How to recover from the aftermath of a stroke

  Stroke is the Chinese medical term for acute cerebrovascular disease. Due to the complexity of brain cells, although some sequelae may still remain after treatment, 90% of patients can regain the ability to walk and take care of themselves through active rehabilitation. Rehabilitation training should be carried out under the guidance of professional medical institutions after the condition has stabilized, and is mainly divided into limb function training, language rehabilitation, daily life training, occupational therapy and other treatment contents.  Limb function training: In the acute stage, attention should be paid to placing the paralyzed limb in a functional position to prevent contracture deformity of the limb, mostly in supine and lateral positions. When the patient’s condition is stable, active and passive limb movement training can be carried out, starting with simple flexion and extension, requiring adequate and reasonable activity, avoiding damage to muscles and joints, 2 to 4 times a day for 5 to 10 minutes each time. At the same time, bed training can be carried out to lay the foundation for standing and walking, such as: turning over, sitting up, sitting balance training, and double or single leg bridge training, and then balance training from sitting to standing position, with emphasis on the training of shifting the center of gravity to the affected side to lay the foundation for independent walking; at the beginning, walking should be supported by others, and gradually transition to walking alone, while paying attention to correcting problems when walking, such as timely correction of hemiplegic patients The posture of walking in circles. When training, take the initiative to make knee flexion and ankle dorsiflexion, and choose a light and tough crutch to assist walking.  Occupational therapy: Based on the recovery of limb function, occupational therapy can be carried out to enable the patient to return to society and participate in certain work as much as possible. This includes: maintaining and expanding the ability to live, enhancing muscle strength and muscle endurance, improving coordination and dexterity of movement, and training in the original occupational content.  Speech therapy: Using the mouth shape method to demonstrate the mouth shape to the patient, let them carefully observe the mouth shape changes of each sound, correct the wrong mouth shape for correct pronunciation and other training. Starting from simple numbers and sentences, and then gradually deepen complex statements, encourage them to communicate with their families frequently, create a good language environment for the patients, enhance their confidence, and gradually improve their language expression ability.  Daily life training: Through the training of daily life, the patient can live independently as soon as possible. The training should be expanded gradually from simple to complicated, from indoor to outdoor; firstly, patients should learn how to move around in bed, lie on their sides and sit up, and gradually extend to get up and get in and out of bed; then they should learn and apply crutch skills and get in and out of wheelchairs; finally, they should conduct self-life training, including washing, dressing, toileting, etc. The ultimate goal is to promote the recovery of limb function or to achieve self-care.  To sum up, although there may be many sequelae left after stroke, such as limb monoplegia, hemiplegia, aphasia, etc., the effect of drugs on these sequelae is very limited, while through active and regular rehabilitation treatment, most patients can achieve self-care and some can even return to work. Rehabilitation training is highly specialized, and the training of developed motor patterns is very important. It is best to go to a regular rehabilitation hospital for systematic rehabilitation.