Rehabilitation before and after prosthesis leg in china installation
Rehabilitation before and after prosthesis leg in china installation? Prosthetic limb has brought great help to the patients' friends, so that their life can regain hope. Objective to understand the rehabilitation training of prosthesis leg in china.
The period from the healing of stump incision to the installation of permanent prosthesis is is called prophase of prosthesis leg in china. In this stage, in addition to health exercise, we should also emphasize joint range of motion exercise and muscle strength exercise. When joint contracture occurs, passive joint function traction can be used to correct the deformity. Muscle strength exercises include the dynamic muscles of the prosthesis, the fixed muscles of the proximal joints, the shoulder girdle muscles and elbow extensors necessary for walking with crutches. There are generally four basic prosthetic manipulations to be installed after upper limb amputation: forward flexion of shoulder joint and shrug of healthy side; pronation and supination of forearm should focus on enhancing muscle strength and range of joint motion. When installing the EMG prosthesis, it is of special significance to use EMG feedback training method to increase EMG signal and improve its random control. One leg walking and walking with crutches should be practiced as early as possible in the walking apparatus or parallel bars.
After the prosthesis leg in china is installed, in addition to the above training, the training of manipulating the prosthesis is mainly carried out according to the functional design of the prosthesis. Training should be done step by step and the movements should be from simple to complex. The upper limb prosthesis exercises activities of daily life on the basis of the basic operations of prosthetic limbs such as flexion and extension, rotation and opening and closing of artificial hands. Practice must be persistent, repeated, and gradually make the action become skilled and handy, so as to improve efficiency, save energy consumption, and reach the practical level. Otherwise, the design and manufacture of precision prosthesis can not play its due effect. After the lower limb is installed with prosthetic limb, it is necessary to do standing, balancing, walking, going up and down stairs, lying down and standing up, riding a bicycle and so on, so as to form a good habit. The loading and unloading of prosthesis should also be practiced, and the prosthesis should be completed independently and smoothly. When the basic functions recover well, special sports for the disabled can be carried out if conditions permit, so as to further improve health and improve the quality of life.
Use of immediate prosthesis: in recent years, it is advocated to install temporary prosthesis immediately after surgery for young patients who have not undergone limb amputation due to vascular diseases. The method is to use plaster as hard bandage on the stump after operation, and then install temporary prosthesis outside the reinforced plaster. One to two days after the operation, some weight-bearing exercises can be started in the walker or balance bar, and the weight should be increased gradually. Try to step on the weight meter with a prosthetic limb first, and experience the feeling of the body when carrying different weights. According to this feeling, we can master the weight and check it frequently. Most of the load is borne by the upper limbs through crutches, balance bars or walkers. The residual limb load was no more than 5 kg on the first 2 days after operation, 10 kg before wound healing and 15 kg within 4 weeks after operation. The first practice was once a day for 1-5 minutes. After that, the training times and training time were gradually increased. First walk in the balance bar or walking device, and then walk with crutches. Change the plaster every 10 days or so. After one month, the permanent prosthesis leg in china can be assembled.