How many stages should the elderly with stroke have to undergo rehabilitation training?

        It is indispensable for the elderly to do not train. It is the key to their independent life. The majority of the elderly are not suitable for walking rehabilitation. It depends on the age, weight, cardiopulmonary function, muscle tone and complications of the elderly.

　　We generally divide the walking rehabilitation training for the elderly people into five stages: five stages: sitting training, pre-stand preparation training, standing training, walking training, and up and down step training.

　　The first stage: sit up training. Sitting position is the most basic in daily life training. If the patient can sit up, it will bring great convenience to daily life such as eating, urination and so on. Before the seat training, the family put the cushion on the bed, and the old man slowly sat up with his healthy upper limb support. In the early training, you can semi-recumbently 30 degrees, twice a day, and each time as much as possible for about 5 minutes. If the elderly do not have symptoms such as dizziness and nausea at this time, the angle of the semi-recumbent position can be increased every other day, 10 degrees each time, and the semi-recumbent time can be extended for 5 minutes each time. This training is alternated until it can sit 80 degrees and the time is maintained for an hour.

　　While doing sit-up training, the elderly also need to carry out balance training. At the beginning of the training, the family should gently support the old man next to it, so as not to dump the old man; the back does not have to sit for an hour, then the old man can be on the edge of the bed, two feet on the ground, or put a small stool in front of the creation. Let the old man step on the stool. In this position for 20 to 30 minutes, three to five times a day, slowly family members can consider letting go, let the old man try to maintain balance.

　　The second stage: preparation for training before standing. The old man sits on the edge of the bed, his legs are separated, his feet are on the ground, and the bed is held by his hands. With the strength of the upper limbs, his body is slowly tilted left and right, and the upper limbs of the hemiplegia are lifted up with the healthy upper limb. Then, the lower limbs on the hemiplegia side are lifted with the lower limbs on the healthy side, and alternately performed. Each time you hold it up for five or six seconds, then do the left and right rotation of the torso under the support of your hand, let your head and body bend forward as much as possible, for fifteen minutes each time.

　　The family supported the elbows of the two upper limbs of the old man. The two upper limbs of the old man crossed the chest, leaving their hips slightly off the bed, the body slightly bent forward, and bending the left and right sides for five seconds each time. . The family supported the elbows of the old man and made his hips stand out of bed.

　　The third stage: standing training. When performing standing training, the family must pay attention to the standing posture of the old man, let his feet stand in parallel, there is a punch in the middle, the knee joint can not be bent or overstretched, the soles of the two feet are completely grounded, and the toes cannot be hooked. Ground. So practice 10 to 20 times each time, 3 to 5 times a day.

　　The family can help the old man to sit in the chair. The family supports the patient's waist on both sides with two hands, helping the patient stand up from the seat until the patient can stand on his own, and then perform the following exercises. You can also stand from the bed and practice. It is not possible to simply pull the upper limb of the patient's affected side to help him stand.

　　Standing against the wall: the family supports the shoulders of the old man with both hands. If the knee joint on one side of the hemiplegia cannot be straightened, the family can use the knee to hold the knee of the old man to stand against the wall, and then gradually release the hand of the old man until the old man can stand against the wall.

　　Standing on the bed: On the basis of the old man standing alone against the wall, he began to let the old man stand up and gradually let go and stand without supporting the object.

　　Stage 4: Walking training

　　Older people with hemiplegia in stroke have difficulty in walking training. Family members should give confidence to the elderly and encourage patients to exercise.

　　Severe sputum: assisted by family members, the patient's upper limbs are placed on the shoulders of the family. The family members support the patient's hand with one hand. The two men take the lateral lower limbs first and then the inner lower limbs. If the affected limb has difficulty moving forward, you can start stepping on the ground, gradually practice walking, and then train to walk independently. The lower limbs of the family can lift the patient's limbs forward, 5 to 10 meters each time.

　　Medium and mild squatters: can practice with the stick. At the beginning, the walking stick goes first, the second step is the limb, and the third step is to keep up. A mild squatter can use the stick and the affected limb as a fulcrum, and the foot is another fulcrum. The two alternately advance, and the cane assists in supporting the weight when the limb is stressed.

　　The fifth stage: up and down steps training

　　After the old man is practicing the balance on the road, he can practice up and down the steps. At the beginning, someone must be protected and assisted.

　　Step up practice: The first step is to hold the stair railing and keep the weight on the hand. In the second step, the lower limbs of the healthy side are on the steps, while the family members help the patient to prevent the patient from falling. The third step is The affected limb keeps up with the healthy limb while standing on a step. Repeat the previous steps in the future, do not exceed 5 steps at the beginning, and gradually increase later.

　　Step down practice: The first step is to raise the hand forward; the second step is to take a step down the lower limb of the affected side. At this time, the family should help. In the third step, the limb is stepped down. The two feet stand on the same step or two fulcrums in three steps, and the family members should pay attention to protection.

　　In the walking practice, if the old man has dizziness, chest pain, and increased heart rate after exercise (l35~140 beats/min), accompanied by arrhythmia, and the person behind the exercise is pale and sweaty, indicating that the amount of exercise is too large, you should stop practicing immediately, or Reduce the practice.