Rehabilitation training methods for the elderly after stroke;

First, motor function training: mainly used for limb dysfunction. The purpose is to relieve paralysis in the shortened state.

Muscle, improve blood and lymphatic circulation, * * * neurotrophic function. At the same time, the compensatory function is trained to improve the coordinated control of the central nervous system to various muscle groups.

(1) Passive motion: Passive motion should include the motion of all joints of the affected limb in all directions, and the range of motion should be as large as possible. The action should be gentle and gentle, too fast drawing will often stimulate the traction reflex and aggravate the spasm, and rough traction will easily cause damage. You can do * * * or warm water passive exercise first to relax your muscles and improve the activity effect.

(2) Active exercise: Exercise should be easy and steady, first simple, then complicated. Do more exercises to relax the tense muscles, take a deep breath to relax the abdominal back muscles, and drive the activities of the affected muscles and joints. Then do exercises to further restore the coordination function, and exercise the limbs to cooperate with each other. Attention should be paid to adjusting the amount of exercise to avoid excessive fatigue and aggravate the muscle spasm of hemiplegic patients.

Second, language rehabilitation training: mainly used for the rehabilitation of language barriers. For patients who have lost their pronunciation ability, let them pronounce "ah" every day, or induce pronunciation by coughing or blowing matches. For those who can't speak with pronunciation, the escort should teach several times a day in a planned way and repeat it to the church. When teaching, let the patient learn the pronunciation of the mouth, teach the words first, and then teach the sentences. At the same time, read articles to patients regularly and conduct listening language training.

How to do rehabilitation treatment after stroke in the elderly?

concept

Stroke (applexy) is a kind of disease characterized by sudden fainting and unconsciousness, accompanied by crooked mouth, bad language and hemiplegia, or crooked mouth and hemiplegia without fainting. Because of the sudden onset, numerous symptoms and rapid changes in the condition, it is similar to the characteristics of good wind and good deeds, so it is named stroke and stroke. The incidence and mortality of this disease are high, and there are often sequelae; In recent years, the incidence rate is on the rise, and the onset age tends to be younger. Therefore, it is a major disease that threatens human life and quality of life.

Acute cerebrovascular diseases in western medicine, such as cerebral infarction, cerebral hemorrhage, cerebral embolism and subarachnoid hemorrhage, all belong to this category. Western medicine mainly divides this disease into hemorrhagic type and ischemic type. Hypertension, arteriosclerosis, cerebrovascular malformation and cerebral aneurysm can often lead to hemorrhagic stroke. Rheumatic heart disease, atrial fibrillation and bacterial endocarditis often form ischemic stroke. In addition, hyperglycemia, hyperlipidemia, abnormal hemorheology and abnormal mood fluctuation are closely related to the occurrence of this disease. Diagnosis can be made by head CT and MRI.

Preventive nursing

People over middle age often have dizziness and pain, high blood pressure and numbness of limbs, all of which are precursors of stroke. They should quit smoking and drinking, avoid fat and sweetness, avoid optimism, and those with high blood pressure should use drugs appropriately. For patients with organs, we should pay attention to the changes of consciousness, pupil, pulse and blood pressure. For those with limb paralysis, we should pay attention to changing the standard frequently and keeping warm locally to prevent bedsore. For convalescent patients, when comprehensive treatment is adopted, patients are encouraged to actively carry out functional exercise to promote the rehabilitation of paralyzed limbs and prevent muscle atrophy and joint deformation.

Principles of diet therapy for stroke

Acute cerebrovascular disease, also known as stroke and cerebral stroke, is a general term for cerebrovascular diseases. Common in middle-aged and elderly people, the common diseases are hypertension and arteriosclerosis. Due to the rupture of cerebral vessels, blood flows into subarachnoid space, which is called subarachnoid hemorrhage; When blood flows into the brain parenchyma, it is cerebral hemorrhage. Transient ischemic attack (TIA) is caused by cerebral vascular stenosis and occlusion, and the duration of symptoms does not exceed 24 hours. Symptoms lasting more than 24 hours are called cerebral infarction, including cerebral thrombosis and cerebral embolism. Clinical manifestations have some localized neurological symptoms. There is contralateral triple paralysis in one hemisphere, that is, contralateral hemiplegia, mild hemiplegia, hemianopia or aphasia occur at the same time. Occurring in the brain stem and cerebellum are ipsilateral cerebral palsy, contralateral hemiplegia or hemiparalysis, and ipsilateral limb ataxia. Severe cases include headache, vomiting, disturbance of consciousness, and even brain hernia or death.

The incidence and mortality of acute cerebrovascular disease in China are significantly higher than those of coronary heart disease, and the incidence of cerebral hemorrhage is relatively high. On the contrary, the incidence of coronary heart disease in western countries is very high. Besides race, heredity, environment and other factors, differences in diet structure and nutrition are very important reasons. Therefore, correcting nutritional disorders and dietary nutrition therapy are one of the important ways to prevent and treat acute cerebrovascular diseases.

First, the nutritional impact of diet

1. Malnutrition and brain mid-year; Hypertension, atherosclerosis, diabetes and so on are important causes of stroke, so the related dietary and nutritional factors are also closely related to stroke. Epidemiological investigation shows that the incidence of cerebral ischemia and cerebral infarction is high in areas with excessive fat intake, accounting for 40% of the total thermal energy, while the incidence of cerebral hemorrhage is high in areas with low fat, low protein and high salt diet. Experimental studies have confirmed that high serum cholesterol is prone to atherosclerotic thrombosis, while low cholesterol hypertension will make the arterial wall fragile, increase the fragility of red blood cells, and easily lead to bleeding. Nutritional imbalance is not only the imbalance of the quantity of main nutrients, but also the influence of quality is more important than quantity to some extent. For example, polyunsaturated fatty acids and saturated fatty acids in fat can reduce blood cholesterol, but too much will promote lipid peroxidation and destroy cell membranes, while the latter will increase blood cholesterol. Therefore, it is considered that the ratio of polyunsaturated fatty acids to saturated fatty acids is 1: 2, and the best ratio recommended now is p: m: s =1:1. High-quality protein in protein, that is, animal protein with high sulfur amino acid content, such as fish, poultry, lean meat and soybean protein, accounts for less than 50% of the total protein, which is prone to hypertension and stroke. If the diet is high in sodium, low in calcium and low in potassium, it is also prone to hypertension and stroke.

2. Affect the prognosis and rehabilitation of stroke: Because stroke patients have different degrees of brain failure, the course of disease may be accompanied by infection, gastrointestinal bleeding and renal insufficiency; The application of dehydrating agents and hormones can cause water-electrolyte disorder; Light people eat less, heavy people fast, and the dietary nutrition intake is obviously lower than the need. ......

How to recover after stroke?

Practice has proved that many stroke patients can take care of themselves and even restore their working ability through rehabilitation training. The rehabilitation of stroke patients includes: (1) various physical therapies, including electrotherapy, phototherapy, hydrotherapy, wax therapy, electro-acupuncture therapy, ultrasonic therapy, acupoint magnetic therapy, direct current therapy of Chinese and western medicine, etc. (2) Occupational therapy: including basic daily activities such as food, clothing, housing and transportation, professional labor activities and craft labor activities training. The purpose is to make patients gradually adapt to the needs of personal life, family life and social life. (3) Medical exercise: it is one of the main methods of rehabilitation. Commonly used are modern medical gymnastics and traditional Chinese medicine physiotherapy, such as Qigong and * * *. (4) Language training: Language training for aphasic patients can restore their speaking ability to some extent. (5) Psychological rehabilitation: study the mental state and intelligence of patients, and use psychotherapy to promote psychological rehabilitation of patients. (6) Recreational rehabilitation project: Recreation not only helps to improve physical function, but also stimulates patients' spirits and emotions, thus avoiding loneliness. There are ways to listen to songs, practice musical instruments, sew and draw.

How to do rehabilitation treatment for stroke hemiplegia? 10 point

How long has it been since the stroke? If it can be completely cured within one year ... if it takes a long time, there will still be sequelae after the cure.

Hope to adopt.

How to do rehabilitation treatment after stroke?

1, the best rehabilitation therapy for sequelae of cerebral hemorrhage-Shenjing feedback therapy is one of the most effective rehabilitation methods for sequelae of cerebral hemorrhage. Through N M R rehabilitation, the electrical signals of the simulated brain act on the hemiplegic limbs, and the feedback information is transmitted to the brain, which promotes the awakening of the sleeping god through fine cells, and the residual god can be resurrected. At the same time, the incidence, mortality and disability rate of sequelae of cerebral hemorrhage are reduced, and the life self-management ability and happiness index of patients with sequelae of cerebral hemorrhage are improved. Professor Wang Xinglin is an expert in rehabilitation medicine, and the N·M·R psychomuscular rehabilitation instrument he developed is an effective instrument to help rehabilitation. You can learn more about it.

How to rehabilitate hemiplegia caused by cerebral infarction (stroke) in 80-year-old people?

Find the Buddhist sage Boju. He has an idea.