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Medicina Fluminensis : Medicina Fluminensis, Vol. 52 No. 2, 2016.

Review article

Nerorehabilitation in stroke survivals

Ana Oljača ; Zavod za fizikalnu i rehabilitacijsku medicinu, KBC Rijeka, Rijeka
Tea Schnurrer-Luke-Vrbanić orcid id orcid.org/0000-0002-9161-4328 ; Zavod za fizikalnu i rehabilitacijsku medicinu, KBC Rijeka, Rijeka
Viviana Avancini-Dobrović orcid id orcid.org/0000-0003-4359-4868 ; Zavod za fizikalnu i rehabilitacijsku medicinu, KBC Rijeka, Rijeka
Darko Kraguljac ; Zavod za fizikalnu i rehabilitacijsku medicinu, KBC Rijeka, Rijeka

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Abstract

Stroke is characterized by a sudden development of a focal or a global neurological deficit caused by a cerebrovaskular origin. Symptoms vary from the size of the damage and the affected area, and the time elapsed from the onset of the symptoms to their diagnosis. Early recognition of the symptoms and transportation to the hospital increases the proportion of patients who can be treated with thrombolytic therapy and that way reduce the morality and disability of the patients. Early initiation of rehabilitation in acute phase of treatment is of great importance. Depending on the severity of their deficits, patients are admitted into further inpatient neurorehabilitation or are released home to home therapy or they continue their therapy as an outpatient rehabilitation. Criteria for admission are stable neurological status, the absence of significant comorbidities, the presence of significant neurodevelopmental deficits in at least two of the five functions: reduc tion activities in mobility, self-care activities, communication, control of stool and urine, control chewing and swallowing. Early rehabilitation is crucial because the recovery of neurological deficits is most efficent in the first 3 months after the stroke. Today’s principles of neurorehabilitation are based on the theory of neuroplasticity. The therapeutic program is individually adapted to each patient and includes medical care, drug treatment, neurorehabilitation according to the protocol, with the application of orthopedic supplies, occupational activities, speech exercises and cognitive training.

Keywords

neuroplasticity; neurorehabilitation; stroke

Hrčak ID:

158497

URI

https://hrcak.srce.hr/158497

Publication date:

1.6.2016.

Article data in other languages: croatian

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