The Time for đột quỵ bệnh nhân to Start Walking Training - đột quỵ Center

In general, the earlier đột quỵ survivors are trained to walk, the faster they phục hồi. If bệnh nhân stay in bed or sit in a wheelchair for a long time, they will have a fear of heights and falling when they try to stand and move again. In addition, prolonged exposure to the lying or sitting can kết quả in reduced trunk strength and aggravate the abnormal flexion pattern throughout the body, making it more difficult for the bệnh nhân to resist gravity and move body while standing. However, this does not mean that we should put bệnh nhân on gait training right away.

Some families and bệnh nhân act too hastily. We often see several family members carrying the bệnh nhân in the hallway, dragging the bệnh nhân forward. This luyện tập is not helpful to the bệnh nhân, and will increase the difficulty of walking in the later stage of bệnh nhân, leading to the wrong walking posture. The answer to when the bệnh nhân can start walking training is individual; we need to consider the bệnh nhân's trunk kiểm soát, chi dưới ability and balance ability.

Criteria for Patients to Start Walking Training

1.The bệnh nhân can stand on both legs. Being able to stand for more than 10 minutes is the foundation for practicing walking.

2.During early walking attempts, the bệnh nhân does not need the help of a nhà trị liệu or family member to straighten the affected leg and move the affected leg.

3.bệnh nhân can use the affected leg to hỗ trợ the body and move the healthy leg forward.

4.When attempting to walk, the bệnh nhân is able to shift weight to the healthy leg and step with the hemiplegic leg without a large tilt or twist in the trunk. It shows that the affected leg is able to walk up a lower step (below 5cm) while supported by the healthy leg.

5.With the aid of a cane or folding walker, the bệnh nhân was able to walk normally without significant limb spasms or body shaking.

Points to note during walking training

1.During walking training, attention should be paid to whether there is continuous hyperextension of the knee and plantarflexion of the foot when the affected leg supports the body. If so, the abnormal chuyển động will become habitual during repeated walking training and will be difficult to change in the future.

2. If the bệnh nhân feels panic every time he or she tries to walk, we should not force him or her to continue to walk even though the bệnh nhân's leg function level is good, let alone accuse him or her of lacking courage. It may be caused by the bệnh nhân's sensory impairment or other special problems.

The walking training of đột quỵ bệnh nhân can not be too hasty. If the bệnh nhân's ability is not enough to carry out walking training, they need to tăng cường cơ strength and balance ability first under the guidance of therapists, to avoid the occurrence of abnormal gait, joint chấn thương, fall and other adverse conditions.