docRehabilitation programme of cerebral palsy patients in RC [jen pro
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Rehabilitation programme of cerebral palsy patients in RC [jen pro
Rehabilitation Programme of Stroke Patients in RC Kladruby Bc. Zdeněk Váňa EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Content About rehabilitation centre Rehabilitation team members´ roles Stroke patients rehabilitation programme EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Basic Information about RC Kladruby Government medical institution Nation-wide activity Indications Patients after surgeries and injuries of movement and nervous systems Nontraumatic diseases of spine and joints Stroke patients EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 CP Patients About 150 stroke patients per year Average length of stay – 3 months EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Stroke Patients´ Dysfunctions Summary Psychical dysfunctions – depression, cognitive dysfunctions Aphasia Sensory dysfunctions Motoric dysfunction Continence dysfunctions ADL problems EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Rehabilitation Team Doctor Psychologist Speech Therapist Physiotherapist Ergotherapist Social Worker Nurse EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Doctor Head of rehabilitation team Prescribes a rehabilitation programme Analyses a treatment effect EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Psychologist Testing of cognitive function Training of cognitive function PC programme „NEUROP-2“ Minimally twice a week for 15 minutes Psychotherapy Aim – to help patients to face up their handicap EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Speech Therapist Orofacial massage and stimulation Nominal memory training Articulation exercises Nonverbal communication training EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Physiotherapist Improves ROM, especially of shoulder and hip joint Stimulates paralysed muscles Inhibits spastic muscles Practices a coordination of muscle activity Practices postural reactions in sitting and standing position Practises walking (or some part of walking cycle) EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Ergotherapist Recommends compensatory aids Practises ADL Uses specific occupational therapy in workshops Practises gripping and writing EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Social Worker Ensures financial contributions In cooperation with doctor, ergotherapist or physiotherapist ensures assistive devices Offers information about home care Ensures follow-up care EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Nurse Applies medicaments Helps patients with self-care Helps patient with transport to rehabilitation ward Carries out a preventive body and limb positioning Cooperates with ergotherapist and physiotherapist EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 REHABILITATION PROGRAMME – Structure Individual therapy Group therapy Physiatrics Supplemental therapy EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Individual Therapy Psychological therapy Speech therapy ADL training Physiotherapy Ergotherapy – training of hand function Individual water therapy EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 ADL training EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Physiotherapy EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Ergotherapy – Hand training EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Water therapy EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 REHABILITATION PROGRAMME – Structure Individual therapy Group therapy Physiatrics Supplemental therapy EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Group Therapy Psychological group relaxation Group excercise in gym with physiotherapist Group water excercise Ergotherapy in workshops EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Excercise in Gym EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Group water exercise EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Ergotherapy in workshops EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 REHABILITATION PROGRAMME – Structure Individual therapy Group therapy Physiatrics Supplemental therapy EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Physiatrics Thermotherapy Hydrotherapy EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 REHABILITATION PROGRAMME – Structure Individual therapy Group therapy Physiatrics Supplemental therapy EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Supplemental therapy Sling exercises Fitness Motomed Treadmill Sport games Musicotherapy EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 Therapy Objectives To reach maximum self-sufficiency and independence To improve ability of walking Relief patient of pain To provide compensatory aids To give advices to relatives EFNS Academy for Young Neurologists, Staré Splavy, May 10-13 2007 THANKS FOR YOUR ATTENTION
