I've written a lot about the importance of using a paralyzed hand in everyday life.
"Active Use of the Paralyzed Hand"
I'm Aoi Hashima, an occupational therapist who works in Saga Sumai and Fukuoka. In post-stroke recovery, hospital wards, and home life, sometimes you don't know how much arm or hand to use on the paralyzed side.
Affiliate Amibulo.jp
"The specific content of using the paralyzed hand in daily life (toilet and beauty)"
I'm Aoi Hashima, an occupational therapist who works in Saga Sumai and Fukuoka. So far, I've highlighted that active use of the paralyzed hand in everyday life is associated with improvements in the paralyzed hand...
Affiliate Amibulo.jp
The general recovery time after a stroke is about 2 to 3 hours during hospitalization. According to the standard of recovery during the recovery period, the recovery time in hospital may be about 2 hours after 2 months of onset.
In addition, 2 to 3 hours of rehabilitation time includes physical therapy, occupational therapy, and speech therapy time, and the time for each treatment is determined according to the doctor's instructions.
There must be someone who has actively exercised their paralyzed hand in the ward, or with the ward staff, but in fact I have heard that many people only use their paralyzed hand during recovery. Increase.
Another report states that 25% to 45% of post-stroke patients do not perform the same movements in their daily lives as they do in the recovery room.
I think this report shows that the actions that can be performed in the recovery room are not immediately reflected in everyday life.
In order to use the paralyzed hand in everyday life, firm awareness is necessary.
It has been reported that task-oriented voluntary training can improve the frequency and quality of daily life use of the paralyzed hand, depending on the stage of an individual's activities of daily living.
▶︎ Easy-to-understand practical work with paralyzed hands
ーーーーーーーーーーーーーーーーーーーーーーーーーーーーー□ Wipe the tablecloth
Place your paralyzed hand on the wiping surface and extend your fingers (the other hand will do just fine).
□ Opening and closing curtains
For people with paralyzed hands, their fingers can be opened and closed, and the shoulders and elbows can be slightly moved.
Hold the curtain with your paralyzed hand and open and close the curtain by flexing and extending your elbows and moving your shoulders.
□ Laundry folding
For people with paralyzed hands, their fingers can be opened and closed, and the shoulders and elbows can be slightly moved.
Do a two-handed movement with one paralyzed hand and the other.
□ Smartphone fixed
Paralyzed palm facing the ceiling, fingers outstretched (the other hand can be outstretched), supporting the smartphone with the palm.
□ Turn lights on/off
For those who can consciously keep the fingers of the paralyzed hand stretched and lift the hand to the height of the light switch.
□ Toothpaste
For those whose paralyzed hand can hold a stick-like tool.
For people who have difficulty moving the shoulders, place your elbows on the table and move only your hands to brush your teeth.
□ Various detailed work
For people with numb fingers.
Chopstick action, pencil action, button fastening, kitchen knife operation, etc. are all based on safety.
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It is said that in order to motivate them to actually use them in their daily life, it is important for patients themselves to understand what they can do with their paralyzed hands.
It is important to accept difficult challenges, but if the difficulty is too high, the experience of failure increases, and the frequency of using the paralyzed hand may decrease.
If you have a difficult understanding of what's going on with your paralyzed hand, ask the rehab leader, or if you don't mind the comments section of this blog, I'll tell you as much as I can.
In any case, I hope you use your paralyzed hand in your daily life to ensure the actual working frequency.
Citations/references
1) Andrews K et al: Stroke recovery: he can but can he? Rheumatology and Rehabilitation, 1979, 18, 4
Stroke Rehab: He Can, But Can He? - PubMed
Stroke Rehab: He Can, But Can He?
association
pubmed.ncbi.nlm.nih.gov
2) Harris JE, Eng JJ, Miller WC, Dawson AS. A self-administered Graded Repetitive Arm Supplementary Program (GRASP) improves arm function during inpatient stroke rehabilitation. Stroke 2009; 40: 2123-8.
Self-managed graded repetitive arm supplementation program (GRASP) improves arm function during inpatient stroke rehabilitation
association
www.ahjournals.org
3) Morris DM, Taub E, Mark VW. Restraint-induced exercise therapy: characteristics of intervention regimens. Eura Medicophys. 2006;42(3):257-268.
Restraint-Inducing Exercise Therapy: Characterizing Intervention Options - PubMed
Constraint-Induced Exercise Therapy (CI Therapy) is a rehabilitative treatment that improves the use of more severely affected limbs after a stroke, especially in life…
association
pubmed.ncbi.nlm.nih.gov
☆*:.｡. Thank you for reading to the end.｡.:*☆