Stroke is a general term for acute cerebrovascular disease, also known as cerebrovascular accident, stroke. Acute cerebrovascular disease refers to a variety of causes of cerebral vascular disease caused by brain arterial and venous hemorrhage or ischemic changes, resulting in related regional neurological deficits, including hemorrhagic stroke and ischemic stroke. The most common clinical ones are cerebral hemorrhage, subarachnoid hemorrhage, arteriosclerotic thrombotic cerebral infarction, and cerebral embolism, ie transient ischemic attack. The stroke rehabilitation program starts from the acute stage and consists of activities on the bed, sitting at the bedside, shifting activities, and finally walking and upper limb functional activities. ( 1 ) Placement on the bed against the ankle: In the supine and lateral positions, attention should be paid to shoulder and hip extension to prevent retraction. The ipsilateral upper extremity is stretched slightly, the forearm is supinated, and the thumb points outwards. The lateral pad of the affected leg prevents external rotation, suffers from knee flexion, and avoids plantar flexion. ( 2 ) Change in body position during soft palate: Acne, coma, and urinary incontinence can easily cause acne. Changing posture frequently, maintaining proper posture and cleanliness are important for preventing acne. At the same time, it can also prevent the emergence of paralysis. Generally change position once every 1-2 hours. (3) passive limb movement: start contralateral started, the distal end of the proximal end of the limb to be sequentially in each articulation, each joint activity 5-10 times, once a day. Be careful not to passively move the joints in the early soft palate to avoid injury. The purpose of this activity is to promote blood circulation, maintain joint mobility, and increase sensory input. ( 4 ) Upper-limb self-exercise exercise: The fingers of both hands are crossed together and the upper limbs of the contralateral side are used to drive the activities of the affected upper limbs. It has the function of promoting the recovery of affected limbs and inhibiting paralysis. ( 5 ) Turning activities: Begin with the help of the trainers, with arms crossed and legs flexed to practice on both sides. Increases trunk muscle strength and coordination and promotes balanced recovery. ( 6 ) Bridge exercise: supine position, knees flexed, feet flat on the bed, slowly raise the buttocks, keep it for 5-10 seconds and then slowly put down. As the function improves, it can be transitioned to a single leg bridge movement and bedside bridge movement. This activity is conducive to hip extension, walking and daily activities. ( 7 ) Recumbent-sit transfer training: Turn from supine position to lateral position first, then place your legs on the bed, lift your shoulders, and support your arms. When needed, the therapist can assist in the completion of the training, especially on both sides. Training plays a role in promoting trunk control and balance recovery. ( 8 ) Induced balance response to promote sitting balance training: sitting hands crossed, arms stretched to the sides of both sides of the extension, turn, legs flat on the ground, adjust the posture will not lose center, restore seat balance training. You can also use the hand to push the patient, or throw and catch the ball so that it does not fall and train the balance. Station balance can be done in the same way. The role is to induce a balanced reaction and promote weight bearing. ( 9 ) Sit station transfer training: use the formed trunk control ability to bend forward the trunk, bend knees, move the body center of gravity forward, straighten the trunk, straighten the legs, move the center of gravity back, rise, and stand up. In this process, the therapist can support them with varying degrees of support. The above various training methods can be applied in training. ( 10 ) Lower limb weight training: Train the patient's trunk posture control and center of gravity transfer ability to prepare for walking. Get up and stand 10-30 minutes daily , the purpose is to promote the soft palate patients to restore the standing feeling, inhibit paralyzed patients with sagging foot, enhance the ability to lower the weight of the limbs, can be divided into bedside legs weight training, one leg weight training. Parallel bars, lower limb braces, balance instruments, etc. can assist or feedback training of lower limbs. The training progresses from the weight of the legs to the weight of the single leg, to the front and the back of the foot, the weight in the walk, and so on, gradually increasing the difficulty and functionality. Weight training can promote the restoration of standing balance and is a prerequisite for walking. ( 11 ) Walking training: Intensive walking training (underweight or underwater) under weight reduction, early use of brace walking training, and treatment room, practical environment walking training, etc., to promote recovery walking, increase walking speed and function use. Partial upper limb training: upper arm stability training, arm dexterity, fine functional training. Partial upper limb function training should be combined with occupational therapy. ( 12 ) Coordinating training: When the recovery of hemiparalysis function is good, various instruments and daily life instruments and sports activities can be used for coordination and general and muscular endurance training, such as rowing machine exercises and power cycling exercises. Hemiplegia sports rehabilitation training should also pay attention to the prevention and treatment of complications such as shoulder pain, hand swelling and contracture. Other trainings such as speech training, swallowing training, and psychological training all contribute to the recovery of motor function. ( 13 ) Stroke unit: Early rehabilitation intervention has become an important part of stroke unit management with remarkable results. Aluminium Garden Sofa Furniture
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