RECUPERARE MEDICALA. CLINICA DE RECUPERARE III INRMFB FILANTROPIA. Specialitate de tip conservator Viziune holistica Scop : refacerea functionalului Intretinerea / cresterea nivelului functional in diverse patologii ( ap locomotor )
CLINICA DE RECUPERARE III INRMFB
Infirmitatea (impairment) = alterarea structurala/functionala in plan psihologic/fiziologic/anatomic, care permite desfasurarea activitatii
Incapacitatea (disability) = reducere partiala/totala a capac. de desfasurare a unei activitati ( dificultati de autoingrijire/locomotie)
Handicapul = dezavantajul social in urma unei infirmitati/incapacitatii => limiteaza desfasurarea unei vieti normale => pacient dependent social si profesionalCATEGORII DE AFECTARE FUNCTIONALA
Regimhigieno-dietetic: dieta, supl. nutritive, regulihigienaarticulara
DRS address all three World Health Organization categories: impairment, disability and handicap, the DRS is able to measure across the span of recovery to track an individual from coma to community
The purpose of a neuropsychological screening examination is to determine if there is reasonable evidence, beyond initial clinical impression, for a diagnosis of brain injury or brain disease.
Even though it is "screening," the examination must be definitive in this regard.Once a screening points to reasonable probability that a neurological condition exists, a full neuropsychological examination would be indicated to attain further diagnostic, prognostic, and treatment planning information.
Both screening and full neuropsychological examinations offer the opportunity for diagnosis of probability of brain dysfunction (as opposed to diagnosis of psychodynamic, personality, and/or emotional disorder not associated with neurological causes).
For a screening examination, assessing probability of brain dysfunction is about as far as the diagnosis goes.
A full neuropsychological examination, on the other hand, is necessary to delineate the wide variety of functional manifestations of brain damage or disease.
Such detail is necessary to understand the life consequences of functional impairment (e.g., work, school, relationships, driving potentials, competency, and so forth).NEUROPSYCHOLOGICAL SCREENING EXAMINATION
The Barthel scale or Barthel ADL index is a scale used to measure performance in basic Activities of Daily Living. It uses ten variables describing activities of daily living (ADL) and mobility. A higher number is associated with a greater likelihood of being able to live at home with a degree of independence following discharge from hospital. The scale was introduced in 1965, and yielded a score of 0-20. Although this original version is still widely used, it was modified by Granger et al. in 1979, when it came to include 0-10 points for every variable, and further refinements were introduced in 1989. The scale is regarded as reliable, although its use in clinical trials in stroke medicine is inconsistent.
Stroke: The National Institute of Health (NIH) stroke scale (NIHSS) is a standardized method used by physicians and other health care professionals to measure the level of impairment caused by a stroke.
The NIH stroke scale measures several aspects of brain function, including consciousness, vision, sensation, movement, speech, and language. A certain number of points are given for each impairment uncovered during a focused neurological examination. A maximal score of 42 represents the most severe and devastating stroke. Current guidelines as of 2008 allow strokes with scores greater than 4 points to be treated with tPA.
The Ashworth scale is one of the most widely used methods of measuring spasticity, due in a large part to the simplicity and reproducible method. 5-Point Scale
Muscle tone is defined by the resistance of a muscle being stretched without resistance.
The Modified Ashworth Scale (MAS) has a 6-point scale that assists with stroke patients.
The MAS better measures muscle hypertonia instead of spasticity.Scale de evaluareSpasticitate in boli neurologice
De la dezvoltarea lui în 1982, The Western Ontario Mc Master Scor WOMACTM Index a suferit mai multe revizii şi modificări;