How to recover limb function after intracerebral hemorrhage

　　Recovery of limb function after intracerebral hemorrhage requires comprehensive interventions such as early passive joint mobilization training, neuromuscular electrical stimulation therapy, task-oriented dynamic balance training, mirror visual feedback therapy, and traditional Chinese acupuncture and acupressure. If there are any concerns, it is recommended to seek medical advice in advance. Detailed analysis is as follows:

　　1. Early Passive Joint Mobilization Training

　　Training can begin 24-48 hours after onset, performed by family members or therapists, involving full-range passive movements of the shoulder, elbow, wrist, and finger joints, three times daily for 15 minutes each session. Emphasis should be placed on maintaining external rotation of the shoulder joint to prevent subluxation, alternating grip-relaxation training for finger joints, combined with ice stimulation to promote recovery of muscle tone.

　　2. Neuromuscular Electrical Stimulation Therapy

　　Apply functional electrical stimulator to paralyzed muscle groups such as tibialis anterior and deltoid muscles, using biphasic square wave with pulse width of 200-300μs, intensity adjusted to visible muscle contraction. Administer twice daily for 30 minutes each session, stimulating denervated muscles via electrical impulses to facilitate relearning and activate dormant motor units.

　　3. Task-Oriented Dynamic Balance Training

　　Design functional tasks according to the patient's recovery stage: practice catching and throwing a ball at sitting balance level III, perform weight-shifting training at standing balance level II. Utilize balance boards and balance instruments for dynamic postural control, combined with visual feedback systems to improve coordination and trunk stability.

　　4. Mirror Visual Feedback Therapy

　　Place a mirror in front of the unaffected limb, guiding the patient to imagine movement of the affected limb, activating the motor cortex through visual illusion. Combine with observing the therapist's demonstration movements, completing two sets of training daily, each set consisting of ten repetitions, effectively improving fine motor control of the upper limbs and gait symmetry.

　　5. Traditional Chinese Acupuncture and Acupressure

　　Electroacupuncture at acupoints such as Quchi (LI11), Waiguan (TE5), and Yanglingquan (GB34), using sparse-dense waveforms, with intensity adjusted to patient tolerance. Combine with massage of the affected limb, applying grasping and kneading techniques along the meridians. Herbal fumigation using ingredients such as Chuanxiong (Rhizoma Chuanxiong) and Honghua (Flos Carthami) to improve peripheral circulation.

　　Additionally, the home environment should be adapted to the patient's daily activities, removing thresholds, installing appropriately heighted handrails, and adding anti-slip mats and shower chairs in the bathroom. Lower the kitchen countertop to a suitable height and arrange cooking utensils by frequency of use. Reserve adequate space around the bed in the bedroom, with a moderately firm mattress to prevent pressure ulcers and promote reconstruction of activities of daily living.

　　[References]

　　[1] Guo QY, Li L. Evaluation of the effects of standardized early pathway-based rehabilitation nursing on limb function and neurological recovery in patients after intracerebral hemorrhage surgery [J]. China Standardization, 2023, (22): 265-268.

　　[2] Chen SQ. Analysis of the impact of early comprehensive rehabilitation nursing on limb function recovery in patients after intracerebral hemorrhage surgery [J]. China Foreign Medical Treatment, 2023, 42(19): 150-153+162.