REHABILITATION OF NEUROLOGICAL PATIENTS (neurorehabilitation)
Neurorehabilitation consists of a complex programme aimed at restoring, minimising and/or compensating for functional alterations appearing in the person affected by a disability as a result of an injury to the nervous system. The treatment of a person affected by neurological sequelae aims to obtain maximum functionality/Independence according to each pathology and clinical situation of the patient.
The group of neurological pathologies that can be treated with our service through neurorehabilitation include the following: strokes, spinal injuries, Parkinson’s, neurodegenerative diseases, peripheral nerve injuries, etc. This requires the patient to actively collaborate in the rehabilitation process and be independent in order to transfer to the stretcher and carry out an active exercise programme.
Strokes are the main cause of morbidity and disability in Europe. 30% of patients affected by strokes will present sequelae, and 50% of survivors will present some deficiency that means they will require assistance in activities in daily life (Wolfe CDA, impact of stroke. Br Med Bull 2000; Nichols – Larsen 2005).
Strokes are the main cause of serious disability in adults. The areas most frequently affected by stroke are motor, sensory, visual, language, communication, cognitive and emotional (AHA Medical/Scientific Statement. The American Heart Association Stroke, Outcome Classification. Stroke 1998; 29: 1274-80).
The prognosis of a stroke is linked to the initial severity of the stroke, the period of time over which the recovery takes place and the degree of recovery.
The patient will be assessed by the rehabilitating doctor at Quirón Hospital to define the current deficiencies (the most frequent in our service being the loss of strength in one side of the body, either hemiplegia or hemiparesis). This leads to the current disability and will prescribe the neurorehabilitation programme, individualised for each patient and with realistic objectives for the sequelae. The interdisciplinary team that treats the patient with neurological sequelae is composed of the rehabilitating doctor, inter-linked with the specialties involved, physiotherapists, nurses, assistants, speech therapists, psychologists and other professionals.
It has been shown that rehabilitation:
- Reduces mortality
- Improves functional prognosis
- Promotes home reintegration
- Reduces overall costs due to illness.
(Jiménez Muro M, Pedro-Cuesta J, Almazán J, Holmqvist W. Stroke recovery in South Madrid. Function and motor recovery, resource utilization, and family support. Stroke 2000; 31: 1352-9).
Stroke rehabilitation will be carried out according to the phase the patient is in:
- Hospitalisation phase
- Sub-acute phase
- In-patient rehabilitation
3. Chronic phase