Upper limb rehabilitation methods for hemiplegic patients

There are many causes of hemiplegia, for example, brain disease is the most common cause. After hemiplegia occurs, patients should actively undergo rehabilitation training, especially rehabilitation training of the upper limbs, which can improve the patient's self-care ability. There are many methods of upper limb rehabilitation training, and sometimes rehabilitation and exercise in this area can be performed in bed. The method is relatively simple. With the progress of rehabilitation training, the patient's upper limb mobility can be greatly improved.

Upper limb rehabilitation methods for hemiplegic patients

1. Passive movement training of upper limbs for hemiplegic patients 1. Passive movement of upper limbs in supine position: shoulder joint can be adducted, abducted, pronated, supinated, etc. It is important to protect the shoulder and elbow joints. 2. Passive movement of the elbow joint and forearm in the supine position: Also pay attention to the protection of the joints. 3. Passive movement of wrist and fingers: Also pay attention to the protection of joints.

2. Assisted exercise training for upper limbs in patients with hemiplegia 1. Assisted exercise for shoulder and elbow joints: If the paralysis of the upper limbs is more serious, you can provide assistance to move the upper arm forward and backward. 2. Elbow flexion antagonist exercise: The patient sits with the palm facing down. A family member stands in front of the affected limb. One hand holds the patient's wrist or palm, and the other hand supports the outer upper 1/2 of the upper arm. While instructing the patient to lift the limb upward, the patient holds the patient's hand to help him lift the affected limb upward, and the hand supporting the upper arm presses down in the opposite direction. Lift it to a certain height, keep the affected limb straight, and then return to its original position.

3. Autonomous movement training of upper limbs in patients with hemiplegia 1. Autonomous movement of upper limbs in bed: If the patient's upper limb muscle strength can be translated, it means that the patient has level 2 muscle strength. It must be emphasized that the distance of each translation and abduction of the patient's upper limbs must be greater than 40cm each time. 2. Autonomous movement of upper limbs in sitting position: The patient's limbs slowly move from the inner side of the thigh to the outer side, repeatedly; or let the patient raise his upper limbs, touch the back of the head, and do the hair combing action. 3. Autonomous movement of upper limbs in standing position: When the patient’s strength is better, he or she can perform wall-touching exercises. Generally, the height is 5cm and the period is one week, so that patients can slowly perform high reach training.