.::SHIMA PRIMA UTAMA::.

POST STROKE TREATMENT

Stroke is a disease that progressively increased.
Stroke were divided into 2:
Stroke due to hemorrhage
Stroke due to embolism


POST STROKE TREATMENT

Healing of stroke through several phases of healing that needs to know fisioterapist stroke patient's level of function that can determine what body functions that need to be rehabilitated, especially the need to search dahulu.Untuk know about:

a) Is the patient can move legs and arms ?
b) leg or the arm which can not driven myself ?
c) Is the patient able to play move hand or hands from one side to the other side ?
d) Is there a balance when learning to sit up in bed ?
e) Is there a balance when learning to stand at the bedside with assistance or without assistance ?
f) Is there a balance sitting position while sitting in a wheelchair ?
g) Is it able to run on parallel bars?
h) Is there a balance weight when the foot ?
i) Will be able to move and move from bed to wheelchair ?
j) Is a desire for bowel commode chair ?
k) What is holding steady walkers to walk ?
l) What is desire to have a shower in the bathroom with a shower chair wearing ?

By knowing the patient's recovery phase, can determine fisiotherapist training programs as well as stage use the tools needed.

Patients who had passed the critical period of rehabilitation can be done in stages, so that when the doctors who advise patients to go home need to be prepared:

a. Equipment :
    1. Bedrooms
    2. Stikpan
    3. Urinals

b. Tools:
    1. Massage ball / putty
    2. Wheelchair
    3. Walker
    4. Crutches

c. People who care:
    Who care for more than a family but when there are time constraints can search for nurses.



A. Bed
When patients treated at home but doubts or less safe in the bed. Normal
home can use the bed with safety guards. This is to prevent when the
awake at night and fell out of bed.

To prevent this undesirable be installed bells in her bed.

1. Hilo electric bed
For the treatment of stroke patients who are allowed to go home then to regular live independently and do not want to burden the family can use an electric bed Hilo By using the remote control can adjust the position of the patient's high-low high-low bed positions and the high head low position of the foot in accordance with the patient's own wishes.

2. The bed manual Hi-Lo
For the treatment of stroke patients who are allowed to go home and want a place to sleep the same as in a hospital bed can use Hi-Lo manual. With this patient's bed can be assisted by family or nurses who care for these patients. Thus, by using a crank that turned the family atauperawat can arrange low height, low high high position and low head position of the foot as patient demand.

B. Hand Exercises
To train the palm of the hand and gradually move gradually have the power handle objects, patients need to practice opening the closed palm of the hand by using:

1. Massage Ball
The patient was told to squeeze the ball squeezed in the palm of the hand placed on both right and left. Let the patient squeezes in accordance with their own strengths. This exercise can make muscles of the palm of the hand and wrist trained to move. This will speed up the restoration of hand strength to hold the goods. Initially needed help mengerakan fifth patient index finger.

2. Putty
The patient was squeezed squeeze putty consisting of soft, medium and hard. Exercise can be started from the soft to the medium and hard with his own power so that the palm of the hand muscles and wrist were trained to move. This exercise will accelerate the restoration of hand strength to hold the goods.

C. Hand and Foot Exercise
To Pasian who can not wake up and need to exercise the hands and feet can do this exercise using a Rolator. With two mengerakan right hand on the handle then quietly left the hand muscles can be trained to move and function. With both feet mengerakan on either side of the handle on a regular basis so the leg muscles can be trained to move and function.

D. Exercise Walking with Wheelchairs
There are a variety of wheelchair types:
a. Fixed / Standard wheelchair
b. Detachable Wheelchair

The patient was able to sit down and want to walk
Patients need to be taken out of the room for the new atmosphere and menberikan not make the patient feel tired. For these patients had chose a wheelchair

1. Standard wheelchairs
Patients can be encouraged out of the room so that they can see the atmosphere of your own home

2. Detachable Wheelchair
Patients can be encouraged out of the room and can enjoy and relax in the living room.
If necessary, where patients want to stand holding hands can be removed so that
patients can be guided to stand alone.

3. Wheelchairs collapse
Patients can be encouraged out of the room and can enjoy and relax in the living room
to lay down the back so that the patient can sleep.



E. Remove Water Exercise Alone
Patients can use a variety of models depending on the needs of the patient.
When the patient was able to bathe in the tub grab bars should be installed.

1. Wearing Commode Wheelchair
Patients can use this wheelchair that has two functions namely as a wheelchair and a toilet.
This wheelchair is very good for patients who can not defecate in the potty.

2. Collapsed wheelchair commode

3. A wheelchair and commode separated
Patients can choose one of the wheelchair and separate commode.
Both can function independently of each other if needed.
Commode very good for patients who can not defecate in the potty.

F. Bathroom Exercise Alone
The patient was able to sit and not vote for a wheelchair that serves three of the toilet and bath
himself in a wheelchair (THREE IN ONE).
Wheelchair shower commode Patients can use this wheelchair
for the three functions of a wheelchair, where the waste water and the shower in the bathroom.
The wheelchair can be pushed to the bathroom or in the toilet on a space allows.

G. Standing and Walking Exercise
The level of survival of stroke patients is learning to walk.
Practice standing and walking:
Standard Walker
For patients who can already sit down and want to stand up and want to learn to walk can be
using walker.Untuk walked forward, patients should be slightly lifted this walker
and promote and be promoted so that the legs go like walking trail

Reciprocal Walker
For patients who have started to stand up and want to learn to walk can use
walker. We recommend that patients using the Standard Walker had already established when the course
and want to move a new use Reciprocal Walker. To go forward the patient should be slightly
lifting the right or left Walker, then promote the appointed and
placed again, so are the next and brought forward so that the legs go like walking trail



H. Exercise Walking
Quad Cane / Pyramid Cane / Stick 3 feet:
Patients may choose to exercise quad cane road.
Quad cane is the right choice for patients who can not manage to walk the balance of the body.


Axilla Crutches (Stick armpit)
Patients may choose this stick if there is disruption to power on one leg.

Elbow Crutch
Patients can choose where Elbow Crutch's path and fairly stable with only a single buffer.



Cane (Single Stick)
Patients can use the stick if you feel safe enough to walk and only used sebahgai retaining only.



Cane Seat
Patients can use this stick with a dual function. A stick used as a guide and when
felt tired can be used to sit. Please note the position of the stick if it is used as a place to sit.