Rehabilitation after stroke
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Many functions of the central nervous system are affected after a stroke. Sometimes a person can’t move, speak, write, understand oral speech, etc. Different patients have different disorders, depending on the part of the brain involved in the pathological process.
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Is it possible to restore the lost functions?
It is very important to start rehabilitation as soon as possible. Some lost functions can be restored completely or partially, and others can only be compensated. There are rehabilitation centers in Germany where patients can recover after a stroke. The best specialists, such as kinesiotherapists, speech-language pathologists, physiotherapists, neurologists, neuropsychologists, etc.
Complete recovery of the central nervous system lost functions is possible only during the first six months after the stroke. Therefore, starting the rehabilitation activities as early as possible is necessary. They begin in the intensive care units and are followed by further early rehabilitation. Repeated supporting courses will be required in the future.
The results are mostly achieved by activating brain areas, which are located next to the damaged due to the stroke neurons. Many motor functions can be restored. It is more challenging to achieve the results in patients with the following disorders:
- Speech
- Intellect
- Motivation
- Coordination
- Targeted precise movements
Restoring mobility
In the early rehabilitation period, patients have signs of central paralysis: muscle tone is irregularly increased, muscle contractures and reflex muscle spasms occur.
The main purposes of physical rehabilitation are the following:
- Restoration of normal muscle tone
- Normalization of reflexes
- Prevention of joint pain
- Restoration of the ability to contract paralyzed muscles
- Combination of the individual muscle contractions into one motion
At first, the patient is taught to move within the ward, then – within the hospital department. The ultimate goal of rehabilitation therapy is the patient's ability to fulfill activities of daily living.
The basic principles of restoring the person's motor activity are:
- Target muscle groups training
- Formation of dynamic stereotypes in the brain
- Adjustment of physical activities to the patient's condition
- Gradual adaptation of a patient to new physical activities with the increasing intensity
- Combination of therapeutic physical training with other methods of treatment
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Rehabilitation in Germany
In German rehabilitation centers, a patient's restoration includes not only the normalization of the musculoskeletal system functioning. Whenever possible, German doctors try to restore all the lost functions. Specialists work on the patient's speech, psychological state, ability to maintain balance and to make precise movements. Patients with difficulties with swallowing, breathing, and sleeping also receive help here.
The following rehabilitative methods are used:
- Kinesitherapy
- Functional proprioceptive training
- Neuromuscular electrical stimulation
- Microcurrent treatment
- Biocontrol with feedback
- Muscular fasciation
- Transcranial magnetic stimulation and other techniques
The individual plan is elaborated for each patient. Doctors of different medical specialties take part in the rehabilitation process.
All large rehabilitation centers are well-equipped. There are modern simulators and devices for physiotherapy there. Here are several leading German rehabilitation healthcare facilities:
| Hospital | Average cost of phase C neurorehabilitation |
|---|---|
| Rehabilitation Clinic Benedictus Krankenhaus Feldafing | 1,018 EUR per day |
| Neurological Rehabilitation Clinic Godeshöhe Bonn | 1,120 EUR per day |
| St. Mauritius Therapieklinik Meerbusch | 1,234 EUR per day |
| Maternus Rehabilitation Clinic Bad Oeynhausen | 957 EUR per day |
| Neurological Rehabilitation Clinic RehaNova Cologne | 900 EUR per day |
Benefits of the rehabilitation after a stroke in Germany include the following:
- Years of well-established rehabilitation programs
- Individual approach
- Qualitative care for seriously ill patients
- Comprehensive rehabilitation with application of the various methods
- Teaching the relatives to look after patients
If necessary, you can undergo rehabilitation after a stroke in Germany. The company Booking Health will help you to organize the trip. We will recommend the best rehabilitation center, help you to receive an invitation for treatment from the clinic, and prepare the documents. We will also meet you at the German airport; you will be accompanied by an interpreter. If you book a treatment with the help of Booking Health, you will also get a good discount for the services of German clinics.
Choose treatment abroad, and you will get the best results!
Authors: the article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Alexandra Solovey. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
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