1. Massage and thụ động exercise:
For early bedridden bệnh nhân, their family members will massage their paralyzed limbs to ngăn ngừa cơ atrophy, and perform thụ động exercises such as flexion and extension of knees, elbows, and các ngón tay to avoid joint stiffness.
2. Flexibility and coordination:
The exercise of the upper limbs is mainly to luyện tập the flexibility and coordination of the two các bàn tay, such as combing hair, dressing, unbuttoning, washing face, etc., and participating in activities such as playing table tennis and playing ball, gradually reaching The degree to which you can take care of yourself in daily life. As for chi dưới exercises, the bệnh nhân can sit on a stool and roll back and forth on the bamboo tube.
3. Strength exercise:
The bệnh nhân sits on a stool and does activities such as leg lifts, knees extensions, standing with supports, moving the body to the left and right side, squating and so on. He/She could also step on the spot, lift both legs in turn, hold the edge of the table to move body to the left and right sides and walk forward with one bàn tay supported and the other holding a crutches. When exercising, the affected limb should be intentionally weight-bearing, but it should be noted that the amount of activity should be gradually increased, and the time should be mastered.
At the same time, the bệnh nhân could lift forward, slowly raise, and lift up the chi trên of the affected side. When the bệnh nhân lies on the bed, he/she can actively flex his/her các cánh tay, stretch the wrists and put his/her các ngón tay together, spread các ngón tay, and grasp table tennis balls and small iron balls. After being able to walk on his/her own, the bệnh nhân could raise legs when walking, do a straddle gait, and gradually cross the threshold, walk on the slope, go up and down the stairs and do other exercises, and gradually increase the distance of activity.
4. Daily life skills training
Such as the ability to eat and drink independently, put on and take off clothes by oneself, self-reliance in excretion and urination, take a bath, do housework, etc. In addition to sports phục hồi chức năng, attention should be paid to calculation, synthesis, reasoning, cognition, psychology, occupational and social phục hồi chức năng. The language function training should be patiently and meticulously practiced word by word. When practicing, the bệnh nhân should focus on, maintain emotional stability, and speak slowly. Start with simple words and vocabulary luyện tập. Encouraging bệnh nhân to speak boldly with others is also a way of language exercise.