrovascular disease, rehabilitation medical treatment for aphasia has rehabilitation therapy for speech loss and auditory language stimulation therapy, rehabilitation therapy for language loss includes: (1) training patients to use the larynx to make “ah ” sound, or induce articulation by coughing, or induce articulation by blowing matches with the mouth, especially the latter is easier to induce articulation, because the lip sounds of aphasic patients are most easily recovered. (2) Let patients listen to the first half of commonly used sentences and make them say the second half. Patients who can pronounce words can pronounce them in front of a mirror with the help of medical staff. Patients who are able to pronounce the words with the help of medical staff can pronounce the words in front of a mirror. First, let the patient pronounce the words and say the words with the help of the next person, and later let the patient pronounce the words and say the words by himself, from easy to difficult, from long to short. Auditory language stimulation therapy, repeated sensory stimulation is an indispensable method to promote the integration of the nervous system. Specifically, auditory language stimulation therapy can be divided into functional training of the dictating muscles, language stimulation training and training for patients with special complications such as visuospatial disorders and dysarthria. The language stimulation training includes auditory language finger charting, repetition, auditory language word pointing, naming, word reading and writing.  Cerebrovascular patients with mild, moderate or severe hemiparesis, such as those with clear consciousness and no serious brain dysfunction, are involved in independent daily living exercises so as to gradually get rid of the care of family and medical personnel and live independently. Patients with severe paralysis and severe aphasia, although they are clear, their intelligence, memory and comprehension are diminished. Exercise can help them to eat from the mouth, urinate and defecate on time, turn over by themselves and other daily activities, so that they can live independently and prevent pneumonia, bed sores and urinary tract infections, and pay attention to strengthening nutrition for the purpose of prolonging life. Patients with moderate hemiplegia can include getting up, dressing and washing. Patients with mild hemiplegia can bathe, walk and take care of household chores. Guidance from health care professionals and assistance from family members are necessary in the exercise of daily living movements. Patients are disengaged from the assistants only when they are able to live independently.  During the rehabilitation of cerebrovascular patients, it is important to regularly check blood lipids and blood glucose and control them within the normal range, actively treat cardiogenic diseases, eat a reasonable diet, maintain a good psychological state, quit smoking and alcohol, avoid overexertion, pay close attention to changes in the condition, and actively treat any changes.