Neuro Rehabilitation – Kottakkal Ayurgarden

Published by Kottakkal Ayurgarden on

Neurological Rehabitilation

 

Neuro rehabilitation is a complex medical process designed for people with diseases, injury, or disorders of the nervous system. Neurological rehabilitation aims to increase function, reduce debilitating symptoms, and improve a patient’s quality of life.

 

Symptoms which may cause neurological recovery include:

 

  • Poor muscles and irregular muscle tone
  • Pain
  • Hard-walking
  • Routine tasks difficulty such as feeding, dressing, bathing, toileting
  • Swallowing trouble
  • Speech difficulties
  • Deficits in perception, memory and problem solving
  • Vision impairment or eye-hand coordination

 

Neurological rehab can benefit the conditions:

 

  • Inflammatory disease of the brain and spinal cord
  • Cerebral hemorrhages
  • Stroke
  • Multiple sclerosis
  • Parkinson’s and related diseases
  • Craniocerebral trauma
  • Benign tumors
  • Disc herniations
  • Myopathies
  • Polyneuropathy and polyradiculitides
  • Atypical degenerative brain diseases
  • After cerebrovascular surgery etc.

 

There are in fact five types of disabled people:

 

  1. People who can recover entirely naturally over a short period of time for example, people with mild stroke
  2. People who are gradually recovering and may or may not return to pre-morbid function e.g. moderate stroke or traumatic brain injury
  3. People who are not going to improve significantly and who can expect a residual level of disability but in whom some progress is possible-for example , severe stroke or traumatic brain injury
  4. People who will gradually deteriorate over time such as multiple sclerosis or Parkinson’s disease
  5. People who are unfortunately going to progress steadily and rapidly like motor neuron disease or malignant glioma for example.

 

Basic approaches in Neurological Rehabilitation:

 

Rehabilitation is an active and dynamic process that helps a person with a disability to acquire knowledge and skills to maximize their physical, psychological and social functioning. This method can be broken down conveniently into three main areas

  • Disability-reducing approaches
  • Approaches designed to acquire new competencies and strategies to maximize activity
  • Approaches that help to alter the physical and social environment, so that a given disability carries with it minimal consequent handicap.

 

Neurological Rehab Team:

 

While the patient will still have a primary health care team, the rehabilitation team will provide additional treatments and therapies. Neurological rehabilitation programs can be performed on an inpatient or outpatient basis. The rehabilitation team is made up of highly qualified professionals, dedicated to the needs of each patient. After an evaluation the most appropriate treatment plan is developed for each patient. The following team members may include Neurological Rehabilitation.

 

  • Neurologist/neurosurgeon – manage and treat neurological conditions, or problems with the nervous system.
  • Orthopedist/orthopedic surgeon – concerned with the correction or prevention of deformities, disorders, or injuries of the skeleton and associated structures
  • Internist – Patients with conditions such as heart disease, hypertension, diabetes, obesity and chronic lung disease are routinely seen by internist.
  • Other specialty doctors – consult if necessary.
  • Physiatrist – doctors who specialize in physical medicine and rehabilitation
  • Registered dietitian – provide the patients with personalized and efficient diet plans and eating regimens professionally. This helps the patients recover quickly and with greater efficacy.
  • Physical therapist – assists and treats patients with a condition or injury that contributes to pain or loss of strength, range of movement, balance or coordination. Their aim is to restore and maintain the capacity of a person to move and perform physical tasks.
  • Occupational therapist – evaluate how well patients are able to perform daily tasks such as eating, dressing, toileting and bath. Their objective is to help patients do just as much on their own. Occupational therapists may conduct vision assessments as requested by the doctor.
  • Speech/language therapist – treat patients with speech and thinking skills problems. Such symptoms are common in those who have undergone a stroke, brain injury, or other nervous system changes. Speech-language pathologists also work with patients with swallowing difficulties.
  • Social worker – help them live independently and with dignity, thereby maximizing their quality of life and participation in society.
  • Psychologist/psychiatrist – see patients with cognitive and/or behavioral problems associated with brain injury, stroke, or other diseases. They also work with patients needing help getting used to changes in their ability levels. They may recommend cognitive therapy, the techniques of stress reduction or other treatments.
  • Recreational therapist – help patients explore or grow new leisure interests. They provide support and community involvement resources that a patient may continue to have when they leave the hospital rehabilitation unit.
  • Vocational counselor – will make it easier for someone to reintegrate into the local community around to normalize the patient’s social life.
  • Case manager – is an important part of the health care system, because their main objective is to advocate for the patient. They are the direct communication line between the patient and the health-care staff who will treat them.
  • Audiologist – diagnosis and treatment of hearing loss and balance disorders.
  • Chaplain – spiritual care in health care.

 

Neurological Rehab Program:

 

  • Managing stress, anxiety and depression
  • Enhancing mobility (movement), muscle strength, gait (walking), and balance
  • Exercise plans to improve movement, avoid or decrease weaknesses due to lack of use, control spasticity and pain, and keep range of motion
  • Retraining social and behavioral skills
  • Speech therapy to help speak, read, write, or swallow.
  • Assist with activities of daily living (ADLs), such as eating, dressing, bathing, toilet, handwriting, cooking and basic housekeeping.
  • Retraining of the bladder and bowel
  • Participation in Community support groups
  • Activities to enhance cognitive impairments, such as concentration difficulties, attention , memory and poor judgment
  • Stress management and emotional support
  • Vocational guidance
  • Pain management
  • Nutritional counseling
  • Help with obtaining assistive devices that promote independence
  • Safety and independence measures and needs for home care
  • Education and counseling

 

Phase Model of Neurological Rehabilitation:

 

Neurological rehabilitation consists of 7 phases: these are focused on the severity and symptoms of neurological injuries.

  • Phase I – Acute Treatment:Intensive care unit
  • Phase II – Early Rehabilitation:Consciousness of the patient is usually still severely impaired. There is still a need for intensive care treatment options. Rehabilitation measures are intended to improve the state of consciousness. Criteria for inclusion: permanent ventilation is no longer required, circulation is stable, injuries are treated, no intracranial pressure.
  • Phase III – Further Rehabilitation: The patient is already able to participate actively in therapy, but still needs to be cared for with a high level of nursing effort. Rehabilitation is intended to be a partial mobilization.
  • Phase IV – Medical Rehabilitation: Begins after the early mobilization has been completed and represents medical rehabilitation in the traditional sense.
  • Phase V – Secondary Rehabilitation:This is all about reintegration at the professional, social and domestic levels. Effects of the treatment shall be maintained.
  • Phase VI – Activating Rehabilitation:Activating the treatment of patients in a vegetative state.
  • Phase VII – Assisted and Accompanying Living: The patient is helped find his way back to an independent life, helping individuals to help themselves.

 

Neuro Rehabilitation and Ayurveda:

The Ayurvedic literature offers a wide range of treatment procedures and medicinal preparations which can stimulate the nervous system. A regular and systematic use of these procedures and the use of medicines can significantly improve patient’s quality of life. These also strengthen and support the body’s muscles and ligaments besides stimulating the nervous system.


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