STROKE PATIENT FOR HOME EXERCISE AFTER HOSPITAL DISCHARGE

 STROKE : STROKE   PATIENT  FOR HOME EXERCISE AFTER HOSPITAL DISCHARGE 

              Stroke or brain attack is the sudden loss of neurological function caused by an interruption of the blood flow to the brain. Ischemic stroke is the most common type, affecting about 80 percent of individuals with stroke, and results when a clot blocks or impairs blood flow, depriving the brain of essential oxygen and nutrients. The cerebrovascular accident is one of the leading cause of mortality and morbidity in worldwide. The estimated adjusted prevalence rate of stroke range, 84-262/100,000 in rural and 334-424/ 100,000 in urban areas of India. 

SYMPTOMS OF STROKE

STAGE OF RECOVER

                  

step 1

            

              passive movement for upper limb 

Exercises: Arms and Hands (Passive)

(we can use all neurology condition same pattern)

Range of motion exercises keep your patient joints and muscles loose and easy to move.  Patient should lie on his or her back on a firm surface while doing the exercises.  You should be on the same side of his body as the arm you are working with.  Motions should be smooth, not bouncy.  If you have questions, be sure to ask your doctor, physical therapist .

All the exercises should be done 10 set x3   times every day.  Do each exercise affected and  affected side also .

1. 
   
   
   Start with patient arm by his side. Hold the child's arm at the elbow and wrist. Move it straight forward and upward toward the ear. Let your child's hand touch the bed above his head. Bring back to the starting position. Repeat with the other arm.
   
2. 
   With your patient  lying on his back, position the arm with the palm facing up. Hold the child's arm at the elbow and wrist. Move the arm straight out to the side, then upward toward the ear and back again. Repeat with the other arm.
3. 
   
   
   Move the patient  arm out to the side at shoulder level. With the elbow bent, hold the arm, at the elbow and wrist, and roll it forward toward the bed then backward toward the bed. Gently hold the shoulder down. Repeat with the other arm.
4. 
   
   
   With the patient arm at shoulder level and elbow bent, bring the child's arm across the body and touch his fingers to the back of the opposite shoulder. Repeat with the other arm.
5. 
   
   
   
   
   
   
   Hold the patient arm at the elbow and wrist. With the palm of his hand facing the child, bend and straighten the elbow. Repeat with the other arm. Do not force or jerk the child’s arm. Use a steady pull.
6. 
   
   
   
   
   With the elbow bent to a 90º angle, hold the wrist and hand. Turn the forearm until the palm of his hand faces him. Then turn the forearm until the back of his hand faces him. Repeat with the other arm.
7. 
   
   
   
   
   Bend the patient wrist forward and backward. Repeat with the other wrist.
8. 
   
   
   Move the thumb across the front of the palm of the hand until it touches the base of the little finger. Repeat with the other hand. 
9. 
   
   
   Spread the thumb and fingers apart then together again. Repeat with the other hand.
10. 
    
    
    Make a tight fist and then straighten the child’s fingers. Repeat with the other hand.
11. 
    
    
    Move the thumb out from the palm away from the other fingers. Repeat with the other hand.