What are the basic principles of neurorehabilitation?（2） - ictus Center

We have introduced early riabilitazione, active riabilitazione and appropriate riabilitazione in the principles of neurorehabilitation in the last articolo. In this articolo, we will continue to introduce other principles of neurorehabilitation.

Neurorehabilitation Principles 4 :Intensive riabilitazione

In order to formulate an appropriate riabilitazione program according to the paziente's actual remaining function and the potential ability that may be recovered, so that the paziente can achieve functional progress through repeated practice, it is necessary to pay time for this practice and need to achieve a certain "dose".

In the 1980s, China began to introduce isokinetic esercizio devices, which were initially mainly used for muscle function evaluation and muscle forza allenamento after sports injuries. In recent years, with the continuous development of ricerca, this tecnologia has been gradually applied to the field of riabilitazione medicine.

Neurorehabilitation Principles 5: Comprehensive riabilitazione

The ultimate goal of disease trattamento and riabilitazione is not only to cure and stabilize the disease, but more importantly, to migliorare the ability of individual activities and social participation.In order to quantitatively assess the function or health of an individual, in addition to assessing the morphology and function of each organ and organ at the level of the body, it is also necessary to conduct a detailed quantitative valutazione of the individual's activity ability and social participation ability. When we examine the consequences of rehabilitative care, it must be based on the Activity and Participation scales. That is, a comprehensive riabilitazione comes from three levels of physical-activity-participation.

Relearn allenamento for activities of daily living, such as:

Grooming and personal hygiene: bathing, washing face, brushing teeth, going to the toilet, combing hair, shaving beard, etc.;

Eating: choose appropriate food and suck, chew and swallow in sequence;

Dressing: choose appropriate clothing, put on and take off in the proper order;

Movement: from one position or place to another position or transfer to another place, such as: bed movement, place transfer (bed, car, bathtub, toilet seat, chair);

Information exchange: such as the uso of writing equipment (pen and paper), telephone, computer, etc.

Neurorehabilitation Principles 6: Individualized riabilitazione

The risk of rehabilitative management should be assessed first when performing acute or early riabilitazione allenamento. Then, write a complete riabilitazione plan corresponding to the nature, intensity, duration, frequency, and even specific riabilitazione methods, possible accidents and methods of dealing with accidents that the paziente may endure.As the paziente responds to the riabilitazione trattamento, the terapeuta gradually adjusts the nature and dosage of the riabilitazione trattamento. According to the specific situation of the paziente at that time, formulating an individualized riabilitazione plan is the core issue to achieve functional recupero, which should be different from person to person and time to time.

riabilitazione evaluation is the basis of riabilitazione trattamento. Without systematic evaluation, it is impossible to plan the implementation of riabilitazione trattamento and evaluate the effect of trattamento. Through riabilitazione valutazione, the nature, location and severity of functional impairment can be assessed objectively, and its development trend, prognosis and risultato can be estimated, riabilitazione goals can be designed, and practical riabilitazione trattamento plans can be formulated.