Regarding rehabilitation?
I accompanied my dad to rehabilitation.
He had a mild stroke and can walk, although slowly.
The therapist taught him to lift his legs, and every time he comes home, he complains of soreness in the outer thigh muscles.
I would like to ask the doctor if this is normal after leg lifts.
Thank you!
Shiyao, 30~39 year old female. Ask Date: 2008/06/07
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry.
I would like to respond to your question and provide the following suggestions: 1.
Generally speaking, this is not always the case, as stroke patients often experience "extensor spasticity" in the lower limbs, which can lead to difficulty in bending and may result in foot inversion, commonly referred to as "equinus deformity." Consequently, this can cause increased strength in the outer thigh during walking.
2.
It is advisable to have a therapist teach therapeutic exercises and gait correction.
Lastly, I wish you peace and happiness!
Reply Date: 2008/06/07
More Info
Muscle soreness after rehabilitation exercises, especially in the context of your father's situation following a mild stroke, is a common experience and can be attributed to several factors. When individuals engage in physical activities that their bodies are not accustomed to, they often experience delayed onset muscle soreness (DOMS). This phenomenon typically occurs after new or intense exercise, particularly when it involves eccentric movements, which are movements where the muscle lengthens under tension, such as lowering a leg after raising it.
In your father's case, the leg raises prescribed by the therapist are likely challenging his muscles, especially if he has not been active for some time. The soreness he feels in the outer thigh muscles is a sign that those muscles are being worked and are adapting to the new demands placed on them. This is a positive indication that the rehabilitation exercises are effective in promoting muscle strength and endurance, which are crucial for recovery after a stroke.
Why Does Muscle Soreness Occur?
1. Microtrauma to Muscle Fibers: When muscles are exercised, especially in a way they are not used to, small tears occur in the muscle fibers. This microtrauma is a normal part of the muscle strengthening process and leads to soreness as the body repairs and strengthens the muscles.
2. Inflammatory Response: The body responds to this microtrauma with an inflammatory response, which can contribute to the sensation of soreness. This response is part of the healing process and helps to build stronger muscle tissue.
3. Adaptation: Over time, as your father continues with his rehabilitation exercises, his muscles will adapt to the increased workload. This adaptation will lead to less soreness as his body becomes more accustomed to the exercises.
Managing Muscle Soreness
1. Gradual Progression: It is essential for rehabilitation exercises to be gradually progressed. If your father is experiencing significant soreness, it may be beneficial to adjust the intensity or frequency of the exercises. The therapist may suggest lighter exercises or fewer repetitions until his muscles adapt.
2. Rest and Recovery: Allowing adequate time for recovery is crucial. Muscle soreness typically resolves within a few days, and it is important to listen to the body. If the soreness is severe, it may be wise to take a break from certain exercises or modify them.
3. Gentle Stretching: Incorporating gentle stretching before and after exercises can help alleviate some of the tightness and discomfort associated with muscle soreness.
4. Hydration and Nutrition: Ensuring that your father stays well-hydrated and consumes a balanced diet rich in protein can support muscle recovery and overall health.
5. Communication with the Therapist: It is important to keep an open line of communication with the rehabilitation therapist. They can provide tailored advice based on your father's specific condition and progress. If the soreness persists or worsens, it may be necessary to reassess the rehabilitation plan.
Conclusion
In summary, muscle soreness after rehabilitation exercises, such as leg raises, is a normal response, especially for someone like your father who is regaining strength after a mild stroke. It indicates that his muscles are being challenged and are adapting to the rehabilitation process. By managing the intensity of the exercises, allowing for adequate recovery, and maintaining communication with the rehabilitation team, your father can continue to make progress while minimizing discomfort. This approach will ultimately support his recovery and improve his mobility and strength over time.
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