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    Hemiplegia

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    Fares EL Deen
    Hemiplegia is defined as paralysis of the muscles on one side of the body caused by a cerebrovascular accident (CVA) on the contralateral side of the brain. Hemiplegia rehabilitation begins with passive mobilization to prevent spasticity, followed by active mobilization over time with the therapist's encouragement. Rehabilitation techniques include passive and active mobilization, bed mobility exercises, sit-to-stand training, gait reeducation, and upper and lower limb reeducation to stimulate movement and facilitate walking.

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    Hemiplegia

    Uploaded by

    Fares EL Deen
    116 views11 pages
    Hemiplegia is defined as paralysis of the muscles on one side of the body caused by a cerebrovascular accident (CVA) on the contralateral side of the brain. Hemiplegia rehabilitation begins with passive mobilization to prevent spasticity, followed by active mobilization over time with the therapist's encouragement. Rehabilitation techniques include passive and active mobilization, bed mobility exercises, sit-to-stand training, gait reeducation, and upper and lower limb reeducation to stimulate movement and facilitate walking.

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    al e3aka...shalal LOL

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    Hemiplegia is defined as paralysis of the muscles on one side of the body caused by a cerebrovascular accident (CVA) on the contralateral side of the brain. Hemiplegia rehabilitation begins with passive mobilization to prevent spasticity, followed by active mobilization over time with the therapist's encouragement. Rehabilitation techniques include passive and active mobilization, bed mobility exercises, sit-to-stand training, gait reeducation, and upper and lower limb reeducation to stimulate movement and facilitate walking.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    116 views11 pages

    Hemiplegia

    Uploaded by

    Fares EL Deen
    Hemiplegia is defined as paralysis of the muscles on one side of the body caused by a cerebrovascular accident (CVA) on the contralateral side of the brain. Hemiplegia rehabilitation begins with passive mobilization to prevent spasticity, followed by active mobilization over time with the therapist's encouragement. Rehabilitation techniques include passive and active mobilization, bed mobility exercises, sit-to-stand training, gait reeducation, and upper and lower limb reeducation to stimulate movement and facilitate walking.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 11

    HEMIPLEGIA

    Done By: Mariam Droubi

    HEMIPLEGIA:

    Is defined as paralysis of muscles on side of the


    body, contra lateral to the side of the brain in
    which the CVA occurred.

    HEMIPLEGIA REHABILITATION:

    Hemiplegia rehabilitation starts at the


    beginning with passive mobilization and then
    after a period of time active mobilization is
    occurred.

    To have less spasticity the therapist perform


    mobilization slowly .

    PASSIVE MOBILIZATION:

    The patient must not feel a pain while


    passive mobilization occurred.

    It most be performed not more than 3 times


    a day.

    Slowly.

    ACTIVE MOBILIZATION:

    The therapist must encourage the patient


    and help him to do the movement.

    The patient must be conscious to be aware


    for the affected limbs.

    BED MOBILITY ACTIVITIES:

    Bridging in bed stabilization of the lower


    limbs can be done on the ankle or around the
    knees.

    Rolling in bed to the sound side. The affected


    arm can be placed across the chest and the
    affected knee flexed. The patient is asked
    to bring his head and affected shoulder
    towards the opposite side while pushing
    himself with the affected foot.

    SIT TO STAND:

    Before attempting to stand, we must observe


    the patients balance and muscle strengthen
    in hole body.
    Feet must be well positioned on the floor
    behind the knee and the head and shoulder
    well forward over the knee.
    The affected shoulder should be stabilized by
    a band or a sling to prevent shoulder
    capsulitis.

    THE GAIT:

    While walking the hemiplegic patient have difficulties in


    controlling his body having a good balance.

    The therapist must be sure of having good muscles.

    The hemipligic gait is known as fauchage gait.

    The patient stands with unilateral weakness on the affected


    side, arm flexed, adducted and internally rotated. Leg on
    same side is in extension with plantar flexion of the foot and
    toes. When walking, the patient will hold his or her arm to
    one side and drags his or her affected leg in a semicircle
    (circumduction) due to weakness of distal muscles (foot drop)
    and extensor hypertonia in lower limb. This is most
    commonly seen in stroke. With mild hemiparesis, loss of
    normal arm swing and slight circumduction may be the only
    abnormalities.

    REEDUCATION OF UPPER AND


    LOWER LIMBS:

    The upper limb should be supported with a sling


    to prevent any subluxation.

    The therapist support the upper limb (forearm


    supinated,elbow extended,wrist
    extended,fingers spreaded,thumb abducted) he
    must avoid shoulder distraction to avoid
    shoulder dislocation.

    In the lower limb the therapist make stimulation


    for the pelvis then the patient moves his lower
    limbs to have a movement and walk.

    In the lower limb the therapist make


    stimulation for the pelvis then the patient
    moves his lower limbs to have a movement
    and walk.

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