偏瘫痉挛期治疗(国外英文资料).doc

偏瘫痉挛期治疗 Hemiplegic convulsion treatment Release time: 2012-1-16 author: PT3 source: professional knowledge Hemiplegia cramps period of treatment: this stage is characterized by muscle tension is too high, patients with abnormal movement pattern movement body. Training purpose at this stage is that inhibit pathologic reflex and the deterioration of the abnormal movement patterns, patients learn to relax the muscle spasm induced on one side of the body. In the trunk muscle spasm patients can through control of the sternum (center) key handle to relieve muscle tension. Sitting, the therapist in behind them, in the hands of sternal handle bottom, operation, body relax, let patients on hand can alternate the patient s around to pull, make up arc movement, repeated several times, then, the therapist will one hand on the patients back, the other hand on the sternal handle downward extrusion, make the patients with flat chest, on the back of the hand above the push forward, make the patient hold out a bosom, repeated several times, can reduce the trunk muscle tone. In patients with high tension in the hand flexure, the therapist can relieve cramps by controlling the key points of the thumb. The therapist holds the hand of the thumb in one hand, gives it an abduction and extension, and holds the other four fingers in the other, and keeps the fingers cramping for a while. In patients with hemiplegia in training, at the same time, attention should be paid to avoid joint reaction, such as, the training of lower limbs flexion movement, ipsilateral upper limb spasm and buckling, inhibition of method is: let the patient Bobath handshake, then use both hands to drive with the hand, make stretch back and stretch. When patients learn how to relax after the limb spasm, induced in the gradually learn how to control body under the relaxed state, and some active separatist movement. Brunnstrom convulsion therapy: the use of various reflective activities to reduce muscle tone to promote