Do not train blindly on your own for hemiplegia after cerebral hemorrhage!

  Cerebral hemorrhage (cerebral hemorrhage) is a common disease in our country, and hemiplegia (paraplegia) after cerebral hemorrhage has a huge impact on the patients themselves and their families.  Due to the lack of concept of rehabilitation medicine, or financial constraints, or the lack of local rehabilitation medicine department, some patients choose to do “training” at home by themselves – this is not the formal rehabilitation training in rehabilitation medicine, and is prone to the following problems (1) Inappropriate passive joint movements lead to joint damage.  The principle of passive movement of the joints of the limbs is not to exceed the normal range of motion of the joints themselves. Otherwise, it will not only cause pain, but also lead to ligament rupture and bleeding in the joint cavity. In the long run, chronic inflammation can develop, even causing joint capsule hypertrophy and joint contracture. The damage caused by excessive passive joint activity can also cause heterotopic ossification around the joint. Therefore, it is important to pay attention to the range and frequency of joint movement when doing passive joint activities.  (2) Premature walking training can lead to a circling gait.  If walking training is to be performed, one must be able to at least sit up and stand independently. Many patients and their families want to restore walking function as soon as possible so that they can take care of themselves and their families can be relieved. Therefore, they often forcefully help patients to practice “walking” when they are not yet able to stand independently. This not only fails to achieve the goal, but also leads to the appearance of a circling gait. Once it appears, it will take time, effort and money to correct it again.  (3) Replacing flexibility, skill and coordination training with muscle strength training, resulting in poor recovery of limb function.  Hemiplegia after cerebral hemorrhage is a complex loss of motor control, coordination, and fine motor functions, rather than a problem of one or two muscles. Therefore, training only the muscle strength of the affected limb cannot fundamentally promote the recovery of limb function.  To sum up, do not train blindly on your own for hemiplegia after cerebral hemorrhage!