Głowacki Krzysztof, Malczewski Daniel, Krzysztoń Karolina, Jasińska Aniela, Domitrz Izabela
Department of Neurology, Bielański Hospital, 01-809 Warsaw, Poland.
Department of Neurology, Faculty of Medical Sciences, Medical University of Warsaw, 01-809 Warsaw, Poland.
Brain Sci. 2022 May 25;12(6):688. doi: 10.3390/brainsci12060688.
There are no official recommendations regarding physiotherapy for encephalitis patients. However, such patients, depending on their condition, have to undergo rehabilitation preceded by a detailed functional examination. The paper describes the physiotherapy treatment of a 28-year-old female after acute encephalitis. She suffered three-limb palsy with preserved movement in the right ankle joint. The patient was admitted to a clinic that offers respiratory therapy, where she underwent a comprehensive rehabilitation process. The initial and final functional assessment was conducted based on the International Classification of Functioning, Disability and Health. The therapy aimed to enable social contacts by learning to communicate with the environment, taking advantage of learned motor skills and adapting the body to maintain a sitting position. The goals were implemented with gradual upright standing, electrostimulation of paralyzed muscles, orofacial therapy, methods of respiratory acceleration and the use of communication technologies. As a result of the physiotherapy, the patient can communicate with the environment more efficiently and showed a more assertive attitude towards the disease and greater motivation to exercise and socialize. This paper supports the importance of a rehabilitation program adapted to the needs of a patient with severe disabilities and encourages more studies in this area.
目前尚无关于脑炎患者物理治疗的官方建议。然而，这类患者需根据自身情况，在进行详细的功能检查后接受康复治疗。本文描述了一名28岁女性急性脑炎后的物理治疗情况。她患有三肢麻痹，右踝关节仍可活动。该患者被收治于一家提供呼吸治疗的诊所，在那里她接受了全面的康复治疗。最初和最终的功能评估是基于《国际功能、残疾和健康分类》进行的。治疗旨在通过学习与环境沟通、利用所学运动技能以及使身体适应保持坐姿来实现社交接触。这些目标通过逐渐直立站立、对瘫痪肌肉进行电刺激、口面部治疗、呼吸加速方法以及使用通信技术来实现。经过物理治疗，患者能够更有效地与环境沟通，对疾病表现出更坚定的态度，并且在锻炼和社交方面有了更大的动力。本文支持了根据重度残疾患者需求制定康复计划的重要性，并鼓励在该领域开展更多研究。
