RESUMO
The article reviews a ten-year experience with rehabilitation of post-stroke patients accumulated at specialized in- and out-patient rehabilitation centers. The authors present the principles of structuring the recovery process, as well as the main components of rehabilitation programmes, individual methods, and their combination. The ultimate results of rehabilitation treatment are considerably better than those observed following the traditional chemo- and physiotherapy.
Assuntos
Transtornos Cerebrovasculares/complicações , Paralisia/reabilitação , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Relaxantes Musculares Centrais/uso terapêutico , Espasticidade Muscular/reabilitação , Paralisia/psicologia , Modalidades de Fisioterapia , Psicoterapia , Centros de Reabilitação/organização & administração , Federação RussaRESUMO
The authors have developed a rehabilitation system intended for patients with different cerebrovascular diseases. The system covers initial manifestations of insufficiency of the cerebral blood supply, transient disorders of the cerebral blood circulation, as well as acute, restorative and residual periods of the stroke. The system is being realized in territorial polyclinics, neurologic departments of city hospitals, rehabilitative inpatient centres and polyclinics. Regular medical check-ups constitute the initial and conclusive stage of the system. The system makes it possible to resolve the questions concerning the prophylaxis of stroke, as well as of its complications and recurrences. Methodologically the organization of the therapeutic process is based on principles of rehabilitation which bring together medical, social, and psychological measures. Clinical, social, and occupational outcome suggest a high efficacy of the system and advisability of its wide introduction into clinical practice.
Assuntos
Transtornos Cerebrovasculares/reabilitação , Assistência Ambulatorial , Edema Encefálico/terapia , Isquemia Encefálica/reabilitação , Terapia Combinada , Cuidados Críticos , Hospitalização , Hospitais Especializados , Humanos , Ataque Isquêmico Transitório/reabilitação , PsicoterapiaRESUMO
The four-step system for the treatment of traumatological patients contributes to earlier rehabilitation and shortens the time fo staying in hospitals. It also decreases the invalidism percentage.