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.)

Other Voices

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Geriatrics
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What is the best treatment for cerebral infarction?

In the treatment of cerebral infarction, there is no best option, only the most suitable one based on the different conditions at the time. Generally speaking, there are several major aspects. First, it is necessary to improve cerebral circulation. One method is thrombolysis, and another is interventional treatment. One of these two approaches is chosen depending on the specific conditions, including corresponding contraindications and indications. Next, treatments can include antiplatelet aggregation, anticoagulation, fibrinolytic therapy, volume expansion, vasodilation, and improving cerebral blood circulation. Furthermore, there is neuroprotective treatment and other therapies like hyperbaric oxygen and hypothermia. Another major category is general management, which, in addition to symptomatic treatment, includes life support such as oxygenation, cardiac monitoring, managing cardiac complications, temperature control, blood pressure control, blood sugar control, and nutritional support. Additionally, there is treatment for acute-phase complications such as cerebral edema, epilepsy, swallowing difficulties, pneumonia, urinary retention and infection, and deep vein thrombosis. Finally, there is early rehabilitation therapy. After a stroke, in a stable condition, it is important to engage in activities such as sitting, standing, and walking as much as possible, and to focus on rehabilitation training in speech, movement, psychology, and other aspects, aiming to quickly restore the ability to perform daily activities independently.

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Written by Chen Yu Fei
Neurosurgery
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A stroke belongs to the neurology department.

Stroke is generally categorized under neurology. When a stroke occurs, it is crucial to take the patient to the local hospital immediately for treatment assessed by a neurologist. Typically, during the acute phase, thrombolytic therapy is utilized for treatment if the conditions for surgery are met. If the thrombolysis window is missed, it is recommended to administer intravenous drips to the patient to nourish the brain, improve blood circulation, and provide nutrients to the nerves. It is important to monitor the patient’s condition, and during treatment, dynamic re-examination of the head CT or MRI is necessary to determine the location, extent, and severity of the stroke, and to timely adjust the treatment plan.

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Written by Zhang Hui
Neurology
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Register in the neurology department for cerebral infarction.

Stroke is a very common disease in neurology. When registering at a hospital, you should definitely see a neurologist. Neurologists have rich experience in diagnosing and treating strokes. There are many causes of stroke, but the most common cause is atherosclerosis, and these patients usually have risk factors such as hypertension and diabetes. Acute onset of focal neurological deficits such as limb paralysis, numbness, and unclear speech are common clinical manifestations. In terms of treatment, antiplatelet medications and statins are typically used. Additionally, formal rehabilitation exercises are essential. (Specific medications should be administered under the guidance of a doctor, and self-medication should be avoided.)

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Neurology
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Can a cerebral infarction be effectively treated?

Most cases of cerebral infarction can be treated effectively, except for some extensive cerebral infarctions, which may leave varying degrees of sequelae. During the acute phase of treatment for cerebral infarction, medications that promote blood circulation, improve circulation, prevent platelet aggregation, and anti-atherosclerosis drugs are used. If treatment can be administered within three hours of onset, intravenous thrombolysis can be performed, which may lead to a faster recovery if successful. Additionally, medications that eliminate free radicals are used during the acute phase to remove free radicals that damage brain cells. Other treatments involve the use of neurotrophic drugs to support the repair of damaged brain cells. After stabilizing the condition, active rehabilitation exercises are recommended, and most patients can be effectively treated.

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Lacunar Infarct Nursing Issues

Lacunar stroke is caused by the blockage of small blood vessels in our skull due to long-term risk factors such as hypertension, diabetes, or hyperlipidemia, leading to a stroke. Generally, the area of infarction is relatively small, typically less than 1.5 to 2 centimeters. Symptoms may or may not be present. In either case, the symptoms are usually mild and the prognosis is generally good. There are no special strict nursing requirements. If patients are active and can take care of themselves, they do not need special care. Furthermore, it is crucial to focus on secondary prevention, which is to prevent further occurrence of stroke, and to seek further treatment from a neurologist.