Mistakes to be avoided in early upper limb mano rehabilitación in hemiplegic patients - Centro de Ictus

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

1. Grasp the timing of rehabilitación intervention

Many ictus hemiplegia patients and their family members mistakenly believe that rehabilitación tratamiento can not be started until the recuperación period. In fact, regardless of cerebral hemorrhage or cerebral infarction, as long as the vital signs are stable and the condition no longer develops, rehabilitación training can be started 48 hours later.

2. Avoid early incorrect posture

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

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

Passive movimiento of limbs is one of the early rehabilitación measures for hemiplegia patients. Once this range is exceeded, it will not only cause dolor, but also lead to ligament rupture and intra-articular bleeding. In the long run, it can develop into chronic inflammation, and even cause joint capsule hypertrophy, shortening, and joint contracture, which brings more difficulties to rehabilitación tratamiento.

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

Increased músculo tone occurs at some stage in the recuperación process of hemiplegic patients, but hypertonia can prevent voluntary movements from occurring. At this point, any stimulation that increases músculo tone is detrimental. At this stage, if acupuncture stimulation, electrical stimulation and massage are not given in accordance with the principles of promoting normal movimiento patterns and reflexes and inhibiting abnormal movimiento pattern reflexes, músculo tension will be enhanced and further función recuperación will be affected.

5. Replacing postural and motor control training with fuerza training often reinforces abnormal movimiento patterns

CNS palsy is the loss of complex postural and motor control and voluntary motor función, the dysfunction of a group of muscles rather than the involvement of several muscles. Therefore, only training the músculo fuerza of the affected limb cannot fundamentally promote the recuperación of limb función in hemiplegic patients.

6. Avoid overtraining

For convalescent patients, the patients themselves or their family members are anxious to recover 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 músculo and joint damage, resulting in overuse syndrome. . Therefore, for patients in the recuperación period, patients and their families should be informed about the different exercise methods used in different stages of rehabilitación during training, and follow the principle of gradual training in a small number of times.

7. Pay attention to rehabilitación guidance

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