Stroke is a disease that seriously endangers health, but as long as we actively respond to it and manage it scientifically, we can effectively improve the quality of life and reduce the risk of recurrence.
Stroke is dangerous, and more than 3/4 of the patients can not live
independently because of disability.
1, 70% -80% of patients can not live
independently
2, 2/3 of the patients had cognitive impairment, and half of them were dementia
.
3. Nearly 50% of the patients had post-stroke depression
.
Therefore, it is crucial to pay attention to disability reduction and rehabilitation treatment as early as possible! Sequelae can be improved, the first three months of rehabilitation treatment is the most important, the first three months is the key period of rehabilitation, but also the peak of recurrence, adhere to the first three months of treatment is very important. The first three months of recovery is the fastest, and after three months, there are still disabilities that can not be recovered.
What are the methods of disability reduction and rehabilitation treatment for
stroke?
Rehabilitation treatment methods include medical measures (such as drugs), physical therapy, speech training, rehabilitation-related nursing and psychotherapy.
Correct rehabilitation training and nursing must be paid attention to
. The starting time and intensity of
early rehabilitation. The purpose of rehabilitation is to promote the functional recovery and independence of patients. Conditions:
· Start rehabilitation
as early as tolerable
· Proceed
in a step-by-step manner It is very important
to follow the guidance of rehabilitation training. Most patients begin to enter the rehabilitation stage at home. Attention should be paid to:
Rehabilitation exercises
in the right way can help patients recover
better. The
wrong way of exercise delays the best time for rehabilitation. It will also affect the degree of
rehabilitation.
Precautions
for
rehabilitation exercise Principles
of
stroke rehabilitation exercise
Early stage: rehabilitation exercise was started 48 hours after the vital signs were stable and the clinical signs and symptoms was no longer progressing. Passive exercise was performed first, followed by active exercise
.
Comprehensiveness: All joints and muscles of the limbs should be exercised
.
Adequacy: Proceed step by step and act according to one’s ability
Comprehensive treatment: drug therapy, acupuncture and massage, psychotherapy, etc., to create a good environment
for rehabilitation
Three-level rehabilitation goal,
step by step The assistance of
family members can make patients recover
better.
|
Type |
Time |
Aim |
What the
family can do. |
First-degree rehabilitation |
Early |
Cooperate with clinical treatment to prevent and treat secondary complications . |
Assist in regular turning, good limb positioning, sitting training, etc. |
Secondary rehabilitation |
Recovery period |
Improve limb motor function and daily living ability |
Assist in training, encourage, accompany, etc. |
Tertiary rehabilitation |
Sequelae |
Consolidate the rehabilitation effect achieved, and further improve the motor function, communication function and daily living ability . |
Assist to complete daily training tasks, and carry out training throughout daily life |
Placement
of
good limb position
Early placement of good limbs can effectively reduce hypostatic pneumonia, pressure sores and other well diseases, while inhibiting spasm and abnormal mold
. To promote the recovery of limb motor function and improve the ability of daily living, and accelerate the recovery of limb function. Generally, the position should be changed every two hours. The position of the affected side should be encouraged to alternate with the position of the healthy side. Semi-reclining or supine position should be avoided as far as possible.
Posture shift and range of motion
The implementation of
bed position transfer should be jointly participated by therapists, patients and family members, and the principle of training should be carried out in the order of complete passivity, assistance and complete initiative. Joint movement; generally each joint moves 2-3 times a day. At the beginning of limb flaccid paralysis, the range of joint motion should be within 2/3 of the normal range, especially the shoulder joint, and attention should be paid to protecting the joint to avoid unnecessary injury.
Rehabilitation training
of standing and walking in early stage of
stroke It is safe and feasible to carry out early off-bed training, sitting training, sitting up training and standing training (with the help of instruments) after
in stable condition (stable vital signs and no progress of the disease within 48 hours), which can improve the walking ability of patients 3 months later.
