Traditional Culture Encyclopedia - Traditional stories - How is the rehabilitation training of hemiplegic stroke patients effective?

How is the rehabilitation training of hemiplegic stroke patients effective?

Stroke hemiplegia rehabilitation training methods are as follows: 1, occupational therapy: according to the patient's lack of function state for targeted training, and urge them to complete the daily training, such as the upper limb can not lift the patient can be made to use the healthy side of the hand holding the affected side of the hand upward lift; limbs can be actively active patients should be trained every day, the intensity of the gradual increase in the small to the large; completely inactive patients should be passive training; 2, language training: according to the state of their language loss for targeted language training; 3, psychological guidance: should be psychological counseling to help patients build confidence; 4, cultural and physical training: to help patients build confidence. The patient should be able to move the limbs actively and the intensity should be increased gradually; the patient who can't move at all should have passive training; 2, language training: such as according to the state of the lack of language function to carry out targeted language training; 3, psychological guidance: the patient should be counseled psychologically to help build confidence; 4, cultural and physical training: such as listening to music, singing, etc.

Specific methods are:

1, exercise therapy: exercise therapy is a general term for treatment methods to improve movement disorders through active and passive movement. It mainly includes joint mobility training, muscle strength enhancement training, posture correction training and neurophysiological therapy. About 80% of patients with cerebrovascular disease have left different degrees of movement disorders, mainly hemiplegic spasticity pattern, i.e., the spasticity pattern of upper limb flexion and lower limb extension that we often see.  In the bedridden period of cerebrovascular disease, we mainly carry out position change, passive movement, maintain good limb position, sit-up training to reduce complications such as pressure sores and joint contracture, and lay a good foundation for future rehabilitation training. In the off-period, we should carry out sit-up training, balance training, and get-up training, etc. to promote the improvement of patients' limb function; and in the walking period, we mainly focus on the improvement of gait by walking training. In order to improve the motor function of sports training, often using a variety of therapeutic techniques and sports re-learning therapy, in order to achieve the purpose of restoring limb movement.  Operational therapy: Operational therapy is the use of purposeful, selected operational activities as a means of treatment to improve and supplement the patient's function. Its purpose is to maximize the patient's ability of self-care, work, leisure and other daily life, improve the quality of life, and it is an ideal method to facilitate the patient's return to the family and society. It mainly includes evaluation and training of dysfunction, cognitive and perceptual training, evaluation and training of daily living ability, selection and production of self-help appliances, design and guidance of environmental modification, prescription of wheelchair and so on.  It has the same theoretical principles as exercise therapy, but the difference is that it designs the movement of the limbs into a work activity, such as the use of pottery production to train the fine movements of the fingers, which not only improves the patient's interest but also improves the patient's ability to live. About 22%-32% of hemiplegics have speech and language disorders, so language training is essential. Speech trainers should first diagnose the type of disorder according to the patient's speech condition and the location of the lesion, and then use different methods to stimulate and reinforce the patient's correct speech response through auditory, visual, and tactile stimulation.  Physical disabilities and functional impairments often lead to psychological disorders such as anxiety and depression, and the disease itself can cause cognitive deficits in memory, attention and orientation. Effective psychotherapy can enhance the learning ability and active participation of patients, and the main methods are supportive psychotherapy, rational emotion therapy and behavioral therapy.  3, culture and sports therapy: culture and sports therapy is the use of sports and recreational programs to train the patient, so that the patient's physical skills can be improved, improve, and can improve the adverse psychological state of a method. It has an inestimable role in the quality of body movement, enhancing physical fitness and creating a good psychological state. Wheelchair skills, hemiplegic gymnastics and various ball games are the main contents.  4. Physiotherapy: Traditional physiotherapy also has a special role in the rehabilitation of hemiplegia. Especially aquatic exercise therapy is through the buoyancy of water and other effects, so that the patient's limbs in the water easier to complete the correct movement.