Rehabilitation after craniocerebral trauma (CCT)

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Cranio-cerebral trauma of any severity, including mild forms of traumatic injury, results of pathological changes in the structure of the brain, which rehabilitation is required for all the patients admitted to the in-patient department with the given diagnosis.

REHABILITATION PROGRAM

Rehabilitation program is drawn on an individual basis, taking into consideration the severity of the craniocerebral trauma, the age of the patient and the extent of the neurological disorders. Depending on these factors, the program includes the following rehabilitation activities:

  • intake of medicines improving the cerebral circulation, relieving the pain syndrome, inevitably developing after traumatic injury and preventing the development of psychopathological symptoms;
  • physiotherapeutic procedures — exposure to alternate currents, transcranial magnetic stimulation, electrophoresis;
  • exercises with kinesiotherapists, with physical therapy specialists, massage therapists with the purpose of restoring the motor functions, lost after the injury;
  • psychotherapeutic sessions, during which a restoration is achieved for social habits along with the increase in the adaptation level.

Interdisciplinary rehabilitation center in Moscow offers undergoing a complex program for recovery, gradual implementation of which allows for preventing delayed complications, possible in cases of CCT.

ALEKSANDR KALININ

Head physician of the IRC

Rehabilitation of the patients suffering from craniocerebral trauma in the IRC is carried out simultaneously using three key directions:

  • Functional training— a complex set of exercises, training sessions and tasks, aimed to newly teach the patient to live maximally complete life, taking into consideration the limitations presented by the patient.
  • Restoring the separate impaired functions.
  • Correction of the psychological status of the patient.

STAGES AND DURATION

The duration of the time period, during which a complete recovery is achieved in the motor functions, lost as a result of craniocerebral trauma, along with the psychological disorders due to neural injury, depends on the severity of the trauma and on the timeliness of providing medical aid.

Within the settings of the timely implementation of a correctly drawn rehabilitation program, the patients suffering from mild cranio-cerebral trauma recover within 10-14 days. Rehabilitation after severe CCT in Moscow includes long-term work with the patient. Re-gaining the vital household habits and organizing the everyday activities based on the changes of functional possibilities, helps ergotherapists. If restoring the motor activity is not fully achieved, the patient is being referred to the psychotherapist, the task of which is to adapt the patient to new settings of life.

According to feedback from the patients referring to the Interdisciplinary center after the craniocerebral trauma, recovery occurs significantly faster in the settings of correctly adjusted activities for each of the rehabilitation stages:

  1. During the pre-hospital period of time it is important to fixate the cervical spine to avoid post-traumatic complications.
  2. During the period of staying in the In-Patient Department, a complex set of procedures is implemented, aimed to eliminate the tissue edema in the brain and to eliminate the internal hematomas. The physician detects the disorders (speech, coordination, balance) and performs the procedures of re-gaining the lost abilities.
  3. Intensive rehabilitation begins after the stabilization of the patient status. Physiotherapist develops a complex set of exercises, regular implementation of which helps strengthening the core. The load is calculated with according to the patient status and corrected along the course: decreased load is applied in case of developing severe discomfort with gradual increase in case of persistent positive changes.
  4. Out-patient rehabilitation means using methods, aimed for the elimination of post-traumatic pain syndrome, dizziness, amnestic disorders and emotional abnormalities, developing due to neural injury or induced stress. For this purpose we use massage techniques (collar zone massage, general and relaxing massage), positional therapy, thermotherapy — methods that relieve muscle spasms and promote to normalization of the mental status.

HOW MUCH THE REHABILITATION AFTER A CRANIOCEREBRAL TRAUMA COSTS?

The price of the rehabilitation course after the craniocerebral trauma in Moscow depends on the qualification level of the specialists involved in the implementation of the program, on the duration required for their collaborative efforts to achieve positive changes. Receiving a detailed information on the course of the rehabilitation and its approximate cost is possible during the initial consultation of the neurologist.


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