Methods of upper limb rehabilitation training
upper limb rehabilitation training
First, the shoulder joint movement training method.
1. Shoulder joint flexion and extension training
(1) Passive movement: the patient lies on his/her back with his/her arms placed naturally on the side of his/her body. The rehabilitation therapist stands on the side of the affected limb, holding the elbow below and the wrist above. If the affected arm is moved to the head in front of the body within the possible range of joint movement, it will be flexion, and if it is restored to the original position, it will be extended.
The flexion and extension of shoulder joint can also use the active stretch training.The patient can sit beside the table, wear the hemiplegic walking aid, put the upper arm on the table naturally or stand facing the wall, put the upper arm on the wall, and then do the body forward movement to stretch the shoulder joint. The patient can also stand on the table with the back, and do the squat movement with both hands holding the side of the table behind, which can strengthen the shoulder joint overextension function.
(2) power or active movement: and passive movement of shoulder joint flexion activities in the same way, the active force with shoulder arm by buckling before end of activity, when the buckling of shoulder joint activity in patients with more than 90 degrees, rehabilitation therapists can give necessary help to help and protect, active prolapse swing practice method, the patient prone on the bed or standing before body bends around 90 degrees, relax with arms natural prolapse, and then take the initiative to use force before and after the swing, swing range can be increased gradually.
2. Shoulder abduction and adduction sports training
(1) Passive movement: the patient lies on his/her back, with the rehabilitation therapist standing on the side of the affected limb, placing the lower elbow on the side of the affected limb, holding the wrist above, bending the elbow laterally and placing the affected arm on the side of the head for abduction, and adduction when the original position is restored.Abduction and adduction in horizontal position, the patient lies on the edge of the bed, the rehabilitation therapist stands on the affected side, facing the patient’s head, the therapist’s hand grip is the same as above, the beginning of flexion or abduction for the patient, the movement to the inside of the patient’s body beyond the midline of the body is adduction, the movement to the horizontal outward is abduction.
(2) Assisted exercise or active exercise:Hemiplegia patients supine ditto, worn walker instrument for shoulder joint initiative by the body or standing on the side of the outreach devices for prolapse, bend with side arm to the side as a level, do the outreach adduction sports exercise, in patients with seat outreach shoulder joint elbow flexion 90 degrees, rehabilitation therapists stood in suitability, the hand holds the distal end of humerus near the elbow department, fixed above the shoulder blades axillary side, holding on to the outgoing pieces of shoulder joint adduction muscle group, to increase the shoulder range of outreach activities, or use in patients with active tension shoulder joint, the patient side sitting at the table of shoulder abduction, arm side on the desktop, take the initiative to make the body to the table side tilt,The same effect can be achieved.
3. Internal and external rotation training of shoulder joint
(1) Passive movement: lying on the affected side with shoulder abduction and elbow flexion. The position of the rehabilitation therapist and the hand and flexion are the same. Turning the forearm to the patient’s foot is internal rotation, while turning the head is external rotation.
(2) Assisted movement or active movement: the patient takes a sitting position, and the rehabilitation therapist stands on the affected side. The hand is placed on the affected shoulder, and the elbow or wrist helps the patient to perform the internal and external rotation of the shoulder joint. If necessary, the patient can also learn the internal and external rotation and tension of the shoulder joint to increase the range of motion of the joint.
Second, upper limb rehabilitation training,the elbow joint training method
1. Elbow flexion and extension training
(1) Passive movement: the patient takes the sitting position. The position and holding position of the rehabilitation therapist are the same as that of the shoulder joint flexion and extension, but only as elbow flexion and extension. At this time, the rehabilitation therapist can use the fingers of the patient’s wrist to forcefully control the rotation of the forearm, and elbow joint flexion should be completed in the rotation.
(2) power or active movement: ditto postures, power movement and the patients can be active movement, also can undertake elbow power tension, rehabilitation therapists standing on one side and geared to the needs of patients, above the hand holds the distal end forearm near the wrist joint fixed below the elbow of the lower humerus, stretching the elbow and forearm muscles flex movement exercises.
2. Elbow joint rotation training
(1) passive movement: rehabilitation therapists use the palm of hand index finger support limb and the rest of the four fingers hold the wrist and the other hand fixed in patients with elbow, forearm rotation movement both inside and outside, rehabilitation therapists can also use two palms in distal forearm near the wrist joint, gently rub moves or rolling motion, but pay attention to the palm forcibly not acting on the wrist, spin force only ACTS on the elbow.
(2) power or active movement: power and active movement can be made in the above position, ring can help with this, the patient to sit at the table, elbow flexion 90 degrees, rehabilitation therapists above the hand holds the distal end forearm and hand fixed below the humerus, stretching elbow for internal and external rotation movement practice, pay attention to the fixed humerus adequately prevent shoulder joint generation for rotary motion.
upper limb rehabilitation training
Upper Limb Rehabilitation
Lower Limb Rehabilitation
Whole Body Rehabilitation
Treatment Table Series
Lumbar and Neck Traction Bed