How to recover left hemiplegia caused by cerebral infarction?

There are several points to pay attention to in limb rehabilitation. The first is rehabilitation training. Scientific physical exercise is a concern of stroke patients and their families. How to speed up the recovery of stroke sequelae? Let me put it briefly:

1, Finger joint stretching exercise: The elbow joint of the affected side flexes 90 degrees, and the nursing staff fixes one hand on the wrist joint of the affected side, and holds the fingers of the affected side with the other hand, so as to carry out sufficient passive metacarpophalangeal joint flexion and extension training, and at the same time carry out flexion and extension exercises of the proximal and distal interphalangeal joints.

2. Wrist flexion and extension movement and lateral lifting movement: the elbow joint of the affected side flexes and extends 90 degrees, and the nursing staff fixes one hand near the wrist joint of the forearm, and holds the metacarpophalangeal joint with the other hand to passively flex and extend the wrist joint of the affected side, and passively move the wrist joint of the affected side with ulnar deviation and radial deviation.

3. Forearm pronation and supination: The elbow joint of the affected side flexes 90 degrees, and the nursing staff holds the elbow joint of the affected upper arm with one hand and fixes it with the wrist joint of the affected side with the other hand, so that the affected forearm is passively pronated and supinated, which can prevent pronation spasm with limited forearm supination after stroke.

4. Elbow flexion and extension: the natural position of the affected side. Nurses hold the elbow joint of the affected side with one hand and the wrist joint with the other hand, passively bend the elbow joint of the affected side to the maximum flexion position, and then reset it. However, it should be noted that before elbow flexion and extension, it is necessary to check whether biceps brachii and triceps brachii are spasmodic. If there is spasm, you need to gently massage the local area first, and then do the above exercise after the muscles are relaxed.

Shoulder flexion: the nursing staff holds the elbow joint of the affected side with one hand, so that the elbow joint of the affected side is in a straight position, and the wrist joint of the affected side is in a middle position with the other hand, so that the fingers of the affected side are in a straight position. Raise the patient's shoulder joint to normal 180, stop passive motion when it reaches the maximum flexion state, and then return to the initial shoulder joint extension position. If there is delayed paralysis, the passive flexion of the affected shoulder joint can be carried out to half of normal. Sometimes, in order to prevent subluxation of shoulder joint, nurses fix the scapula of the affected side with one hand and lift the upper limb of the affected side with the other hand. When the other upper limb is lifted, the hand that fixes the scapula can simultaneously lightly press the humeral head to rotate in the glenoid fossa.

Shoulder abduction: preparation is the same as shoulder flexion. Passively abduct the affected joint to 90, and then restore the original position. In order to prevent subluxation of the shoulder joint, the nurse can also grasp the affected scapula with one hand and slowly move upward and forward, while abduction of the affected upper limb with the other hand.

Internal and external rotation movement of shoulder joint: the patient's shoulder joint abduction is 90 degrees, and the elbow joint flexion is 90 degrees. Nurses hold the elbow joint of the affected side with one hand and the wrist joint with the other hand, and passively rotate the shoulder joint inside and outside (Figure 3). In the period of flaccid paralysis, in order to prevent subluxation and injury of the shoulder-brachial joint with shallow joint fossa, passive internal and external rotation (the internal and external rotation of the shoulder joint is about 45) can be carried out in half of the normal joint range. Nurses can also hold the patient's shoulder joint with one hand, so that the humeral head does not leave the joint socket, and gently press the shoulder socket with the humeral head, in which case the shoulder joint rotates inside and outside.

5. In the supine position of the stroke patient with flexion and extension of the hip and knee joint, the nursing staff stood on the affected side of the patient, holding the back of the affected knee joint with one hand and the heel of the patient with the other hand, so that the affected hip and knee joint flexed to the maximum position. Then in the case of hip flexion, straighten the affected knee joint, and finally straighten the affected hip joint.

6. plantar flexion and dorsiflexion of ankle joint

In the supine position of the stroke patient, the nursing staff stands on the affected side of the patient, holding the instep with one hand and the heel with the other hand, and pushing the hand holding the instep hard to complete the ankle flexion movement. Then hold the ankle joint with one hand, pull the heel with the other hand, and push the sole of the foot with forearm flexion at the same time to complete ankle flexion.

7. Ankle varus and valgus.

When the stroke patient is in supine position, the nursing staff stands on the patient's affected side, holding the ankle joint with one hand and the sole near the toe with the other hand to complete the eversion movement of the ankle joint.

By analogy, there is also the need to pay attention to eating less and eating more meals, chewing slowly, three or four or five meals, seven or eight full, not overeating, low in sugar, salt and fat, quitting smoking and drinking less and giving up irritating food. Of course, irritating foods such as peppers cannot be eaten. Usually eat more fresh green vegetables and fruits, as well as carrots, black fungus, oatmeal, oatmeal powder, jujube, tomatoes, sweet potatoes, pork and so on. Drink plenty of boiled water, drink a cup of boiled water about half an hour after waking up before going to bed, don't get up immediately after waking up in the morning, stay awake for 4 or 5 minutes, keep cheerful and emotionally stable, chat and communicate with everyone more, talk and laugh, don't be too emotional, don't sulk often, take more walks after meals, exercise moderately, take a slight sweat as the maximum activity, and remember one sentence: keep your mouth shut and exercise.

There is also conditioning with Chinese medicine, paying attention to conditioning the blood environment to prevent recurrence.

I wish the patient a speedy recovery!