Recovery after stroke: a set of exercises

In this article you will learn how important gymnastics after the stroke to recover lost brain functions, which contribute to the resumption of the exercise movements in the paralyzed parts body.

The process of recovery after stroke can be long enough. Exercise is an integral part of an effective program of rehabilitation of patients after acute cerebral circulatory disorders.

Doctors and scientists have argued that active recovery occurs in the first six months after a stroke.

Unfortunately, each individual patient to predict the extent to which it will resume disturbed brain function, it is impossible.

In some cases, the nerve cells are damaged temporarily, they can restore the functioning after some time. In other patients, the brain manages to reorganize its work, switching the lost functions in the intact their plots.

According to statistics, if properly carried out rehabilitation after stroke observed following the results of the restoration of the disturbed functions:

1. In 10% of people who have suffered a stroke, there is a full recovery.
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2. In 25% - recovery from minor violations.
3. In 40% - observed moderate and severe functional disability in need of special care.
4. In 10% - there is need for continuous home care.
5. 15% of patients die soon after stroke.

Upon cancellation of the rehabilitation measures, including special complexes of exercises after a stroke, these indicators strongly deteriorated.

Rehabilitation should be started during his stay in hospital, as soon as the patient can carry out its activities. After discharge from the hospital exercises aimed at restoring lost functions, carried out under the special rehabilitation centers or at home.

Usually training program includes therapists, physical therapists, physical therapy, doctors or neurologists.

aerobic exercise

Aerobic exercise force the organism to utilize oxygen to produce energy. They are very useful for the health of all people, including stroke patients.

Aerobic exercise is beneficial to the heart and lungs, help control the amount of fat in the body, reduce blood pressure, increase endurance and improve mood.

Despite the fact that the patients after a stroke often have difficulty with movements of the limbs, it is very important to continue to be physically active, especially at home. Examples of aerobic exercise are:

• walking;
• swimming;
• a ride on the bicycle;
• dancing;
• gardening or garden.

Each patient after a stroke is necessary as far as possible try to maintain aerobic physical activity.

Exercises to improve coordination and balance

These exercises are physical therapy can help reduce the risk of falls, to restore the balance and coordination of movements.

Exercises for coordination and balance:

Stand on one leg for 30 seconds, and then adjust the leg. For a more stable position lean your hand on a table or chair.	Stand on one leg, not his hand resting on a table or chair. Gradually increase the exercise time to 2 minutes.
Standing on one leg, pull the other to the side at an angle of 45 degrees. Hold it in this position a few seconds. To maintain a balance can be based on any item. Then slowly lower your leg and repeat this movement 10 times.	During this exercise, close your eyes.
While in the supine position, drag right elbow to the left knee and left elbow and then to the right knee.	Perform this exercise lying on gym ball, which will increase the range of motion.
In the standing position put the right foot on the floor directly in front of the left, and then left - right in front of the right. Go so maintaining constant contact between the heel of one foot with the fingers of the other.	Perform this exercise on the uneven surface.

Gymnastics for the body

Therapeutic exercise after stroke includes exercises for the torso that are necessary to reduce the risk of falls, maintaining a stable balance and body position.

torso twists	Sit on a chair, put his right hand on the outer surface of the left thigh. Keeping your back straight, with this hand, expand the torso to the left. Repeat the movement in each direction 15 times.
Torso to the side	Sitting on a chair, drop the left shoulder towards the left hip. Then return to the starting position, focusing on the use of the trunk muscles. Repeat this movement 15 times each side.
Torso forward	Sitting on a chair with his hands clasped together and straighten them before. Retaining parallel to the floor position of the hands, torso forward. Vypryamtes Then, using your back muscles. Repeat this movement 10 times.
Lifting legs	Lying on the floor, lift your legs knees to her chest and hug them with your hands. Hold one foot in hand, dip the other on the floor. Then raise it back to his chest, trying not to use the leg muscles. Focus on reducing trunk muscles. Repeat 10 times for both legs.

Exercises for stretching

These exercises help prevent injuries, to expand the range of motion, improve blood circulation in the muscles. For too long sitting position, there are numerous health problems.

Exercises to stretch the muscles of the legs:

1. Stand facing a wall and place it straightened his arms at chest level. Then bend your elbows, leaning his body forward and keeping the foot pressed to the floor. At this time you need to feel as stretched muscles back of the leg. Then, align the arm at the elbow, pushing off from the wall and taking a vertical position.
2. Lie down on your back. Then, using your hands, move the left foot over the right to the other side of the body. Hold it in this position for a while, then return to starting position. Repeat this movement with the other leg. This gymnastics facilitates muscle stiffness lower back.

Exercises to improve mobility

The purpose of these exercises, physical therapy is to improve the mobility of the affected leg at the hip and knee joints. examples:

• Lie down on your back, bend the knees so that the soles of the feet is located on the floor. Keep your feet together and tilt them to one side, then the other. These movements help reduce stiffness in the joints.
• Lying on your back, pull your left knee to your chest and press gently with his hands. Repeat this movement with the right limb. This exercises improves mobility in the hip and knee joints.

Exercises to restore muscle strength

To restore the strength of the muscles of the affected leg useful the following exercises:

1. Walking - the simplest form of physical activity, which is to be performed after the stroke. If you until you can not walk on their own, try to use a walker or cane.
2. Leg press - is an alternative to walking. For this exercise you need a special simulator, which thanks to the strength of the lower limb muscles you pick up some weight.

Sit-down exercises for the legs

Sedentary exercise exercise therapy to help a comfortable recovery after stroke.

turnovers ankle	Sit comfortably in a chair and make 20 revolutions ankle to warm up the ankle joint.
Stretching the hamstrings	Staying in a seated position, reach for your hands to stop. You need to bend in the hips, not the back. Hold this position for 20 seconds, then slowly align.
Exercise for inner thigh muscles	Squeeze fists and place them between your knees. Then try to keep her thighs together. Hold this compression for 8 seconds.
Exercises for quadriceps	Sitting in a chair, slowly lift your right leg so that she occupied the position parallel to the floor. Then lower it down slowly, but do not put the foot on the floor. Repeat this movement 10 times for each leg.

Passive exercise for the hands

Passive exercise - a simple movement you can do with a healthy hand or a stranger. An early start of their implementation to prevent stiffness and muscle spasticity.

shoulder flexion	Lie down on your back and clasp your hands across his chest. Maximum lift the affected limb with his good arm up to the ceiling. Then slowly lower your arms to his chest. Repeat the exercise several times.
Strengthening the shoulder girdle	Lying on her back, placed vertically over the body of his hands, lift the shoulder blades off the floor. The movement should remind lifting the chest to touch the ceiling. Hold this position a few seconds, then slowly lower the blade to the floor and repeat the exercise.
Flexion and extension of the elbow	Hold the hand vertically above the chest, bend them at the elbows, lowering the hand clasped over his forehead. In this case, the shoulder must remain perpendicular to the body. Then slowly raise your arms to the starting position and repeat.

Active exercises for hands

Active rehabilitation includes functional and strength exercises.

Functional exercises to improve muscle control, helping to restore independence in the home:

• Grasp the fingers of the affected hand or the handle of the refrigerator door. Train close or open them.
• Keep the bag in his hand and wear it around the house. With the improvement in muscle strength, increase the weight of the bag.
• Take a tube of toothpaste in the affected hand and a toothbrush - in healthy. Try to squeeze the toothpaste on the brush.
• Turn on and turn off the lights of the affected hand.

Therapeutic exercises in the form of power exercises involve the use of dumbbells or other objects. For their implementation the person should be able to hold them in their hands.

Bending the arms at the elbows	Sit in a comfortable chair and grab a dumbbell in your hands. Then bend your elbows and lift the weight to the chest. Shoulders should be fixed and placed along the body. Then slowly lower your arms, straighten their elbows.
Strengthening the muscles of the shoulder girdle	Take your hands away from the body so that his shoulder was located parallel to the floor, and the forearm - vertically. Brush, holding the dumbbell should be palm forward. Raise the dumbbells over your head, arms fully extended. Then slowly lower them to the starting position.
Lead hand	Sit in a chair, hands, lower the dumbbells to the sides of the body. Then, holding the straightened the limbs, lifting them to the sides to shoulder level. Body position should resemble the letter "T". At the top lift pause for 1 second, then slowly lower arms in the initial position.

Exercises to improve hand mobility

Performing these exercises after stroke at home will help restore fine motor skills and regain control of the brush.

Extension and flexion of the brush	These exercises to stretch the muscles can be done passively (using a good hand) or actively. They help prevent the stiffness of the affected hand. Place the forearm on the table, palm down, to brush hanging off the edge. Then move the brush up and down, flexing it. Then repeat these movements by placing the forearm palm up.
Flexion and extension of the thumb	Open palm, straightening all the fingers. Then bend the thumb toward the little finger. After that, unfold it to its original position. Repeat this movement several times.
Other exercises for the wrist	Recalculate coins. Unclench clothespins. Play board games (checkers, chess). Collect the puzzle. Play the piano.

Scientific studies have shown that rehabilitation exercises after stroke help to improve physical and mental health, movements in the affected limbs, balance and endurance. In addition, they strengthen the cardiovascular system, improve the quality of life and improve mood.

A source: http://okardio.com/insult/gimanstika-posle-146.html

Exercises after stroke at home, rehabilitation after stroke

Stroke - one of several diseases, which is more than 90% of cases leads to disability person. Recovery of brain activity after an attack requires the victim and his family long-term and persistent efforts.

Big role in stroke rehabilitation plays a drug support and treatment in specialized centers and nursing homes, the cost of services which is quite high.

In financial terms, the services of qualified rehabilitation specialists available is not for everyone, so many after the removal of threats to the life of the victim begin his recovery at home.

home rehabilitation: the main tasks

Rehabilitation at home after stroke plays an important role in the restoration of the lost functions of the body. By its organization should be approached responsibly and ensure the victim:

• constant monitoring by the experts;
• Appliances and tools necessary to eliminate the discomfort caused by the limitations of any functions;
• in the performance of medical gymnastics exercises.

Particular attention is paid to the implementation of physical therapy exercises, the effect of which, depending on the form of violation sent to:

• strengthening the work of the affected parts of the body muscles;
• improved motor coordination and balance of the body;
• relieve muscle spasm;
• restoration of sensitivity paralyzed parts of the body;
• recovery of speech and thought functions;
• adaptation of the victim of a stroke to the current state.

At home rehabilitation activities are carried out by the victims and with the help of loved ones, the psychological and the physical part which is indispensable in restoring lost health.

Exercises after stroke Hand

Restoring hand motor function includes the active and passive exercises.

The effect of passive exercise is aimed at preventing arms stiffness and muscle spasms. Classes begin immediately after the removal of threats to the life, the victim executes them with his good hand, a nurse or a relative.

1. movement elbow. Hand raised upward in the vertical position, is bent at the elbow so that the brush touched forehead. After that, at the elbow hand slowly flexes and returns to its original position.
2. Working with the shoulder girdle. The patient is placed on the back so that the vanes are pressed against the solid surface. Thereafter, they raise both hands in a vertical position as long as the blade is not pripodnimut above the surface. This position should be held a few seconds, after which the lower arm to the starting position.
3. Working with shoulder. The patient lay on his back, arms at the same time must be connected to the chest. Affected limb using a good hand to be raised up perpendicular to the body, hold in this position and slowly lower down.

Active exercises are performed to improve muscle control. To this end, may use the means at hand, special equipment and dumbbells, if the patient has the ability to hold them in your hand. At home, the patient can independently perform the following exercises:

1. curls. Sitting on a chair and holding a dumbbell in your hands, you need to bend their elbows to chest level, the back should be straight and your shoulders still.
2. Lead hand. Being in the same position, the patient removes his hands with dumbbells in hand and raise them to shoulder level, detains them for 1-2 seconds and slowly lowers.
3. Exercise on bench. In the affected arm put a rubber bouncy ball and squeeze it as much 10-15 times.
4. Exercises using everyday items. The patient presses the switch opens and closes the door knob, dishes interchanges, squeezes out a tube of toothpaste.

A set of exercises for the restoration of hand function can be significantly expanded by the attending physician.

Exercising after a stroke to leg

Passive exercises to restore mobility of the feet includes the following exercises:

1. legs bending at the knees when lying down. Knees alternately tighten his hands to his chest, delayed by the time and lowered.
2. Moving the legs in the supine position. His right leg with his good hand rearrange through the left leg on the opposite side of the body, hold it in this position for 30 seconds and gently return to place.
3. Exercise lying on your side. In a prone position on the side of your knees should be bent. The upper leg is lifted in the knee, is delayed by 2-3 seconds and lowered.

Active exercises after stroke Foot help restore muscle strength. Common of these are:

1. Exercises for the ankle. In the sitting position of the foot is lifted, then the ankle 20 of circular rotations performed in both directions.
2. Work with internal thigh muscle. Sitting on a chair, you need to place your fists of both hands between her thighs, and then reduce them greatly shrink by 8-10 seconds to dissolve.
3. Press on the simulator. Exercise, alternative walking. Located on the simulator, the patient squeezes his feet a certain weight, the load at the same time defines the specialist under the supervision of which it is located.
4. Max kicks. Alternately legs rise up at an angle of 90 ° and lowered. Exercise can be supplemented with cotton hand under the raised leg.

An indispensable method of recovery of locomotor activity of legs is walking - an independent, with the help of a walker or cane.

Exercises to improve coordination

Loss of coordination is a common consequence of stroke. Man sways when walking, he feels insecure when making sudden movements and often falls down falls. To restore the disturbed balance, at home should perform the following exercises daily:

1. Stand on toes. Based on a stable cabinet and keeping your back straight, it should be possible to rise on tiptoes, to stand for a few seconds and then slowly lower your heels.
2. Stand on one leg. Exercise should start from the rack for 30 seconds, while pursing his leg under him and his hand resting on a chair. Subsequently Submission operate without support, and the time was increased to 2 minutes.
3. Lead legs toward. Keep your back straight and his hand resting on a table or cabinet, one leg is removed in the direction at an angle of 45 ° and retained in this position for 10 seconds. Then slowly lower the leg. Perform exercise should be up to 10 times for each leg. Subsequently, it is complicated execution with closed eyes and rocking on one leg in the form of a pendulum.
4. Walking the line. On the flat surface is a straight line on which the heel of the left foot put to right toe. Then the right leg is rearranged in the same way to the left and so on.
5. Wag the leg. Leaning with his right hand on the cabinet, the left leg maximum retracted, fix it in this position for 8-10 seconds and then slowly return to place. Exercise is repeated up to 10 times, alternately changing pace.

Regular performance of gymnastics will restore the confidence of gait and reduce the risk of injury from falls. A set of exercises can be supplemented or subtracting the attending physician taking into account the contraindications and characteristics of the organism.

Exercise after a stroke to the eye

When visual disorders caused by paresis oculomotor nerves affected by the exercise stroke, are shown for the eye following:

1. Blinking. Within 30 seconds you need frequent blinking, and then open your eyes and the same amount of time to look at a single point without blinking.
2. movement of pupils. Alternately pupils operate movement right-left, down-up, diagonal from upper left to lower right and the upper right to the lower left.
3. Eight. Pupils visually "draw" a figure eight at first vertically, then horizontally, and diagonally.
4. Circles. Pupils make a circular motion at first clockwise, then - against.
5. Compression century. Initially, the eyes strongly zazhmurivayut 10-15 seconds, after which at the same time, opened and relax.

Exercises for eyes should be carried out smoothly, without abrupt and hasty movements.

Gymnastics for the recovery of articulation

To restore the correct articulation and pronunciation necessary not only help a speech therapist, but also regular self-study at home. For each type of specialist speech disorders selected individual set of exercises, the There is a list of general manipulation, daily performance which helps to significantly improve pronunciations of the words:

1. Protruding tongue to the chin, and then - to the tip of the nose.
2. Twisting tongue into a tube.
3. Loud smacking as air kiss;
4. Protrusion mandible forward lower lip upper grip, the delay in this position for 7-10 seconds and returns to its original position. Similar manipulation executed with the seizure of the lower lip.
5. Siphon tube lip, a delay of 5-7 seconds followed by relaxation. With a short break exercise is carried out up to 10 times.
6. A broad smile grin with all teeth. After returning to the starting position to repeat the exercise, but with closed lips.
7. Pulling the tongue to the soft palate, and the clatter of them.
8. Protruding tongue from the mouth as possible and hissing like a snake.
9. Licking the lips - from side to side, in a circular motion.
10. Protruding tongue as much as possible, with the neck should be stretched. After a delay in this state for 3-5 seconds to return to the starting position to repeat the exercise 7-10 times.

Described the exercises are only part of the speech rehabilitation program. They are combined with the learning of phrases, rhymes and tongue twisters should be performed 2-3 times a day.

Mental gymnastics after stroke

For the restoration of the receptors responsible for memory and thinking, it requires a long training. After passing the medical treatment in a hospital need to perform daily mental exercises after stroke at home. Common of these are:

1. attention training. The patient was asked to consider the subject, or a stranger, then describe it in detail.
2. Search letters or words. To restore the visual associations use the book in which the patient is asked to note the letters or words. To find them, he has to read and remember a forgotten alphabet.
3. The test for memorization. Before patients are laid out objects (such as kitchenware, stationery, books or toys), are asked to carefully look at them and call within 30 seconds. Training start with 3 items, gradually increasing their number. To stimulate concentration and visual memory a person needs also to recall the order of items location.
4. Train of touch receptors. With the help of odors and flavors associated with the same patient's life, it is possible to recall significant events and feelings.
5. Train of thought. From the first days after a stroke attack, the patient should be mentally give commands to movement impaired parts of the body, for example, make a fist, move your toes. Also in the thoughts need to scroll through the exercise of therapeutic exercises, starting at the level of the subconscious work of the nerve endings responsible for motor activity.

Effective exercises to maintain cognitive functions is solving puzzles and crosswords, hobby logic games, reading and solving simple math problems.

A source: http://progolovy.ru/zabolevaniya/uprazhneniya-posle-insulta-reabilitaciya

Full rehabilitation after stroke at home: how complex can help the patient?

For stroke patients, shows a mandatory period of rehabilitation to recover lost skills - walking, speech, self-service. To this end, classes on physical therapy, speech and memory training. They are the most effective in combination with diet, medication, supplemented with folk remedies.

Life After Stroke: recovery periods

Rehabilitation of patients after acute stroke provides for a gradual increase in load. Initially, the state is required to stabilize.

Typically, patients are discharged after 20 - 25 days of treatment in a hospital.

you can start to exercise as long as it was possible to normalize blood pressure, pulse rate, there is severe weakness and depressive reactions in the home.

Rehabilitation of up to 3 months

The early period after stroke is the most important, since at this time is the maximum functional recovery. At this stage it is possible to achieve:

• independent seats, standing beside the bed, using the toilet, dressing and eating;
• personal hygiene;
• monitor the performance of the bladder and intestines;
• improve vision and speech;
• sensitivity appearance.

With proper treatment by the end of 2 months the patient manages to stand up and hold the balance. When walking is required to support a walker or sticks.

It is important to organize physical exercises at least 2 - 3 times a day.

Complex exercise consists of a coherent elaboration of all muscle groups, both healthy and affected side, pre-needed massage to warm up the muscle tissue and the elimination of spasm.

Period of up to six months

After the restoration of self-help skills (in full or in part) starts a substantial distance training. First by a relative or an instructor, then the patient should self-confidently move around the apartment, go for a walk.

The first week is required mandatory maintenance, and further it is necessary to allow emergency communication with the patient. We must remember that there is no guarantee of absence of recurrence of the disease or a sudden drop, even after a period of successful recovery.

At first need a brief walking and climbing stairs, and by the end of 6 months is recommended to give up the tools and assistance.

The patient must fully own the cutlery, the ability to write, memorize and reproduce coherent texts.

In gymnastics include weights (light dumbbells, plastic water bottles, bags of sand on a limb).

Recovering from a stroke up to a year

Walking outdoors become more lengthy - from 1.5 to 2 hours or more. They should be alternated with rest, it should not overwork. We are in this period is usually restored or at least inconsistent. It is important to develop fine motor finger. For this purpose, sewing, knitting, weaving, game on musical instruments, picking up puzzles.

Up to 18 months, almost 90% of patients can live without assistance, subject to full compliance with medical recommendations:

• daily training;
• nutrition;
• receiving the designated medicines;
• refusal of bad habits;
• control blood pressure, cholesterol levels and blood sugar.

Exercises for rehabilitation after ischemic and hemorrhagic stroke

Motor activity is highlighted by patients in the recovery. It is important to ensure the systematic study and introduction to the daily routine at least 2 workouts.

Be sure to start the exercise with a healthy side and then rotate them with the affected limb.

When the fatigue pause is required, a few breaths with exhalation stretch, and then you can continue to exercise.

To reduce the spasm

Spasticity decreased during much of the complex by the method of Bobath. All movements are smooth and slow, repeat first three, and then five times:

• allocated to the thumb of the right angle, in this position is necessary to stay up to 3 minutes;
• stretching of the remaining fingers brush;
• when stretched and hold the big toe to bend and straighten the wrist, the entire arm in arm;
• when fixing the thumb abduction is carried away and bringing hand (using instructor physiotherapists or relative);
• pull and pull the big toe, fix the position for 2 minutes or longer to complete muscle relaxation;
• lie on your back, bend the leg at the knee. If it is difficult for the movement, it is necessary to knock his hand under the knee. The foot of the thumb to pull to the side and down.

Bobath therapy

For upper limb

Movement in the hand restored worse than in the affected leg. A feature of paralysis in stroke is a disruption of the deltoid muscle, which fixes the shoulder joint. When the patient begins to sit, stand or walk, the arm hanging under its own weight can provoke tension and dislocation of the joint capsule. To strengthen the shoulder is used:

• abduction hand side;
• the circular movement of the shoulders and alternately together;
• lifting arms upwards and downwards reset;
• mixing and dilution of the blades;
• sitting or standing with straight arms show open hands and turn the brush back (supination and pronation).

After moving the shoulder to the elbow joint (flexion, extension slow latching) and the wrist. Brush need to be engaged as often as possible, so long as it is restored.

You can use any position - lying, sitting or standing, should first help themselves with his good hand.

Movements carried out in all directions and planes - bending, turning to the side, circular rotation in both directions, imitation screwing in light bulbs.

For the development of the feet

First, you need to spend flexion and extension of the hip, knee and foot in the supine position. If the patient can stand, then add circles hips, knees rotation. The bed is recommended that such a complex:

• lead to his leg bent at the knee and then straighten it completely;
• lying with straight legs, take the affected limb to the side and return to the starting position;
• slide your heels on the bed;
• simulate cycling (on the side of the first weakened with assistance);
• alternately lift your legs, using a belt or a rubber bandage.

Simulators for recovery

In the process of rehabilitation of substantial assistance is provided by special devices, they are purchased in specialized shops of medical equipment. They are designed to meet the traffic violation at one side of the body, more advanced models have feedback features, help set individual toning mode.

The most common varieties are:

May also be at least as effective a variety of handy tools - expander, a rubber bandage, mounted on a static object or closed in a ring of conventional mop stick, keeper bars, steps. Inflatable pillow is used for balance training, first sitting and then standing. To develop useful brush clay, bean, from which you need to put a figure.

speech rehabilitation

The most intensive recovery of the speech function is noted in the first six months from the beginning of a stroke, it can last up to 2 - 3 years with extensive lesions or untimely begun treatment. Depending on which areas of the brain affected in patients occurs either motor or sensory form of speech disorders (aphasia). In the first embodiment, the patient:

• hears it, sees it at the hearing;
• understand the words addressed to him;
• responding to requests;
• can not say the phrase or formulate an idea;
• with reading and writing difficulties arise, so patients avoid them.

Look at the video of the exercises for the restoration of speech in motor aphasia:

When sensory aphasia patient does not pay attention to the speech of others, his own words incoherent, are not controlled by them. Reading is possible, but do not understand the meaning of sequels, writing skills completely lost.

Human speech, stroke, characterized by a lack of meaningful, gestures.

Since patients are trying to explain their ideas to others, and do not understand it, then it leads to irritability and touchiness.

Rehabilitation of speech using these techniques:

• cards inscribed with letters, syllables and words from which to compose and read the sentence;
• urge to communicate - questions, requests, chanting, pronunciation of verses;
• listening to the patient's favorite audio books from the retelling of their content;
• Image preview and request them to describe.

If the recovery of speech is carried out at home, it is important for families to maintain friendly attitude even minor attempts at pronouncing the words, not to correct errors, but only encourage patients. In overcoming speech defects need persistence and constant communication with the patient.

Power stroke

Since the vast majority of patients with stroke with a disposition to atherosclerosis, it is recommended to exclude the use of:

• fatty meat (pork, lamb);
• broths;
• any animal fat;
• offal;
• cream and sour cream, cottage cheese, containing more than 10% fat, the cheese is higher than 40% fat;
• sausages, frankfurters, sausages, semi-finished products.

At an elevated pressure to minimize the amount of salt to 3 - 4 g per day. It is recommended to drastically reduce the content in the diet of white flour and sugar, alcohol, caffeine.

The basis of the diet up vegetables fresh or boiled, fruit, cereal, bread from wheat flour with bran.

The protein source should be:

• boiled fish;
• boiled, minced meat or roasted chicken or turkey;
• fermented milk drinks;
• low-fat varieties of cheese and cheese;
• seafood.

Vegetable oil should be added to salads, not recommended fry it. Also in the finished dish, you can not put a tablespoon of sour cream or cream, 5 g of butter per day.

Folk remedies

Phytopreparations role in recovery from stroke associated with the presence of the following therapeutic properties:

Act	Phytomedication
blood thinners	willow, meadowsweet, leaves and branches of a raspberry
Improve memory and mental performance	Ginkgo biloba, Rhodiola, Baikal skullcap
Preventing the formation of cholesterol plaques	pomegranate juice, garlic, sage, clover
Normalization of blood pressure	Astragalus, cudweed, motherwort
Strengthening the vascular wall	chokeberry, black currant, wild rose

There is a recipe collection from the plant, which has undergone clinical trials for patients observed for 8 years after a stroke.

It is noted that in the group of patients who took the medication (antiplatelet agents, nootropics, statins) and additionally drink 2 times a day, a decoction of herbs, significantly reduced the risk of recurrent acute circulatory disorders, almost all patients reported feeling better - disappeared or decreased headache, dizziness, increased physical and mental performance.

To prepare the broth should take such parts of plants (in a tablespoon of crushed material):

• roots - 8 licorice, ginger 2, Eleutherococcus 4, calamus 2, valerian 2;
• flowers - Filipendula 4, 4 hawthorn, calendula 2;
• leaves - birch 4, stinging nettle 4, 2 blueberry, sage 2;
• fruit - black chokeberry 2, coriander 2;
• grass cudweed 3;
• 2 corn silk.

Tablespoon mixture boiled water and warmed in a water bath for 15 minutes, then cooled to room temperature, the broth is filtered.

Drink it should be 30 minutes before the heated food. If the assigned medication, then a break between them and the herbs should be at least an hour. Reception lasts a month, followed by a 2 week break.

Such treatment is carried out for a long time.

We recommend that you read about the medical treatment of stroke. From the article, you'll learn what drugs and what kind of stroke is used, as well as the preparations for the prevention of recurrence of disease.

Recovery of patients after ischemic and hemorrhagic stroke takes from several months to several years. It is therefore important to know what techniques you can use at home.

To improve the limb movements in applied physiotherapy, its complementary training on simulators. speech rehabilitation includes training auditory, visual perception of words, motivation to communicate. A prerequisite for successful treatment is properly chosen diet and a combination drug therapy with herbal preparations.

A source: http://CardioBook.ru/reabilitaciya-posle-insulta-v-domashnix-usloviyax/

Rehabilitation after stroke at home: exercise and nutrition

Full rehabilitation treatment, exercise therapy and physiotherapy after stroke are important for the rehabilitation of the patient.

For several reasons, specialized centers and sanatoriums are not readily available, then the actual rehabilitation after stroke at home. The patient need proper care, massage, diet. Many learning to walk again.

All this requires a lot of effort from a person caring for loved ones who have suffered an attack.

Acute circulatory disorder in the brain has serious consequences, including death, the surviving patients often acquire a disability. In addition to the loss of speech, visual impairment and memory, immobility, the patient may torment:

• insomnia (about 60% of the patients complain about it);
• hallucinations (usually in the elderly);
• dizziness, noise and pain in the head.

All these features of the patient should be taken into account to try to understand that it hurts. Often people can not express their concerns words, while it will not recover, at least partially.

The possibility of stroke rehabilitation at home are limited compared to therapeutic treatments in specialized centers.

The house can not accommodate a high-tech fitness equipment, but careful nursing and the presence of a number of people close to allow the patient to return to life.

Of all the cases, according to statistics of stroke 80-85% are ischemic. It is divided into three types:

• thromboembolic arising due to cerebral vascular thrombosis;
• hemodynamic, which leads to prolonged cerebral vascular spasm caused by a shortage of nutrients;
• lacunar, manifested in the form of violations of the patient senses, motor functions.

After a minor stroke, stroke of any severity at first the patient needs a strict bed rest. TIA may cause left-hand or right-hand nature of man paralyzed. When caring for bedridden patients it is important not to give him a long stay in one position, you need to turn it every 2-3 hours.

after hemorrhagic

With this type of stroke, cerebral hemorrhage occurs. 30-60% underwent extensive cerebral hemorrhage into a coma and die. The main objective of the first stage, when the recovery after a stroke has just begun, to avoid bedsores.

It is important to learn how to turn over, sit the patient to shift and lift it. The behavior of the patient affected by which part of the brain affected, the left or right.

the process of returning to normal life after the disease begins in the first week and lasts for about 1.5 years.

Taking the victim of a stroke out of the hospital, it is important to continue the scheduled medication. The patient should receive medication to the blood circulation in the brain was adjusted.

For this prescribe such agents as "Encephabol", "Aktovegin" (tablets and injections), "Vinpocetine", "Meksidol". With medication enriched brain glucose and oxygen.

To restore all the functions required set of measures, a program aimed at the rapid rehabilitation of the patient, including diet, massage, gymnastics, speech therapy classes.

Diet

Power stroke is carried out using a teaspoon in the first two weeks. Food brought to semi-liquid consistency, cleaned. When the patient recovers swallowing, feed more solid food. Avoid foods that increase cholesterol: pastries, muffins, all fat. Forming the menu, be sure to use the following products:

• Cereal half of them should be whole grains (wheat, rice, oats, corn, buckwheat).
• Vegetables, beans, peas, dark-green and orange products.
• Fruit daily, fresh, dried, thawed form.
• Dairy products (low-fat).
• Proteins lean poultry, every day, sometimes to replace the fish, legumes.
• Fats, nuts, fish. Do not cook with margarine, lard, butter to give a minimal amount. Preferred vegetable oils.

Massage

Its starting to make in ischemic stroke on 2-4 day in hemorrhagic 6-8. The first treatments last between 5 to 10 minutes, gradually extended to half an hour. The course consists of 20-30 daily sessions.

After a break for a period of six to eight weeks massage resumes.

If you can not invite the masseur, you need to perform the procedure on their own, to take lessons from a professional or download the appropriate methodology and to consult a doctor.

Exercises after stroke at home

After 1-2 weeks, when the patient gets better, you can start doing physical exercise. When stroke rehabilitation at home is available and is easy to perform a passive exercise, all actions are performed with the patient who is caring for him. Useful the following exercises:

• Breathing exercises. Ward to teach slowly inhale and exhale through slightly parted lips, while saying "Well, Well, Well". You can inflate the balloon.
• Action with a rolling pin. Rolled on the surface of her feet, the palms of the patient.
• Passive charge. Alternately bend and unbend the hands and feet of the patient lying on his back.

Physiotherapy

When the patient fails the first movement of paralyzed limbs starts to recover sensitivity, time accustom the patient to the motor activity, first in bed, sitting, then standing, and then you can begin to slow walks. When stroke rehabilitation exercises should take 2-3 hours daily, not in a row, a small complex: the first week of 40 minutes twice, with the second - three times a day.

Daily walking is needed when the patient can get up. You can walk around the apartment with ski poles, as the load on the hands. Noted the beneficial effects of yoga on the rehabilitation of patients, asanas eliminate nervous system disorders. Restoration of vision after a stroke is also accelerated with the help of special exercises for concentration and focus.

speech recovery

The larger the stroke brain damage, the slower it is restored. Successful Speech rehabilitation occurs during the first year, then the process slows down.

After a stroke remain pronunciation defects, which have to adapt.

The patient need speech therapy classes in the program, the constant verbal communication with loved ones, learning the tongue twisters, reading aloud texts.

A source: https://sovets.net/5575-reabilitatsiya-posle-insulta-v-domashnikh-usloviyakh.html