The Time for 卒中 患者 to Start Walking Training - 卒中 中心 - 司羿 智能的

In general, the earlier 卒中 survivors are trained to walk, the faster they recover. If 患者 stay in bed or sit in a wheelchair for a long time, they will have a fear of heights and falling when they try to stand and 移动 again. In addition, prolonged exposure to the lying or sitting can result in reduced trunk strength and aggravate the abnormal flexion pattern throughout the body, making it more difficult for the 患者 to resist gravity and 移动 body while standing. However, this does not mean that we should put 患者 on gait training right away.

Some families and 患者 act too hastily. We often see several family members carrying the 患者 in the hallway, dragging the 患者 forward. This practice is not helpful to the 患者, and will increase the difficulty of walking in the later stage of 患者, leading to the wrong walking posture. The answer to when the 患者 can start walking training is individual; we need to consider the 患者's trunk control, 下 肢体 ability and balance ability.

Criteria for Patients to Start Walking Training

1.The 患者 can stand on both 腿. Being able to stand for more than 10 minutes is the foundation for practicing walking.

2.During early walking attempts, the 患者 does not need the help of a therapist or family member to straighten the affected 腿 and 移动 the affected 腿.

3.患者 can use the affected 腿 to support the body and 移动 the healthy 腿 forward.

4.When attempting to walk, the 患者 is able to shift weight to the healthy 腿 and step with the 偏瘫的 腿 without a large tilt or twist in the trunk. It shows that the affected 腿 is able to walk up a 下 step (below 5cm) while supported by the healthy 腿.

5.With the aid of a cane or folding walker, the 患者 was able to walk normally without significant 肢体 spasms or body shaking.

Points to note during walking training

1.During walking training, attention should be paid to whether there is continuous hyperextension of the knee and plantarflexion of the foot when the affected 腿 supports the body. If so, the abnormal movement will become habitual during repeated walking training and will be difficult to change in the future.

2. If the 患者 feels panic every time he or she tries to walk, we should not force him or her to continue to walk even though the 患者's 腿 功能 level is good, let alone accuse him or her of lacking courage. It may be caused by the 患者's 感觉的 impairment or other special problems.

The walking training of 卒中 患者 can not be too hasty. If the 患者's ability is not enough to carry out walking training, they need to strengthen 肌肉力量 and balance ability first under the guidance of therapists, to avoid the occurrence of abnormal gait, 关节 injury, fall and other adverse conditions.