Several misconceptions about hemiplegia rehabilitation

  The best way to treat stroke hemiplegia, inability to speak, and inability to eat is to take injections and medication. Most Chinese people basically think this way and take it for granted that they need to take injections and medication to be cured when they are sick, even doctors and nurses of neurology, emergency department, and neurosurgery department of big hospitals think this way. In fact, in the case of cerebral infarction, if the cerebral blood vessels are blocked causing irreversible necrosis of brain cells if the ischemia lasts for more than 6 hours, there are no drugs that can save these brain cells, that is, injections and medications are not effective. The disease is effective and necessary, and thrombolytic therapy can be performed within 6 hours of the disease, which is the best way; and there is no drug to cure cerebral hemorrhage.  1, rehabilitation treatment should wait until the sequelae period to start Many stroke patients and their families wrongly believe that rehabilitation treatment can only be started in the sequelae period, and that rehabilitation treatment can only be carried out one month or even three months after the disease. In fact, the earlier formal rehabilitation training starts, the better the rehabilitation effect will be, but many people miss the best time for rehabilitation (within three months of onset) because of this view. In fact, rehabilitation can be started as soon as the condition of a patient with cerebral hemorrhage or cerebral infarction has stabilized. Generally speaking, patients with cerebral infarction can be rehabilitated after 48 hours as long as their consciousness is clear, their vital signs are stable and their condition is no longer developing, and the amount of rehabilitation starts from small to large and progresses gradually. Most cerebral hemorrhage rehabilitation can be started 7 to 14 days after the disease.  2. Rehabilitation is very simple, that is, moving your arms and pulling your legs This is the most serious wrong view. Under the guidance of rehabilitation physicians, rehabilitation therapists and rehabilitation nurses, rehabilitation training must be carried out according to the specific situation of each patient, and then a targeted treatment plan should be formulated. For example, many patients have shoulder dislocation, shoulder pain, shoulder-hand syndrome, etc. This is the result of not following the requirements of the rehabilitation physician and therapist, and the consequences are very serious, because once the shoulder-hand syndrome occurs, the patient’s arm and hand will be crippled. Therefore, rehabilitation should not be done on your own initiative, but according to the instructions of the doctor, therapist and nurse.  3, excessive force causes joint injury When the body’s sensory function and muscle tone are normal, the movement of the limb will be instinctively self-protected. For example, due to the aging of the ligaments and joint capsule, the range of motion of the shoulder joint can only reach 150 degrees when the arm is raised forward. If the arm continues to be raised upward by an external force, he or she will feel pain in the shoulder, and at the same time the muscles will reflexively contract to counteract the inappropriate movement. This is self-protection. If the protective mechanism is no longer present, and the shoulder joint is allowed to be pulled by external forces to a range of motion not normally attainable, the muscles, tendons and other tissues surrounding the joint will be injured. Patients with stroke hemiplegia are in such a state early in the disease? s muscles are flaccid and paralyzed. If the patient’s family or untrained caregivers do too much passive movement when the affected limb is unable to do various exercises out of concern for the patient’s early recovery, it is easy to cause soft tissue injury and even joint dislocation and fracture. Although some of these injuries are minor and no redness, swelling or bruising can be seen on the outside, they can unknowingly cause chronic inflammation and adhesions within the joint. This injury most often occurs in the shoulder and hip joints.  4, repeated practice spasticity aggravation Many patients know the importance of rehabilitation training, but also very hard hard exercise, but to pay attention to the method, the method is not right, will only be futile, or even harmful. Most of the hemiplegic patients will have muscle spasms on the paralyzed side of the limb, and proper rehabilitation training can relieve such spasms, so that the limb movements tend to be coordinated. However, if the wrong training method is used, such as using the paralyzed side of the hand to repeatedly practice forceful grasping, the spasticity of the muscles responsible for joint flexion in the affected upper limb will increase, making it difficult to open the fingers, which will in turn create a more serious obstacle to the recovery of hand function. Hemiplegia is not only a problem of muscle weakness, but also the uncoordinated muscle contraction is an important cause of motor dysfunction. Therefore, it should not be mistaken that rehabilitation is strength training.