INDICATIONS FOR REHABILITATION

Neurorehabilitation is required:

• on the 30th day following a cerebral accident;
• on the 10th day following a transient ischemic attack or an ischemic stroke.

HOW IS CEREBRAL ACCIDENT REHABILITATION CARRIED OUT AT THE RCMC?

The essential components of the Cerebral Accident Rehabilitation Program of the RCMC are:

• assessment of the clinical condition of the patient;
• optimization of pharmacological treatment, selection of the optimal drug treatment regimen;
• physical rehabilitation -- improvement of motor activity;
• psychological and social rehabilitation;
• diagnostics and elimination of cardiovascular disorder risk factors;
• instructing the patient and their relatives on basic living practices following a previous cerebral accident in order to prevent progression of the disease;
• monitoring the effects of rehabilitation, and adjustment of the program at every stage of treatment.

An effective cerebral accident rehabilitation program:

• helps to minimize risk of complications;
• maintains quality of life and improves the disease prognosis;
• assists in the recovery of health and mental activity;
• makes it possible to prevent physical disability and enables the return to normal professional life;
• reduces the risk of recurrent cerebral accidents and other cardiovascular complications;
• improves the physical condition of the patient;
• helps to normalize hemodynamics;
• stimulates motor activity;
• improves the psychoemotional state of the patient.

Duration of the program:

14 to 21 days. The duration dictates the effectiveness of the therapy.

Rehabilitation programs actively employ robot-assisted manipulative therapy, that is, the use of robotic devices that feature feedback and a gaming or a virtual environment to train functions of arms and legs. One of the advantages of robot-assisted manipulative therapy is a higher quality of exercises as compared with conventional gymnastics due to their longer duration, accuracy of repeated movements, the availability of a consistent exercise program, and the ability to evaluate the progress of exercise sessions and demonstrate it to the patient.

Equipment employed by the Rehabilitation Department:

• Lokomat - Cosmosrobowol-K -- the exerciser is used for the recovery and development of a proper gait.
• Kinetec Centura -- the exerciser is used for passive exercises of upper limb joints.
• Kinetec Centura -- the exerciser is used for passive exercises of lower limb joints.
• Kinetec Breva -- the exerciser is used for passive exercises of feet.
• THERA Trainer Tigo -- the unique rehabilitation exerciser used for upper and lower limb exercises and function recovery.
• ERIGO -- the robotic rehabilitation complex intended for early verticazliation of patients affected by severe neurological disorders.
• Motomed Letto-2 -- the exerciser for both passive and active kinesitherapy of upper and lower limbs of bed-ridden patients.
• TYMO -- the therapeutic platform which enables testing and exercising movement, weight transfer and targeted application of the patient’s body strength.
• PABLO -- the diagnostics and therapeutical rehabilitation system for upper limb exercises which enables exercising arm functions and fine motor skills of wrist.
• AMADEO -- the mechanical therapy complex featuring biofeedback for the recovery of fine motor skills of wrists.

The Therapy Program

1. The ischemic stroke patient is monitored day-and-night at a medical station or at the intensive follow-up and therapy unit.
2. The patient is managed by a highest Qualification Grade neurology specialist.
3. The diagnostic stage (duration is determined individually at the start and completion of therapy).
• Biochemical blood assay: total cholesterol, high- and low-density lipoproteins, triglycerids, the atherogenic index, bilirubin, creatinine, urea, uric acid, transaminases, potassium, calcium, magnesium, sodium etc.
• Clinical blood analysis and blood coagulation test.
• Electrocardiography, Holter monitoring, blood pressure + ECG + vessel ultrasonography + BAP-neurovisualization: Brain MRT and X-ray computer tomography;
4. Neuropsychological diagnostics and neuropsychological correction of impaired higher mental functions (speech, memory, attention and perception).
5. Logopedic sessions:
6. counseling section: consultations of specialized health care professionals of the highest Qualification Grade: cardiologist, therapeutist, rehabilitation therapist, psychotherapist, somnologist and nutritionist.

CONTRAINDICATIONS:

1. Infectious diseases of the nervous system during the acute phase.
2. Amyotrophic lateral sclerosis (pronounced clinical manifestations).
3. Deteriorative development of d isorders of the nervous system accompanied by pelvic abnormalities, psychiatric disturbances and dementia.
4. Cachexy, tuberculosis, pronounced impairment of internal organs; drug addiction.
5. Consequences of cerebral disorders manifested by considerable impairment of motor function, secondary syndromes involving the development of fits occurring more than two times per month, dementia, inability to care for oneself, mobility and speech dysfunction.
6. Nervous disorders accompanied by pronounced psychological disturbances (psychoses, pronounced hypochondriacal, depressive and obsessive-compulsive disorders).

HOW CAN I UNDERGO CEREBRAL ACCIDENT REHABILITATION AT THE RCMC?

In order to be liable for rehabilitation, the patient will have to have a referral by their consulting physician, or to make a reservation for a neurologist’s consultation.

1. Call the Contact Center to make an appointment with a neurologist
2. Conclude an agreement for the provision of paid services at the reception (if there is a referral from a doctor, show it to the medical registrar)
3. Pay the invoice at the cash desk of the RCMC or through ERIP
4. On the appointed day, come for a consultation