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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