Rehabilitation Training Methods for Stroke Patients

Rehabilitation training for stroke survivors is typically tailored based on individual assessments, with different stages and intensities of therapy designed to meet specific patient needs. The core principles of rehabilitation remain early intervention, gradual progression, and consistency. For patients in the early stages who are bedridden, the focus is primarily on massage and passive exercises. Family members or physical therapists can assist by massaging and moving the affected limbs to prevent muscle atrophy. Joints should be carefully guided through flexion and extension movements to avoid stiffness and maintain range of motion.

Initial Active and Passive Exercises in Bed

For patients who are able to move slightly while in bed, a combination of active and passive exercises can be introduced, along with early seated balance training at the edge of the bed. These early interventions are crucial for improving cardiovascular and pulmonary function, minimizing complications such as bedsores or infections, and boosting the patient's psychological well-being and confidence.

Transition to Standing and Walking Training

Building Endurance and Balance

As patients gain strength and stability, they can begin progressing to sitting endurance exercises, sit-to-stand movements, and standing balance training. The intensity of these activities should be gradually increased to ensure safety and effectiveness. This phase is essential for preparing the patient to regain independence and reintegrate into daily life and society.

Daily Living and Functional Skills Development

A typical rehabilitation program lasts around 90 days, though the duration and intensity of training vary from person to person. As patients advance, the focus shifts to improving hand dexterity and coordination. Activities such as combing hair, dressing, buttoning and unbuttoning clothes, writing, and washing the face become key components of therapy. If conditions allow, patients may also engage in recreational physical activities like playing table tennis or bouncing a ball, which help enhance motor skills and overall physical fitness. The ultimate goal is to achieve a significant level of self-sufficiency in daily routines.