Passive motor training for stroke hemiplegia

  Passive motor training for stroke hemiplegia. In the acute phase of stroke when the limb on the paralyzed side has no voluntary movement at all, passive training to prevent joint contracture and deformation should be performed. First of all, the functional position of the limb should be maintained, with the shoulder joint abducted 50 degrees, internally rotated 15 degrees and flexed 40 degrees, so that the elbow is level with the forehead and the thumb points to the nose to prevent inversion and internal rotation deformity; the elbow joint is flexed 90 degrees, and the straightened position can also be changed to prevent flexion and extension deformity; the wrist joint is dorsiflexed 30 to 45 degrees in the middle position, and the fingers are mildly flexed; the hip joint is straightened, and a sandbag or pillow can be placed on the outside of the leg to prevent lower limb The knee joint is straightened to prevent flexion deformity; the foot is 90 degrees from the calf to prevent foot prolapse and valgus deformity.  The passive activities of each joint should be carried out as early as possible, starting on the second day for patients with cerebral infarction and after the condition of patients with cerebral hemorrhage has stabilized. Thumb abduction, encircling and the rest of the four fingers, a total of about 5 minutes; hip external booth, internal position, internal and external rotation, a total of 2 to 3 minutes, 2 to 3 times in each direction; knee flexion, extension, rotation, rotation, etc., a total of 2 to 3 minutes; ankle plantar flexion, plantar extension, encircling, etc., a total of 3 minutes; toe joint flexion, extension and encircling activities, a total of 4 to 5 minutes. Each joint should be moved passively, 3 to 4 times a day.