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Achievements of our patients
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In October 2018 the patient Tetyana Sh., born in 1960, was admitted for further assessment and specialized restorative treatment & neurorehabilitation at NODUS. She was in a grave condition due to multiple cerebral circulation disorders as a result of severe cardiovascular pathology and repetitive inflammation in lungs. Her consciousness was depressed – stunning, expressive bulbar syndrome manifested in her inability to swallow, talk, sit down, stand and walk. She had extreme weakness in the limbs (tetraparesis with the left side lateralization), purulent -infected wounds – bed sores.

The patient underwent specialized neurorehabilitation according to the created individual rehabilitation program (IRP), that included the following methods applied and set goals to achieve:

  • Polymodal brain stimulation, including direct & indirect methods; alternate invasive & non-invasive stimulation of the median nerves on the background of TMS (trans-cranial magnetic stimulation)
  • Development of new and strengthening of existing processes for distinguishing reactions, reintegration of simple sensory and motor reactions, psychomotor and psychosensory reactions, integration of viscero-vegetative, sensory, motor reactions in the general psychomotor and psychosensory acts with the primary psychosensory acts including speech therapy (speech therapy massage and stimulation techniques), focused occupational therapy, psychoneurological correction ( basic art therapy, music therapy), using hardware sensory stimuli during water sessions, adding structured sensory stimulation techniques
  • Hardware Vertikalization and movements’ imitation in PIO, Glider; Brain stimulation through vestibular & proprioceptive apparatus applying angular hardware acceleration in SET, Balance Trainer, with support of Guldman.
  • Stimulation of mechanoreceptors of joints and muscles for the improvement of proprioception and general kinesiological ability, exercises in passive mode with conditional isokinetic component, using CPM therapy with submaximal and maximal eccentric loading.
  • Doing exercises of cyclic contraction and stretching of muscles with high-speed at various modes, using eccentric and then concentric contractions for non-direct brain stimulation.
  • Improvement of functioning and strengthening of the torso muscles and limbs to enable making the first vertical postural poses, applying kinesiotherapy, exercise therapy.
  • Improving motion quality with hardware isometric contractions and sessions with Biodex 4 Pro at isometric mode.
  • Isokinetic contractions at velocities specifically set to model functional actions and transfer the main load on specific groups of muscles
  • Overcoming of pathological settings of extremities using custom-made functional orthosis.
  • Symptomatic treatment, nootropic therapy

Secondary surgical treatment of a trophic wound of the 3rd degree was carried out, necrectomy. The patient was under constant outpatient monitoring by cardiologists of the National Institute of Cardiovascular surgery named after N.N.Amosov under the Academy of Medical Sciences of Ukraine, where she undergone numerous examinations and consultations during rehabilitation at Nodus.

Hardware verticalization on a verticalization platform with an estimation of the parameters of the main system

Therapeutic rhythmic transcranial and transvertible magnetic stimulation

Verticalization with BALANCE Trainer

Verticalization with BALANCE Trainer

Session with BIODEX 4Pro

Active and passive rehabilitation of the lower and upper limbs (THERA Vital/ MOTOmed)

Verticalization session in walking simulator

Kinesiotherapy with S-E-T

Verticalization with BALANCE Trainer

The patient successfully completed the individual in-patient rehabilitation course with the following positive dynamics:

  • Clear consciousness restored.
  • Gravitation gradient restored: the patient is able to walk with some assistance, to sit and get up
  • The patient is able to do the self-care at basic level and communicate with others
  • Neurological cortical deficits minimized (left-side limbs’ activity and muscles’ strength increased, intellectual functions improved
  • Neurological bulbar deficit minimized (swallowing, voice restored, laryngeal paresis minimized – the left-side remains paretic)
  • Trophic wounds healed
  • Full stabilization of chronic somatic pathology

Донині в Нодусі діє Благодійний проект реабілітаційного лікування поранених в зоні АТО військовослужбовців та добровольців
neuropsychological rehabilitation
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