How should physical exercise be done for stroke hemiplegia?

Stroke hemiplegia is a common disease in middle-aged and elderly people, and its main harm is the dysfunction of one side of the body. The general rule is that during the acute attack period, one side of the body is more paralyzed. After treatment, the symptoms can be gradually relieved after the condition is stabilized. Seizing the opportunity to carry out scientific exercise plays an important role in the recovery of limb function as soon as possible.

After the condition is stable and enters the recovery period, further physical therapy is required to strive for the full recovery of limb function. In physical therapy activities, it can be divided into:

Treatment period, functional recovery period, and recurrence prevention period.

During the treatment period, some patients have disturbances of consciousness and some have disturbances of unconsciousness, and the symptoms vary in severity. During this period, appropriate bed activities should be performed according to the patient’s performance.

The role of physical therapy in this period is mainly to prevent and reduce complications in bed rest. Due to a long time in bed, it will cause the body’s immune function to decline.

Upper respiratory tract infections, pneumonia, urinary system infections, mental dementia, etc. may occur. In particular, the incidence of bedsores is the highest, and the most common sites are the shoulder blades, the sacral region, and the heel. If active and passive movements of the limbs can be carried out, combined with turning over, it can avoid bedsores caused by local pressure.

1. Active exercise: Due to the different severity of illness, it is not advisable to adopt a unified model. As long as there is an exercise with movable joints, the effect can be obtained. The upper limbs are mainly used for shoulder, elbow, and wrist extension and flexion activities, and the lower limbs are mainly used for hip, knee, and ankle extension and flexion activities. The movements should be gentle, not rushed, the amount of activity should be small, and the number of activities should be more, 5-8 minutes each time, 4 to 5 times a day.

2. Passive activity: the same as the active activity, that is, the movement of the upper and lower limbs is completed by others holding the affected limb. Don’t stretch the shoulder joint excessively during passive activities. Hemiplegic patients’ shoulder muscles are prone to dislocation, and foot ankles are prone to foot drop. When helping exercises, you should do more ankle back extensions to avoid calf Achilles tendons. Contractures and adhesions aggravate foot drop and affect the walking function of the ground exercises. Patients with hemiplegia are stable after treatment, and most of the patients’ limb functions are gradually recovering.

At this stage, we must exercise actively and orderly to strive for the recovery of limb function. Exercise should be based on walking practice, and it is necessary to support and protect the patient to walk down the ground. It should be 2~3 times a day, 8~10 minutes each time, gradually increase the amount of activity as your physical condition improves. What is easy to overlook at this stage is the movement of the upper limbs.

Patients with hemiplegia have slow recovery of upper limb function, especially hand paralysis, which should be paid attention to in activities. The upper limb activities can allow the patient to pull the pulley, and the patient’s wrist can be put on the handle. Use your own healthy side to help the affected side perform activities, which not only exercise the affected side but also improve the effectiveness of the whole body exercise.

The holding function of the hand on the affected side should be strengthened, and passive and active exercises can be performed. The hand on the healthy side can often be used to help the fingers of the affected side do flexion and extension exercises. Once the affected hand starts to have functions, active finger flexion and extension should be done as much as possible, and strive to fully recover the finger function.

In the prevention of recurrence period, through treatment and functional exercise during the recovery period, most patients’ hemiplegia can be completely recovered or basically recovered.

At this stage, patients should take appropriate medications, scientifically choose physical therapy items and continue to exercise, which plays an important role in consolidating the curative effect and preventing recurrence. According to age, physical strength, condition, and original exercise basis choose 1 or 2 less intense exercises Events, such as walking, broadcast exercises (barehand exercises), elevated Tai Chi, Tai Chi sword, gateball, etc. Strictly avoid swimming, climbing, fishing, walking backward, crawling, tree climbing, and hanging to prevent accidents.

Can gastric ulcer and duodenal ulcer be exercised?

Gastric ulcers and duodenal ulcers rarely occur in people who have physical exercise habits, life patterns, and optimistic moods; on the contrary, they occur more frequently in people who lack exercise, have disorderly lives, and are mentally depressed. high.

Physical exercise does not seem to be directly related to the medical treatment of gastric ulcers and duodenal ulcers, but in fact, physical activity can enhance gastrointestinal peristalsis, promote gastrointestinal fluid secretion and nutrient absorption, and improve neuromodulation. The intestinal function is closely related to the regulation of the central nervous system.

If the central nervous system lacks the necessary stimulation, some of the tension will be lowered, which can cause gastrointestinal secretion and peristalsis to slow down. Physical activity can improve the tension of the central nervous system and autonomic nerves. Under its control, it can effectively improve the secretion and absorption of liquid in the gastrointestinal tract, and provide adequate nutrition for all parts of the body.

Physical activity can stimulate the movement of the abdominal muscles and diaphragm, thereby also stimulating gastrointestinal peristalsis, reducing the accumulation of gastrointestinal contents, and accelerating the discharge of waste.

Exercise can promote and accelerate the blood supply in the abdominal cavity, improve the resistance of the gastric mucosa, and promote the repairing ability of the ulcer surface, so as to achieve the treatment and rehabilitation of gastric ulcers. The occurrence of duodenal ulcers has a certain relationship with long-term mental depression and tension. , Engaging in sports activities can effectively change the state of depression and tension, relieve depression, and make the spirit and mood cheerful and optimistic, which will have a good effect on the disease.

People who suffer from gastric ulcers and duodenal ulcers for a long time will inevitably lose weight and have a haggard face. Essentially, the fertility caused by poor gastrointestinal digestion and absorption can effectively improve and promote gastrointestinal peristalsis, thereby improving digestion. With absorption, it can continuously supply the nutrients needed by the various muscles of the body, making the body look strong, energetic, and smooth.

This is an effect that drugs can’t reach and are difficult to achieve. Patients with gastric ulcer and the duodenal ulcers should choose according to their age, physique, and favorite items without high blood pressure, heart disease, and more serious respiratory diseases. Exercise, and can appropriately increase the exercise density and intensity of commonly selected items: badminton, table tennis, bicycle pedaling, jogging, dumbbells, weightlifting, and combined equipment strength exercises. In addition, it can also specifically enhance gastrointestinal motility:

1. Stand up, raise your arms up, lean back, then bend your upper body forward, squat down, and hold your calves or squat with your arms down at the same time. Practice 8-10 times repeatedly.

2. Stand up, raise both arms, flex and raise one leg, close the thigh to the abdomen, and at the same time drop both arms to embrace the flexed calf. Practice 8-10 times repeatedly.

3. Standing, arms drooping, squatting, supporting the ground with both hands forward, stretching the legs back into a prone twist, flexing the legs in time, squatting back into a group, and standing immediately (stand-up). Practice 4~6 times repeatedly, or you can do more according to your physical strength.

4. Standing, arms akimbo, repeated abdominal deep breathing 8 to 10 times, using sports therapy to treat gastric and duodenal ulcers.

You should also pay attention to the following issues:

(1) Strictly observe dietary hygiene, avoid overeating, and eat regularly, rations, and small amounts of meals.

(2) Normal work and rest system: rest regularly, get up on time, neither saliva nor sleep a lot.

(3) Exercise orderly, persevere, step by step, and increase activities gradually

(4) Do not drink a lot of water immediately after the activity, but add water slowly.

(5) It is not advisable to exercise after eating and before going to bed. It should be exercised 2 hours after meals and 1 hour before going to bed, but it is not advisable to exercise too much or do intense exercises at night.

(6) People with a history of bleeding from stomach ulcers and black stools are not suitable for physical therapy.

Two months after the subtotal gastrectomy, physical activity can be started gradually, which is of great benefit to the recovery of health and physical fitness.

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