Shoulder dislocation care after cerebral infarction includes postural care, appropriate use of shoulder sling, Bobath’s handshake, weight-bearing training and so on.
1. Positional care: when the affected side is lying down, the upper limb of the affected side should be stretched forward, the forearm rotated and the wrist extended dorsally, so as to make the scapula of the affected side stretch forward; when the healthy side is lying down, the upper limb of the affected side should be supported by pillows in front of the body, and be lifted up by 100°, so as to prevent oedema; when the patient is lying down in the supine position, the affected side should be padded up under the shoulder, so as to make the scapula stretch forward.
2. Appropriate use of shoulder sling: in the early stage of recovery of upper limb muscle strength of the patient, shoulder sling should be worn in daily life and training as appropriate, which can avoid upper limb dropping and prevent excessive pulling of shoulder joint.
3. Bobath handshake: Instruct the patients to perform Bobath handshake to control spasm and move the shoulder joints, the main points of the action are palms of both hands are opposite to each other and fingers are crossed, in supine position or sitting position, use the healthy side to drive the affected side of the upper limb upward, so as to make the shoulder joints fully extended forward and keep the elbow joints straight, and then slowly put both upper limbs back to the abdomen.
4. Weight-bearing training: after the shoulder and elbow joints can be flexed and extended independently, the palm of the affected side is placed slightly outward at the hip level, the elbow joint is straightened, and the body is slightly tilted to the affected side, so that the affected limbs are weight-bearing for 5~10 minutes each time.
Timely and effective care and rehabilitation measures after shoulder dislocation in patients with cerebral infarction can effectively restore the function of the upper limb and improve the ability to live. It is recommended that patients with shoulder dislocation after cerebral infarction actively cooperate with nursing and rehabilitation treatment, which can help maximize the recovery of limb function.