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Rehabilitation instructions
Training for paraplegic patients
Date:2015-03-29 00:02:17Publisher:Site editingViews:3789

General amputation surgery is about 14 days after the completion of stitching, stitching after the need for residual limb elastic bandage bandage. In order to prevent residual limb edema and promote the maturity of residual limb, it is necessary to pat the residual limb, thicken the skin of the residual limb, improve the tolerance of the residual limb, and prepare for the installation of prosthesis. At the same time should be performed according to the different parts of the amputation targeted rehabilitation training: leg amputees major knee muscle strength training, should be to strengthen the knee flexor and, particularly, stretch muscles (quadriceps) of muscle is given priority to, pay attention to keep the knee unbend and prevent the flexion deformity of knee joint, to make the step after wearing prosthetic.
Leg amputees must overcome the abduction trend of the residual limb and should start to do passive movement of the hip joint on the amputated side at an early stage (mainly extension and adduction later). Six days after surgery, active hip extension exercise was started. Two weeks after surgery, if the residual limb healed well, the active adduction training began. In addition, strengthening the extensor muscle (brachialis major) of the hip joint is extremely important because it plays a role in stabilizing the knee joint. When wearing a prosthetic foot to walk with the ground, the greater the force of hip joint extension, the more stable the knee joint of the prosthesis, not easy to knee catapult (soft leg) fall. In addition, the lateral stability of a great impact on the hip abductor muscle training. When hip joint is broken off, because hip joint and the muscle around lose action, after installing artificial limb, basically rely on waist and pelvis to drive artificial limb to walk, accordingly, to enhance the mobile ability of lumbar pelvis, enlarge the mobile range of pelvic lumbar vertebra, want to undertake the exercise of abdominal back muscle and iliopsoas muscle.
The training of lower limb prosthesis starts from standing balance, to walking with crutches or walking devices, to walking independently and adapting to various kinds of pavement walking training and protective training.

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