Ivanova Natalia Evgenyrvna
Polenov Neurosurgical Institute, Russia
Title: Early Neuro-Rehabilitation in neurosurgery
Biography
Biography: Ivanova Natalia Evgenyrvna
Abstract
Introduction: The purpose of early rehabilitation is promoting spontaneous recovery of patients and prevention of secondary complications.
Methods: CT, MRT, EEG, ENM, rehabilitation scales.
Results: 2000 neurosurgical patients (neurotrauma, neurooncology, vascular neurosurgery, pediatric neurosurgery, vertebrologie, epilepsy, pain and spastic syndromes) received early rehabilitation. Neuroreanimation department neurosurgical and rehabilitational departments: methods used in the acute period can produce paradoxical responses and lead to a breakdown of compensation: the need to find methods of stabilizing stem dysfunction as early as possible, stem dysfunction correction, body-oriented techniques, treatment of bulbar disorders, breathing exercises, passive gymnastics and position treatment with the gradual expansion of the motion mode, early verticalization prevention of bedsores,polymodal sensory stimulation, kinesitherapy.Consequent cognitive impairment that worsen the prognosis of rehabilitation after neurosurgical pathology, a high degree of disability, makes the problem of diagnosis and treatment of cognitive dysfunction socially significant.
Conclusions: Early rehabilitation improved the outcome and the long-term quality of life.