Neurological rehabilitation Phase B

About the department

The Department of Neurological Rehabilitation at the MEDIAN Rehabilitation Clinic Berlin Kladow offers all the options of modern rehabilitation medicine to restore the health of patients after diseases of the nervous system and neurosurgical interventions. The department specializes in the early rehabilitation of phases B and C. The medical facility has a special station for patients on mechanical ventilation. The patients with satisfactory clinical indications have the opportunity to undergo neurological rehabilitation on an outpatient basis. The team of the department's rehabilitation therapists is distinguished by the highest professionalism, so the patients can be sure of the high efficiency of rehabilitation treatment. In addition, the department uses only reliable modern therapeutic methods, including its own developments. The Chief Physician of the department is PD. Dr. med. Christian Dohle.

The key to successful recovery after a neurological disease or a neurosurgical intervention is an individual selection of rehabilitation measures, which will help the patient to maximally restore his lost skills. When undergoing rehabilitation, the patient is under medical supervision, which allows the specialists to control the dynamics of his condition and, if necessary, adjust the rehabilitation program by reducing or increasing the load, adding new therapeutic procedures, etc. The diseases of the nervous system can cause paralysis, speech and swallowing disorders, narrowing of the visual fields, double vision, impaired concentration and attention, movement disorders. To eliminate these disorders, the department's doctors use the whole range of rehabilitation measures – from therapeutic exercises, occupational therapy, speech therapy, physical therapy to locomotor therapy using special equipment, mirror therapy, therapy for balance disorders using the innovative Wii Balance Board. The key role in the effectiveness of rehabilitation is played by the regularity of rehabilitation procedures.

The department has in-house diagnostic rooms with advanced equipment for a comprehensive assessment of the state of the patient's nervous system prior to the beginning of rehabilitation and during the treatment. The patients can undergo such diagnostic tests as Doppler ultrasonography of the vessels supplying the brain, electroencephalography, endoscopic examination of the swallowing function, bronchoscopy, electrophysiological diagnostics, laboratory tests, electrocardiography, echocardiography and others.

Some neurological diseases cause severe visual impairment (for example, narrowing of the visual fields, double vision, blurred vision). The department employs an optometrist who provides medical services for such patients. During the diagnostics, the specialist assesses the patient's visual acuity. If the doctor detects visual impairments caused by neuropathology, he will prescribe the necessary treatment for the patient. The most common treatment is prism correction complemented by regular eye exercises.

Stroke is one of the most common diseases in the field of neurology and it often leads to severe consequences, one of which is hemiparesis (unilateral paresis). To treat hemiparesis, the department's doctors successfully use botulinum toxin A injections. The procedure is ultrasound-guided, which eliminates risks to the patient's health. The therapeutic agent is injected locally and does not penetrate into the adjacent anatomical structures, so the therapy does not cause any side effects. In addition, stroke often leads to disorders of the gross and fine motor skills of both hand and arm. These movement disorders are treated with mirror therapy. The essence of the therapy is to position a mirror between the patient's arms or legs so that the image of a moving unaffected limb creates the illusion of normal movement of the affected limb. This technique stimulates various areas of the brain, which are responsible for movement, sensitivity and pain perception.

The department specializes in the neurological rehabilitation of patients with the following diseases and pathological conditions:

• Consequences of stroke
• Pathological conditions after surgical interventions on extra- and intracranial vessels supplying the brain
• Pathological conditions after surgical resection of brain and spinal cord tumors
• Consequences of meningitis
• Consequences of encephalitis
• Consequences of hypoxic brain injuries
• Consequences of traumatic brain injuries
• Consequences of peripheral nerve injuries
• Polyneuropathies
• Muscle diseases
• Multiple sclerosis
• Systemic neurodegenerative diseases, such as Parkinson's disease
• Congenital diseases and malformations of the nervous system
• Other neurological diseases

The department's range of diagnostic and rehabilitation services includes:

• Diagnostic tests
  • Doppler ultrasonography of the vessels supplying the brain
  • Electroencephalography (EEG)
  • Electrophysiological diagnostics
    • Electromyography
    • Electronystagmography
    • Recording of evoked potentials
  • Endoscopic examination of the swallowing function
  • Bronchoscopy
  • Blood gas test
  • Laboratory tests, including cerebrospinal fluid analysis and microbiological tests
  • Electrocardiography, including 24-hour Holter monitoring
  • Echocardiography
  • 24-hour blood pressure monitoring
  • Doppler sonography and duplex sonography of the peripheral vessels
  • Radiography, computed tomography, endoscopic examinations (in cooperation with the Havelhöhe Hospital)
• Rehabilitation methods
  • Neuropsychological care
  • Medical care for visual impairment caused by neurological disorders
  • Treatment of speech and swallowing disorders
  • Treatment of balance disorders, including using the innovative Wii Balance Board
  • Therapeutic exercises
  • Ergotherapy
  • Physiotherapy
  • Physical therapy
  • Locomotor therapy using special equipment
  • Mirror therapy
  • Diet therapy
• Other medical services