How to rehabilitate stroke patients

       Many patients and their families have a serious misconception about the treatment of cerebrovascular disease, believing that the treatment of cerebrovascular disease is drug-based and that rehabilitation is optional. Research in rehabilitation medicine has shown that rehabilitation training is essential and that reasonable, scientific training within one year will benefit the patient for the rest of his or her life.  A significant proportion of patients with cerebrovascular disease can regain the ability to walk or walk with the aid of a cane after rehabilitation; nearly half of patients can regain hand function through early rehabilitation.  According to the Chinese Stroke Rehabilitation Guidelines, rehabilitation can be started as early as 72 hours after the stroke patient’s condition is stabilized. In general, recovery is most likely within 3 months, becomes less likely after 6 months, and is difficult after 1 year. Reasonable and scientific treatment can promote the establishment of cerebrovascular collateral circulation and improve cerebral ischemia, which can promote brain function reconstruction and restore brain function. Too late or unscientific treatment will delay the patient’s chance of recovery, and unscientific rehabilitation training may even aggravate the patient’s disability.  Rehabilitation includes three aspects: physical rehabilitation training, daily living ability training, and speech training. Rehabilitation training should be carried out under the guidance of professional therapists, according to the principles of individualized, gradual, and simple to difficult, with passive training as the main focus, and gradually transitioning to active training.  If the patient is awake, early training of daily living ability should be carried out, and the patient should be encouraged to use the healthy hand to drive the affected hand to wash face and brush teeth, eat, change clothes, etc., with as little help from others as possible. Family members should strengthen non-verbal communication with the patient at an early stage, such as smiling and hugging, while speaking about the patient’s most concerned issues, so that the patient has the desire to speak, and then communicate with the patient verbally, step by step, to enhance the patient’s confidence in recovery.  The patient’s recovery is a hard process, and the patient has to re-familiarize himself with his body and regain control of his body like a child, which is a process full of frustrations and requires more care from family members.