Cerebral artery occlusion of a sudden or all of a sudden rupture can cause blood vessels in the brain dominate the region's dysfunction, and the emergence of a series of clinical symptoms, or stroke. Patients there are urgent relief, but mostly for acute disease. There are clinical cerebral ischemia, cerebral thrombosis and cerebral embolism, subarachnoid hemorrhage, cerebral hemorrhage, and so on a different diagnosis, but the complexity of the symptoms, the patient and their family members is difficult to distinguish.
Middle-aged and older persons, especially with high blood pressure, abnormal blood lipids, hyperviscosity, heart disease, atrial fibrillation, diabetes-prone, and other dangerous diseases, whether long-term bed rest, or wake up one day, or emotional, If the following symptoms, it is possible to have taken place in stroke:
Dizziness, vertigo (as the spin-), headache, in particular, severe headache, nausea, vomiting, tinnitus, and so on; unclear speech, aphasia, diplopia, Pianmang, blindness, ophthalmoplegia, swallowing difficulties, such as numbness of the mouth askew; limb Numbness, unilateral paralysis of limbs, paralysis of limbs and a single, cross-paralysis, quadriplegia, limb co-ordination of activities, or insensitive, abnormal, and so on disappear. Fuzzy sense, unconsciousness, coma, convulsions, and so on.
Regardless of the above symptoms is a one-time or continuous, should be rushed to hospital, against the clock to get emergency treatment.
Recovery and rehabilitation phase of the after-effects, first, with the aim of reducing and eliminating after-effects and improve the quality of life of patients, and the other is to prevent the recurrence of stroke.
The stroke rehabilitation
Objective: To prevent complications, reduce side effects, to promote functional recovery in patients with and give full play to the residual functions in order to fight for self-care, social reintegration.
Acute phase of rehabilitation
To prevent complications: pressure ulcers, respiratory tract infections, urinary tract infections, deep vein inflammation
To prevent deformation of joint contracture, massage, passive motion, body treatment
Rehabilitation of the recovery period (1 to 3 months, 3 to 6 months, 6 months to 2 years)
Including the improvement of gait and restore the ability to walk;
Enhance the physical and fine motor coordination;
To improve and restore activities of daily living;
Timely application of assistive devices to compensate for the limb function; attention to the psychological, social and environmental transformation of the family, so that patients return to society.
Rehabilitation measures
Exercise training should be developed in accordance with the order and position the level of reflection:
Sit stood up from → → → knees balance sitting upright balance → orthostatic balance got on one point to sit down → → → balance standing to walking
① sitting balance training:
Should sit as soon as possible to carry out training from the supine to sitting beside the bed, without support from the patients sitting in a chair to reach a balance seat, so that the limb can do the trunk in a different direction before the convergence of the activities of the swing "dynamic" The secondary balance, the completion of the last resistance to others outside the "dynamic" three-tier balance ② standing balance training:
Li stood up to bed:
And then gradually into the support stand, to stand between the parallel bars, so that patients gradually from the support side towards the center of gravity, training in patients with heavily ability to be able to stand bare hands after the implementation of standing balance training, to reach the final of the three standing balance
③ walking training:
Walking is the resumption of rehabilitation of the basic objectives. First to support the parallel bars within walking distance or on foot, and then to walk bare hands to improve the gait training, with emphasis on Huaquan to correct gait.
Patients should be focused on the implementation of the training, such as the standing phase, suffering from weight-bearing leg poor, in the weight of the conversion process, the legs suffering from a lack of ability to balance the response should focus on training the legs suffering from weight-bearing capacity, such as the swing phase, patients Not a very good legs buckling, the practice should be less flexion and extension of the turn of the affected knee for the independence movement in the swing phase will be completed when the knee buckling and move ahead.
ADL, including the transfer of bed chairs, dressing, eating, going to the toilet, bathing, walking up and down the stairs, personal hygiene and so on. Through occupational therapy, the patients as much as possible to achieve self-care.
Occupational Therapy
ADL training in action - eating, personal hygiene, dressing, bathing, writing, the treatment process - weaving, embroidery, painting, ceramics, rubber cement, two-handed training co-operation; typing, knot-base building blocks, twisted screws, pick up small items, Playing, training the hands of fine motor ability to self-care aids, household chores, outdoor activities
About rehabilitation center
Zhou is a bridge rehabilitation of community health service center in the new section, to serve as the main street of the community, including stroke recovery and treatment of osteoarthritis. Patient with functional training, physical therapy, acupuncture, cupping, acupuncture and other water treatment.
For stroke patients mobility features, out-patient centers in coordination with community rehabilitation team of doctors to carry out door-to-door service for the area to assess patients with door-to-door to provide rehabilitation, training and functional rehabilitation services, health education, so that stroke patients will be able to enjoy the homes Medical services.
In addition, the use of out-of acupuncture, cupping, water, and other Chinese medicine acupuncture techniques for the treatment of cervical disease, low back pain, periarthritis diseases such as bone-setting results.