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

We have introduced early phục hồi chức năng, chủ động phục hồi chức năng and appropriate phục hồi chức năng 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 phục hồi chức năng

In order to formulate an appropriate phục hồi chức năng program according to the bệnh nhân's actual remaining function and the potential ability that may be recovered, so that the bệnh nhân can đạt được functional progress through repeated luyện tập, it is necessary to pay time for this luyện tập and need to đạt được a certain "dose".

In the 1980s, China began to introduce isokinetic exercise devices, which were initially mainly used for cơ function evaluation and cơ strength training after sports injuries. In recent years, with the continuous development of nghiên cứu, this công nghệ has been gradually applied to the field of phục hồi chức năng medicine.

Neurorehabilitation Principles 5: toàn diện phục hồi chức năng

The ultimate goal of disease điều trị and phục hồi chức năng is not only to cure and stabilize the disease, but more importantly, to cải thiện 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 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 toàn diện phục hồi chức năng comes from three levels of physical-activity-participation.

Relearn training for các hoạt động sinh hoạt hàng ngày, 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;

chuyển động: from one position or place to another position or transfer to another place, such as: bed chuyển động, 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 phục hồi chức năng

The risk of rehabilitative management should be assessed first when performing acute or early phục hồi chức năng training. Then, write a complete phục hồi chức năng plan corresponding to the nature, intensity, duration, frequency, and even specific phục hồi chức năng methods, possible accidents and methods of dealing with accidents that the bệnh nhân may endure.As the bệnh nhân responds to the phục hồi chức năng điều trị, the nhà trị liệu gradually adjusts the nature and dosage of the phục hồi chức năng điều trị. According to the specific situation of the bệnh nhân at that time, formulating an individualized phục hồi chức năng plan is the core issue to đạt được phục hồi chức năng, which should be different from person to person and time to time.

phục hồi chức năng evaluation is the basis of phục hồi chức năng điều trị. Without systematic evaluation, it is impossible to plan the implementation of phục hồi chức năng điều trị and evaluate the effect of điều trị. Through phục hồi chức năng assessment, the nature, location and severity of functional impairment can be assessed objectively, and its development xu hướng, prognosis and kết quả can be estimated, phục hồi chức năng goals can be designed, and practical phục hồi chức năng điều trị plans can be formulated.