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Methods of hemiplegia training
Methods of hemiplegia training
Besides necessary drug intervention, the main rehabilitation training methods for hemiplegia include: exercise therapy, occupational therapy, language therapy, psychological therapy, stylistic therapy, traditional physical therapy, traditional Chinese medicine, etc.
Exercise therapy: It is a general term for the treatment of dyskinesia by active exercise and passive exercise. The main contents include joint mobility training, muscle strength training, posture correction training and neurophysiological therapy. About 80% of the patients with cerebrovascular diseases have left dyskinesia in different degrees, which is mainly hemiplegia spasm mode, that is, the spasm mode of upper limb flexion and lower limb extension that we often see. In the bedridden period of cerebrovascular disease, we mainly carry out posture change, passive exercise, keeping good limb position and sitting-up training to reduce complications such as pressure sores and joint contractures, and lay a good foundation for future rehabilitation training; Sitting training, balance training and standing training should be carried out during the bed leaving period to improve the limb function of patients; In the walking period, walking training is mainly used to improve gait. In order to improve motor function, sports training often adopts comprehensive methods of various treatment techniques and sports relearning therapy to achieve the purpose of restoring limb movement.
Occupational therapy: It is a method of improving and subsidizing patients' functions by using purposeful and selected occupational activities as treatment means. Its purpose is to maximize patients' daily life abilities such as self-care, work and leisure, and improve their quality of life. It is an ideal method for patients to return to their families and society. It mainly includes the evaluation and training of dysfunction, cognitive and perceptual training, the evaluation and training of daily living ability, the selection and production of self-help tools, the design and guidance of environmental transformation, and the prescription of wheelchairs. It is the same as the theoretical principle of exercise therapy, but the difference is that it designs the movement needed by limbs as an activity, for example, it trains the fine movements of fingers by making pottery, which not only improves the interest of patients, but also improves their living ability.
Language therapy: About 22%-32% of hemiplegic patients have language-speech disorders, so language training is essential. Language trainers should first diagnose the type of disorder according to the patient's language condition and lesion site, and then use different methods to stimulate and strengthen the patient's correct language response through auditory, visual and tactile stimulation.
Psychotherapy: Physical disability and functional disorder often lead to psychological disorder such as anxiety and depression, and the disease itself also causes cognitive disorder in memory, attention and orientation. Effective psychotherapy can enhance patients' learning ability and active participation spirit. The main methods are supportive psychotherapy, rational emotional therapy and behavioral therapy.
Stylistic therapy: It is a method to train patients with sports and entertainment, so as to improve their physical function and improve their bad mental state. This plays an important role in improving physical exercise quality, strengthening physical fitness and creating a good psychological state. Wheelchair skills, hemiplegic gymnastics and various ball games are the main contents.
Traditional physical therapy has a special effect on the rehabilitation of hemiplegia. In particular, underwater exercise therapy makes it easier for patients' limbs to complete correct exercise in water through the buoyancy of water.
Traditional Chinese medicine has long been used to treat hemiplegia, especially acupuncture combined with limb movemen