Medicine Chapter 2 Stroke Rehabilitation

This is a mind map about Chapter 2 Stroke Rehabilitation. Definition: Also known as cerebrovascular accident, CVA refers to a sudden localized or global brain dysfunction caused by cerebrovascular disease, lasting more than 24 hours or more. Clinical syndrome causing death.

Edited at 2023-11-25 09:23:50

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Medicine Chapter 2 Stroke Rehabilitation

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Outline

Stroke Rehabilitation

Overview

Definition: Also known as cerebrovascular accident, CVA refers to a clinical syndrome that occurs suddenly, localized or global brain dysfunction caused by cerebrovascular lesions, lasting more than 24 hours or causing death.

Rehabilitation assessment

Assessment of brain injury severity

1. Glasgow Coma Scale (GCS), 2. Scoring criteria for clinical neurological impairment in stroke patients, 3. National Institutes of Health Stroke Rating Scale (NIHSS),

motor function assessment

1. Brunnstrom motor function assessment method, 2. Fugl-Meyer assessment method, 3.

Balance function assessment

1. Three-level balance detection method, 2. Berg balance rating scale

Assessment of ability to perform activities of daily living

Quality of life QOL assessment

Assessment of other functional impairments

recovery treatment

Acute phase rehabilitation treatment

1. Posture and placement of affected limbs, 2. Passive activities of hemiplegic limbs, 3. Bed activities, 4. Motor imagery therapy, 5. Physical factor therapy, 6. Traditional Chinese therapy

Return to Early Rehabilitation Treatment

1. Bed and bedside activities, 2. Sitting activities, 3. Standing activities, 4. Weight loss walking training, 5. Equipment assistance, 6. Walking in parallel poles, 7. Indoor walking and outdoor activities, 8. Mandatory use Exercise therapy, 9. Physical factor therapy, 10. Traditional Chinese therapy, 11. Action therapy, 12. Application of walking frames and wheelchairs, 13. speech therapy

mid-recovery rehabilitation

1. Therapeutic activities of the upper limbs and hands, 2. Therapeutic activities of the lower limbs, 3. Occupational activities, 4. Cognitive function training,

Post-recovery rehabilitation treatment

1. Upper limb and hand functional training, 2. Lower limb functional training, 3. Daily living activity training, 4. Speech therapy, 5. Cognitive function training, 6. Psychotherapy, 7. Application of braces and orthotics

Rehabilitation treatment in the sequelae period: Rehabilitation treatment in this period is level three rehabilitation, and residual and existing recovery should be strengthened.

Treatment of special clinical problems in stroke

1. Shoulder problems: Commonly used treatment methods include raising the upper limb on the affected side, dorsiflexing the wrist joint, and encouraging active activities. 2. Muscle spasm and joint contracture: Commonly used treatment methods include anti-spasticity methods in neuromuscular stimulation techniques, correct Posture placement, 3. Dysphagia: Commonly used treatment methods: active movement and muscle strength training of lips, tongue, facial muscles and neck flexors, 4. Deep vein thrombosis of lower limbs: Commonly used treatment methods, active movement and passive movement of lower limbs , raise the lower limbs and wear elastic stockings, external air pressure circulation treatment of the lower limbs, 5. Pneumonia: common treatment methods respiratory function training, active coughing, postural expectoration, 6. Pressure ulcers: turn over regularly, 7. Depression: common treatment methods Psychological rehabilitation, medication.

health education

Promote and popularize relevant health knowledge for vulnerable groups and those who are already sick.

recovery outcome

Factors affecting stroke function

1. Age, 2. Comorbidities and secondary functional impairment, 3. Lesion location and severity, 4. Early and comprehensive rehabilitation treatment, 5. Family and social involvement.

floating theme