What are the basic principles of neurorehabilitation?（2） - Centro de Ictus

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

Neurorehabilitation Principles 4 :Intensive Rehabilitación

In order to formulate an appropriate rehabilitación program according to the paciente's actual remaining función and the potential ability that may be recovered, so that the paciente 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 exercise devices, which were initially mainly used for músculo función evaluation and músculo fuerza training after sports injuries. In recent years, with the continuous development of research, this technology has been gradually applied to the field of rehabilitación medicine.

Neurorehabilitation Principles 5: Comprehensive Rehabilitación

The ultimate goal of disease tratamiento and rehabilitación is not only to cure and stabilize the disease, but more importantly, to mejorar the ability of individual activities and social participation.In order to quantitatively assess the función or salud of an individual, in addition to assessing the morphology and función of each organ and organ at the level of the body, it is also necessary to conduct a detailed quantitative assessment 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 rehabilitación comes from three levels of physical-activity-participation.

Relearn training 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;

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

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

Neurorehabilitation Principles 6: Individualized Rehabilitación

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

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