Yoga therapy after a stroke. Yoga after a stroke

As a rule, the reasons for a stroke are excessive exercise stress, nervous tension. And the reason is still slag food, which turns the tissues of blood vessels into inanimate trash.

Story 1. Emotions and food - partial paralysis after a stroke

Sergey, 46 years old, average height, normal weight, strong physique. In 2004 he had a stroke.

Sergey at that time lived with his family on the outskirts of Almaty in Butakovka, processed documents for moving to Russia. He was engaged in yoga asanas, mainly power ones, there was no meat in the diet, but there was bread in large quantities, salt, milk. He worked as a taxi driver day and night. He was nervous about the upcoming move and sometimes, in order to calm down, stood on his head for an abnormally long time, or filled his stomach with food without limit.

And now - a stroke: paralysis of the left limbs and face. He was in critical condition in intensive care. At home, out of fright, I weakened my diet for a while, and being in complete confusion and panic, I began to try to restore the functions of the limbs. He drove himself walking, starting almost from centimeters, tried to lift dumbbells with a paralyzed hand and cling to the horizontal bar with a paralyzed hand. One can only imagine the mental state of a person in such trouble. His inner loneliness and despair.

In 2005, Sergei and his family moved to Novosibirsk. In 2006, he came to me for a detox in Altai.

The strictest raw food diet and vegetable juices did their job: a week later, Sergei began to go with a group to the mountains, his leg got stronger, his left hand earned, his speech improved noticeably; blood pressure dropped to near normal.

After a stroke, you definitely need to forever become a vegetarian without salt, dairy, flour and sugar, and then perhaps you will live to be completely cleansed of toxins and erase your accumulated stroke program for good - as if nothing had happened.

Gradually Sergey mastered his special medical complexes yoga therapy: relaxation, breathing, mudras, asanas, meditative exercises. Six months later, there was another Detox, which thoroughly helped Sergei restore his health.

Case 2. Partial paralysis and convulsions after a stroke

Kalizhan, 49 years old, average height, average build, slightly obese.

The body, blood vessels, nervous work are slagged, and after another hassle at work - a stroke. Paralysis after a stroke is the same as Sergei's: left limbs, face, but also epileptic convulsions from time to time.

My wife, Saltanat, brought it to me in Almaty for a Detox from Shymkent. She is a nurse, but for almost 20 years she has been living with low blood pressure and headaches, which she gets rid of with Citramon, sometimes with something stronger.

They settled in the city with relatives. Classes under the Detox program were held in the hall on the 4th floor, the elevator was temporarily out of service.

Kalizhan barely dragged left leg, left hand hung like a whip. At home, he tried to do physical education, but nothing helped. The food was plentiful, salty, lots of meat and dough. I took pills for convulsions and pressure.

At the Detox, they were both prescribed vegetarian food, juices, and a special menu was recommended.

In the early days, it was difficult for a disabled person to climb the stairs to the 4th floor. The first asana lessons were depressing for both him and his wife. But time passed and after 10 days Saltanat forgot about the headaches, the pressure returned to normal.

Kalizhan on the 3rd day was canceled pills for pressure as unnecessary, but he continued to take pills for seizures, in half the dose.

He walked up the stairs by himself, without holding on to the railing. Started to raise left hand up, and the fingers wiggled slightly.

The gym was open daily from 7:00 to 13:00. After another 10 days, they tried it without pills for seizures. After a week-long break on the full moon, a convulsive attack occurred, but his wife was pleased that it was light and short. If at home, after an attack, he lay in bed for at least 3 days, then here the next day he was again studying in my gym.

After a 30-day stay on Detox, they went home to Shymkent.

We are in touch. Saltanat remained a vegetarian with slight dietary disturbances sometimes, while Kalizhan breaks her diet more on the advice of the attending physician. Because of this, he has not yet restored the functions of the fingers on his hand. His speech became more intelligible, but the paresis of the facial muscles still remains.

Road to stroke. Story 3

Valentina, 70 years old, slightly above average height, overweight - 15 kg.

In March 2008 in Novosibirsk at 11 pm a woman called me. She apologized for the late call, introduced herself: Valentina, a university teacher, had just learned about my Detoxes from her friends and immediately called without waiting for the day. She called herself very fat and signed up for the next Detox in Altai, signing up her friend with the same problems as her: excess weight, appetite, hypertension, pills.

But Valentina did not have to go to the next Detox. On the eve of the Detox, she called me saying that her friend had died of a stroke. It turned out that she drank pressure pills - it didn’t help, she added more after that. Here, at work, she became ill and was not taken to the hospital alive.

Burdened with work, Valentina was waiting for a vacation in May. At the end of April, she called me and refused the Detox, saying that she was not mentally ready to switch to a vegetarian diet.

At the end of May, Valentina called again, telling a sad story about herself.

In early May, during the first days of her vacation, she was hospitalized with a stroke after a vacation party. A few days later she was transferred to a sanatorium on a free ticket. According to her story, they began to feed her intensively: in the morning, at lunch and in the evening - meat dishes and broths.

After 3 days on such a diet, she had a stroke again, and a week later, after resting, she refused to continue to stay in the sanatorium, returning home, she began to eat vegetarian food of her own free will, and not according to recommendations, that is, morally matured. She continued to call me regularly for almost a year, received recommendations from me on nutrition, said that she was losing weight, complained that because of work she could not get out to Detox. I never once saw her. Then I went to India for six months. Since then, I have not known anything about Valentina, God grant her health and wisdom.

© Tatyana Marina, yoga therapist. Copying of material is prohibited.

Stroke can be defined as a violation of the functions of a certain area of ​​​​the brain of vascular origin. A stroke is also called an acute violation of cerebral circulation, leading to damage to brain tissue and the development of related symptoms.

Occlusion- obstruction of blood flow through the vessel; arterial occlusion can develop due to thrombosis, embolism or external compression of the vessel by a tumor, edema, etc.

heart attack- tissue necrosis due to arterial occlusion and cessation of arterial blood supply. A heart attack can develop in any organ and tissue (myocardial infarction, pulmonary infarction, brain infarction, etc.).

There are the following types of stroke:

- ischemic stroke (cerebral infarction) - 80-83% of all cases;

- hemorrhagic stroke (intracerebral hemorrhage) - 10-12%;

- subarachnoid hemorrhage (hemorrhage under the arachnoid membrane) - 7-8% of cases.

Ischemic stroke is essentially a cerebral infarction, that is, it develops due to the fact that arterial blood supply to any area of ​​the brain stops. This, in turn, is due to one of three main reasons:

1) Arterial thrombosis (the formation of a thrombus in the lumen of the vessel, followed by occlusion of the vessel; most often, a thrombus occurs in the area of ​​atherosclerotic plaque);

2) Thromboembolism (the formation of a blood clot in other departments of cardio-vascular system- most often in the left chambers of the heart with a serious organic pathology of the heart; thrombus migration into the vascular bed of the brain, followed by occlusion of the cerebral artery, more about this);

3) Systemic drop in blood pressure, a general critical decrease in blood supply to brain tissues.

Hemorrhagic stroke develops as a result of rupture of an arterial vessel, hemorrhage and hematoma formation in the brain tissue, which leads to compression of the medulla and death of the corresponding brain area.

Photo from medglobus.ru

Thus, both types of stroke - ischemic (vascular occlusion) and hemorrhagic (vessel rupture) lead to damage and death of a certain part of the brain. As a consequence of this, a violation of a number of functions for which this department of the central nervous system is responsible can develop:

1) Movement disorders. These include paresis (partial dysfunction of the muscles) and paralysis (complete dysfunction of the muscles). Paresis and paralysis can be either flaccid (decreased tone) or spastic (increased muscle tone) - in both cases, motor function can be significantly impaired, involving one or more limbs. Due to the intersection of the nerve pathways, the affected side of the body is usually located opposite to the focus of the brain lesion (for example, if the left hemisphere of the brain is affected, then motor disorders often develop on right side bodies). A common lesion is spastic hemiparesis - increased tone of the arm flexors, knee extensors and plantar flexors of the foot (Wernicke-Mann posture).

2) Violations of speech formation and understanding of speech;

3) Disorders of sensitivity - tactile, vibration, temperature, loss of visual fields, etc.;

4) Swallowing disorders;

5) Disturbances of coordination, dizziness;

6) Deterioration of the functions of the cognitive sphere;

7) Dysfunction of the pelvic organs;

8) Other symptoms of neurological deficit.

Wernicke-Mann position (spastic hemiparesis). Photo from www.bolshoyvopros.ru

The topic of post-stroke rehabilitation is very extensive and includes a whole list of issues, such as the timing of the start of rehabilitation, features of the motor regimen, restoration of lost social and everyday functions, interaction with specialists in various fields. The tactics of rehabilitation and the amount of intervention can vary significantly depending on the extent of the lesion, the involvement of various functions in the pathological process, and the motivation of the patient. Therefore, within the framework of this chapter, only briefly outlined basic principles and directions, which must be taken into account when building classes with a person who has had a stroke.

The standard practice of yoga (including the main directions of practice in the usual, non-adapted version) is not the basic direction of rehabilitation - rather, the practice of yoga should be adapted to the general directions of rehabilitation.

1) Ideomotor training (IT), which involves imagining the movement and performing the action in the mind. Evidence suggests that IT can activate the relevant neuromuscular junctions. When IT is performed on a paralyzed limb, the activity of its muscles increases, while the assessment of memorization in points (visual, verbal, kinesthetic reproduction of movement) correlates with the severity of improvements.

2) Passive work in the affected limb: performed with the help of an instructor, trained family members, as well as with the help of a healthy limb of the patient himself. Flexion-extension (as well as other physiological movements) is performed in the joints of the affected limb, starting with large joints and gradually moving to small ones; this allows you to create a stream of afferent (directed from the periphery to the center) impulses, establish and strengthen connections between the central nervous system and the peripheral receptor apparatus, stimulate the reorganization of the perceiving and controlling zones of the central nervous system. Regular movement in the joints (even passive) helps to avoid the development of ankylosis (impaired mobility) of the joints, improve blood circulation and metabolism in muscles and other soft tissues. Movements are performed at a slow pace, smoothly and without jerks, the number of repetitions along each of the articular axes is 5-10 times.

3) Treatment by position: fixation of the limb with splints, weights, etc. in a position in which spasmodic muscle groups are subjected to moderate stretching, which allows you to "reconfigure" the neuromuscular apparatus that regulates muscle tone in the affected limb - starting from the cortical motor zones, the corresponding spinal motor centers and peripheral motor structures. For example, in spastic hemiparesis, the upper limb (tending to flexion at the elbow and wrist joints, flexion of the fingers, and internal rotation) is fixed in the position of extension of the elbow, hand, and fingers; the leg that tends to extend at the knee is fixed in a position of moderate knee flexion, etc. Fixation during treatment by position can be combined with techniques of general muscle relaxation(shavasana, yoga nidra).

4) Conducting passive exercises should turn into position treatment.

5) Elimination of pathological synkinesis ( synkinesis- friendly movement). With CNS damage, the normal interactions between motor areas and various motor segments can change, due to which, when moving in one limb, uncontrolled movements or increased muscle spasm occur in the other. For example, when rotating the foot in ankle joint increased spastic flexion of the hand and fingers. When constructing a set of exercises, such phenomena should be identified and, if possible, work on their elimination. At the first stage (with the example of synkinesis described above), before performing rotation of the foot, the fingers and wrist are extended and fixed in this position (by resting the palm on the wall or in the seat, or with the help of a healthy hand). Subsequently, the patient learns to perform the movement opposite to the synkinetic one, as well as to arbitrarily suppress the pathological movement by effort of will, relaxing the hand.

6) Classes begin with movements in large joints, first healthy, and then the affected side. Patients are also shown exercises for the symmetrical muscles of the second limb.

7) The patient is taught the ujjayi breathing technique, which is performed gently, without straining. Extended exhalation from ujjayi is used for movements aimed at stretching the spastic muscles. If the patient's condition allows, he can be trained in the technique. full breath in a sitting position, also in combination with ujjayi.

8) In practice, motor acts coordinated with breathing are used, including unidirectional and multidirectional movements of the limbs and eyes (section ).

9) Exercises on fine motor skills(see related).

10) You should build a course of classes so that the program is constantly becoming more complex and regularly includes new exercises or combinations of movements that require certain physical and cognitive efforts from the patient - since regular repetition of the same exercises that do not require effort and conscious participation of the patient are less efficient.

11) Both separate techniques and in combination with positional treatment, relaxation techniques are used - shavasana and yoga nidra.

12) In rehabilitation, an early transition from abstract exercises to mastering specific everyday skills is welcome: getting up, walking, opening a door, etc.

Rehabilitation measures should be started only after the acute period and the threat to the patient's life have passed (the timing of the start of rehabilitation is determined by a neurologist). But at the same time, it should be remembered that the early start of recovery exercises contributes to neuroplasticity, helps to prevent complications caused by hypokinesia - thrombosis, bedsores, congestion in the lungs, contractures.

For stroke survivors, a number of yoga techniques are contraindicated. Excluded from practice:

1) Techniques that create drops in intracranial pressure: kapalabhati, bhastrika, agnisara-dhauti-kriya;

2) All inverted asanas in which the head is below the pelvic region;

3) Sympathotonic techniques (surya-bhedana);

4) Deep tilting of the head back (extension) and deep tilt of the head forward (flexion of the cervical region) with maximum amplitude, as well as rotation in cervical region(head turns) with extreme amplitudes;

5) Power static fixations.

The model of the relationship between the instructor-rehabilitologist and the patient, the level of communication, and the availability of presentation are of great importance. Overly detailed, incomprehensible or inappropriate instructions can complicate the process of assimilation and reproduction of the material. Excessive instructions create the perception of the task as too difficult, reducing motivation and efficiency. At the initial stages, the instructions should be one-part and short, containing information about only one or two important features of the movement.

It is also desirable that the movement training includes a demonstration by an instructor or doctor, which allows the patient to better grasp the meaning of the exercise. Research has shown that the visual analyzer automatically determines the constant components of an action when trying to figure out how to reproduce it. The combination of visual demonstration and exercises appears to be more effective than just practical exercises.

Bibliography:

1. Jan Merholz "Early rehabilitation after a stroke", MEDpress-Inform, 2014
2. "Rehabilitation in neurology" V.A. Epifanov, A.V. Epifanov, Moscow, GEOTAR-Media, 2014
3. Malouin F, Belleville S, Richards CL, Desrosiers J, Doyon J. Working memory and mental practice outcomes after stroke. Arch Phys Med Rehabil. 2004; 85(2):177-183
4. Biernaskie J., Chernenko G., Corbett D. Efficacy of rehabilitation experience declines with time after local ischemic brain injury. J. Neurosci 2004; 24:1245-1254
5. Magill RA, Motor learning concepts and applications, 6 th ed. New-York: McGraw-Hill; 2001

A stroke is an acute violation of cerebral circulation, which occurs suddenly and quickly leads to various disorders. The consequences of such violations are extremely severe.

Most often, the motor sphere suffers: paralysis and paresis, tremor of the arms and legs, swallowing disorders, blinking, due to a violation of the muscle tone of the pleural cavity, such patients often develop pneumonia and bronchitis. Mnestic disorders may also occur: memory disorders, amnesia, orientation in time and self. Such patients are prone to depressive states, an episode of aggression, alternating with apathy. A common symptom that becomes chronic is headache, dizziness, urinary incontinence, etc.

Yoga positions itself as a complex of physical and spiritual wellness practices that can help in various situations. Including yoga therapy is recommended in the treatment of post-stroke conditions, but with certain limitations for the patient. But we must take into account the fact that yoga cannot become a panacea for the disease, it will only help relieve many symptoms or regain power over your body.

Firstly, yoga allows you to cope with motor disorders with the help of a complex special exercises. Secondly, yoga allows you to overcome psycho-emotional disorders, such as: irritability, apathy, tearfulness, feelings of inferiority, etc.

Contraindications

• The first six months after a stroke.
• Hypertension of the 2nd and 3rd degree.
• Paroxysmal tachycardia and other severe and uncompensated heart defects.
• Severe cardiac ischemia, acute period after myocardial infarction.
• For any acute diseases (exacerbation of gastritis, ulcers, pancreatitis, etc.).
• Infectious diseases of the joints.
• TBI (traumatic brain injury).
• At .
• infectious diseases in acute period(bronchitis, influenza, SARS, etc.).
• With a hernia of the abdominal cavity.
• Pregnancy in the second and third trimester, in the first three months after childbirth.
• Intervertebral hernias.
• Joint hypermobility syndrome.
• Women in critical days.

Lesson scheme

Yoga for a stroke should include several main elements: static elements (especially with severe consequences of a stroke), relaxation exercises and meditation. The remaining elements are performed strictly according to the doctor's prescription and under the supervision of a trainer.

The static elements of yoga help to strengthen muscle tone, develop patience in relation to your current state. The static elements of yoga are mainly represented by asanas - certain postures in which you need to linger for a while. For example, the simplest asana is the tree pose: we join our hands in our palms and stretch them up above our heads, bend one leg at the knee, take the knee to the side, and try to touch it with our feet. inside hips.

Relaxation exercises help to relax rigid (overstrained muscles), normalize the rhythm of the heartbeat and breathing. An example of such an exercise is the pose of a child: the buttocks touch the heels (you, in fact, sit on them), the arms are extended above the head, the body pulls forward and rests on the hips, while exhaling - the muscles of the abdomen and diaphragm relax.

On the one hand, it is the simplest technique, and on the other hand, one of the most difficult. Meditation has only one contraindication - the presence of such mental illnesses as schizophrenia and psychotic states.

The essence of meditation is to free your mind from extraneous thoughts, which create emotional and physical stress on the body. This is achieved in different ways: when performing monotonous actions, when special technique breathing, throat singing, etc.

Meditation will allow a person who has had a stroke to cope with complexes about their health, increase control over the body, and get rid of daily problems.

If you start doing yoga in the early periods of recovery, you can completely return the lost motor skills, coordination and muscle strength. Daily activities yoga allows you to normalize the work of the vegetative nervous system, which is responsible for the regulation of pressure. Normal pressure will help to avoid repeated strokes.

Yoga therapy allows you to stimulate the work of atrophied muscles, improve cerebral circulation, which improves the functioning of the patient's cognitive sphere. Exercises are conscious movements, performing them, new neural connections are formed in the brain that can support a person’s mental health.

Yoga classes stimulate biologically active points in our body, which speeds up recovery. Also, group classes allow a person to restore social adaptation and improve emotional state.

Ohio State University physiotherapists have found that women who practice yoga have a reduced risk of inflammation, heart disease, type 2 diabetes, arthritis, stroke, and a host of other serious disorders.

According to doctors, with the help of yoga, you can learn to respond less obviously to stress in Everyday life and thereby prevent a possible deterioration in well-being. Regular practice of yoga exercises lowers the amount of harmful chemicals in the blood and reduces the level of internal inflammation, which usually rises with the natural processes of aging and stress.

During the examination, the doctors divided the observed women ( average age 41 years old) into two groups: the first included beginners who have recently practiced yoga or at home, and the second included “professionals” who have been practicing yoga for at least two years and attending classes at least twice a week. Specialists conducted a series of tests that determine the mental and physical health, including the assessment of mood and indicators of anxiety, as well as artificially created stressful situations. Blood samples were taken from the participants several times.

It was found that the “professional” group actually responded better to artificially created stressors and had lower inflammation scores. Since yoga consists of a set of exercises for breathing and body flexibility, clinicians find it difficult to say which element of the practice causes such positive effects. American therapists believe that yoga is beneficial at any age, as flexibility exercises help strengthen the muscles of the body, which weaken over time and due to seated image life, and breathing exercises promote relaxation that prevents stress.

Yoga can help you recover from a stroke

The latest study from the American Heart Association proves that yoga helps stroke survivors not only recover faster physically, but also become more socially active.

The study, conducted by doctors, involved 47 people who suffered a stroke at least 6 months ago and suffered from impaired coordination. The participants were divided into 3 groups, each of which underwent its own rehabilitation course for 8 weeks. Members of the first group practiced yoga twice a week; the second received classes according to the “yoga-plus” scheme: yoga classes twice a week and relaxation classes three times a week; the third group underwent traditional medical rehabilitation.

Yoga classes included static elements, relaxation and meditation exercises, and the content of the classes gradually became more difficult. After 8 weeks, yoga and yoga plus participants noted a significant improvement voluntary motor skills, balance and coordination of movements. It is known that unsteady gait, which often occurs after a stroke, is directly related to the risk of falls and injuries.

Usually, active rehabilitation measures end 6 months after a stroke, even if the patient is still not fully recovered. However, even after six months, it is possible to achieve some progress in improving neuromuscular regulation. The study showed that through certain postures, meditation and breathing exercises used in yoga can be improved even in patients with unilateral paralysis. At the same time, yoga classes have shown greater effectiveness than traditional rehabilitation.

Also, after yoga classes, patients improved their perception of their own state after a stroke - they became more socially active, began to serve themselves independently and communicate with friends.

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It is very important to know what exercises to do after a stroke at home. A stroke is a violation of cerebral circulation. A stroke occurs when there is bleeding in the brain or blockage of blood vessels in the brain.

Stroke treatment is a long and complex process. With a stroke, the patient experiences paralysis of the limbs, that is, the person simply cannot move. You can restore the function of the limbs with the help of exercises after a stroke at home. Physiotherapy exercises should be prescribed by a doctor. Doctor develops a whole system effective treatment. But the exercises can be done at home. If a person is completely motionless, then training should be carried out by other people. Complex for immobile people:

1. Flexion of the arm at the elbow.
2. Brush rotation.
3. Flexion of the leg at the knee.
4. Clenching a fist.
5. Work with the feet (rotation, straightening, stretching, massage).
6. Finger gymnastics. She stimulates further recovery motor functions.

An important factor in recovery is the regularity of classes. Gymnastics is required to be carried out at least 3 times a day. The patient also needs Fresh air: every day the patient is recommended to organize walks, and the room should be regularly ventilated.

A seriously ill person actually spends all the time in bed. Make sure he is comfortable. The mattress should be firm and flat. Make sure there are no bedsores.

Preparation for physical education

Before starting classes, you need to warm up. Heat reduces muscle stiffness and lowers pain threshold. You can take a bath or a warm shower. popular and effective way warming up is a heating pad.

Passive gymnastics

From the first weeks after a stroke, you can already start exercising. The first 2 weeks patients observe strict bed rest. Gymnastics begins with simple restorative exercises of a passive type, gradually increasing the load. Relatives and doctors should help the patient to carry out this complex. Passive exercises are performed lying down. Here are some of them:

1. Hang a towel over the bed, then put your hand on it. Periodically, the arm needs to be bent and unbent. Also, the immobile arm should be taken to the side for 30 minutes with short breaks.
2. Alternate leg curl. This will help restore functionality. lower extremities.
3. Exercise with a rubber ring (you can do it yourself). The ring is worn on both legs. Then move the rubber band. Useful occupation there will be alternate leg raises.
4. Unbend the bent upper limb from the fingers and attach it to a hard board. So the hand needs to be fixed for half an hour or even longer.
5. Exercise for leg muscles. We put a roller under the knees, over time we increase the thickness of the roller.
6. Eye gymnastics. Move your eyes around and to the sides. Repeat 10 times with closed and open eyelids.
7. Another eye workout: strongly squeeze and unclench the eyelids.

Active therapeutic gymnastics

When the patient feels better and he has the first muscle reactions, then you can start an active set of exercises. Physiotherapy exercises should be accompanied by special procedures and massage. The first exercises of the active type can also be in the prone position. Over time, the patient moves into a sitting position.

Initial active physiotherapy exercises:

1. Rotation, turning of the head, fixation of the gaze.
2. Eye training: eye movements, squinting.
3. Grab the back of the bed with your hands and try to pull yourself up.
4. Turns of the body to the side.
5. Raise the pelvis (heels rest on the bed)
6. Train your fingers: drum on the table, do “splits”, spread and clench your fists.

Sitting exercises are carried out to restore the movement of the hands, prepare the lower limbs for walking, and strengthen the back. Sitting exercises:

1. Take a sitting position in bed, lean back on the pillow. Grasp the edges of the bed with your hands, straighten your legs. Next, bend a little, turn your head and inhale. Then lower your body initial position and exhale. Do the exercise slowly. Repeat 5-7 times.
2. While in bed, alternately slowly raise your legs (3-5 times each). Soon you can complicate the exercise: clap under your foot.
3. Place a pillow under your back. Bend your leg, pull it to your chest and grab your knee with your hands. In this position, hold your breath for a few seconds and exhale slowly.
4. Take your hands back. Try to bring your shoulder blades closer together. Tilt your head back. Physical education is accompanied by proper breathing.

After completing a set of exercises lying down and sitting, you can start active physical education while standing:

1. Put a small box on the table. Pick up the item and put it back. Then complicate the task and put the box on the floor. Repeat steps.
2. Stand up straight and lower your arms along the body. Raise your arms up and try to pull yourself up.
3. Turn right and left, keeping your hands on your belt.
4. Do tilts of the body forward and backward.
5. Squat. At first, a little bit, gradually increasing the depth of the squat.
6. Fold your hands into a fist and move away from the body.
7. Do the scissors exercise with your hands.
8. Do leg swings, you can add claps under the thigh during the swing.
9. Walking in place.

Walking has a special place in the complex physiotherapy exercises. At first, you can try to rise with a rope tied to the bed. You can sit for 2-3 minutes. Then try lowering your legs out of bed. Then roll the roller, regularly massage the limbs. Take the first steps around the apartment by holding on to the wall, then walk with a stick. After each such trip, the limbs will hurt. But you need to overcome the pain in order to restore motor functions in the future.

Physical education should be carried out every day several times. Train slowly and be sure to watch your breathing. Training should become a habit and become an integral part of life.

get busy breathing exercises. To do this, sit in a chair or lie on your back. Close your nostrils one by one. Inhale with one nostril and exhale with the other. Breathe for as long as you have the strength. This is the essence of such physical education. Very soon, you will feel warmth and a slight tingling in your chest. This means that gymnastics works. After a month, the press will become more elastic.

There is such a type of classes as Kalmyk yoga. This complex is aimed at combating cerebrovascular disorders. It is carried out at home, not only after a stroke, but also with diabetes mellitus and increased blood pressure. You need to practice every day.

Usually a yoga course lasts 2-3 years. The basics of Kalmyk yoga are squatting with holding the breath and tilting the torso parallel to the floor. Do 30-50 squats several times a day.

"Mental" gymnastics

It is important to carry out not only physical activities but also mental. "Mental" training helps restore central nervous regulation. Even completely bedridden patients can be engaged in the first days after a stroke. Everything is very easy. You need to mentally do physical education. Thus, there is an influence on the nervous regulation that controls motor activity.

First you need to imagine that you are squeezing a limb into a fist. Then mentally raise and lower your legs. Then imagine that you are squatting or walking in place. In your thoughts, you need to clearly create a picture of gymnastics. Scroll through the workout in your head as often as possible. The brain remembers movements, a new center of regulation is formed. The process of mentally creating new neural connections is sometimes lengthy. It all depends on the condition of the patient. You can return the center to its former functionality in a month, and sometimes the restoration takes a year. The main thing is to believe that “mental” gymnastics will help resume movement. Faith, willpower and perseverance will raise even a lying person to his feet.