Complex exercise exercise therapy for rehabilitation after a stroke

1 Lying in the supine position

Physiotherapy after a stroke begins with lying exercises. They can be done during the most acute period of rehabilitation, when the muscles can not yet unbend to the end. This set of exercises can reduce muscle tone, restore the mobility of muscles and joints. At first most of the exercises will not work out well, but it's completely normal, because the patient literally learns to do everything again, developing new brain cells:

1. First of all, you must forcibly straighten the limbs to reduce spasms. Bent hands and feet must be unbent, starting from the fingers, and then tightly wound with a flexible bandage to the board, creating something like a tire. Leave the limb for half an hour in this position.
2. To restore the correct operation of the eye muscles, you need to make eyes move up and down, draw a circle with closed eyes with closed eyelids. Perform frequent blinkings for 15 seconds, make movements in a circle with your eyes open.
instagram viewer
3. Slowly turn your head in different directions, look fixed at one point.
4. Fingers to massage, bend them 15 times, both at the same time and alternately. A poorly working limb is to pull an elastic band fixed on an object, for example, the back of the bed.
5. Body stretch, along it extend arms, bend and unbend each arm 12 times. If the limbs do not move at all, then they should be suspended with the help of tissue and in every possible way try to rotate them and move them, for example, with the help of relatives.
6. Hold your hands for something heavy and steady, lying on your back. Do pull-ups, pulling socks. Exercise do without haste, several times.

2 Performing loads sitting

If the patient can already sit, then emphasis should be placed on exercises that strengthen the back muscles, which will allow a person to return to independent walking more quickly. Gymnastics after a stroke will allow you to stretch the muscles and give them mobility:

1. Lie on the pillow, grip firmly behind the back of a chair or chair on both sides. Legs stretch, slowly arched, head back, take a deep breath. Perform 3 times.
2. Take a sitting position, legs straight, arms lowered. Carefully remove the upper limbs back, the rectified back, the blades are brought together, freeze in position for 2 seconds, return to the original position, repeat the action several times.
3. Feet straight, socks elongated, hands holding on something strong, slowly raise and lower left and right legs alternately. Repeat the flies several times, breathe deeply without pauses.
4. Place a pillow under your back, arms raised, legs stretched. The knee is clasped in the palms of the hands, it should touch the chest as far as possible, stop in this position for a couple of seconds, press the chin to the chest, make a deep exhalation. Raise the head, release the knee, slowly return to the starting position, repeat the action for the other limb.
5. Take two bowls, put objects of different sizes and shapes into one, for example, mix pencils, bumps, nuts, covers. The patient should change places with the help of the hand things from one bowl to another and back.

3 When can I train standing?

The complex of exercises at home in this position should be performed if the patient is already confidently holding on to his legs and can easily perform a complex of exercise therapy in a recumbent and sitting position. Therapeutic gymnastics for standing position is divided into two complexes: simple and additional load. You can perform a set of exercises, either at home or in the park or at the stadium:

1. Hands are at the bottom, and the legs are half a meter apart. Further hands rise up, palms turn outward, you need to stretch, breathe. Put your hands down, exhale, slowly repeat several times.
2. The legs stand at a distance of 50 cm, hands on the waist, make turns to the right, tilting the arms to the side and inhaling, then turn back and exhale. Repeat several times on each side.
3. Hands are at the bottom, legs are shoulder width apart, crouch, heels do not have to be lifted, the body leans forward, hands are retracted. Slowly perform the exercise several times.
4. Hands to lower, feet shoulder-width apart, perform squats, starting with a deep breath, then sit down, hands on hips, exhale, stand up. Repeat the complex several times.
5. Feet to place in different directions, hands to fix on the lower back, make inclines to the left, raising the opposite hand up, then inhale. Return to the original position, do exhalation.
6. Right leg forward, swing in a circle. Return to the original position, repeat the swings 5 ​​times for each leg.
7. Feet in a half meter from each other, hands on the back, left arm in front, right foot, too. Hand tighten into fists and put to the shoulder, return to the starting position. Repeat all movements for the other limb 5 times.

Physiotherapy in ischemic stroke for patients is of great importance. Especially useful exercises with additional load:

1. Feet to put perpendicularly to the shoulders, to lower hands. Then connect them to the lock, raise in front of you, then up and reach for them. Repeat 6 times.
2. Feet together, one arm lift up, the second down. Changing the position of the hands, repeat the action several times.
3. Feet is positioned perpendicular to the shoulders, hand clamped behind the chair, another is put on the belt, in turn, swing the legs back and forth several times for each.
4. Hands on the waist, feet shoulder width apart, inhale, make a tilt forward, exhale, return to the initial position, inhale and repeat all 10 times.
5. Jogging for 5 minutes around the house or in the park.
6. Jumping in place, both with raising hands and clapping, and without, repeat 20-30 times.
7. Rotation of the pelvis, legs perpendicular to the shoulders, hands on the belt, repeat 10 times clockwise, 10 times against.
8. Brushes on shoulders, turn shoulders back and forth, making circular motions, repeat 15 times in each direction.
9. Hands on the waist, slowly turn your head to the right and left, stretching your neck muscles.
10. It is useful to tilt, lift from the floor a variety of shapes and sizes of objects.
11. Standing in place, make turns with your body to the right and left.

Any exercise should not tire the patient, in the process of performing therapeutic exercises should not grow muscles, the main purpose of this complex is to return the limbs of the motor function.

Before performing complex exercises, it is necessary to warm up the muscles with a special massage, it can be performed by both a specialist and someone close to the patient.

Many patients after suffering a stroke feel helpless, often fall into depression, close people should adjust a person for recovery, do gymnastics with him, rejoice even a small result.

4 Simulators for the improvement of the

state Stimulatory therapy in stroke consists not only of the usual exercises. To achieve the best result and speedy recovery, various simulators can be used.

Most often in medical practice, exercise bikes are used. They allow you to restore the leg muscles, before you put a person on their feet. Special exercise bikes for patients allow you to fix the patient in a sitting position, prepare him for walking.

Simulators allow you to develop certain limbs, different joints. Special mini-trainers for fingers and toes help to restore mobility to your fingers and develop fine motor skills anew.

Patients who can not walk after a disease use the Lokomat trainer. This device literally teaches you to move again.

No less important part of the treatment is a warming massage, which returns the mobility of muscles and joints. Coupled with massage and therapeutic gymnastics, the mobility of joints and muscles can be returned in a short time.

Rehabilitation after a stroke should be comprehensive, include proper nutrition, necessary physical activity, therapeutic massage. You need to start with simple exercises, gradually moving to more complex ones, and also using special simulators. To practice physical exercises follows the recommendations of the attending physician, perform all the exercises in a hurry.