What is neurological rehabilitation?



The goal of rehabilitation in case of nervous system diseases is likewise to restore the function of the nervous system as much as possible, to optimize everyday activities, and to achieve social participation to the highest degree possible.

How does rehabilitation work?

Rehabilitation aims to restore health in the best possible manner after the onset of neurological disorders (such as multiple sclerosis, Parkinson’s disease) or after a stroke. The goal is to restore the patient’s independence as much as possible. A rehabilitation team creates an individual treatment plan for each patient. After an initial examination, personal goals are defined. A rehabilitation stay usually lasts four weeks. During this time, the patient will receive at least two to three hours of therapy per day.

Different phases of neurological rehabilitation

Neurological rehabilitation consists of 7 phases: They are based on the severity of the neurological injuries and their symptoms. The phase in which the patient is determines the treatment.

Phase 1– AcuteTreatment: Intensive care unit

Phase 2 – Early Rehabilitation: The patient’s consciousness is usually still severely impaired. Intensive care treatment options are still needed. Rehabilitative measures are intended to improve the state of consciousness. Inclusion criteria: Permanent ventilation is no longer required, circulation is stable, injuries have been treated, no intracranial pressure.

Phase 3 – Further Rehabilitation: The patient can already actively participate in the therapy, but still needs to be cared for with high nursing effort. The rehabilitation aims at partial mobilization.

Phase 4 – Medical Rehabilitation: Starts after completion of the early mobilization and represents medical rehabilitation in the traditional sense.

Phase 5 – Secondary Rehabilitation: This is mostly about professional, social, and domestic reintegration. The treatment results are to be maintained.

Phase 6 – Activating Rehabilitation: Activating treatment care for patients in a vegetative state.

Phase 7 – Assisted and Accompanying Living: The patient is assisted in finding his way back to an independent life – helping people to help themselves.

There are certain conditions for a neurological rehabilitation. They are:

Stroke

Cerebral hemorrhages

Parkinson’s and related diseases

Multiple sclerosis

Inflammatory disease of the brain and spinal cord

Benign tumors

A typical degenerative brain diseases

Craniocerebral trauma

Disc herniations

Polyneuropathy and polyradiculitides (e.g. Guillain-Barré syndrome)

Myopathies

After cerebrovascular surgery


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