Mistakes to be avoided in early chi trên bàn tay phục hồi chức năng in hemiplegic bệnh nhân - đột quỵ Center

Whether the phục hồi chức năng training is correct or not is related to the effect of the bệnh nhân's functional phục hồi chức năng. Inappropriate phục hồi chức năng training may cause limb overuse or misuse syndrome and delay functional phục hồi chức năng. In order to make hemiplegic bệnh nhân get the best training effect in phục hồi chức năng training and giảm or avoid unreasonable exercise and training, the following issues should be paid attention to:

1. Grasp the timing of phục hồi chức năng intervention

Many đột quỵ hemiplegia bệnh nhân and their family members mistakenly believe that phục hồi chức năng điều trị can not be started until the phục hồi period. In fact, regardless of cerebral hemorrhage or cerebral infarction, as long as the vital signs are stable and the condition no longer develops, phục hồi chức năng training can be started 48 hours later.

2. Avoid early incorrect posture

Acute hemiplegia bệnh nhân should be given the correct good limb position, which can ngăn ngừa or resist the appearance of spastic mode and early induction of separation chuyển động. When changing positions, special attention should be paid to protect the shoulder joint, avoid stretching the affected limb, and ngăn ngừa shoulder joint subluxation.

3. Inappropriate joint thụ động activity training, resulting in joint damage

thụ động chuyển động of limbs is one of the early phục hồi chức năng measures for hemiplegia bệnh nhân. Once this range is exceeded, it will not only cause đau, 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 phục hồi chức năng điều trị.

4. Inappropriate stimulation will increase the cơ tension on the affected side

Increased cơ tone occurs at some stage in the phục hồi process of hemiplegic bệnh nhân, but hypertonia can ngăn ngừa voluntary movements from occurring. At this point, any stimulation that increases cơ tone is detrimental. At this stage, if acupuncture stimulation, kích thích điện and massage are not given in accordance with the principles of promoting normal chuyển động patterns and reflexes and inhibiting abnormal chuyển động pattern reflexes, cơ tension will be enhanced and further function phục hồi will be affected.

5. Replacing postural and kiểm soát vận động training with strength training often reinforces abnormal chuyển động patterns

CNS palsy is the loss of complex postural and kiểm soát vận động and voluntary chức năng vận động, the dysfunction of a group of các cơ rather than the involvement of several các cơ. Therefore, only training the cơ strength of the affected limb cannot fundamentally thúc đẩy the phục hồi of limb function in hemiplegic bệnh nhân.

6. Avoid overtraining

For convalescent bệnh nhân, the bệnh nhân themselves or their family members are anxious to phục hồi from the disease, so they increase the amount of exercise or do some difficult movements on their own, which will cause systemic fatigue and local cơ and joint damage, resulting in overuse syndrome. . Therefore, for bệnh nhân in the phục hồi period, bệnh nhân and their families should be informed about the different exercise methods used in different stages of phục hồi chức năng during training, and follow the principle of gradual training in a small number of times.

7. Pay attention to phục hồi chức năng guidance

Because the objects of phục hồi chức năng training all have different degrees of dysfunction, some dysfunctions often exist for a long time, and some are even lifelong. Therefore, bệnh nhân should be taught the knowledge and skills in daily life in the training, so that they can complete tự chăm sóc independently, so that bệnh nhân can return to the family and society in a good psychological state.