Stroke; early physiotherapy? what content? proposal of physiotherapy content in the acute phase (D1 at D14), part II: specific to the patient massively injured by the stroke.
Résumé
Rehabilitation of the patient on the other hand. This rightly shows the importance of early intervention (if no contraindication) of physiotherapy, in order to improve the functional prognosis soon (guide post-lesional plasticity) and maximize the use of the remaining residual capacities. (behavioral Post-stroke complications can obviously appear from the first moments, or days after stroke, like skin disorders: hyper pressure on one side of the body or limb (pressure sore), swallowing pneumonia, shoulder syndrome. hand, thromboembolic disorders (phlebitis), cardiovascular disorders (edema), vesicosphere disorders (magnified by non-verticalization), psychoaffective disorders, falls, depression, muscular atrophy and many others, complicating, and making dark the functional prognosis and apostériori the difficulty of the work of the physiotherapist on the one hand, and the plasticity). The same as the brain (brain is time) is time, the functional prognosis is also a question of time. Because the member which is not used (`` use it, or lose it: use it and improuv it '') loses its volume of cortical representation, at the level of the motor cortex, which could have been avoided if the physiotherapist with a early (scientific content) by systemic, passive and analytical posture (relearning by gentle and oriented task) while introducing as we move away from the stroke active, evolving movements (both in stress and in duration) according to the subject's skills, the clinic of the day and the efforts of the day before.
Origine : Fichiers produits par l'(les) auteur(s)