Mistakes to be avoided in early upper limb hand การฟื้นฟูสมรรถภาพ in hemiplegic patients - โรคหลอดเลือดสมอง Center

Whether the การฟื้นฟูสมรรถภาพ training is correct or not is related to the effect of the patient's functional การฟื้นฟูสมรรถภาพ. Inappropriate การฟื้นฟูสมรรถภาพ training may cause limb overuse or misuse syndrome and delay functional การฟื้นฟูสมรรถภาพ. In order to make hemiplegic patients get the best training effect in การฟื้นฟูสมรรถภาพ training and reduce or avoid unreasonable exercise and training, the following issues should be paid attention to:

1. Grasp the timing of การฟื้นฟูสมรรถภาพ intervention

Many โรคหลอดเลือดสมอง อัมพาตครึ่งซีก patients and their family members mistakenly believe that การฟื้นฟูสมรรถภาพ treatment can not be started until the recovery period. In fact, regardless of cerebral hemorrhage or cerebral infarction, as long as the vital signs are stable and the condition no longer develops, การฟื้นฟูสมรรถภาพ training can be started 48 hours later.

2. Avoid early incorrect posture

Acute อัมพาตครึ่งซีก patients should be given the correct good limb position, which can prevent or resist the appearance of spastic mode and early induction of separation movement. When changing positions, special attention should be paid to protect the shoulder joint, avoid stretching the affected limb, and prevent shoulder joint subluxation.

3. Inappropriate joint passive activity training, resulting in joint damage

Passive movement of limbs is one of the early การฟื้นฟูสมรรถภาพ measures for อัมพาตครึ่งซีก patients. Once this range is exceeded, it will not only cause pain, but also lead to ligament rupture and intra-articular bleeding. In the long run, it can develop into chronic inflammation, and even cause joint capsule hypertrophy, shortening, and joint contracture, which brings more difficulties to การฟื้นฟูสมรรถภาพ treatment.

4. Inappropriate stimulation will increase the muscle tension on the affected side

Increased muscle tone occurs at some stage in the recovery process of hemiplegic patients, but hypertonia can prevent voluntary movements from occurring. At this point, any stimulation that increases muscle tone is detrimental. At this stage, if acupuncture stimulation, electrical stimulation and massage are not given in accordance with the principles of promoting normal movement patterns and reflexes and inhibiting abnormal movement pattern reflexes, muscle tension will be enhanced and further function recovery will be affected.

5. Replacing postural and motor control training with strength training often reinforces abnormal movement patterns

CNS palsy is the loss of complex postural and motor control and voluntary motor function, the dysfunction of a group of muscles rather than the involvement of several muscles. Therefore, only training the muscle strength of the affected limb cannot fundamentally promote the recovery of limb function in hemiplegic patients.

6. Avoid overtraining

For convalescent patients, the patients themselves or their family members are anxious to recover from the disease, so they increase the amount of exercise or do some difficult movements on their own, which will cause systemic fatigue and local muscle and joint damage, resulting in overuse syndrome. . Therefore, for patients in the recovery period, patients and their families should be informed about the different exercise methods used in different stages of การฟื้นฟูสมรรถภาพ during training, and follow the principle of gradual training in a small number of times.

7. Pay attention to การฟื้นฟูสมรรถภาพ guidance

Because the objects of การฟื้นฟูสมรรถภาพ training all have different degrees of dysfunction, some dysfunctions often exist for a long time, and some are even lifelong. Therefore, patients should be taught the knowledge and skills in daily life in the training, so that they can complete self-care independently, so that patients can return to the family and society in a good psychological state.