Restoring mobilities after stroke.

 By Tkacheva Candidate for medical science.

 A most often displaying a brain stroke is having unilateral paralysis for hand and leg. Of rising muscle tone in muscle groups they are getting forced position a hand bent in elbow joint, given to the body, bent wrist, fingers are squeezed in fist, straighten leg, feet a few turned to inside. If on the early stage of disease are not doing healing methods, thus in a future this pose fixing, and displaying mobility limiting in joints -leading to contractures of paralysed extremities, that hardening restoring of destroyed moves. A how to prevent, or weak contractures developing? A first a right to put a patient at bed, timely beginning massage and moves, and all these are needing patience and persistence. And more early beginning training, thus, are rather restoring are lost function. And patient not ability to move a hand, leg, you must help him.

On the 3-8 day after stroke, if condition common allowing and cardiovascular system condition, you are importance right to put hand and leg, and begin a cure with position and doing his within all time at bed regime.

 When patient lie on the spine, to the bed, from a side paralysed hand a chair put and on her put big pillow, corner of which finding under shoulder joint. Hand bending in elbow joint, on the wrists from palm surface with separating and straightened fingers wear splint , cut of plywood ,like a form is wrist and leading till middle a pre shoulder. Her wrapping with cotton, and bandage, after an other gauze bandaging to the wrist and pre shoulder. Bent out hand turning with palm up, moving in side on 90 degress corner, and put on the pillow, that shoulder joint and all hand will be on horizontal plane. That preventing aches displaying in shoulder joints. Between hand and breast cell put rolled gauze and cotton, for a keeping a hand in a giving position, on her put a bag with sand on weight on half kg. Paralysed leg bending in knee joint on 15–20 degrees, under knee putting rolled cotton and gauze, bending feet under  90 degrees and keeping in such position with wood box, in which patient resting with heel. And box ,wrapped with padded jacket, fixing to the bed s spine, and a more comfortable is special case without a top, his creating of plywood and to beat inside with cotton. And therefore on the spine position a paralysed hand and leg staying in sloppy position/picture 1/. And when patient lie on the healthy side, paralysed extremities giving an other position. Hand bending in shoulder and elbow joint and putting under her pillow, leg in the hip, knee, and shin joints and also putting on the pillow/picture 2/.

Return a patient from the spine and contrary and put in recommending by us positions needing in every 1/2 -2 hours, and on the meal time a healing gymnastic and massage and after lunch rest and night sleep for hand and leg  a not need to give special position. In 1-2 weeks after stroke, if allowing patient s condition, you can begin massage and healing gymnastic passive, and on the massage time spastic muscles are flexors for hand and extensor for leg just to stroke, slowly, easy/picture 3/. Non-spastic muscles as flexors for hand and extensors leg, as except is not stronger rubbing and not deeply kneads, but with a fast temp. And methods for massage, relatives by patient learning in specialist by massage and physiotherapy, msssage doing on the morning or in other time a day on 10-30 min.