Targeted Aktivitäten des täglichen Lebens Training for hemiplegic upper limb and Hand dysfunction（1） - Schlaganfall Center - Siyi Intelligent

Aktivitäten des täglichen Lebens Training is a part of the scope of work, using the form of work activities to promote functional Genesung and re-learning of normal Bewegung patterns.This article mainly describes the targeted Aktivitäten des täglichen Lebens Training that combines daily life tools and neurodevelopmental Therapie in ordinary Rehabilitation. It analyzes the movements of Schlaganfall patients with possible functional Genesung, and then strengthens weak areas and avoids abnormal Bewegung patterns.

Taking the Patient with left Hemiplegie as an example, the weaknesses in the Aktivitäten des täglichen Lebens are as follows:

1. Schulter flexion （a Bewegung pattern that inhibits flexion of the upper body)

The Therapeut controls the Patient to straighten the Ellbogen and instructs the Patient to remove the sleeve from the post. If the Patient's Hand Greifen ability is insufficient, the sleeve can be held with both hands at the same time.

2. Schulter Abduction

The Therapeut assists the Patient to straighten the Ellbogen. If the Patient's grip Kraft is insufficient, the Therapeut assists the grasp and uses a gymnastics stick to assist the abduction.

3. Ellbogen stretch

Ellbogen extension activities with Schulter immobilization (note that the Handgelenk is placed on the flatbed to prevent it from sagging and causing Schmerz). During the Rehabilitation process, due to the influence of the spastic mode, the Patient can complete the Ellbogen extension alone, but the Schulter flexion and Ellbogen extension cannot be completed together. We can first perform the Ellbogen extension Training activity from the Schulter flexion state to suppress this mode.

4. External rotation of the Schulter

Control the Patient's Schulter to prevent it from abduction, instruct the Patient to externally rotate the Schulter Gelenk and remove the water bottle with Velcro on the side panel.

5. Handgelenk dorsal stretch Training

Keeping your forearm still, push the column away.

Try to keep the forearm still, grab the pieces and train.