Meyding-Lamadé U, Bassa B, Tibitanzl P, Davtyan A, Lamadé E K, Craemer E M
Klinik für Neurologie, Krankenhaus Nordwest, Steinbacher Hohl 2-26, 60488, Frankfurt, Deutschland.
Triamedis Gesundheitszentrum, Frankfurt am Main, Deutschland.
Nervenarzt. 2021 Feb;92(2):127-136. doi: 10.1007/s00115-020-01058-w. Epub 2021 Jan 18.
Neurological diseases are the most common cause of disability worldwide. In addition to physical limitations, they often lead to cognitive deficits that make active participation in professional and social life difficult. Due to physical and cognitive deficits, it is often difficult for neurological patients to gain access to specialized knowledge or to receive specialized treatment and is associated with greatly increased effort. Neurological diseases account for 11.6% of global disability-adjusted life years (DALYs, a measure for quantifying disease burden) and 16.5% of deaths, and remain the leading cause of DALYs and the second leading cause of death worldwide. Neurorehabilitation encompasses the goal of reintegrating patients with neurological dysfunctions into everyday life. The ongoing situation in the context of the COVID-19 pandemic poses new challenges for the healthcare system. Social distancing and quarantine have deprived many people with neurological disorders of access to routine medical care. The corona pandemic is a catalyst for the widespread use of telemedicine in the field of neurology and neurorehabilitation. Projects such as the Brunei project of the Nordwest Krankenhaus Frankfurt as well as an MS clinic in Canada show that highly specialized medicine and neurorehabilitation can be delivered to remote areas or in the living room of patients or any doctor's office. Telemedical, telerehabilitative and teletherapeutic applications offer the opportunity to supplement and optimize existing care structures and with modern technology to make a new and contemporary interpretation of old-fashioned medical and therapeutic home visits.
神经系统疾病是全球致残的最常见原因。除了身体限制外,它们还常常导致认知缺陷,使患者难以积极参与职业和社会生活。由于身体和认知缺陷,神经系统疾病患者往往难以获取专业知识或接受专业治疗,且为此付出的努力大大增加。神经系统疾病占全球伤残调整生命年(DALYs,一种量化疾病负担的指标)的11.6%,占死亡人数的16.5%,仍然是全球伤残调整生命年的主要原因和第二大死因。神经康复的目标是使神经功能障碍患者重新融入日常生活。新冠疫情背景下的当前形势给医疗系统带来了新的挑战。社交距离和隔离使许多神经系统疾病患者无法获得常规医疗服务。新冠疫情是远程医疗在神经病学和神经康复领域广泛应用的催化剂。诸如法兰克福西北医院的文莱项目以及加拿大的一家多发性硬化症诊所等项目表明,高度专业化的医疗和神经康复可以提供给偏远地区,或患者的起居室或任何医生办公室。远程医疗、远程康复和远程治疗应用提供了补充和优化现有护理结构的机会,并利用现代技术对传统的医疗和治疗家访进行新的当代诠释。