Stroke: recovery after a stroke, exercise, massage

Have you suffered a stroke? Recovery after a stroke should be followed in a timely manner. And to delay with the moment of the beginning of the classes should not be - time in this case plays against you. Rehabilitation is built in such a way as to restore the motor skills, speech capabilities and normalize the work of the brain.

Constant work on oneself, observation of the doctor and relatives will make the cure possible. An important moment will be a personal attitude to success. The choice of a place of recovery is also of great importance. So, the sanatorium after the stroke will be a very suitable place, which will help to avoid a lot of risk factors, nervous condition and other problems.

Problems of treatment

Often the outcome of a stroke becomes paralysis. In such a course of the disease, the patient will subsequently need the help of relatives or a nurse. Proper care should be carried out in a timely and full manner, so they will need to increase their experience and develop the ability to diagnose the condition of an immobilized person.

Lezhachie after a stroke often can not only talk, but also eat food yourself. But if the brain is struck within the limits of recovery, then with the help of doctors and special exercises it is possible to significantly alleviate the condition of the patient.

The presence of a seriously ill person in the house will require some redevelopment. After all, even the simplest actions now become a test - a trip to the toilet, bathing. Performing daily tasks for the patient can be facilitated by specially equipped handrails and steps.

People after a stroke perceive a particularly acute environment. Experience has a negative effect on all stages of treatment. To reduce the emotional stress will help relatives, being in constant communication with the patient. The basic tool is elementary communication on positive topics. It is necessary to encourage a relative, avoiding any criticism against him.

Timing of treatment

Experts note that the maximum possible recovery of patients after a stroke occurs in the first months. Therefore, the therapy for recovery begins the day after resuscitation.

It is most expedient to take measures to return lost opportunities within a year. In an integrated approach, the obligatory factors that lead to an early cure are identified:

1. Compliance with the rules of care for the sick.
2. Timely diagnosis of consequences after resuscitation.
3. Combination of different methods of rehabilitation.

In modern medicine, there are several areas that can defeat stroke. Recovery after a stroke is intended to return:

• The possibility of hearing, speech and facial expressions;
• Ability to think and solve problems;
• Restore swallowing functions, psycho-emotional control and the ability to independently perform hygiene measures.

The named pathology is a consequence of infringement of inflow of a blood to brain cells. The part of the body that the affected area is responsible for suffers. Among the types of stroke are:

1. Ischemic - a blockage of blood vessels that disrupts blood circulation in the brain.
2. Hemorrhagic - hemorrhage in the brain caused by rupture of the vessel (the most dangerous stroke).
3. Microinsult - lesions with it take up small volumes of the brain.

The latter type of disease often occurs unnoticed, against the background of inflammatory processes, alcohol intake or stress. In the intensive care unit, the majority of such injured patients get with several lesions caused by the fact that the patient has already suffered micro-strokes and did not attach importance to them.

With proper diagnosis and timely therapy, you can avoid a severe stroke.

Start treatment

As a rule, the initial diagnosis precedes the restoration measures. As a result of the research, the most complete information about the patient's condition is collected. A conclusion is made according to expert estimates and a stroke forecast is built. In the latter, probabilistic conclusions are drawn about the possibilities of restoring lost abilities and the time for treatment of the patient is indicated. For this:

• Collect current complaints of the patient;
• Study the history of diseases;
• Apply instrumental research.

The ability to self-service is also subjected to analysis. This takes into account the possibility of social adaptability in the new state and the performance of professional duties.

The choice of a place, a method and means for rehabilitation is carried out. After resuscitation, the patient needs constant observation to identify repeated signs of a stroke. Assistance in severe conditions should be followed no later than 3 hours after the onset of an attack. This is the time for which all functions can be returned without rehabilitation.

The main signs of a stroke

To be able to respond quickly to the pathological process, the first signs of a stroke should be recruited:

• The patient has a severe headache;
• There is confusion of consciousness;
• Possibly an increase in temperature, blood pressure and the appearance of vomiting;
• Violations in mimicry (skewed faces) are detected;
• Speech becomes nerazborchivoy;
• Eyes roll up, a crooked look appears;
• In the upper and lower limbs, numbness grows from one side of the body.

After the detection of these symptoms, urgent hospitalization is required.

Types of activities

So, the patient had a stroke. Recovery after a stroke, as we have already mentioned, begins immediately in the hospital. In the ward, the patient is up to 2 months, depending on the severity of the disease.

From the first day begins the performance of health exercises. Even in bed, you need to constantly actively move to restore normal blood circulation. After discharge from the hospital, he is treated in a day hospital. The patient comes to the clinic to do the procedure.

At the stage of recovery, outpatient measures are prescribed. Passage of medical procedures at a local polyclinic. In the late stages of recovery, all health programs are performed independently at home.

Rehabilitation centers and specialized sanatoria have become widespread among stroke survivors. The lessons in them, due to their narrow focus, are most effective. So the modern sanatorium after a stroke offers a set of activities. Several doctors work with the patient:

1. The reflexologist performs three types of recovery: acupuncture, electropuncture and laser puncture.
2. The physiotherapist provides electromyostimulation, magnetotherapy and Darsonval therapy.
3. Nutritionist helps you choose a therapeutic diet.
4. The psychologist is working on adapting the patient in a new unusual state.
5. There is a massage and health-improving physical training under the supervision of specialists.

To this, it is necessary to add clean air, individual care for the patient, assistance in domestic needs, as well as conducting educational programs on the basics of stroke prevention. It is also important to have your own resuscitation for timely help in case of repeated cases of an attack.

Return ability to communicate

If the patient can not speak and the reason for this is a stroke, recovery after a stroke begins with the help of measures to adjust the functions of breathing and swallowing reflexes. Passive exercises are carried out with the help of a nurse or close people.

Restorative period at home is accompanied by gymnastics of the lungs up to 10 times a day. For this purpose, suitable rubber balls, deep breaths and exercises that contribute to oxygen filling the body of the patient. And the restoration of speech after a stroke is based on the type of lesion:

1. Infringements connected with problems of perception of the interlocutor on hearing and visually.
2. The problem with the motor skills of the language, but the surrounding environment is clear and transparent.

Positive moments recognized the following measures, in which the restoration of speech after a stroke becomes possible:

• It is necessary to be in continuous contact with the patient, not to leave him alone;
• When violations of language motor skills are difficult to pronounce words, so it takes a lot of patience to listen to the patient to the end;
• Use other types of communication: through drawings, letters, gestures;
• To attend gymnastics for the face and tongue - it should be held several times a day;
• Discuss only topics of interest to the patient;
• To develop thinking with the help of riddles, the recounting of figures, the restoration of known dates in memory.

Help in all exercises and consultation of a speech therapist-aphasiologist. And the restoration of memory at all stages will be controlled by a neuropsychologist. As a rule, the terms for the restoration of speech are about 3 months, and memory begins to work fully six months later.

Hemorrhagic stroke will require a longer period of treatment and, unfortunately, not always successful.

Return of memory and emotion functions

To defeat stroke, brain recovery begins with continuous contact with the outside world. It is important not to let the patient stay in a closed space and withdraw into themselves. All available means need to continue communication with the patient. At this difficult stage, relatives help actively.

After a stroke, depressive moods often develop, a feeling of regret does not leave the patient, and fear of the future does not leave him. Constant communication is designed to reduce negative emotions and adjust to a successful cure.

The programs of social and psychological rehabilitation help to overcome the psychological barrier . The course of treatment is built up for each individual patient. Conduct adaptation of professional skills in a new unusual physical condition. To enhance the effect, conditions for living together in a sanatorium with relatives are created.

With the patient, there are constant exercises in the form of games: speech communications are accompanied by physical action. When counting, fingers are bent, when you need to specify the direction of raising your hand, palm rubbing or clapping will be useful.

It is important to develop the ability to focus on a particular thing. To do this, you can suggest to remember where the object was placed before the illness. It will be useful to learn simple sentences or verses. The conversation should be built in a benevolent tone, it would not be out of place to discuss together pleasant moments from the past.

Return of hand motor abilities

One of the main symptoms of instulta is the disruption of the functioning of one of the upper limbs. The patient practically does not feel his hands, and from a prolonged lying, the muscles weaken. At the stage of recovery, efforts are made to restore the motor functions.

If the cause of paralysis of the extremities is a stroke, restoring the hand has some difficulties: the brushes perform very precise movements and the patient realizes that he already can not do this. Bound movements need to be broken up by health gymnastics. Lessons are aimed at stretching and joint development.

In this case, it is required to monitor the correct breathing - to lift weights by inhalation. At the initial stage, all movements are carried out by the health worker: bends the arm in the elbow, shoulder and develops a brush. Fingers are moved by the patient on their own, carrying out mental orders to the muscles.

The successful result is the ability to feel completely the hand and the ability to slightly twist it. It turned out to clench the fist? This is already an obvious indicator on the way to recovery. Constantly you need to try to remember the feeling of the state of a healthy limb.

Exact reflexes are restored when trying to write. Exercises are conducted as in the first class: at the table, starting with individual letters and simple words. They start therapy not earlier than a month after a severe stroke.

First, the patient writes on the pattern that lies before his eyes. After successful texts, he transfers words from memory or dictation. Finish the treatment with writing. It is important that the classes are held regularly.

Wellness gymnastics

For a survivor, the body's recovery exercises include massage and special gymnastics. So, before a wellness training, a patient is assigned a massage. The patient is warmed by rubbing the skin with circular motions. The extremities are massaged from the bottom up. The purpose of training is to ensure normal blood flow.

Then go to the exercises. When they are performed, it is required to develop muscle memory, disturbed by the consequences of a stroke. The installation creates a thought and a voice. The patient convinces himself that he can move a paralyzed body.

Classes in lying position include work by hands and feet. Develop all the flexor muscles. Brush knead a special stick or expander. Develop the muscles of the face and neck. If one limb is paralyzed, then the movements are symmetric with the second. Perform grasping movements by hand.

Standing perform a full gymnastics:

• Uplifts on inspiration;
• Lowering of arms and legs on exhalation;
• Corner turns and slow slopes;
• Squats;
• Mahi;
• Bringing hands into the castle behind his back.

Fresh air affects the nervous system positively. Combine walks with jogging, fast walking and other athletics. In the winter it can be skis.

At the later stages of rehabilitation begin full-fledged sports activities. A healthy lifestyle is needed not only to exclude stroke, but also other serious diseases.

A few words at a time

Rehabilitation centers have programs for recovery after a stroke of all body functions. Each problem is given special attention with the use of the latest developments in the field of restoration of human neurophysiology.

After treatment in the hospital, patients who have suffered a stroke, recovery at home should continue. The program includes a set of health-improving exercises and massages. It is very important to involve the relatives of the patient.

But keep in mind that a full return of all abilities does not always happen. Treatment can be considered finished no earlier than a year after the attack, but until the end of life will need to make every effort to prevent recurrence of the disease.