Steps of rehabilitation training for cerebral hemorrhage

After good treatment, the condition of patients with cerebral hemorrhage will gradually stabilize. At this time, patients will more or less have some sequelae, such as hemiplegia, aphasia and other symptoms. At this time, rehabilitation training should be carried out in time. According to the patient's condition, they should first be trained in bed. If they can walk on the ground, they should conduct walking training to gradually recover their body step by step.

Steps of rehabilitation training for cerebral hemorrhage

1. Exercise on the bed:

It includes turning over and moving the body up and down, left and right, exercises for the back muscles, abdominal muscles and respiratory muscles, upper and lower limb activities, as well as exercises for daily life activities such as washing, dressing, eating, and using the toilet.

2. Walking exercises:

Walking is an important part of self-care for hemiplegic patients. First perform warm-up exercises before walking (such as swinging the affected limb back and forth in a supported standing position, stepping, bearing weight, etc.), then walk with support or between parallel bars, walk with crutches, or walk without hands. Emphasis should be placed on walking exercises, and attention must be paid to improving gait exercises.

3. Standing and standing balance exercises:

First do preparatory exercises for standing (such as sitting and stepping with legs raised, muscle strength exercises for the affected lower limb, etc., and if conditions permit, use a standing bed for exercises), and then stand with support, stand between balance bars, stand with bare hands, and perform standing balance exercises to achieve the ability to maintain standing balance under a certain external force from others.

4. Sit-up and sitting balance exercises:

Start with a semi-sitting position (30-40 degree angle) and gradually increase the angle, frequency and time, from sitting on the bed, sitting beside the bed, sitting in a chair or wheelchair. Because the patient cannot control himself when sitting and often leans to the affected side, he should then practice sitting balance, from being unable to sit steadily without support to being able to sit steadily by swinging the trunk in different directions and being able to sit steadily with a certain external force from others.

The main methods used are massage, passive exercise assisted by others, and active exercise participated in by the patients themselves.

Although medical staff advocate that rehabilitation exercises should be started as early as possible, patients and their families often still have concerns about early exercise, especially patients with cerebral hemorrhage, who are even more worried that early activities will cause rebleeding. In fact, the chance of rebleeding caused by rehabilitation exercises is very small. Medical staff concluded that as long as patients with cerebral hemorrhage undergo rehabilitation exercises and their blood pressure remains stable and their movements are not too strenuous, they will not suffer from rebleeding. However, if rehabilitation exercises are started too late, they will lose the effect of preventing sequelae and complications.