How to carry out rehabilitation training for stroke

1, limb function exercise (1) to maintain the functional position of each joint and prevent joint deformity. Methods: The patient was supine, so that the paralyzed limbs kept functional position, that is, shoulder abduction 50 degrees, internal rotation 50 degrees and flexion 50 degrees. Put the whole upper limb on the mat, place the shoulder adduction, slightly bend the elbow joint of the upper limb, slightly extend the wrist and fingers, hold the fitness ball or gauze roll, slightly bend the lower limb and knee joint, place a small pillow under the knee, and place sandbags outside the leg to prevent abduction, external rotation and sole. (2) Turn over frequently, change the position to supine position, and alternate the lateral position with semi-recumbent position for 2 hours. (3) Passive exercise in bed mainly prevents muscle atrophy and deformation of feet and knees. If the patients with cerebral infarction are unconscious, they will start to get sick the day after the onset. Methods: The range of passive exercise is from small to large, from the healthy side to the affected side, and from the big joint to the small joint in turn. We should not only pay attention to the range of motion in each joint direction, but also pay attention to the intensity of action to avoid rudeness. Special attention should be paid to the activities of small joints of limbs such as elbows, fingers and ankles, and more exercise should be done according to regulations. 4 massage. Massage the affected limb gently and rhythmically to relax it. Massage the pectoralis major to reduce its spasmodic contraction, so as not to interfere with the activities of the shoulders. (5) System function training. Including the correct placement of limbs on the bed, flapping massage, neuromuscular therapy, passive joint activity training, joint extrusion and so on. After that, turn left and right, and train the control ability of upper and lower limbs. After the illness is stable, sit, get up, stand, walk, turn and run.

2. Language standard training (1) allows patients to pronounce "ah" or induce pronunciation training by coughing and blowing matches. (2) Let patients listen to the first half of common sentences and let them say the second half. (3) With the help of medical staff, patients who can pronounce from easy to difficult and from short to long can observe the mouth shape with the help of vision and touch, and correct it at any time.

(4) Language stimulation therapy: Using language training tapes, the commonly used phrases and sentences in daily life are made into tapes suitable for patients to follow. Each training lasts for five or six minutes, and the sound rest time is 10 second.

3. Psychological rehabilitation should run through the whole process of illness and nursing. It is necessary to master the psychological state of patients in different periods, and the training intensity should be based on the principle that patients can accept it, so that patients can gradually transition from passive exercise to active exercise, and from alternative nursing to self-care, so as to maximize the residual function of patients' bodies. It is of great significance for patients to pay attention to the changes of cognitive function and emotion and deal with abnormalities in time.