(1) Before training
Stretch the upper limb muscles and joints of the patient to help the patient relax and reduce muscle tension. The patient puts his hands on the table, and the therapist sits opposite the patient and adjusts the height suitable for the patient. The proprioceptive training paradigm adopted includes passive proprioceptive training and active proprioceptive training. According to the patient's proprioceptive function, the therapist perceives the individual Customized training.
(2) Passive training
In passive proprioception training, the therapist first opens the window, and performs flexion-stretch activities on the patient's bilateral wrist joints or fingers with the same frequency and amplitude, and instructs the patient to focus on and observe the sensory stimulation of the upper limbs; when the patient can feel the wrist When the joints or fingers are moving, the therapist closes the window and asks the patient to continue to imagine this feeling. At this time, the therapist still moves the wrist joints or fingers on both sides of the patient with the same frequency and amplitude. After the patient can stably perceive the movement of both limbs, active sensory training can be carried out further.
(3) Active training
Active sensory training includes the training of movement sense and position sense. During the kinesthetic training, the therapist moves the finger on the patient’s affected side with the window closed, and asks the patient whether he feels the movement of the wrist joint or finger, the name of the finger moved or the direction of movement; during the position sense training, the therapist first With the window closed, swing the limb on the affected side to a certain position, and then ask the patient to swing to the same position with the hand on the healthy side. After each answer from the patient, the therapist opens the window to give the patient immediate visual feedback to enhance the therapeutic effect. According to whether the patient's answer is correct or not, the therapist adjusts the difficulty of the training, such as reducing the range and number of joint movements.
Patients received 30min of training every day, 5 times a week, for 4 weeks.
