POSSIBILITIES OF REHABILITATION OF PATIENTS AFTER SEVERE BRAIN INJURY

Česká verzia

Authors: Tomáš Brož ¹; Albert Kharisov ¹; Martin Carda ²
Authors place of work: Department of Neurosurgery, Regional Hospital Pardubice, a. s. ¹; Neurochirurgické oddělení, Pardubická Krajská Nemocnice, a. s. ¹; Department of Trauma Surgery, Department of Surgery, Regional Hospital Pardubice, a. s. ²; Oddělení Úrazové chirurgie, Chirurgická klinika, Pardubická krajská nemocnice, a. s. ²
Published in the journal: Úraz chir. 22., 2014, č.3

Summary

OBJECTIVE:
Despite improvement in therapeutic options for patients with severe brain injury, the treatment of these patients is still highly problematic for doctors and therapists. Today, it is clear that the majority of these patients, without the possibility of rehabilitation will never reach required forms of cooperation. It is to the credit of early modern rehabilitation that it could demonstrate its high efficiency only when it was started during the acute phase. The aim of this report is to present results of a prospective study of rehabilitation treatment in patients after severe brain injury.

MATERIAL AND METHODS:
The prospective study included 71 patients with severe brain injury with the initial GCS 8 points or less, and who have received early rehabilitation including multisensory - orientated rehabilitation. Patients were hospitalized in Pardubice Regional Hospital, a. s. between the years 2006 - 2013.

RESULTS:
The purpose of this work was to evaluate the functional outcome of rehabilitation treatment with regard to post-traumatic deficits, both physical and mental, including neuropsychological testing using a battery of tests, as well as assessment by GOS Glasgow Outcome Scale (range allows assessment of the status and degree of impairment of consciousness) and DRS.

CONCLUSION:
The complex care of patients with severe brain injury is necessary, because a significant number of patients have a chance to achieve a satisfactory outcome of therapy and full life. Our aim was to hold on to the basic principles of rehabilitation of patients with TBI and bring them into clinical practice in their widest form. The results presented in this summary show the high degree of success of early neuro - rehabilitation.

Key words:
Severe brain injury, early rehabilitation, pacing therapy, persisting deficits.

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