0:08 [Music]
0:10 Stroke may cause paralysis to one part
0:12 of the body and the patient may find it
0:14 difficult to move in bed. It is
0:16 important that patients are positioned
0:19 comfortably and correctly. It is
0:21 important to change the positions of
0:23 patients regularly so as to minimize the
0:26 risk of skin breakdown, contraurs and
0:28 chest complications.
0:30 Range of motion exercises for the lower
0:33 limb. For the hip joint, support the
0:35 thigh with one hand and the leg with the
0:38 other hand. Bend the hip by bringing the
0:40 knee towards the patient's head as far
0:49 Next, with the same hand hold, bring the
0:52 leg away from the other leg. Hold for 20 seconds.
1:00 Next, bend the knee and hip to 90°. Fix
1:03 the knee and rotate the leg in. Hold for
1:07 20 seconds. Rotate the leg out. Hold for
1:15 Keeping the knee straight with one hand
1:18 and supporting the leg near the ankle,
1:20 gradually lift the straightened leg up
1:22 away from the bed until you feel a
1:24 resistance. Hold the stretch for 20 seconds.
1:35 For the ankle, support under the heel in
1:39 the position shown. With the other hand,
1:41 keep the knee straight. Using your body
1:43 weight, stretch the ankle by bringing
1:46 the foot upwards towards the head. Hold
1:53 Stabilize the foot. Move the toes by
2:00 You can repeat 10 times for each
2:03 movement before moving on to the next.
2:06 For patients who are very stiff, you can
2:08 repeat the set of exercises shown more
2:15 Remember, keep the joints well supported
2:17 during the movement.
2:19 Never force a joint.
2:23 Always monitor for pain or discomfort.
2:25 Perform each movement slowly and do not
2:27 bounce when you're holding the limp for
2:29 a stretch.
2:31 Please consult a physiotherapist if
2:33 you're unsure of the exercises shown.
2:35 Ask a doctor for a referral to a
2:37 neurological physiotherapist. This is
2:39 available in all the hospitals in
2:41 Singapore as well as rehabilitation
2:43 centers in the community. [Music]
