Mistakes to be avoided in early upper arto mano riabilitazione in hemiplegic patients - ictus Center

Whether the riabilitazione allenamento is correct or not is related to the effect of the paziente's functional riabilitazione. Inappropriate riabilitazione allenamento may cause arto overuse or misuse syndrome and delay functional riabilitazione. In order to make hemiplegic patients get the best allenamento effect in riabilitazione allenamento and ridurre or avoid unreasonable esercizio and allenamento, the following issues should be paid attention to:

1. Grasp the timing of riabilitazione intervention

Many ictus emiplegia patients and their family members mistakenly believe that riabilitazione trattamento can not be started until the recupero period. In fact, regardless of cerebral hemorrhage or cerebral infarction, as long as the vital signs are stable and the condition no longer develops, riabilitazione allenamento can be started 48 hours later.

2. Avoid early incorrect posture

Acute emiplegia patients should be given the correct good arto 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 arto, and prevent shoulder joint subluxation.

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

Passive movement of limbs is one of the early riabilitazione measures for emiplegia 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 riabilitazione trattamento.

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

Increased muscle tone occurs at some stage in the recupero 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 recupero will be affected.

5. Replacing postural and motor control allenamento with forza allenamento 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 allenamento the muscle forza of the affected arto cannot fundamentally promote the recupero of arto 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 aumentare the amount of esercizio 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 recupero period, patients and their families should be informed about the different esercizio methods used in different stages of riabilitazione during allenamento, and follow the principle of gradual allenamento in a small number of times.

7. Pay attention to riabilitazione guidance

Because the objects of riabilitazione allenamento 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 allenamento, so that they can complete self-care independently, so that patients can return to the family and society in a good psychological state.