This content provides essential guidance on repositioning stroke patients and performing range of motion exercises for the lower limb to prevent complications and maintain joint mobility.
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Stroke may cause paralysis to one part
of the body and the patient may find it
difficult to move in bed. It is
important that patients are positioned
comfortably and correctly. It is
important to change the positions of
patients regularly so as to minimize the
risk of skin breakdown, contraurs and
chest complications.
Range of motion exercises for the lower
limb. For the hip joint, support the
thigh with one hand and the leg with the
other hand. Bend the hip by bringing the
knee towards the patient's head as far
Next, with the same hand hold, bring the
leg away from the other leg. Hold for 20 seconds.
Next, bend the knee and hip to 90°. Fix
the knee and rotate the leg in. Hold for
20 seconds. Rotate the leg out. Hold for
Keeping the knee straight with one hand
and supporting the leg near the ankle,
gradually lift the straightened leg up
away from the bed until you feel a
resistance. Hold the stretch for 20 seconds.
For the ankle, support under the heel in
the position shown. With the other hand,
keep the knee straight. Using your body
weight, stretch the ankle by bringing
the foot upwards towards the head. Hold
Stabilize the foot. Move the toes by
You can repeat 10 times for each
movement before moving on to the next.
For patients who are very stiff, you can
repeat the set of exercises shown more
Remember, keep the joints well supported
during the movement.
Never force a joint.
Always monitor for pain or discomfort.
Perform each movement slowly and do not
bounce when you're holding the limp for
a stretch.
Please consult a physiotherapist if
you're unsure of the exercises shown.
Ask a doctor for a referral to a
neurological physiotherapist. This is
available in all the hospitals in
Singapore as well as rehabilitation
centers in the community. [Music]
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