Myth No. 1: No need to do rehabilitation treatment, injections and medication can cure hemiplegia The best way to treat stroke hemiplegia, inability to speak, and inability to eat is to take injections and medication, and most Chinese people basically think so and take it for granted that they need to take injections and medication to cure the disease, even doctors and nurses in neurology, emergency department, neurosurgery department of big hospitals think so. 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. Myth 2: Rehabilitation treatment should wait until the sequelae period. Many stroke patients and their families mistakenly 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. As a matter of fact, rehabilitation can start 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. Most brain hemorrhage rehabilitation can be started 7 to 14 days after the disease. Myth 3: Rehabilitation is very simple, just 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 must be formulated, and the therapist will carry out the training step by step. 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 doctors, therapists and nurses. Myth 4: Excessive force causes joint damage When the body’s sensory function and muscle tone are normal, the movement of the limb will be instinctively self-protected. For example, in an elderly person, 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 around the joint will be injured, as is the case in stroke patients with hemiplegia in the early stages of the disease. Myth 5: Repeated practice of spasticity aggravates Many patients know the importance of rehabilitation training, and also very hard work hard exercise, but to be careful about the method, the method is not right, will only be futile, or even harmful. Most patients with hemiplegia will have muscle spasms on the paralyzed side of the limb, and appropriate rehabilitation training can relieve such spasms, thus making 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, rehabilitation should not be mistaken for strength training. Myth 6: The sooner you walk on the ground, the faster and better you will recover. In normal people, the joints of both lower limbs extend and flex in a coordinated sequence according to a certain pattern to alternately support the body and take steps. Patients with hemiplegia who start walking exercises in a hurry without reasonable training will have a typical hemiplegic gait. A normal person can coordinate hip, knee, and ankle flexion to the proper angle when he or she needs to step forward, thus “shortening” the length of the lower extremity on that side and easily lifting the foot off the ground. In contrast, in hemiplegic patients, all joints are stiff and the toes droop, making the affected limb “longer” and difficult to lift off the ground. The magnitude of this pulling up is very limited and still does not allow the lower limb to step forward smoothly, but needs to arc outward and then fall back to the front of the body. This is the “circling” gait commonly seen in hemiplegic patients, and is a typical manifestation of the misuse syndrome. The root cause is that improper training aggravates the spasm of the muscles responsible for the extension of the joints of the lower limbs, making it difficult to complete the joint flexion movement. If formal rehabilitation training can be started at an early stage of hemiplegia and walking training can be carried out on the basis of the coordination of the movement of the affected limb, a walking posture closer to normal can be formed and walking efficiency can be improved.