What are the initial rehabilitation exercises for paraplegic patients?

Training method for paraplegics**

1. For patients with incomplete spinal cord injury: do not rush to make and wear braces for them, but try to tap their residual potential and improve their muscle strength level. If the strength of the key muscles is above level, the patient can be trained to walk without a brace, especially if the strength of the key muscles is level or higher, and it is generally easy to move out of bed.

2. For patients with complete spinal cord injury: it is necessary to judge whether they have the possibility of walking, and then train them. As a general rule, patients with injuries below the 4th thoracic vertebra can walk indoors, and those with injuries below the 7th thoracic vertebra can resume outdoor walking.

3. For paraplegic patients who meet the walking requirements: first of all, upright training and upper limb muscle strength training should be carried out. You can start with the help of a standing platform to do upright training, generally 3 times a day, each time for a few hours, the training time is 3 4 weeks.

Upper limb strength can be trained with dumbbells and supports, and each training should be done until the muscles are sore, but it does not affect the next training.

4. Independent standing and balance training: It can be carried out in parallel bars with a length of 3 meters, a width of 1 meter, and a height of 1 meter. Nursing staff should assist the patient to hold the parallel bars with both hands, avoid bending the knees when standing, and train 2 3 times a day for a total of 3 hours.

5. According to different injury planes, make and wear corresponding braces for patients: commonly used ankle-foot orthoses, knee-ankle-foot orthoses, hip-knee-ankle-foot orthoses, and paraplegia walking trainers. For patients with injuries above the second lumbar vertebrae, paraplegia walking trainers should be preferred; For patients with the 2nd and 4th lumbar spine injuries, knee ankle and foot orthoses can be used; For patients with injuries below the 5th lumbar spine, ankle-foot orthoses are used.

6. Walking with the help of a suitable brace in the parallel bar: do not seek quantity during training, but pay attention to quality, and wait for the patient to complete the action of transferring weight - swinging leg - transferring weight - swinging the other leg - swinging the other leg as required, and then increase the amount of training, and the maximum training volume can reach about 1 km per day. This training usually lasts for 1 to 6 months.

8. Walking training with double axillary crutches support and walking training with single axillary crutches: Most patients can transition to the degree of walking with armpit crutches after a period of walking training in the walker.

The training for people with disabilities is as follows:

Exercise**, hemiplegic limb comprehensive training, cerebral palsy limb comprehensive training, paraplegia limb comprehensive training, homework**, cognitive and perceptual dysfunction training, speech training, swallowing dysfunction training, daily living ability assessment.

Training methods: 1. For those with physical disabilities caused by cerebrovascular accidents or other accidents, scientific and reasonable physical training guidance is given, such as: turning over, putting on and taking off shoes, sitting balance training, standing balance training, walking sports, pedaling sports, limb shoulders, elbows, hips, knees, fingers and other training methods.

2. Children with cerebral palsy should be equipped with first-class equipment and assistive devices in a timely manner, and carry out first-class training in four aspects: motor function, posture correction, language communication, and life activities; Guide them to have a healthy and upward mentality, and give scientific and reasonable guidance, such as: stop salivation, use the lateral decubitus position, correct thumb adduction, appropriate sitting training, and head median training.

3. Carry out ability training for children with intellectual disabilities in six aspects: movement, perception, cognition, language communication, self-care and social adaptation; Gradually carry out comprehensive training services for adult intellectually disabled persons such as self-care, simple labor skills, adaptation to social life, and life care.

4. Carry out walking orientation training services for the blind in daily life environment and public places; Hearing and language training for deaf children, visual aids and visual function training for people with low vision, mental illness prevention and treatment, leprosy and malformation training, etc.

Care for the disabled, pass on positive energy, and there is no disability in the world of love.

Disability** training is tailored to the patient's specific situation.

**Training methods for patients with cerebral palsy].

Hand training, which can be used to train the patient's hand dexterity and hand speed through typing software.

Physical training, you can use the abdominal machine to train the waist professionally, to train under the guidance of a doctor or professional coach to avoid injury, in addition to jogging training through the treadmill, pay attention to safety when training.

Some defects cannot be compensated, but there are some minor defects that can be improved through systematic long-term training and gradually recovered.

Everyone has their own unique side, they have their own stage to shine, although we are disabled but strong, although we have physical disabilities, but there is no distance between the soul.

Caring for people with disabilities

There are several situations of paraplegic ** exercise, one: bedridden ** exercise; 2: Exercise for those who sit and stand; Three: Walker ** exercise. For the specific method of each stage, please refer to the details in the reference materials.

In general, practicing standing is the most important part of the exercise, which is also emphasized by the ** doctor. Because practicing standing can prevent the formation of pressure sores, prevent the weakening of internal organs, and prevent a series of complications such as muscle atrophy. Patients at home** must be equipped with a standing frame or a standing bed in their home.

Delayed ** damaged spinal cord will be degenerative necrosis due to too long ischemic time, and there is no hope of recovery after ** period. This disease is a traumatic vertebral fracture combined with spinal cord injury resulting in incomplete paraplegia, after the onset of the disease, Western medicine surgery only restores the diameter of the spinal canal, so as not to re-damage the spinal cord nerves to create conditions for nerve recovery, but can not restore the nerves. In addition to its own repair, the recovery of its nerve function must be as early as possible to have the hope of recovery, if the damaged nerve is too long due to ischemic degeneration, the disease has no hope of recovery.

**Scheme: Wutong 1, Caikuzhitan uses traditional Chinese medicine to enhance and improve spinal cord blood circulation, so that the damaged nerves can get sufficient blood supply. 2. The combination of traditional Chinese and Western medicine to nutrition nerve prevention of impaired ischemia and degeneration necrosis can not be recovered.

3. The use of spinal cord nerve regeneration drugs to stimulate and activate the damaged paralyzed nerves can regenerate and repair the nerves to innervate the second stool, exercise and other functions to obtain the best recovery. 4. Adopt our autonomous passive exercise scaffold specially designed for patients to carry out functional exercises, so that patients can first achieve passive self-reliance. 5. If the patient has foot drop, it is necessary to protect the ankle joint from bone wear and deformity with professionally designed school shoes.

You need help to send a pre- and post-operative magnetic resonance** to guide you.

1) Maintain an appropriate weight;

2) Prevent muscular atrophy of residual limbs: perform muscle training;

3) Prevent swelling or fat deposition of the residual limb: take off the prosthesis and apply elastic bandage;

4) Keep the residual limb** and prosthesis receiving cavity chain clean;

5) Others: pay attention to safety, prevent accidents, closely observe the condition of residual limbs, and have regular outpatient follow-up.