What are the basic principles of neurorehabilitation?（2）

We have introduced early rehabilitation, active rehabilitation and appropriate rehabilitation in the principles of neurorehabilitation in the last article. In this article, we will continue to introduce other principles of neurorehabilitation.

Neurorehabilitation Principles 4 :Intensive Rehabilitation

In order to formulate an appropriate rehabilitation program according to the patient's actual remaining function and the potential ability that may be recovered, so that the patient can achieve functional progress through repeated practice, it is necessary to pay time for this practice and need to achieve a certain "dose".

In the 1980s, China began to introduce isokinetic exercise devices, which were initially mainly used for muscle function evaluation and muscle strength training after sports injuries. In recent years, with the continuous development of research, this technology has been gradually applied to the field of rehabilitation medicine.

Neurorehabilitation Principles 5: Comprehensive Rehabilitation

The ultimate goal of disease treatment and rehabilitation is not only to cure and stabilize the disease, but more importantly, to improve the ability of individual activities and social participation.In order to quantitatively assess the function or health of an individual, in addition to assessing the morphology and function of each organ and organ at the level of the body, it is also necessary to conduct a detailed quantitative assessment of the individual's activity ability and social participation ability. When we examine the consequences of rehabilitative care, it must be based on the Activity and Participation scales. That is, a comprehensive rehabilitation comes from three levels of physical-activity-participation.

Relearn training for activities of daily living, such as:

Grooming and personal hygiene: bathing, washing face, brushing teeth, going to the toilet, combing hair, shaving beard, etc.;

Eating: choose appropriate food and suck, chew and swallow in sequence;

Dressing: choose appropriate clothing, put on and take off in the proper order;

Movement: from one position or place to another position or transfer to another place, such as: bed movement, place transfer (bed, car, bathtub, toilet seat, chair);

Information exchange: such as the use of writing equipment (pen and paper), telephone, computer, etc.

Neurorehabilitation Principles 6: Individualized Rehabilitation

The risk of rehabilitative management should be assessed first when performing acute or early rehabilitation training. Then, write a complete rehabilitation plan corresponding to the nature, intensity, duration, frequency, and even specific rehabilitation methods, possible accidents and methods of dealing with accidents that the patient may endure.As the patient responds to the rehabilitation treatment, the therapist gradually adjusts the nature and dosage of the rehabilitation treatment. According to the specific situation of the patient at that time, formulating an individualized rehabilitation plan is the core issue to achieve functional recovery, which should be different from person to person and time to time.

Rehabilitation evaluation is the basis of rehabilitation treatment. Without systematic evaluation, it is impossible to plan the implementation of rehabilitation treatment and evaluate the effect of treatment. Through rehabilitation assessment, the nature, location and severity of functional impairment can be assessed objectively, and its development trend, prognosis and outcome can be estimated, rehabilitation goals can be designed, and practical rehabilitation treatment plans can be formulated.