Rehabilitation after spinal injury

Rehabilitation in cases of injuries of the spinal column and of the spinal cord is directed to restoring the lost motor functions and preventing the development of dangerous complications, possible due to long-term immobility after traumatic injuries of the structures within the spinal column.

REHABILITATION PROGRAM

Patients admitted to the in-patient department with spinal column injuries, in the majority of cases have a severe general status, which pre-defines their incapability of active participation in early rehabilitation activities. Nevertheless, neurologists and neurosurgeons recommend initiating the activities aimed to restore the motor activity as soon as possible, gradually increasing the loading intensity.

Rehabilitation of the patients in the Interdisciplinary center begins with identification of the patient status and disease history by using diagnostic procedures that allow the physician to understand, which segment of the spinal column is exposed to pathological changes after the injury.

The program is compiled taking into consideration the location of the injury and the severity of the neurological symptoms developing after the injury:

  • impaired innervation of the limbs, expressed as flaccid or spastic paralysis;
  • paresthesias of the skin, developing below the injured are of the spine;
  • functional disorders of the urogenital system (retention or unprompted emptying of the urinary bladder and bowel, erectile dysfunction).

Besides eliminating the physiological consequences of the spinal trauma, rehabilitation includes providing psychological aid to the patients experiencing a post-traumatic stress and commonly developing depression due to understanding their own helplessness.

STAGES AND DURATION

The Interdisciplinary Rehabilitation Center in Moscow offers a possibility of recovery after spinal injury, including the following stages:

  1. Restoring the motor functions.

To boost the natural regeneration of the injured vertebrae, we use methods that affect the compensatory mechanisms and promote to the restoration of the neurons at the cellular level: kinesio - and ergotherapy.

Kinesiotherapists use high-tech equipment that allows for restoring the functional possibilities due to static load, created by its own weight of the training person or by using special weights.

Being included into the rehabilitation program together with massage, ergo - and electrotherapy, sessions conducted using training equipment, provide a possibility of restoring the lost self-service habits after trauma and to strengthen muscles located around the injured segment of the spinal column (cervical or lumbar).

By forming the training program, the instructor gradually adds the load. During the early period the exercises are conducted in lying position (side lying, prone, supine), later— on hands and knees and in sitting position. During the final stage training sessions are carried out using supporting devices and walking bars.

  1. Psychological and social support.

Training sessions conducted by psychotherapist, allow for faster adaptation to new settings of life and creates a motivation for regular training, directed to continuation of physical activity. The objective of social rehabilitation is the acceptance by the patient of the changes in the possibilities due to the injury and preventing social isolation, preparing for learning new specialty, learning new rules of household safety, outdoor safety, safety precautions for public and personal vehicles.

  1. Life style correction.

In patients suffering from spinal injury and forced to stay bed-bound, chronic diseases often exacerbate. Which is why the program includes consultations of specialists invited from specialized medical institutions, which provide recommendations on preventing complications due to concomitant diseases.

Rehabilitation after spinal injury is a complex stage-by-stage process, the efficiency and duration of which is defined by the coordination of efforts from specialists involved into the implementation of the program, and by the willingness of the patient to comply with medical recommendations. At an average, recovery takes from several months to 2-3 years, with shortening the duration is possible due to participation of experienced specialists o the Interdisciplinary rehabilitation center.

HOW MUCH THE REHABILITATION AFTER SPINAL INJURY COSTS?

The cost of individual recovery program depends on the complexity of the imposed injury. The pricing is also affected by number of specialists involved into it, by the number of therapy sessions and the total duration of the program.

Additional payment is taken into consideration for the onsite team that helps non-transportable patients at home, transfers the patient to specialized institutions and provides urgent transportation.


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