How to carry out rehabilitation training at home after stroke?

category:Health
 How to carry out rehabilitation training at home after stroke?


First of all, before starting the training, we need to understand the precautions of home-based exercise for stroke patients.

matters needing attention:

1. During the epidemic, first of all, prevention and control of the epidemic should be done well: wash hands before and after the training; if there are family members to assist during the training, please wear masks. If the temperature rises or the body is unwell, the rehabilitation training must be stopped.

2. When training, wear loose and appropriate clothes and shoes. Never wear slippers for training. The training ground is flat, the ground is dry, and there are not too many sundries around.

3. When sitting and standing training, it is best to carry out under the supervision of family members to avoid falling.

4. According to their own situation, choose the appropriate training action, do according to their ability, to avoid excessive fatigue. It is recommended to train for 20-30 minutes each time and repeat training 2-3 times a day.

Part1

Self training methods in bed

The method of self-training in bed is suitable for the stroke patients who have better recovery stage, conscious and cognitive function. Next, we will take the left hemiplegic patient as an example to demonstrate six common home training movements.

It is suggested that 10-15 times of each action should be divided into one group, with 5-10 seconds rest between the two actions; 2-3 groups should be practiced every day, with 1-3 minutes rest between groups.

The first action: holding hands and lifting up

The patient is lying on the bed, holding hands and fingers together, straightening the elbow joint, lifting up about 120 u00b0 - 150 u00b0 (pay attention not to cause shoulder joint pain), and then return to the starting position.

The second action: bridge movement

Bridge motion can be divided into double bridge motion and single bridge motion.

Double bridge movement: the patient lies on the bed, the upper limbs are placed on both sides of the body, the lower limbs are bent on the hips and knees, the feet are placed on the bed surface, then the hip joint is extended, and the hips are lifted off the bed surface slowly; when it is lifted to the highest point, it is maintained for 6-10 seconds, and then lowered to the bed surface slowly.

The third movement: belly rolling.

The patient lies on the bed, knees and hips are bent, feet are placed on the bed, hands and fingers are held together, elbows are straightened, upper body is lifted off the bed, hands are placed between knees for 6-10 seconds, and then back to the starting position.

The Fourth Movement: lying and leg lifting.

The patient lies on the bed, with both upper limbs on both sides of the body. The two legs are crossed, and the lower limbs on the affected side are on top. Then the body lifts the two legs about 20-30cm away from the bed surface with force, and puts them back on the bed surface after 3-5 seconds.

Fifth movement: swing your hips left and right.

The patient lies on the bed, the upper limbs are placed on both sides of the body, the lower limbs are bent on the hips and knees, the feet are placed on the bed surface, then the hip joint is extended, and the hips are slowly lifted off the bed surface. Place your hips alternately on the left and right sides of your body.

The sixth movement: turn over training.

The patient lies on the bed, hands and fingers clasped, legs crossed and straightened (the affected side is on the top), shoulders, trunk and pelvis on the affected side exert force, and turn to the healthy side.

Part2

Sitting self training method

The self training method of sitting position is suitable for patients who have better sitting balance but cant stand independently, or who have higher risk of falling in standing position. Next, we will take the left hemiplegic patient as an example to demonstrate four common home training movements.

It is suggested that 10-15 times of each action should be divided into one group, with 5-10 seconds rest between the two actions; 2-3 groups should be practiced every day, with 1-3 minutes rest between groups.

The first action: chest and abdomen.

The patient sits at the bedside, leans forward and backward through the pelvis, and alternately completes the trunk flexion and extension.

The patient sits at the edge of the bed, holding hands and fingers, straightening the elbow joint, raising his upper limbs above his head, and stretching his trunk alternately to the left and right sides.

The third action: look back and smile.

The two upper limbs are folded in front of the chest, and look back to the left and right by rotating the body.

The fourth action: Immortal points the way.

In the end sitting position, place your feet flat on the ground, hold your hands and fingers together, and keep the elbow joint straight; then extend your hands to the right front, front and left front in order, and then retract them.

Part3

Self training method of standing position

The self training method of standing position is suitable for patients with good standing position balance, good walking function and low fall risk. Next, we will take the patient with left hemiplegia as an example to demonstrate eight common home training movements of standing position.

It is suggested that 10-15 times of each action should be divided into one group, with 5-10 seconds rest between the two actions; 2-3 groups should be practiced every day, with 1-3 minutes rest between groups.

The first movement: sitting and standing transfer training.

The patient sits on the edge of the bed, stool or wheelchair, with his feet flat, and repeats the sitting position to stand up and sit down. When standing up, first move your hips out of the front of the seat, lean your torso forward, move your weight forward to your feet, and then slowly stand up. When sitting down, lean forward a little, and then bend your hips and knees to sit down.

In standing position, the affected leg is in the front and the healthy leg is in the back; transfer the bodys center of gravity to the affected sides lower limb. After the affected sides lower limb is fully loaded, the healthy sides lower limb takes a step forward, and then retracts the healthy sides lower limb.

The third movement: squat training.

The Fourth Movement: side leg lifting training.

Stand with the fixator, keep the body upright, then straighten the lower limbs on the affected side and lift them outwards and then put them down, or keep them for 3-5 seconds, and then slowly return to the starting position.

The fifth movement: back leg lifting training.

Stand with the fixator, keep the body upright, then straighten the lower limbs on the affected side and lift them backward and then put them down, or keep them for 3-5 seconds, and then slowly return to the starting position.

The sixth movement: step training.

Keep the trunk upright, step in place and swing your arms.

The seventh movement: heel training.

Stand facing the stairs, hand on the handrails of the stairs, load the legs evenly, keep the trunk upright, lift the heels off the ground, keep them for 3-5 seconds, and then slowly put them down.

The eighth movement: one front and one back standing training.

Chen Lixia, neurological rehabilitation center, Beijing rehabilitation hospital, Capital Medical University