Hemiplegia at home or to the rehabilitation center

1. It must be the rehabilitation center. It's professional, and the instruments are professional, and there is a special person to guide. Even if the family study at home, there is no professional nurse

2. Hemiplegic stroke patients should take medicine on time and strengthen their muscle training, only in this way can their paralyzed parts graally return to normal. We have to go to the regular Kanghua rehabilitation training institutions or hospitals in Hefei, otherwise it will only make the paralysis more and more serious, and it is too late to regret.

3. 1

good limb placement

studies show that early application of good limb placement is better than good limb placement after stable condition. Early implementation of good limb placement can effectively prevent the occurrence of complications such as muscle spasm, varus and shoulder subluxation, so as to better restore limb function and rece the degree of neurological deficit, Improve their living ability and quality of life

the correct placement of good limb position should run through every period after hemiplegia, and the body position should be changed every two hours. To encourage the patients to lie on their side, to be healthy on their side, to avoid half lying and to use less supine position can not only increase the sensory stimulation of the affected limb and rece the spasm, but also avoid the complications such as pressure sores caused by bad posture

2

joint range of motion training

joint range of motion training can maintain the normal range of motion of joints, effectively prevent the occurrence of muscle disuse atrophy, and promote the recovery of systemic function

joint range of motion training should follow the transition mode from passive to auxiliary to active. During training, the affected side should be given priority to. For patients who are bedridden for a long time, the healthy side should also be taken into account. The active joints are not only the limb joints, but also the spine joints of the trunk. The frequency of activity is generally 2-3 times a day< About 21% of stroke patients left walking dysfunction, which mainly manifested as hemiplegic gait. It is the basis of hemiplegic patients' activities of daily living to correct the wrong movement mode and improve the walking function, which is helpful to improve the quality of life and comprehensive functional rehabilitation

weight loss walking training, using the suspension device to rece the load of patients' upper body weight on the lower limbs, and cooperating with the electric treadmill to drive patients' lower limbs to carry out repeated and rhythmic walking activities. Walking training is mainly for patients whose lower limb strength is not enough to support their full weight

with the development of science and technology, the continuous innovation of lower limb rehabilitation robot technology can not only make up for the disadvantages of suspension device, but also detect the interaction between patients and robot in real time, provide corresponding assistance according to the change of patients' active ability, and simulate the normal physiological cycle of walking. Walking training in the lower limb rehabilitation robot weight loss state can improve the central nervous system function, relieve spasticity, and promote the recovery of walking function in patients with upper motor neuron injury

4

muscle strength training

muscle strength training for hemiplegic patients will not aggravate the spasm of patients, but will have a positive effect on the recovery of motor function of stroke patients, which is very important to enhance the stability of knee joint and improve the balance ability

through high-intensity progressive resistance training for stroke patients, the hip and knee strength of the affected side and the healthy side of the patients can be improved, and the motor function can be improved. Through the core strength training of patients, improve the control ability of human trunk and pelvis, adjust the balance, standing, walking and other functions, so as to maintain the stability and coordination of posture. Through EMG biofeedback therapy, it can promote the recovery of muscle strength and motor function, improve foot ptosis, and enhance the ability of ankle dorsiflexion and valgus<

5

psychological rehabilitation

most hemiplegic patients can't bear all kinds of inconveniences caused by the disease, and the long process of rehabilitation treatment can easily cause different degrees of psychological disorders, such as emotional fluctuations, anxiety, depression and so on. Patients with psychological disorders generally can not actively cooperate with rehabilitation treatment, which directly affects the rehabilitation effect. Rehabilitation therapists and patients' family members should carefully observe the emotional state of patients, give timely relief and guidance, communicate with patients barrier free, encourage and help patients spiritually, and rece the impact of bad emotions on the psychological state of patients.

4. Hemiplegic patients should take active exercise. When lying in bed, they should bend their legs and leave the bed with their hips. It's good to sit for several times. After treatment, stroke patients have a part of life-saving, but the sequelae of left hemiplegia, especially the patient's hand is always like a fist. Our ancestors made a move. After pressing the patient's fingernail root for seven or eight times, if the daily pressure, even if the degree of economic recovery is less than that of the original player, there is no problem in free promotion
specific approach: perform, put up the thumb nail and press the root of the patient's affected hand. The requirement must be the nail root, the allowable pressure, the nail flesh pressure. Find a good position, gently exert, the patient's fingers extended, not more than 30 seconds, plus a better idea. Performers and patients read "channels unblocked, cerebral vascular unblocked". The order of pressure compression is as follows: first press the middle finger and the base of the thumb nail (hard finger out), the base of the index finger and the ring nail, and the base of the small nail at the root of the nail. The pressure is applied three times before and after, and the pressure is repeated at last Changling County, Jilin Province (sun Hongde)

6. Sequelae include: physical activity disorders, speech disorders, sensory disorders, decreased self-care ability and so on. In this case, early rehabilitation training is recommended. The earlier intervention in rehabilitation training, the better the possibility of recovery
it is not recommended to train at home in the early stage. Because the training of patients is based on the evaluation of patients to develop training plans. This can only be completed under the evaluation and guidance of professional rehabilitation personnel. It's not very standard and safe to do it at home
the specific training program is about to see the results of the medical condition evaluation. No patients, no way to provide reasonable guidance.

7. As for the problem that hemiplegia can recover well in a few years, if the main topic refers to the recovery from hemiplegia to independent normal life, then in the case of receiving professional neurological rehabilitation treatment, about two or three months can be discharged. If it is the same as normal people, it needs to continue to train slowly at home after discharge. Before, my uncle also went to simc rehabilitation medical department supported by Jida for treatment of stroke hemiplegia. An old German professor consulted him personally, and then customized the rehabilitation plan according to his personal situation. The first month is mainly to stimulate the right half of the body's activities and coordination ability; In the second month, a series of upper limb function training was carried out with high-tech equipment and repeated movement exercises; The rehabilitation team will also organize activities for patients, so that they can achieve the effect of rehabilitation training in the process of the game. After two months, my uncle will be able to brush his teeth, wash his face, take a bath, dress and other daily activities by himself, and then just go home and rest slowly.

8. Early rehabilitation after stroke is mainly bedside rehabilitation. Later, we can do some equipment rehabilitation, because stroke will lead to one damaged cell, and one dead cell will lose one, and it will not regenerate. Unlike our epidermal cells, the epidermal cells will grow again after they die, so the nerve cells are very delicate, but they can be compensated by other nerve cells, and the compensation mechanism can help them recover, So early rehabilitation training can promote the recovery of nerve function
in the next ten or twenty years, there will be great progress in the rehabilitation, especially in the field of artificial intelligence. In recent years, there have been some new researches, especially after stroke, or after nerve damage, spinal cord damage, and hemiplegic patients will be rehabilitated by computers. Now some signs are emerging, and there may be good prospects in the future

9. The treatment of hemiplegia is different according to the different causes, and the treatment needs to be selected according to the situation of the patients. At the same time, the treatment and rehabilitation of hemiplegia are extremely important. After the stroke patients pass the dangerous period, most of them have sequelae such as hemiplegia and poor speech. At this time, strengthening the prevention and treatment of stroke sequelae has a good effect.