How to carry out rehabilitation training in stroke

1. Functional exercise of limbs (1) Maintain the functional position of each joint and prevent joint deformity. Methods: patients take the supine position, keep the paralyzed limbs in the functional position, i.e., 50 degrees of shoulder abduction, 50 degrees of internal rotation, 50 degrees of flexion, put the whole upper limb on the liner, place the shoulder inwardly, upper limb elbow slightly curved, wrist and fingers mildly stretched out, holding a fitness ball or gauze rolls, the patient's lower limbs and knee joints are slightly curved, put a small pillow under the knee, and place sandbags on the outside of the leg to prevent it from abduction and external rotation, and put a foot plate on the sole of the foot to prevent foot drop and pronation. The sole of the foot should be placed on a footboard to prevent foot prolapse and exostosis. (2) Turn over frequently and change the position to supine, lateral position and semi-recumbent position alternately for 2 hours. (3) Passive movement in bed, mainly to prevent muscle atrophy and deformation of foot and knee joints. If patients with cerebral infarction do not have any consciousness disorder, they should start on the next day after the onset of the disease. Methods: The amplitude of passive exercise should be from small to large, from healthy side to affected side, and from large joints to small joints. Pay attention to the direction of each joint activity, but also pay attention to the intensity of the movement, do not be rough, the small joints of the limbs such as elbow, finger, ankle joint activities should be paid special attention to, should be required to do more exercise. (4) Massage. Gentle and rhythmic massage of the affected limb to relax it. Massage the pectoralis major muscle to reduce its spasmodic contraction, so as not to hinder the shoulder activities. (5) Systematic functional training. Including the correct limb placement on the bed in the acute stage, patting massage, neuromuscular therapeutic instrument therapy, passive joint mobility training, joint extrusion, etc., followed by left and right side turning, upper and lower limb control training, etc., to be stabilized to take the condition of the sitting, getting up, standing up, walking, turning, running and other training.

2, language standard training (1) let the patient send "ah" sound, or cough, blow matches and other induced pronunciation training. (2) Let the patient listen to the first half of the commonly used sentence, and make them say the second half of the sentence. (3) Patients who can pronounce the words can pronounce the words in front of the mirror with the help of medical staff, from easy to difficult, from short to long, with the help of visual and tactile observation of the mouth shape and correction at any time.

(4) language stimulation therapy: the use of language training tapes, will be commonly used in daily life phrases, sentences, made suitable for patients to read along with the tape, each time the training for five or six minutes, the sound interval of 10 seconds.

3, psychological rehabilitation exercise Psychological rehabilitation in the rehabilitation process should be carried out throughout the entire course of the disease and the care of the whole process, to grasp the psychological state of patients at different times, the intensity of the training to the patients can accept as a principle, so that the patient from passive movement gradually over to active movement, from alternative care gradually over to self-care, maximize the use of the patient's body's residual functions. Pay attention to the observation of the patient's cognitive function and emotional changes, found abnormalities in a timely manner, which is important for the patient to obtain a full recovery.