"Medical" heart is old | Rehabilitation training after stroke

Stroke, medicine is called cerebrovascular accidents, mainly in the elderly group over 65 years old. After the stroke of the elderly, the proportion of accidental falls reached 57.5% to 73.0%. This accidental fall is mainly to fall in the hospital and the home fell. The highest frequency of the falling location is: bathroom, ward, corridor, stairs. On the one hand, the elderly stroke patients will cause secondary injuries, such as trauma, fractures, etc.; On the other hand, patients will have fear of fear, fear of standing, walking, and other rehabilitation training, which will affect the implementation of rehabilitation treatment. So how to prevent falling fall? Intersection

The commonly used exercise methods are as follows:

1. Muscle extension training. Encourage patients to carry out the muscles on the bed or family bed, and maintain sufficient elasticity of soft tissues such as muscles to make the body of elderly stroke patients have enough softness.

2. Enhanced muscle strength training. Early bed in patients with stroke, with a small amount of activity, is prone to muscle atrophy, and even causes muscle symptoms. Many of the elderly have retired osteopathy and lumbar disc herniation. These are the main problems that lead to low muscle strength of both lower limbs. The rehabilitation therapist can be guided according to the specific situation of the patient. In the process of muscle strength training, the principle of moderate fatigue and gradual progress should be maintained. The training range should not be too large, and the training intensity should be tolerated.

3. Balanced ability training. Under the premise of ensuring safety, patients can start to open their eyes/closed feet together at any time, walking together, walking on the side, walking along the straight line; the recovery period can also improve the difficulty and walk backwards.

4. Use ankle footprint correctly. Elderly stroke patients' rigid ankle joints cannot produce a normal balance adjustment reaction of the ankle joint, and it is easy to fall into accidental falls. When there is a typical ankle bears, feet, and unstable ankle feet, you must use ankle and foot orthopedic shoes. In standing and walking, wearing ankle and foot orthopedic shoes can strengthen the stability of the ankle and foot, avoid dragging walking, reducing the stroke gait, and reducing the possibility of accidental falling.

5. Improve the environment of hospital/family living room. Whether in the hospital or your own home, keep the floor dry and the quality of the floor quality, prevent accidental slipping and falling. The items in the living room should be neat and regular. Do not place messy, messy, and reduce obstacles. According to the living habits of the elderly, it is convenient for patients to use and find daily use, so as not to disperse attention and accidental stumbling.

Author: Ming Pinggang

Intermediate therapist in Wuhan Sixth Hospital is good at using modern rehabilitation technology to treat neurological dysfunction such as stroke and paraplegia.

Source: Wuhan Science and Technology News

Edit: Chen Liping

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