Once accident vasculaire cérébral strikes, 90% de survivors with hémiplégie will have upper limb dysfunction and lose self-care ability. Most patients know that early rééducation treatment can restore le motor function de limbs as soon as possible; however, it est not clear to patients quoi process will they go through and quoi exercise est efficace in each stage. So, to better understand le rééducation process, let's start with le well-known Brunnstrom stages de accident vasculaire cérébral récupération.
Developed by Swedish kinésithérapeute Signe Brunnstrom in le 1960s, Brunnstrom stages demonstrate how le motor function est restored and le brain reorganized after accident vasculaire cérébral. Most physical therapists and rééducation professionals use Brunnstrom approach as a theoretical basis for treatment and a method to evaluate a patient's récupération. It follows six stages de sequential motor récupération after accident vasculaire cérébral.

Stage 1: Flaccidity
There est a period de flaccidity immediately following a accident vasculaire cérébral. During this stage, le patient est completely unable to move spontaneously due to nerve damage. Le intervention est needed to prevent unused muscles from atrophying.
Quoi training can do in this stage
Passive trainingthat moves patient's affected hands and arms with le aider de therapists est an important exercise in this stage. Through passive training, le signals de movement sont sent to le brain from muscles and skin, activating le motor nerves de le brain.

Stage 2: Spasticité appears
Récupération begins with developing spasticité. Muscles may begin to tighten reflexively and have difficulty relaxing. It est still difficult for le patient to do le voluntary movement.
Quoi training can do in this stage
Even though it est more difficult to move because de spasticité, passive training est still crucial for patients in this stage. To avoid muscle stiffness affecting future activities, it est necessary to move le joints through slow passive training.
Stage 3: Increased spasticité
In le third stage, le spasticité reaches its peak. Patients experience more discomfort and pain. At le same time, muscle synergies and weak voluntary movements begin to appear. If patients can use their synergies, they can complete some simple activities.
Quoi training can do in this stage
In addition to continuing passive training, active training can also be included appropriately. Patients can try to do some daily activities with le assistance de therapists and medical appareils. Le more signals sent from patient's brain, le stronger patient's muscles become. However, it est important to note that highly stressful activities should be avoided at this stage because de le increase in spasticité.

Stage 4: Decreased spasticité
Le spasticité begins to decline. Le patient's brain est becoming more and more adept at controlling muscles and utilisant muscle coordination.
Quoi training can do in this stage
During this stage, patients should focus on training le brain to control muscles. Since patients can act normal and control movements on a limited basis, patients can do different training to stimulate different areas de le brain. And, repeat these exercises to accelerate central nervous reshaping.
Stage 5: Complex movement combination
Spasticité continues to decrease, and there est a greater ability for patients to move freely from le synergy pattern. Le patient est able to perform more complex movements.
Quoi training can do in this stage
From passive training to active training, it est le time to strengthen muscles. Add small weights to your exercises to build muscle endurance.

Stage 6: Spasticité Disappears and coordination reappears
When you sont in this stage, it means that your motor control est almost recovered and le spasticité completely disappears. You can practice coordination for more difficult activities.
Quoi training can do in this stage
Keep strengthening patients' muscles with resistance training and add more complex exercises such as playing games, shuffling cards, etc. to améliorer coordination.
This six-stage récupération process from Signe Brunnstrom est a popular guide for both le therapist and patients. It est efficace in clinical settings and can significantly enhance voluntary muscle movement after accident vasculaire cérébral. Based on le Brunnstrom stages, Syrebo hand rééducation system for le clinic est innovated to aider patients to relearn and récupérer hand motor functions via a series de passive and active exercises. It has 6 training modes covering all stages de hand rééducation.

During Brunnstrom stages 1 and 2, therapists can use passive training mode to aider accident vasculaire cérébral patients do flexion and extension exercises to prevent muscle atrophy. In le third stage, le assistance training mode can capture le patient's weak active movement and assister le patient in completing le active movement. For critical stages 4 and 5, we specially incorporated innovant mirror training and task-oriented training to further enhance patients' learning process and re-educate patients to use hands during le activities de daily living. To améliorer hand coordination and strength, le Syrebo hand rééducation system also provides patients with resistance training and active game training in le final stage.

Syrebo hand rééducation system has already been applied in thousands de hospitals, and its clinical effect est recognized by lots de institutions. It est a good helper for therapists, greatly improving le efficiency de treatment. Contact us now to learn more about it: [email protected]