Targeted activities of daily living allenamento for hemiplegic upper arto and mano dysfunction（1） - ictus Center

Activities of daily living allenamento is a part of the scope of work, using the form of work activities to promote functional recupero and re-learning of normal movement patterns.This articolo mainly describes the targeted activities of daily living allenamento that combines daily life tools and neurodevelopmental terapia in ordinary riabilitazione. It analyzes the movements of ictus patients with possible functional recupero, and then strengthens weak areas and avoids abnormal movement patterns.

Taking the paziente with left emiplegia as an example, the weaknesses in the activities of daily living are as follows:

1. Shoulder flexion （a movement pattern that inhibits flexion of the upper body)

The terapeuta controls the paziente to straighten the elbow and instructs the paziente to remove the sleeve from the post. If the paziente's mano grasping ability is insufficient, the sleeve can be held with both hands at the same time.

2. Shoulder Abduction

The terapeuta assists the paziente to straighten the elbow. If the paziente's grip forza is insufficient, the terapeuta assists the grasp and uses a gymnastics stick to assist the abduction.

3. Elbow stretch

Elbow extension activities with shoulder immobilization (note that the wrist is placed on the flatbed to prevent it from sagging and causing pain). During the riabilitazione process, due to the influence of the spastic mode, the paziente can complete the elbow extension alone, but the shoulder flexion and elbow extension cannot be completed together. We can first perform the elbow extension allenamento activity from the shoulder flexion state to suppress this mode.

4. External rotation of the shoulder

Control the paziente's shoulder to prevent it from abduction, instruct the paziente to externally rotate the shoulder joint and remove the water bottle with Velcro on the side panel.

5. Wrist dorsal stretch allenamento

Keeping your forearm still, push the column away.

Try to keep the forearm still, grab the pieces and train.