Rehabilitation does not have to wait until
the patient is able to go out. As long as the patient’s condition is suitable,
simple and purposeful exercises can be started at home to help maintain
strength and reduce functional decline. In many cases, it is best to begin with
the most basic and practical movements. The focus is not to do a lot, but to
exercise safely and consistently.
These exercises are suitable for people who
are physically weak, spend long periods sitting or lying in bed, or are just
beginning rehabilitation. The aim is to keep the joints moving, reduce
stiffness and gradually help the body get used to activity again. Examples
include:
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These movements may look simple, but for
people who have been inactive for a long time, they are very important.
If the patient already has a certain level
of mobility, basic strengthening exercises can be introduced to help improve
lower limb strength and overall mobility. Examples include:
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These movements are closely related to
daily activities such as getting up, transferring, getting in and out of bed
and going to the toilet. All of these activities require sufficient muscle
strength.
Balance training is also important for
older adults and patients who are prone to falls, have an unsteady gait, or
feel shaky when standing up. Examples include:
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These exercises can help patients gradually
get used to standing and walking again, and reduce the tendency to avoid
activity because of fear of falling.
Although home rehabilitation is convenient,
safety must always come first.
First, the environment should be prepared
properly. There should be no clutter, wires or objects on the floor that may
cause slipping or tripping. Chairs should be stable, and ideally there should
be a wall, table or fixed furniture nearby for support. If the patient already
has poor balance, they should not attempt more difficult exercises without
someone nearby.
Second, exercises should not be done all at
once. For people with reduced stamina, doing a small amount several times a day
is usually more practical than doing too much in one session. For example, a
few joint mobility exercises in the morning, several sit-to-stand movements at
midday and a short walk in the afternoon are often easier to maintain than
completing a full set of exercises at once.
In addition, the patient should not be
forced to push through discomfort. If exercise causes obvious dizziness,
shortness of breath, chest discomfort, worsening pain, or if the patient
remains exhausted for a long time afterwards, the exercise should be stopped
first. Medical or physiotherapy advice should be sought as appropriate.
Although some simple exercises can be
started at home, not every patient with rehabilitation needs should be left to
work things out on their own. In many cases, the key issue is not just whether
exercise is being done, but what exercises are suitable, how much should be
done and how to do them safely and effectively.
The following groups of people are often
worth considering for home physiotherapy or home rehabilitation support:
This includes people with weakness on one
side, unsteady walking, poor balance, difficulty with transfers or a clear
decline in daily function. These situations usually require a more structured
rehabilitation plan, rather than simply moving around casually.
This is especially relevant for patients
recovering from fractures, joint surgery, brain surgery or a long hospital stay
that has significantly reduced their strength. Many patients may appear stable
after discharge, but in reality, standing up, walking, getting in and out of
bed and going to the toilet have already become much more difficult than
before.
Examples include people who rarely get out
of bed, need family members to assist with transfers, have difficulty
repositioning, are developing joint stiffness, or have become less active
because they are afraid of falling. If this continues for too long, mobility
will usually decline further.
If the patient has fallen recently, has an
unsteady gait, feels shaky when standing up, has difficulty going up or down
stairs, or is walking more slowly than before, early assessment is worthwhile.
The real issue is often not only the fall itself, but the underlying decline in
strength, balance and function.
This situation is very common. Many family
members are willing to accompany the patient in doing exercises, but they are
not sure what exercises to do, how to assist safely, how to arrange training,
or they worry that doing it incorrectly may make the patient more
uncomfortable. In such cases, professional home guidance can provide much
greater reassurance.
Home physiotherapy and home rehabilitation
are not simply about “coming to teach a few exercises”. They involve assessing
the patient’s physical condition, home environment, mobility level and care
needs, and then arranging a more suitable training direction.
For example, two patients may both have
unsteady walking, but one may mainly have a strength problem, another may have
a balance issue, another may have difficulty with transfers, and another may
have limb control problems after a stroke. These differences are not always
easy for family members to distinguish on their own. With early professional
assessment and guidance, it is usually easier to help the patient maintain
ability, reduce further decline and lessen the family’s future care burden.
If the patient is recovering after stroke
or surgery, has been bedridden for a long time, has a clear decline in
mobility, has a high fall risk, or if family members would like more structured
rehabilitation guidance, home physiotherapy and home rehabilitation support
should be considered. YDCare can provide home physiotherapy and home
rehabilitation exercise advice according to the patient’s condition, helping
patients carry out more suitable training in the familiar home environment,
while giving family members more direction and confidence in the care journey.
Read more:
Stroke Recovery Golden Period: Five Key Care Tips to Watch For
Post-Surgery Home Care for the Elderly: What You Need to Know?

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