Mistakes to be avoided in early upper membro mão reabilitação in hemiplegic pacientes - Acidente Vascular Cerebral Center

Whether the reabilitação training is correct or not is related to the effect of the paciente's funcional reabilitação. Inappropriate reabilitação training may cause membro overuse or misuse syndrome and delay funcional reabilitação. In order to fazer hemiplegic pacientes get the best training effect in reabilitação training and reduce or avoid unreasonable exercise and training, the following issues should be paid attention to:

1. Grasp the timing of reabilitação intervention

Many acidente vascular cerebral hemiplegia pacientes and their family members mistakenly believe that reabilitação tratamento pode not be started until the recuperação period. In fact, regardless of cerebral hemorrhage or cerebral infarction, as long as the vital signs are stable and the condition no longer develops, reabilitação training pode be started 48 hours later.

2. Avoid early incorrect posture

Acute hemiplegia pacientes should be given the correct good membro position, which pode prevent or resist the appearance of spastic mode and early induction of separation movimento. When changing positions, special attention should be paid to protect the shoulder joint, avoid stretching the affected membro, and prevent shoulder joint subluxation.

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

Passive movimento of membros is one of the early reabilitação measures for hemiplegia pacientes. 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 pode develop into chronic inflammation, and even cause joint capsule hypertrophy, shortening, and joint contracture, which brings more difficulties to reabilitação tratamento.

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

Increased muscle tone occurs at some stage in the recuperação process of hemiplegic pacientes, but hypertonia pode prevent voluntary movements from occurring. At this point, any stimulation that increases muscle tone is detrimental. At this stage, if acupuncture stimulation, estimulação elétrica and massage are not given in accordance with the principles of promoting normal movimento patterns and reflexes and inhibiting abnormal movimento pattern reflexes, muscle tension will be enhanced and further função recuperação will be affected.

5. Replacing postural and motor control training with strength training often reinforces abnormal movimento patterns

CNS palsy is the loss of complex postural and motor control and voluntary motor função, the dysfunction of a group of muscles rather than the involvement of several muscles. Therefore, only training the muscle strength of the affected membro cannot fundamentally promote the recuperação of membro função in hemiplegic pacientes.

6. Avoid overtraining

For convalescent pacientes, the pacientes themselves or their family members are anxious to recuperar 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 muscle and joint damage, resulting in overuse syndrome. . Therefore, for pacientes in the recuperação period, pacientes and their families should be informed about the different exercise methods usado in different stages of reabilitação during training, and follow the principle of gradual training in a small number of times.

7. Pay attention to reabilitação guidance

Because the objects of reabilitação training all have different degrees of dysfunction, some dysfunctions often exist for a long time, and some are even lifelong. Therefore, pacientes should be taught the knowledge and skills in daily life in the training, so that they pode complete self-care independently, so that pacientes pode return to the family and society in a good psychological state.