Rehabilitation of Neurological Conditions and Lesions of the Central Nervous System

PHYSIO1Physiotherapy plays an important role in the rehabilitation of neurological conditions and illnesses of the Central Nervous System. Among the neurological conditions that can be treated are multiple sclerosis and Parkinson’s disease, while protocols for the rehabilitation of craniocerebral and hemorrhagic or ischemic stroke can be applied.

The physiotherapy unit, by approaching each case individually and holistically, takes on the task of rehabilitating the patient, in collaboration with other units within our hospital, the doctors, the surgeons, the nutritionists, and the psychologists.

Before the application of the program, the medical history of the patient is taken down and their present condition, along with the medical data from other departments and the desired objectives, are all evaluated together.

First, the correct and uninhibited breathing and correct posture of the body are ensured; then, the physiotherapeutic rehabilitation begins, even from the first hours after surgery, employing kinesiotherapy and special techniques which correspond to each condition. When it is deemed necessary, technical equipment is employed, as well as electrotherapy, orthotic inserts and mobilization structures.

In short, the following could be noted regarding the rehabilitation plan:
•Correct functional breathing (specially designed movements in order to unfold the lungs, expectoration, uninhibited functional breathing through suction of the bronchial excretions).
•Correct body posture of the patient (by avoiding contraction of the muscles and the tendons, by avoiding the need for leg rests and footstools, and by avoiding eccentric contractures)
•Maintenance or even improvement of the spectrum of the movements of the joints (distensions, structures of immobilization and support)
•Suppression and prevention of various pathological reflexes, wherever these occur, which in turn may lead to a bad posture of the body of the patient, contractures, flexural or extensive patterns.
•Muscular strengthening
•Proprioception exercises, which means specialized techniques for the improvement of the neuromuscular interlocking, aiming at making the muscular system ‘smarter’ so that it can react faster and more accurately, in order to prevent lesions of the muscular-tendon and the joints.
•Improvement of balance
•Retraining in gait, which means an effort to restore the gait to the most normal pace possible, by eliminating pathological patterns or by training the patient to use the appropriate aid correctly.
•Guidelines and list of exercises for the post-operation time period after hospitalization (daily personalized training program for each patient)
•Reintegration in the social and working environment: In collaboration with the other hospital departments, the patient is trained at their living and working space, according to the new standards of their mobility situation, adapting the environment around them in such a way, that the most comfortable way of living is secured.

The Department of Physiotherapy at Mediterraneo Hospital is always close to the patient, both during their rehabilitation, as well as after it, and is always in contact with them for any question or guidance on new rehabilitation techniques.

The constant updating and training of the Department’s staff contributes to the specialized support, in accordance with current international scientific standards.