At present, the main treatment is functional exercise. For the functional rehabilitation of patients with brain atrophy, the most important thing is balance training and gait training for those with balance dysfunction and gait abnormality. In addition, there are joint range training and muscle strength training. , focusing on balance training and gait training:
The training of balance function is very important in the rehabilitation treatment of patients with brain atrophy. Many daily functional activities of these patients are affected due to balance disorder. Therefore, balance rehabilitation training is particularly important for patients with balance disorder. Usually, the training is divided into the following four steps: ① Sitting posture balance training: first, let patients experience the feeling of sitting posture or correct their sitting posture in front of a mirror, and then train them to sit from leaning to leaning, from sitting in an armchair to sitting on a stool; And learn to change the center of gravity of the sitting position, strengthen the patient's weight-bearing exercise and hip-lifting exercise alternately from left to right. Then practice various movements of upper limbs and trunk when sitting, and keep the dynamic balance of sitting under the thrust of external force. ② Standing balance exercise: Some patients started standing balance training. They can experience the feeling of standing with the help of the upright support first, and then slowly practice from dependence to independence. Touch different objects in a standing position. You can practice moving the center of gravity to the front, back, left and right on the balance trainer to improve the load-bearing ability and balance ability of the legs. At the same time, you can apply thrust on the outside of the shoulder or on both sides of the pelvis to train your dynamic balance ability. The standing ground can be flat or uneven, and the patient can stand on the sea mat. With the improvement of balance ability, they finally progressed to standing posture, performing various movements of head, upper limbs, trunk and lower limbs, and practicing standing on the rocker. ③ Standing balance: practice standing from supported to unsupported, and pay attention to the bearing of both lower limbs when standing, so that patients can repeatedly experience the feeling of standing with both legs supported. They can practice standing on a high stool first, and then gradually transition to sitting on a low stool. ④ Walking balance exercise: that is, to train the stability in walking, you can practice walking back and forth in the balance bar, or moving back and forth against the wall, then walking in a straight line or walking on a narrow balance beam, and practicing emergency stop, turning, turning and crossing obstacles during walking. With the improvement of walking ability, you can speed up walking to improve your balance ability.
Gait training is based on the analysis of gait, and corresponding measures are taken according to the analysis results. Gait training is based on the balance of sitting posture and standing posture, including preparation before training, balance bar training, indoor walking training, walking practice on movable platform and other training activities, in order to correct patients' abnormal gait and help patients regain the balance of walking posture.
Because in the process of sports rehabilitation training, energy consumption is large and fatigue is easy, special attention should be paid to frequent intermittent rest during training to prevent excessive fatigue and muscle strength decline. In addition, patients should be protected from falling during training to prevent them from feeling afraid.
Each of the above steps is trained one-on-one by rehabilitation therapists. Before treatment, the therapist makes the corresponding treatment plan according to the specific situation of each patient. Exercise rehabilitation treatment/kloc-0 once a day, 6 days a week, rest 1 day.
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