In the acute stage, cerebrovascular patients are mostly treated in the hospital for life saving and stabilization of vital signs, but when they come to the rehabilitation hospital, they are mostly in the spastic stage, with high muscle tone on the affected side, which means that they can feel resistance when moving the limb passively, and it is not easy to accomplish the purpose they want to achieve; in addition, due to the degree and uneven distribution of increased muscle tone, patients will have asymmetrical postures, for example, the most typical abnormal postures of the upper limbs are shoulder For example, the most typical abnormal postures of the upper limbs are shoulder descent, shoulder abduction and internal rotation, forearm rotation, wrist palmar flexion, finger flexion, and thumb inversion and flexion.
During this period, rehabilitation exercises are performed to better master practical movements and actions, to destroy what kind of whole body movement patterns, to improve the balance of standing and walking while improving the function of the upper limbs and hands, and to focus on the improvement of the whole movement pattern, and to measure the quality of movements in terms of accuracy, dexterity, persistence and speed. The rehabilitation requires a phased approach from simplicity to complexity, from single joint to multi-joint activities, from planar to standing and spatial activities, and from gross to fine motor activities. The specific methods are as follows.
1.Promote the normalization of muscle tension and exercise of movement randomness
2.Transfer movement training
(1) bed sitting
(2)Sitting up training
(3) bed to wheelchair transfer
(4) Sitting and standing up training
3.Joint mobility training
(1)Rolling roller activity
(2)Activities on inclined table
4.Control training of upper limb movement
5.Walking training
(1)Standing and standing balance training.
(2)Training for the functions required in the support period.
(3) Training for the functions required in the striding phase.
(4) Training in the kneeling position.
(5) Walking training in the double bar.
(6) Walking with crutches.
(7) Step-up and step-down training.
6.Daily life movement training
Movement of living, eating, grooming, toileting, dressing, bathing, cooking.