As a result of what happened, the stroke shows the deterioration of the following functions:

Violation of coordination, walking after a stroke, which prevents one's feet yourself due to the presence of spasm in the limbs.
A sharp change of mood with positive on negative emotions.
Unstability by cognitive functions.
Lack of connected speech.

Doctors are sometimes unable to determine the specific deadlines for the end of the recovery period. After all, for each person after a stroke, an individual program for restoring motor functions is needed.

Because the patient will come out soon, depends on home treatment. Especially if relatives acquire expensive simulators. But it can afford not everyone. Therefore, the alternative becomes homemade devices for training the motor functions of legs and arms.

In order for correct walking, the earner start of recovery is important, but only after a complete medication course. BEFORE to teach the victim to sit in bed independently, then raise it. At first, the patient such a task will seem complex, so watch it, in order to avoid accidental fall to the floor.

Later, the victim starts to keep the balance of the body more confident, and during walking will be able to independently hold the correct position of the body. The main role when walking is playing the ability to straighten and bend legs, forearm and brush.

To improve walking the patient after a stroke, purchase a special cane with four supports and orthopedic shoes with a small heel and a wide sole. It is desirable that she has a fastener for fixing ankle joint. Try so that the patient will work independence to go without a foreign support.

How to work out the right gait

To the victim learned to go correctly, I need extraneous assistance. You can start recovery by handing out the patient path with traces. Usually, it is precisely for such a technique to walk in specialized centers for rehabilitation of motor functions after stroke.

During classes in the development of the right gait, so that the restoration goes more productively, it is recommended to use the holders fixing stop. And so that the knee is not bend, put the knee pads, specially designed to hold the leg in the vertical position after the stroke.

When a person has already been more or less started to rise to his feet on their own, to accelerate the recovery period, offer classes on the treadmill. Preferably on those models that are intended for patients with insult diseases. Unlike ordinary training, they have handrails in the form of partitions on the left and right side of the simulator.

In case of classes, it is important not to hurry: there is a risk to develop addiction to the incorrect formation of ankle joint. After a stroke, you can start doing Scandinavian walking.

Violations when walking

After a stroke, the patient doctor observes the mismatch of motor functions on one side of the body. Walking becomes less correct.

On the part of this noticeably on such signs:

Uncharacteristic for a healthy man shaky gait.
The patient cannot bend fingers on their hands and completely straighten the leg. In some cases, the fully straightened foot is not bended, and the patient commits a semicircle with a sick side, relying only on a healthy leg.
The victim becomes difficult to get up on the whole sole of the leg, so it begins to walk not from the heel, but from the sock of the affected limb.
There is a risk of an unexpected fall of the victim due to the existing low sensitivity and paralysis.
The gait resembles the movement of the circulation.

Fast rehabilitation of motor engine activity

So that the restoration after a stroke is successful, continue treatment under the hospital. If the state of a person is defined as a light ischemic blood flow violation, then the victim will be able to walk after 3-4 weeks.

If the victim lost consciousness, but it quickly returned, there is a possibility of obtaining consequences during a central heal. Then walking will be saved only by 50-60%.

When a spontaneous strong hemorrhage of the brain occurs during a stroke, then it is hardly possible to help. Palsy legs will rather remain for life. This form is defined as very severe, incompatible with the normal existence of a person. The patient's restoration is delayed for a long period.

Application of the treadmill

When a stroke arises, a person is forced to constantly lie in bed, and to get up to his feet or make elementary movements to him are not under power. Will the patient be able to walk to depend on the healing techniques used.

First time to increase sensitivity it is recommended to make a massage and gymnastics of a passive nature. Then the doctor can advise on a running rehabilitation path.

From traditional distinguished by the following characteristics:

Work at very low speeds, as patients because of the case happened, at the beginning will not be able to walk even very slowly.
Long handrails are attached on the treadmill.
Multi-level setting of high-speed functions.
Emergency stop button.
Load capacity of at least 110 kg is based on how the stroke occurs not only at high pressure, but also during obesity.
Highlighting on the display of the treadmill, the value of the weight, pulse, spent calories and the path passed.

If after several classes on the treadmill occurred some improvements in the paralyzed leg, it is not worth increasing. On the recommendation of the doctor, adjust the speed of the track depending on improvements.

Use of simulators for warm-up legs

Continue recovery on simulators can only after a person confidently stand on a damaged leg. We should not start moving, without receiving recommendations from the attending physician.

If the patient does not know how to work with the simulator - tell me. It is desirable that this doctor does is a rehabilitologist. After all, only he knows how to start and for how long the workout continues.

You can provoke a deterioration in the work of the leg due to excessive overload. Sometimes for this reason, the injured during an intensive training muscles of the lower extremities stroke can happen in place.

These neurological practices show that the age of patients faced with stroke has changed - people from 40 to 55 years old are in the risk area today, as well as patients of more mature and elderly. After 55-60 years, the probability of violations in the blood circulation of the brain increases sharply.

The consequences of a stroke (brain infarction) are detected immediately and detected after some time. Among them is a loss of speech and vision, logical thinking and memory, motor disorders of varying degrees to full paralysis.

Learn to go after a stroke - one of the most important tasks in the rehabilitation of the affected patient. Despite the obvious complexity of the conscious movement, it is necessary because it helps to normalize the work of the brain, coherence of movements, the resumption of motility.

Walking should be preceded by recovery massage, exercise, carried out under the guidance of a medical worker. When elementary exercises, as well as the ability to sit the steel is possible for the patient, it is necessary to move to the restoration of walking and walking.

First steps - technology of proper movement

After a stroke, the tone of the muscles of the limbs, legs and hands cease to obey, their movements become inconsistent. The muscular tone of the sore limb change its position, as a result of which the gait becomes a package - the knee joints turn out to be overly relaxed, stops stop.

When moving, such a foot makes not a direct movement from the heel to the toe with further flourishing on the heel, but it goes on a semicircular with a support on the sock. This causes a slowing down step, the sick leg clings to the floor and the entire process of movement becomes traumatic.

To learn how to step on the leg, work out the right position of the foot - these are mandatory conditions for starting walking. The patient himself or his assistant must follow to:

from the first step, with the first contact with the floor of the foot rest on the heel, and not on the sock;
stop moved directly, and did not describe the semicircle;
the knee was bent at the time before the stop becomes the heel.

At this stage, the desire of the patient is very important to restore walking and even lying in bed it is important for him to represent himself going straight, with the correct setting of stop. This will help him in direct training walking.

Physical and moral support

There are various recovery simulators and helpers for learning verticalization and movement after stroke. In a hospital, this can be special technical devices, at home the doctor recommended the kneeopors (at the initial stage) and walkers that allow the patient not only to make the first steps, but also to return walking as a familiar skill.

Walkers - the main and simplest means to move the means for the movement of people suffering from walking. Their selection is carried out on the basis of the individual characteristics of the patient. Walkers are:

Insulte patients should be paid attention to fairyless options, since they have more resistant to coordinate movement, more stable.

At the first training sessions with walkers, an assistant insurance is required, which not only supports the patient, but also controls the correct position of the foot, its direct movement, as well as the bending of the hip, knee, ankle joints. The assistant must find a convenient position in which the necessary support would be carried out, it was possible to light patient's thigh, the ability to correct the oblique steps.

In addition, at this stage, moral support for the patient is very important - this will bring the success of the restoration of walking.

How to restore traffic with Scandinavian walk?

Restoration of walking and walking after a stroke is a process that occupies a long time period. Patients who have learned to walk with walkers are often difficult to go to normal walking, as they still need a support. Doctors recommend in this case Scandinavian walking.

Scandinavian walking is a type of movement, in which walking relies on special sticks, creating the body additional points of the support. Skiers who are not able to train in the summer use this sport so as not to lose the activity of all muscle groups involved in the ski run.

The popularity of the Scandinavian walk in rehabilitation medicine increases - it appeals to it when the support is necessary for movement, as well as if the recovery is hard, the patient was not physically active before the disease.

For people who have undergone stroke, Scandinavian walking - a real find:

Scandinavian walking today is actively used as one of the forms of therapeutic physical education, its influence on post-pillary patients is terrible.

It has been proven that the period of complete or partial immobility after a stroke is significantly reduced with regular classes of Scandinavian walking.

It is important here to comply with the principle of progress - from the period of addiction to the sticks to which the patient is based on, several training steps, to confident movement by distance.

Moreover, regular scandinavian walking classes are considering today as a method for the prevention of primary and re-strokes.

The time of rehabilitation after a stroke is individual, but the main progress of motor activity occurs in the first 3-4 months after impact. That is why motor activity, skill and desire to walk must be constantly reinforced.

Help and care for loved ones, positive emotional background on the one hand and technical devices in the form of walkers, sticks, regular walking, on the other hand, are able to "lift to their feet" even an elderly person. Thrust hard work to restore walking and walking will be wrapped with the joy of re-opened features.

It occurs in stages, step by step, the muscles of the legs are gradually strengthened, the balance and coordination of movements are being coordinated, together with this are being mastered for walking movement. Of course, working with post-pillars, you will strive to restore not only walking, but all other lost movements, especially self-service skills. In this article we will talk about how to restore walking after strokeSo that the walking system is understood. The intras of the post-patient remembers all the movements with which he possessed before the stroke happened, but the connection between the brain and muscles was lost. Our task to help this connection is to restore that the brain "saw" his periphery and began to manage it. LFK after stroke Plays this huge role in complex therapy.

Well, if your patient regularly engaged in physical education to a stroke, then restoring a walk and other skills will happen easier and faster. It is likely that during the study of therapeutic physical education with post-pillars, you will handle yourself without helper.

If the patient is tamped, has overweight, diseases of the joints, then alone can not cope, as it is very difficult to raise such a person, you will spend a lot of strength and, despite this, getting low results. In addition, there is a danger to drop it, as such a patient is almost "wooden". Even an experienced LFC instructor one will not cope.

Preparation for walking begins from the first days after the stroke, when the prevention of stopping stop, muscle contractures and joint atrophy is carried out. We talked about this in the article.

To enhance the effect of therapeutic physical education, I highly recommend applying - therapy before exercising.

How to restore walking after stroke.

We help us passive gymnastics on all joints of legs and hands with the gradual inclusion of active movements depending on the state of the patient and its ability to understand you.

The combination of passive gymnastics with massage elements has favorably affects the nervous system and the appearance of neuromuscular pulses.

Do not forget about the need to prevent thromboembolism: During the PFC on the patient's feet, dress elastic stockings or use elastic bandages. Leave your fingertips to the fingertips open to control the blood circulation in the tissues of the stop and the legs: the fingers should be pink and warm.

Passive gymnastics on the legs begins with stop (bending, extension and rotation), then continues on the knee and hip joints. The knee joint bends and extension. The hip joint requires volumetric movements: flexion and extension, lead and bring, rotation. Rotation in the hip joint is convenient to perform, bending the foot of the patient in the knee joint and keeping one hand over the foot, and the other hand is for the knee. Passive circular movements in the hip joint are approximately as in small children with hipoplace of hip joints.

During passive gymnastics, we strive to gradually "turning" passive movements into active.

As soon as you start connecting active movements, you should have a creative approach with the individual features of the post-pilla and sedent.

The principle of incorporating active movements is based on the activation of the volitional activity of the post-pod.

1). Send pulses. (The information on the site is sometimes repeated, but it is necessary). The patient mentally represents any movement in the limbs. At first he makes movement from a healthy side, commemorating the feeling of this movement. Then the same movement mentally repeats on the affected side. The message of pulses a patient can do on his own during the day. Mind movements should be simple and short. For example, flexion and extension of your hands in the elbow joint, compressing and connecting the brush, lifting the straightened hand and so on. The sending of pulses can be strengthened with the help of a conscious (mental) weightlifting. For example, the patient represents that in his hand a heavy dumbbell is tied to the leg, and you need to raise it.

2). During passive gymnastics, speak the patient: "Help me! I will ask the amplitude of the movement, and you perform the movement itself. " You must learn to feel when your student can independently perform at least part of the movement. At this time, without tearing off the hands from the limb, weaken your impact, let the student make a maximum of effort. All movements are carried out at a slow pace.

3). Full of the patient's movement cannot be performed immediately. Therefore, it is necessary to master it first in parts, then part of this movement.

Take an example exercise "bike", as it is indicative, all groups of leg muscles are involved in it.
"Bicycle". Right position - the patient lies on the back, the legs bent in the knee joints, the feet stand on bed.
1 - tear off the foot from bed, the thigh bent in the knee joint legs approaching the stomach.
2 - straighten your leg up - forward.
3 - Lower the straightened foot on the bed.
4 - bend your leg, tightening the foot closer to the pelvis, return to its original position.

In order for the patient to be able to independently perform the exercise "bike", we will apply a mastering first of the first part of the exercise, we will teach the "walk" in the position lying on the back, alternately tearing off the foot of the bent feet from bed; Then separately stretch the lifting and lowering of the straightened legs; And also separately - gliding in bed footsteps, straightening and bending legs with a complete amplitude. We moderately help the "sick" leg to carry out all these movements, the day of the day weakening your help until the patient makes the movement completely independently. We combine all parts of the movement to one whole and rejoice in success. If the student exercises "coryavo", then we must ask the desired amplitude to achieve a full-fledged high-quality movement. (We take limb in hand, the student works himself, and we control and regulate the volume of movement).

We also master all the other desired movements in parts, then connect them to one whole with the control of the quality of movement.

We are interested in loose walk after stroke. Therefore, the exercises for training walking will be further listed. These exercises should not be applied immediately in one lesson. We gradually restore active movements and gradually complicate the tasks.

All exercises standing should be done with the protection of the knee joint from re-installing back. I recommend to purchase a special orthosis for the knee joint with hinges, which allows you to be free to bend and blends the leg in the knee joint, but eliminates the re-installing of the joint, which is due to the weakness of the muscles of the paralyzed leg.

This orthosis will be useful to your patient while walking for a long time, since even when the movement in the leg and restore the walking skill, the weakness of the muscles remains. If there is no such possibility, then at least make a bandage to the knee joint with an elastic bandage.

When unscrewing a paralyzed hand, be sure to fix the hand of the bandage "Kosyanka" or use a special bandage for your hand before the patient takes a vertical position sitting or standing.

Exercises to restore walking after stroke.

The number of repetitions indicate does not make sense, as it depends on the state of the patient and the complication of the load (from 4 to 10 repetitions).

1). Sliding footsteps in bed. Lying on the back, legs bent in the knee joints, feet - on bed. Alternately straighten and flexing legs back, starting with healthy.

2). Foot leg. The initial position is the same (lying on the back, the legs are bent in the knee joints, the feet - in bed). 1 - Healthy leg to throw through the "patient" (just leg to foot). 2 - return to its original position. 3 - "Patient" to put on a healthy leg. 4 - initial position.

3). Heel on the knee. The initial position is lying on the back, the legs are bent in the knee joints, the feet - on the bed. 1 - Healthy leg to put on the knee of "patient" legs. 2 - initial position. 3 - the same "patient" foot. 4 - initial position.

4). Leg to the side - knee. The initial position is lying on the back, the legs are bent in the knee joints, the feet - on the bed. 1 - Healthy leg put on the "patient" leg to the leg. 2 - the same (healthy leg) away to side and lower to bed, so that there is a complete amplitude of movement. 3 - Again a healthy leg to put on the "patient" foot to the leg. 4 - return to its original position. The same repeat the "sore feet."

five). "Bike" with each foot, starting with healthy.

6). Foots inside - out. Lying on the back, legs straightened and placed on the width of the shoulders. Turn the foot socks into the inside, then turn the foot socks to the sides.

7). Sliding heel on the front surface of the tibia. Lying on the back, legs straightened. 1 - Put the heel of a healthy leg to the nape "sick" legs closer to the knee joint. 2 - 3 - to slide the heel along the front surface of the tibia to the foot "Sick" legs and back. 4 - return to its original position. The same repeat the "patient" foot.

8). Rapid up straightened legs. Lying on the back, the legs bent in the knee joints, the feet are standing on the bed. Straighten a healthy leg, sliding a stop in bed. Raise and lower it several times, then return to its original position. The same to perform the "patient" foot.

9). Warheading to the side. This exercise can be performed from the initial position lying on the back with both straightened legs and bent in the knee joints. 1 - take a healthy leg aside and put it. 2 - return to its original position. 3 - 4 - the same "patient" foot.

10). Complete the previous exercise in the original position lying on your back with straightened legs. 1 - take a healthy leg to the side, put. 2 - Move a healthy leg to the "patient" leg to foot, as if crossed legs. 3 - Move a healthy leg aside again, put. 4 - return to its original position. The same to perform the "patient" foot.

11). Lifting pelvis. Lying on the back, the legs bent in the knee joints, the feet are standing on the bed. Raise and lower the pelvis first for a small height, then the day of the day is increasing the pelvis height.

12). Big bends. Lying on the stomach, legs straightened, the foot "sick" legs on an ankle healthy. Bending and blending legs in the knee joints, focusing the attention of the student on the "patient" foot to strengthen the message of pulses. For the "patient" legs is a passive exercise.

13). Let's complicate the exercise "Flexion of the Glands". Lying on the stomach, legs straightened. Alternately bend and blends legs in the knee joints, starting with a healthy side. Moderately help the patient lift the leg of the "sick" leg. Impulse sending impulses: let's notify that a heavy weight is tied to a sore leg.

14). Flexion to the side. Lying on the stomach, legs straightened. 1 - bend a healthy foot in the knee joint, gliding knee in bed to the side. 2 - return to its original position. 3 - the same "patient" foot. 4 - initial position.

15). Leg through the leg. Lying on the stomach, legs straightened. 1 - transfer a straightened healthy leg through the "patient", touch the bed of bed. 2 - return to its original position. 3 - 4 - the same "patient" foot.

16). We put a foot on your fingers. Lying on the stomach, legs straightened. 1 - slightly raise the legs and put the feet on your fingers (stopping the stop). 2 - put the stops again at the starting position.

17). Raise your leg lying on my side. Lying on the side, healthy limbs on top, legs straightened. Raise and lower a straightened healthy leg. Then repeat on the other hand, for this turn the student to "healthy" side.

In the same initial position (lying on the side) bending and blending the leg in the knee joint, leading your knee to the stomach, to remove the straightened leg back, transfer the leg through the leg.

18). "Pushing me with the foot." The patient lies on the back, "sick" foot (stop) rests in the chest of an instructor, who, as it were, pupils on the leg of the student. Let the team "and-and-once!". At this time, the patient pushes the foot of the instructor, straightening his leg.

19). Turn in bed. We teach yourself to turn into bed not only in order to restore the skill of turn, but also to strengthen the muscles of the body. The patient lies on the back, legs bent, feet stand on bed. 1 - Tilt the knees in the "patient" side, the patient himself makes effort to complete the full turn on the "patient" side. 2 - return to its original position. 3 - the same with a turn to a healthy side. Remember that it is impossible to pull for a paralyzed hand due to the weakening of the muscular corset of the shoulder joint.

20). Spring on the edge of the bed. After we have mastered the turn in bed, we train the skill of sitting on the edge of the bed. After the patient turned on his side, lower his legs down from the edge of the bed, the patient is repelled by hand from bed and straightens. Without your help, he will not be able to do this. Start mastering the attachment after turning on a healthy side, as the patient is easier to push off the bed with a healthy hand. Support the student on the edge of the bed so that his feet firmly rest in the floor, they need to be placed on a small distance from each other for the stability of the design. The patient's body is straightened and slightly leans forward to transfer the center of gravity to the foot so that there is no fall back. (Pause a pause to adapt the patient to a vertical position, ask: whether the head does not spin). Then you need to return to the starting position lying on the back, but your head to the other side. Now we perform climbing on the edge of the bed after turning to the paralyzed side. Here you will need more effort to support the student, as it is still difficult to sit down after turning to the "patient" side. Again, we create a stable design so that the patient does not fall: the feet are placed, firmly rest in the floor, the housing is straightened and very slightly tilted forward. We hold the patient, let's get used to the vertical position a little. Then again slowly lay in the bed on the back.

21). Row. Running to the floor from the bed or from the chair - a complex exercise. It is impossible to make a fall in the patient, as this can lead not only to injury, but also complicate further exercises: it will be afraid to make some exercises, refuse to go. Therefore, we teach the upset gradually. Now our student can already turn into bed on the side, sit on the edge of the bed, sit on a chair without support.

We start training lecting from the edge of the bed. The patient sits on the edge of the bed, the legs firmly rest in the floor. We climb the patient with your hands for the chest, create a solid obstacle to the patient's stop, so that they do not move during the upset. Swing together with the patient and help him to get a little, taking the pelvis from the edge of the bed about 10 cm, in this position it is not delayed, immediately Sadim back on the bed. We repeat several times, trusting the student more and more independence.

Let's complicate this exercise: we train the rise with movement on the edge of the bed One, then to the other side of one back bed to another. First, we rearrange the patient's feet a little, then transplant it a little on the stop point of the stop in the floor. Then again we rearrange the feet of the student and so on. They moved to the back of the bed, sat, rested, and again transplant along the edge of the bed now in the other direction. We seek the patient as much as possible to perform movements, we try to hold intuitively less it.

The rise is convenient to train, or by moving the patient to the back of the bed so that he keeps him a healthy hand, or to put a chair with a high back, for which the patient can stay. We support it and control so that the stops do not move during the rise. The student is already ready to do physically and morally stand up and stand, keeping the support, because we strengthened the muscles that participate in the upset. The muscles are still weak, but the movement can. We show him the technique of getting on myself: I sit on the chair sideways to the patient: I swung a little back (for the "runway"), then ahead with the selection of the pelvis from the chair, moved the severity of the body to the feet and neatly straightened. This we will do decisively, as slowly get up hard. Sit down in the reverse order, but slowly: during lowering the pelvis on the seat of the chair, the housing is slightly tilted forward. They sat on the chair and straightened the housing, without leaning back on the back of the chair. Explain that it is necessary to sit straight, hold the housing in a vertical position to train your body muscles.

The most reliable and comfortable support to keep hands - Swedish wall. If there is such an opportunity, then the patient is holding on with both hands for the Swedish wall crossbar at the level of the shoulder belt, the "patient" hand can be contacted to the crossbar with an elastic bandage. The patient can be drunk to the Swedish wall on the chair - a catalog, or he sits on a chair face to the Swedish wall. The patient gets up and sits down, as described above, holding his hands behind the crossbar. The complication of this exercise is possible by reducing the height of the chair: the lower the chair, the greater the load on the muscles of the legs, the hands are more straightened. To reduce the possible muscle spastic, let us make an exhalation during the seating.

22). Peretpatka in place. The initial position standing, hold on to the support, legs are arranged on the width of the shoulders. To transfer the severity of the body is on a healthy, then on the "patient" leg, as if slightly swaying on the sides to transfer the severity of the body from one foot to another (without tearing off the floor from the floor). Then this exercise complicate due to the separation of the foot from the floor by several see. When the feet from the floor, the swinging on the side is replaced by lifting legs - walking in place.

Next, learn to walk on the spotHigh raising her knees.
Here we will be treated with a heel on a sock in a standing position, legs together.
We will master the "bike" alternately each foot in the standing position,
step one foot forward, then back through a low bar, a stick.
We take it alternately to remove the straightened legs back, putting the stop on the sock,
and also sniffed the legs back (that is, the patient takes the shin back so that the stop is pointing up, and the knee joint is down).

23). Foot exercises sitting on a chair. In the initial position of the patient sitting on the chair train various movements of the legs:
ride with heel on sock,
alternately rotate footsteps and counterclockwise,
sliding footsteps in advance - back alternately counter movements,
movement "foot leg",
alternate feet to face,
alternate lifting straightened legs forward - up,
"Stepping" sitting on a chair.

As soon as the student can make the goal movement back, you can start learning walking. Not immediately, but warning it in advance that tomorrow (or the day after tomorrow) you will start training walking. This will help your student mobilize forces for this difficult work. He will worry, worry, think about it, wait for you, represent how it will walk. This is an additional message impulses to the muscles of the legs.

Restoring walking after stroke.

Now, finally, the long-awaited moment came when the patient will make the first steps.
First, make some exercises for hands and for legs in the position lying on the back and sitting on the chair, practice to get up, flipping off legs on the leg, divert the shin back and sitting. You already have experience with post-pillars and you can choose any exercises to prepare the patient for walking. Do not overcome it. Walking will require a lot of strength.

So, the patient sits on the edge of the bed, the feet are slightly placed and firmly rest in the floor. You sit next to him from a healthy side in an embrace, the patient grabs you for the neck of a healthy hand. You need to get together on the team "And-and-time!". Stand up, straightened. Now you do as if the jolt movement and the hull, and the patient's foot hugging, so that the patient's foot is moved forward by inertia. At this time, when the "patient" leg moves forward, remind a student to try to make a stepping movement. Next, the patient comes to the "patient" foot, transfers the center of gravity to it, holding a healthy hand for you, and rearranges a healthy leg forward. You make a push again. The "patient" leg of the student moves forward. And so on.

Without having experience restoring a walk from post-duty patients, invite an assistant just in case to exclude possible difficulties. The assistant can help the patient's "patient" to move. Just do not need a "patient" foot to rearrange too far, step forward should be small.

You need to train not only walk forward, but also back. At each new step, it is necessary to strive for the patient to perform a "patient" moving movement. Come up with how to attach a wide ribbon to his foot so that you can raise your foot behind the tape so that it bends when the knee is lifted.

As soon as you realize that, despite the weakness of the muscles, the patient still walks, it is a big joy. Congratulations! Well done!

The following describes the idea of \u200b\u200brational recovery of post-pillars, as an option if you have the necessary conditions for such classes. Your enthusiasm is required, the patient should not have a significant overweight, it must be adequate, you need a free place in the room for classes on the floor, a large carpet and, of course, a physically strong assistant.

Pretty quickly will go restoration of movements at a post-duty patient, if applying the exercises lying on the floor (on the carpet), which are built in accordance with the stages of the physical development of the infant child:
lying on the stomach raise your head
turn with side on the side
ride on the floor from one edge of the carpet to another,
get up in a bronewood
crawl in the knee-cycular position, then crawl forward,
crowd in Plastanski (lying on the stomach).
If everything works well, you can gradually include any exercises.

You need to apply such a technique only with the assistant, since this work is very hard for your spine.

After a while you will see that your student knows more than he knew how to stroke.

Let me remind you that you learn all the manipulations to work out on a healthy person, which imitates a paralyzed patient, and only then use them on a post-duty patient.

Another advice: be prepared for the fact that your patient has an intestine work in the exercise of the exhibition, he may want to insert. If you have the opportunity to come to the toilet and sit on the toilet, then for your patient this is a real holiday, the reward for the works.

How to raise a post-pillage with gender?

Move the stable stool closer, put the patient on your knees in front of the chair (check the chair, as convenient), make it stopped with your hands on the chair seat. Next, you need to put a healthy foot of the patient forward on the foot. Now he himself gets up on a healthy leg, leaning on a healthy hand on the chair, and straightens with your support. It remains to put your student on the chair, wheelchair or bed. It's not as simple as it is written here. Remember about the danger of falling back when straightening the case. Patient lifting from the floor, do it, do not pull for a paralyzed hand.

Loose walk after stroke - Not a simple matter, but interesting and joyful. In order to succeed in restoring movements from post-duty patients, enthusiasm needed, sincere desire and interest in this case, an increase and physical strength. Only your mood you can "light up" the patient and convince him to fight for your health. There are cases when a person after a stroke refuses to do something for recovery, lies and is waiting for death. It is absolutely easy to fix it. Bring joy and hope to his life, and he will and be engaged, and wait for you with impatience every day.

Next remains daily to train the balance, coordination of movements, strengthen the muscles of the body, legs and hands. Your student should be able to act with both hands, so the next article will be self-service skills.

From the patient and from the one who provides him with help will need a lot of strength and patience. Not everyone has the opportunity to attend a good rehabilitation center, in which competent medical care will be provided, or acquire complex and expensive simulators. But with the right setting and persistent work, the patient will be able to return to the usual rhythm of life at home. The simplest "simulators" will be the most common household things, the appeal with which was recently the most common cause.

Start rehabilitation activities should be as early as possible, immediately after the completion of drug treatment and restoration of normal cerebral circulation and blood pressure. In no case in any case, the patient should not get used to a lying lifestyle. You must first learn to sit, at least just to bed, then - lowering the legs on the floor. At first, the patient may not cope with these actions, help will need. Gradually cope with this task will be easier. Every day, a challenge should be complicated: to let feet from bed yourself, try to "walk sitting", that is, to overlap with your legs on the floor.

It is necessary to start to get up and walk under the supervision of a career - to make the first steps and even to keep yourself in a vertical position will be very difficult. Help will be to support the patient from the affected side. The main difficulty, not only physical, but also psychological, is that the sensitivity in this side is very low, which creates unpleasant feelings and does not move with hand and foot. This will have to come to terms, as such sensations can stay for a long time. The main thing is to learn how to move foot and hand.

The main task at the beginning of the movement is to learn how to bend the affected leg in all joints, keep it in the right position. In order to facilitate the coordination of movements, it is possible to post a stop laying on the floor, chain the prints of traces on the floor, to which the patient will put the leg - this will help control the length of the step. In order for the patient to not forget to fix the leg in the ankle joint and did not cling to the foot for the floor, there can be small obstacles between "traces", first - pencils, after - the items are larger.

Having mastered the movement with the assistant, you can try to move yourself, but with a reliable support. It can be a special cane with armrest and preferably four supports. It is necessary and comfortable shoes - with a wide and low heel, tightly holding on the leg, preferably fixing ankle joint. Further restoration of motor functions depends on a greater extent of the patient, his perseverance and the desire to start walking.

The stroke takes millions of lives around the world, leaves people with disabilities, and it is not completely recoverable after the attack. Full or partial paralysis, the loss of familiar skills, the person becomes incapacitated and requires regular care from the side. The dependence of the patient from caring people along with the state of health provokes psychological problems. In this case, the assistance of a psychologist is required, the patient needs to be prepared for difficulties on the way to recovery.

Restoration of motor functions - an important stage of rehabilitation.

In addition to supporting close people, the patient himself must make considerable efforts to restore lost functions. The rehabilitation period can last both for several months and years. The course is to use integrated measures aimed at, motor, cognitive functions. When the crisis period was passed, the patient requires a long rehabilitation, because to learn how to walk after a stroke is again very difficult. With rehabilitation activities should not be tightened, they should be started immediately after medication therapy for the restoration of cerebral circulation. The patient should not get used to the bed mode than before it is possible to raise it from the bed, the faster the recovery process will start.

Effect of stroke on motor functions

Acute circulatory disorder causes failures of all organism systems. In addition to incoherent speech, dysphagia, the patient has numbness numbers, paralysis. If you do not take action on time, these symptoms can do a constant phenomenon. The presence of muscle cramps can be extremely dangerous and foreshadow repetition.

To disrupt motor functions, such signs are characteristic:

there is uncertainty, gaitty precision;
inability to develop the speed of movement;
the patient can not bend, break or rectifted the hand or leg as much as possible;
the painful spasm of the muscles of the legs prevents the bending of the pelvic and knee joints, often occurs in the foot;
the movements of the paralyzed leg can enhance hand spasms;
coordination of movements is broken;
partial or complete lack of limb sensitivity;
the patient does not turn out to put the leg on the sole, as a result, when walking movement begin with a sock, and not from the heel;
walking after a stroke can be accompanied by sudden drops.

Rehabilitation activities are beginning to be carried out individually, there are no clearly established deadlines for the restorative process, it all depends on the state of the patient. Some patients begin to walk after 2 - 3 months, another need much more time to return lost functions. In any case, patient and close people need to be patient and work to obtain a positive result.

Despite the significant impact of the scales of brain damage to the dynamics of recovery, the support of relatives is greatly assisted in the success of events. The psychological attitude of the patient himself is equally important. The depressive state caused by the feeling of helplessness, doomes and reluctance to act, can destroy all the unfolded work on rehabilitation.

Medicase therapy does not end after the acute phase of pathology. The patient can prescribe medications over a long period, depending on the state and symptoms:

drugs that stabilize the normal blood flow by vessels normalizing the work of the heart;
funds for in the case of its high indicators;
medicines that dilute blood preventing the formation of blood clots in the limbs (not used with hemorrhagic stroke);
miorlaxants, removing muscle spasms;
neurotrophic preparations that promote motor activity;
antioxidants to restore brain cells.

How to start walking after stroke

To raise a person from bed as soon as possible, it is necessary, gradually moving to more serious training. The patient after a stroke is extracited and often does not want to do anything to improve their condition. The task of a psychologist and loved ones is positively to set up a patient for recovery. Despite the duration of the rehabilitation period, the patient has a chance to return completely or partially lost as a result of the attack of the function.

Recovery procedures are in the following events:

At the first stage, a passive charging is required, which does not require to get up from bed. It is carried out by health workers or close patients. Gymnastics trains the function of flexing the joints, for this, alternately raise, bend into the elbow one, then another hand, then carry out similar exercises for each leg.
The simulator-bed is provided to start the process of learning the correct movement of the legs at the initial stage, it imitates walking.
Approximately 4 - 5 days after the attack of the patient are trying to squeeze. A special adaptation helps to achieve a vertical position. At first, the patient sits on the bed, then heats his feet on the floor.
Next, you can simulate walking, going through the legs in a sitting position. The need for a vertical position is not established by accurate terms and depends on the individual state of the patient.
At this stage, preparatory work is underway for walking practice, effectively use the "bike" movement, since it will use all muscle groups.
Hydrotherapy involving the use of hydromassage contributes to the improvement of blood circulation.
Ozochlorite applications, treatment with paraffin compresses.
Massages, which are an effective and integral part of the treatment.
Hydrotherapy, ozocenite applications, massages help get rid of muscle seizures.
Rehabilitation is successfully carried out at home, where the patient tries to perform ordinary household actions that develop motility.
The use of simulators significantly speeds up the recovery process. There are several types of fixtures for the development of walking skills, getting out of the chair, bike trips, treadmills.
After some time (the period of rehabilitation is individual), the patient manage to stand up on his feet. Standing and walking is not easy to patient in post-ply. Starting to make the first steps follows with the support of another person, then independently with the help of supports.
You can place traces of the patient with the aim of further correction of the gait. To secure the skill of the right leg, you need to walk along the marked track with the steps specifically applied to it.

With the beginning of the training stage, the walking skill will need to be acquired:

orthopedic shoes on a wide sole with a small lifting;
for fixing the foot, special holders are used;
also, it is also advisable to wear the pneaks, so that while walking the leg in the knee did not bended.

Often after the stroke there are bad legs, what to do in this case, they know, but the ability to afford expensive procedures is not all. No less effective can be home learning walking on the principle of "scientific walking as I go myself", exercise is possible with the help of loved ones.

Exercises to restore walking skill

The number of repetitions will depend on the patient's condition, if some exercises should not be done under power, the patient can be helped. It is better to carry out too active exercises when the patient feels better.

in the position of lying in the bent feet in the knees, the patient straightens, then one, then another leg, starting movement from a healthy limb;
echoing one leg to another alternately;
the patient turns the foot, then inward, then on the parties;
extension and bending of the joints of the arms and legs;
exercise "Bike";
handscaping to the side: Exercise is performed lying on the back with legs straightened or bent in the knees;
populate the pelvis: the legs are bent in the knees, in the position of the lying sick lifts and lowers the pelvis;
transfer of a straightened leg over another;
shiny bending;
lokia on the side of the patient should be raised and lowering the leg, then, turning over to the second side, the same thing to do with the second foot.

Restore muscle control is not as simple, but the efforts made by the patient and its relatives sometimes reach incredible results. In medical practice, many cases, when it would seem, completely hopeless patients returned to her former life.