What to do if you can't speak due to cerebral hemorrhage

The symptom of being unable to speak after cerebral hemorrhage is due to the bleeding compressing the language center. After a series of treatments such as medication and rehabilitation, the blood clot will dissolve and the phenomenon of being unable to speak will improve, but it will not be completely recovered. Active language stimulation and communication are needed to exercise the language center and assist with acupuncture treatment. It is important to seize the best recovery period after bleeding. This article focuses on the clinical manifestations of cerebral hemorrhage. If the following situations occur, you must seek medical attention immediately.

1. Early rehabilitation:

Patients at this stage generally show flaccid paralysis, with no voluntary muscle contractions and no joint reactions, and the body is basically in a state of complete relaxation; this is equivalent to Brunnstrom recovery stage 1-2.

(I) Basic purpose: The basic purpose of early rehabilitation is to prevent complications that may seriously affect the rehabilitation process in the future, such as swelling, muscle atrophy, limited joint movement, etc.; strive to improve function as early as possible and prevent complications.

2. Early rehabilitation methods:

1. Correct body position: Teach family members and caregivers to use the correct body position, including supine position, healthy side position and affected side position. Turn the patient over every 2 hours and pat the back several times.

2. Turnover exercise: Cross your hands and raise them horizontally in front of you, then turn them to both sides and support your body with your feet on the bed.

3. Self-assisted exercises on the bed: cross your hands and raise them horizontally in front of you, raise them over your head, raise them to the side, point to your nose, bend your legs to support yourself on the bed and lift your hips, cross your feet and move them to the side, etc.

4. Passive exercise at the bedside - upper limbs: shoulder girdle, shoulder joint, elbow joint, wrist and finger joints.

5. Passive exercise at the bedside - trunk traction and back muscle compression stimulation.

6. Passive exercise at the bedside - lower limbs: hip joint, knee joint and ankle joint.

7. Methods to promote muscle contraction: Use sudden stretching of muscles to induce muscle contraction.

8. Expectoration

9. Sitting training with the head of the bed raised: The head of the bed is gradually raised. If the patient can maintain each position for 30 minutes, the position is gradually increased by 10 degrees and training is continued until the patient can sit up by the bed and practice balance without leaning on the bed.

10. Facial muscle stimulation: opening mouth, puffing cheeks, clicking teeth, stretching, pressing upper palate, etc., frozen cotton (or holding ice cubes in mouth) and taste stimulation.

11. Breathing control exercise: Ask the patient to take a deep breath, exhale slowly, and relax.

12. Sitting training: Before the head of the bed is raised to 90 degrees, first train the patient to support his head and shoulders with one hand at the side and back until he can support himself and sit up.

13. Sitting balance: correct sitting posture, and balanced sitting on the bed, including front, back, left and right.

14. Sitting exercises: to strengthen balance training, including crossing hands to face forward, sideways, pointing to the nose, and pointing forward; strength training of the healthy lower limbs, etc. Family members and caregivers can be taught, and then the patient can be urged to practice several times a day.

15. Transfer from bed to wheelchair (or chair).

16. Sit-stand exercises: If conditions permit, patients can be allowed to stand in bed early to help them regain a sense of verticality, regain control of the muscles that resist gravity, regain self-regulation of blood pressure, improve standing balance and overcome orthostatic hypotension. In general, patients with cerebral infarction are required to be able to sit at the bedside 3-4 days after being selected for the treatment group, and can be trained to stand within two weeks. The auxiliary force depends on the condition; patients with cerebral hemorrhage should try to sit at the bedside within two weeks and stand within four weeks.