Stručni rad
https://doi.org/10.24141/1/4/2/13
Physiotherapeutic protocol in adult patients after traumatic brain injury
Zdravko Maček
orcid.org/0000-0002-3690-6387
; Specijalna bolnica za medicinsku rehabilitaciju Krapinske Toplice, Krapinske Toplice, Hrvatska
Mario Kolar
; Specijalna bolnica za medicinsku rehabilitaciju Krapinske Toplice, Krapinske Toplice, Hrvatska
Krešimir Stubičar
orcid.org/0000-0003-4808-6408
; Specijalna bolnica za medicinsku rehabilitaciju Krapinske Toplice, Krapinske Toplice, Hrvatska
Mario Mandić
orcid.org/0000-0002-7589-1528
; Specijalna bolnica za medicinsku rehabilitaciju Krapinske Toplice, Krapinske Toplice, Hrvatska
Sažetak
Introduction: The protocols include the guidelines and recommendations of physiotherapists, doctors and other team members in the rehabilitation of patients after traumatic brain injury. Traumatic brain injury (TBI) is a consequence of physical force that causes primary or secondary brain damage. After brain injury, the functional status of patients may vary from active participation in rehabilitation processes to persistent vegetative state. The purpose of the protocol development is to ensure the standard quality and uniformity of physiotherapy in the process of neurorehabilitation of adult patients with TBI. The protocol defines the methods of assessment, setting goals, and methods of physiotherapy intervention.
Methods: The physiotherapy protocol is based on a review of relevant neurophysiotherapy literature, which includes clinical guidelines, scientific and expert articles, and secondary sources of information.
Results and discussion: Physiotherapy assessment is based on examinations, tests and measurements. The recommended standard assessment includes a Disability Rating Scale, a modified Ashworth scale, a Timed Up and Go Test, a Sit to Stand Test, a Berg Balance Scale, a visual analogue pain scale and goniometry. Planning and implementation of physiotherapy interventions in patients in a coma, vegetative and minimally conscious state include: prevention of complications of inactivity, multisensory stimulation of consciousness, transfer facilitation, positioning in a wheelchair, facilitation of head and body control and voluntary movement of the extremities. Planning and implementation of physiotherapy interventions in patients who actively participate in therapeutic processes include: specific muscle
mobilization, stimulation of active positioning while lying down, sitting up, standing up, walking reeducation, functional upper extremity training, balance and coordination exercises, strength and endurance exercises, use of orthoses, and education of patients and their families.
Conclusion: The physiotherapeutic protocol can ensure the uniformity and quality of performing physiotherapeutic procedures in rehabilitation of adult patients with TBI, where the recommended assessment and treatment methods are professional and scientific evidence based.
Ključne riječi
neurophysiotherapy; TBI; protocol; assessment; intervention
Hrčak ID:
207695
URI
Datum izdavanja:
30.10.2018.
Posjeta: 7.901 *