Stroke rehabilitation exercise

Written by Xie Wen
Neurology
Updated on March 16, 2025
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In the early stages of a stroke, for bedridden patients, passive limb exercises can be conducted at the bedside. This includes joint loosening exercises and passive flexing of knee and elbow joints to prevent joint contractures. When not exercising, proper limb positioning is needed; sandbags can be placed on the inside of the upper limbs to avoid internal rotation, and the legs should be placed in stiff cloth shoes or T-bar shoes to prevent external rotation. Once the patient enters the recovery phase, they can gradually begin standing and walking exercises, while also receiving treatments such as medications, hyperbaric oxygen therapy, and acupuncture. (The use of medications should be under the guidance of a professional doctor.)

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Written by Tang Bo
Neurology
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How is lacunar infarction treated?

Lacunar stroke is a type of cerebral stroke characterized by lesions smaller than 1.5 cm in diameter. Often, these can be discovered incidentally on a CT or MRI scan in asymptomatic patients. In such cases, it's important to evaluate whether the patient has risk factors such as hypertension or diabetes, and consider the patient's age, smoking, and drinking habits. Further assessments with cranial MRI angiography or other vascular imaging are recommended to clarify the state of the blood vessels and guide treatment. Additionally, some patients may experience an acute onset with symptoms like slurred speech or limb weakness. Although these symptoms might be mild, it is crucial to seek prompt medical attention to assess the blood vessels and guide further treatment based on the physician's physical examination of the patient.

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Written by Chen Ya
Geriatrics
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Can someone who has had a cerebral infarction drink alcohol?

It is advised that individuals who have suffered a stroke should not consume alcohol. This is because strokes typically have specific causes, the most common of which include high blood pressure, diabetes, and high cholesterol. Strokes can also occur during times of emotional distress, and are often a result of unhealthy lifestyle habits and dietary patterns. Therefore, quitting smoking and alcohol is considered very important. Additionally, since many stroke patients also have high blood pressure, drinking alcohol can lead to excitement, which may cause an increase in blood pressure and potentially lead to another stroke.

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Written by Tang Bo
Neurology
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Is lacunar infarction a serious illness?

Lacunar stroke is a condition where small blood vessels in the cerebral hemispheres or brainstem undergo pathological changes and eventually become occluded as a result of common risk factors such as prolonged hypertension or diabetes. This leads to the necrosis of brain tissue. Typically, the infarct size is less than 1.5 to 2 centimeters, resulting in clinical syndromes associated with impaired neurological functions governed by the affected area. Often, lacunar strokes may be asymptomatic in some patients, while others may experience mild symptoms. Generally, the prognosis of this disease is good.

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Written by Li Min
Neurology
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Is lacunar infarction serious?

Lacunar stroke, with diameters ranging from 2mm to 15mm, may appear minor in scale but results from long-term arteriosclerosis of cerebral blood vessels, leading to ischemia and necrosis in surrounding tissues. Clinically, symptoms can manifest as pure sensory, pure motor, mixed-type numbness in limbs, among other symptoms. Symptoms are generally mild and recovery is likely; however, long-term oral antiplatelet medications like aspirin are required. Additionally, stabilizing plaques with statins in combination with other drugs is essential. It's also important to maintain a low-salt, low-fat diet, and manage conditions like hypertension and diabetes. Therefore, its severity is relatively mild compared to extensive strokes.

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Written by Tang Bo
Neurology
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What to eat for lacunar infarct.

Lacunar stroke is a type of cerebral infarction caused by small vessel disease that leads to the occlusion of cerebral vessels. Therefore, the dietary recommendations for lacunar stroke are similar to those for general stroke. For patients who are overweight, it is important to control body weight. It is recommended to reduce the intake of animal liver and other organ meats, as well as foods high in cholesterol or fat. It is advisable to consume high-quality proteins such as milk, duck, fish, and soy products. The intake of pork, beef, and lamb, especially fatty cuts, should be minimized and lean meats should be emphasized. Additionally, it is beneficial to consume more vitamin-rich foods such as tomatoes and fruits, and to increase the intake of vegetables. Diets should be light and avoid excessive salt intake to prevent hypertension, which can also lead to lacunar stroke.