Post-discharge respiratory rehabilitation for patients with novel coronavirus pneumonia-lower limb strength training

Strength training for long-term bedridden and the existence of weakness, weakness of the patient, can be targeted to strength training guidance, the initial can be used in the way of unarmed training, gradually increase the load, strength training can be roughly divided into upper limb strength training, lumbar and abdominal core strength training and lower limb strength training three parts. The following for the lower limb strength training of different muscle groups training, to explain: 1, knee extension muscle group: patients can choose to stand, sitting, semi-recumbent and lying position for training. In the standing position, prepare a stool behind you, keep your body upright, feet shoulder-width apart, toes facing the front, hands crossed on the opposite shoulder, inhale when the hips sit back, lightly touch the surface of the stool, exhale and force, knee extension stand, in this process the knee can not exceed the toe, and the knee and toe always remain in a straight line, do not hold your breath during the exercise, a group of 8-12, do 3-4 groups. Sitting position, ask the patient to keep the body upright, feet flat on the ground, hands naturally vertical on both sides of the body, exhale, one side of the knee parallel to the ground, slowly put down when inhaling, do not hold your breath during the exercise, a group of 8-12, 3-4 groups. Semi-recumbent or recumbent: for patients who cannot finish in the sitting position, they can do it in the recumbent position, put a mat under the knee, make 60-90° between the large and small legs, extend the knee on one side when exhaling, put it down when inhaling, do not hold your breath during the exercise, one group of 8-12, do 3-4 groups; 2. Flexion of the knee muscles: patients can choose to train in the standing, sitting, semi-recumbent and recumbent positions. We take the standing position as an example, ask the patient to keep the body upright, hands on the table to increase stability, first deep breath, exhale when one knee bent, as far as possible with the heel to close to the buttocks, inhalation back to the original position, do not hold your breath during the exercise, a group of 8-12, do 3-4 groups. For patients who can not be completed under the standing position, can be done under the recumbent position, the heel of the foot to slide back, as close to the buttocks, exhale when one side of the knee extended, put back when inhaling, do not hold your breath during the exercise, a group of 8-12, do 3-4 groups, if the symptoms are not relieved or aggravated during training, please seek medical attention; 3, flexor hip muscle group: patients can choose the standing position, sitting position, semi-recumbent position and recumbent position for training, we Sitting and recumbent positions, for example, patients are instructed to choose a slightly higher stable chair in the sitting position, ensure that our feet are flat on the ground, lift the thighs bilaterally alternately, do not hold your breath during the exercise, a group of 8-12, do 3-4 groups. For patients who can not be completed in the sitting position, we can do it in the lying position, legs flat on the bed, alternate hip flexion and knee flexion, the above process are to maintain exhalation lift, inhalation put down, do not hold your breath during the exercise, a group of 8-12, do 3-4 groups; 4, ankle dorsiflexion plantarflexion muscle group strength training: patients can choose the standing position, sitting position, semi-recumbent and lying position for training. Sitting: Patients can perform sitting hook foot exercises, keep the body upright, feet flat on the ground, knees in the same direction as the toes, exhale when hooked upward, inhale and fall back, do not hold your breath during the exercise, a group of 8-12, do 3-4 sets. For patients who can not complete the action in the sitting position, can be done in the lying position, ask the patient to straighten both lower limbs, exhale the feet try to hook upward, hold 2-4 seconds, inhalation back to the neutral position, exhale to step down, hold 2-4 seconds, inhalation back to the neutral position, then exhale hook upward, cycle, do not hold your breath during the exercise, a group of 8-12, do 3-4 groups, if the symptoms do not If the symptoms are not relieved or are aggravated during the training, please seek medical attention promptly. Content source: Dr. You Lai