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How to recover after stroke in the elderly?
Daily Business News Just after the Spring Festival, the number of stroke patients in hospitals has increased significantly. The reason is nothing more than the excessive excitement of the old people during the holidays. Chief physician Qiu, director of rehabilitation department of Zhejiang Provincial People's Hospital, said that early rehabilitation training can reduce the disability rate and degree of stroke. Director Qiu said that after a stroke, patients had better take a healthy lateral position immediately. Face the healthy side to prevent it from twisting backwards; Secondly, the affected lateral position and supine position, constantly changing body position can balance the tension of extensor and flexor muscles of limbs and prevent spasm. Care should be taken to avoid taking a semi-seated position as much as possible. Patients' families can perform passive joint movements for patients, promote limb blood circulation and increase sensory input. When the patient's consciousness is clear and his vital signs are stable about 1 week, he can start active rehabilitation training. Where: 1. Let patients turn left and right on the training bed, which is one of the most basic trunk function training. Because the trunk is dominated by bilateral pyramidal tracts, paralysis is generally incomplete and recovery is fast. 2. Let patients practice sitting up from the healthy side or the affected side, which should be carried out at the same time as the turn-over training. Be careful not to let the patient sit with his back against the object. 3. Patients can start standing training after independent meditation. After the patient can stand still independently, let the patient's center of gravity gradually shift to the affected leg to train the load-bearing ability of the affected leg. 4. Only when the patient can stand and balance independently, the weight of the affected leg reaches more than 75% of the body weight, and he can move forward, can he start walking training. For most patients, walking stick should not be used too early, so as not to affect the training of the affected side. Before walking training, practice walking back and forth alternately with your legs and shift your center of gravity. 5. After the patient can sit still independently, start occupational therapy, including daily life ability training, such as eating, personal hygiene, dressing, bathing, doing housework, participating in craft activities, etc. In addition, physical therapy and acupuncture should be carried out, because functional electrical stimulation, biofeedback and acupuncture can increase sensory input and promote functional recovery and motor control.
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