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Rehabilitation after spinal cord injury

2022-07-31 浏览:

 

(1) Rehabilitation treatment

1. Acute phase. In the first 8 weeks after spinal cord injury, all patients are bedridden, especially those with spinal fractures, for 6 to 12 weeks, other causes of spinal cord injury caused by bedridden time is very short.

2. Early rehabilitation phase. In this phase, some exercises in the acute phase were continued, such as vascular conditioning training, increased muscle strength training, passive movement of the affected limb, etc.

3. Mid rehabilitation phase. Due to the occurrence of spasm, it is still difficult to move freely. In addition to the treatment of spasm, standing and walking training should be carried out, which is particularly important for those with incomplete injury in low position.

4. Late rehabilitation phase. The patient's function has recovered to some extent in many aspects, and he still needs to perform wheelchair training, standing, walking in parallel bars and walking with crutches, and continue to improve his ability to take care of himself in daily living.

Rehabilitation after amputation

(1) The main points of rehabilitation treatment after amputation

1. Observation points: Whether amputation patients are suitable for the use of prosthetics is mainly observed from four aspects, including cardiovascular function, central nervous system, vision, muscle strength and joint range of motion.

2. Psychological nursing.

3. Rehabilitation training.

4. Family rehabilitation guidance.

(1) Maintain a proper weight.

(2) Prevent muscle atrophy of residual limbs.

(3) Prevent swelling of residual limbs into fat deposition.

(4) Keep the skin of the stump and the prosthetic socket clean.

(5) Rehabilitation of phantom limb pain.

Rehabilitation of hemiplegia

(1) Rehabilitation treatment

1. The reasonable position of the patient's bed in the ward.

2. Maintain the correct sitting position in the chair and wheelchair.

3. The purpose of treatment in the acute phase is to cooperate with clinicians in rescue treatment, prevent joint contracture, shoulder subluxation, bedsore, pneumonia, etc., and create conditions for further rehabilitation training.

4. Muscle massage.

5. Early activities on the bed: bed turning training, bed bridge exercise, bed sitting up.

6. Maintain joint range of motion training: generally 2 times a day, 10 ~ 20 minutes each time.

(2) Recovery period rehabilitation

1. Training under sitting position: do balance training in sitting position.

2. Walking training: mainly parallel bar walking training.

3. Training in supine position: training to inhibit extensor muscle spasm of lower limbs.

(3) Training in sequelae stage

1. Wheelchair use.

2. Use of walking sticks and walkers.

3. Activities of daily living training (changing clothes, eating, bathing, transfer).

4. Orthoses.

Rehabilitation of osteoarthritis

(1) Proper rest.

(2) Exercise therapy.

(3) Physiotherapy and acupuncture.

(4) Taking medicine and injecting drugs into the joint.

(5) The use of orthoses, crutches and other instruments, operations, etc.

YOBAND has always attached great importance to all-round communication and service with amputee patients. YOBAND is willing to share its advanced prosthesis products and mature prosthesis technology with all disabled people, so as to help you go further and run faster. Please continue to pay attention to YOBAND public account, to get the latest information in the first time!

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