What to look for in a stroke patient’s recovery

  Stroke patients are stable, conscious and able to cooperate with treatment, which means they enter the recovery period. This process can vary from person to person and from disease to disease. Patients in the acute phase prior to this are generally in a passive state, with a passive rehabilitation process that relies on others for everything. After entering the recovery period, it is necessary to repeatedly train the neurological functions and muscle strength preserved after the disease, and try to restore the movement function of the hands and feet.  During this period, the rehabilitation process should pay attention to the following matters: (1) Pay attention to the patient’s ability and psychology.  The medical staff and the patient’s family should correctly estimate the patient’s residual ability and the degree of functional loss, taking into account the patient’s exercise endurance, subjective motivation, sensory deficit, mental ability (including intelligence and language), motor deficit and postural control, and also pay attention to the patient’s psychological state; (2) Improve the patient’s confidence in overcoming the disease and encourage the patient to develop the desire to pursue life; (3) Pain in the joints often affect their functional exercises, especially some shoulder joints ring and have pain when they move. In such cases, it is important not to force the patient too much. Rehabilitation exercises can be performed while the patient is taking or injecting analgesics. In short, it is beneficial to rehabilitate without causing pain.  Most stroke patients are discharged from hospital after short-term treatment, but are still left with varying degrees of hemiplegia, aphasia, numbness, and other functional deficits. Some of them are so desperate that they feel exhausted and helpless after hearing hearsay, and they even lose confidence and give up, thus interrupting the favorable time for rehabilitation treatment. In the final analysis, this is a “time misunderstanding” caused by the lack of understanding of post-stroke rehabilitation.  Since stroke has a high disability rate, early treatment of hemiplegia, often starting days after the onset of stroke, is necessary to achieve significant results. The maximum recovery can be achieved within 1-3 months after stroke. After 3 months, the contracture of the limb forms, making the recovery process slow, complex and difficult.  Proper treatment within the first two to three months of stroke can lead to rapid recovery, but it is important to grasp its favorable timing and strive for early rehabilitation activities, such as maintaining the best limb position, changing body position, maintaining the range of motion of the joints in all directions, active exercise, massage, physiotherapy, acupuncture, pulling and other favorable measures to prevent joint stiffness. After 3 months of stroke, the recovery process is slow but stable, and the gradual recovery can last 1-2 years, so rehabilitation should be continued during this period, and the rehabilitation treatment that could have been improved should not be abandoned. Even after 3 years, it cannot be said that the sequelae are unchanged, and functional adjustment and functional compensation as well as functional assistance rehabilitation therapy should be started. Be optimistic, as long as the patient has the request and confidence, there is a possibility of improvement. To improve the compensatory function of normal surviving brain cells to promote the patient’s optimal functional recovery. In conclusion, rehabilitation is a complex project that integrates active exercise, passive exercise, persuasive energy adjustment, functional compensation, as well as auxiliary and compensatory, without which one is indispensable.