Clinic for Neurorehabilitation of Severe Head Injuries, SRH Fachkrankenhaus Neresheim, Neresheim, Germany.
Arch Phys Med Rehabil. 2013 Oct;94(10):1924-33. doi: 10.1016/j.apmr.2013.03.030. Epub 2013 Jun 26.
Severe brain injuries frequently result in disorders of consciousness, requiring intensive care unit treatment. We present a rehabilitative system that integrates neurorehabilitation into intensive care treatment. The system will be described using the case report of a young man who was in a vegetative state after a severe traumatic brain injury that resulted in major medical problems and complications. Despite these challenges, interdisciplinary therapies can be applied throughout the rehabilitative process. The patient in our case report showed significant improvements and functional gains during the course of treatment. Additional data from other patients support the feasibility of this system and show that integrating neurorehabilitation into intensive care treatment is possible and can lead to improved outcomes in this patient population. We will discuss the advantages, special features, and limitations of the system. Additional studies are needed to further demonstrate the efficacy of this approach compared with standard treatment.
严重的脑损伤常导致意识障碍，需要重症监护治疗。我们提出了一种将神经康复整合到重症监护治疗中的康复系统。该系统将通过一名年轻男子的病例报告进行描述，该男子在严重创伤性脑损伤后处于植物人状态，导致严重的医疗问题和并发症。尽管存在这些挑战，但在康复过程中可以应用跨学科治疗。我们的病例报告中的患者在治疗过程中显示出显著的改善和功能增益。来自其他患者的其他数据支持该系统的可行性，并表明将神经康复整合到重症监护治疗中是可行的，可以改善这一患者群体的预后。我们将讨论该系统的优势、特点和局限性。需要进一步的研究来进一步证明与标准治疗相比，这种方法的疗效。
