The rehabilitation of the stroke needs to be started as soon as possible!Do not ignore speech dysfunction and mental health

On August 8, 2022, the world's leading biopharmaceutical company Bolinger Yin Gehan ’s rehabilitation brand and the Shanghai International Medical Center Rehabilitation Medicine Division, which supported the“ Report on the Rehabilitation of Rehabilitation 2018-2021 ”. The report reviews and sort out multiple dimensions such as patient characteristics and clinical effectiveness. Clinical data proves that for patients with strokes, recovery treatment as soon as possible can greatly improve the effect of functional rehabilitation. The innovative German rehabilitation model has a positive effect on the return of Chinese stroke patients to the return of health and improve the quality of life.

Stroke is a disease with high disability, high recurrence rate, and high mortality rate. After the stroke occurs, about 80%of the survivors have left different degrees of dysfunction. More than 40%of patients lose their ability to lose their independent life 1-2 Essence Neuroral rehabilitation is one of the most effective ways to reduce stroke rates for evidence -based medical confirmation. Effective rehabilitation training can not only reduce the functional disability of patients, accelerate the rehabilitation process, reduce potential care costs 3, but also reduce the risk of recurrence of stroke 4 4 Essence

The earlier the stroke rehabilitation starts

The better the functional recovery effect

"Early diagnosis, early treatment, early recovery" is the concept proposed in the "Healthy China 2030" planning outline, and it is also the focus of German neural rehabilitation. In the rehabilitation medical department supported by the Shanghai International Medical Center, 74%of the patients received rehabilitation treatment within six months after the onset of stroke. This data shows that more and more patients are aware of the importance of early rehabilitation.

The report shows that the early Basel Index (evaluating early neuroma function and daily life ability) of patients with stroke patients who received rehabilitation reached 149%;

The Basel Index (independence of the ability to evaluate daily life) and international function independence evaluation standard index (evaluation of the body, speech, cognition, and social function) also improved significantly, especially patients who received rehabilitation treatment within six months, improved The rates reached 41%and 35.7%, respectively, better than patients who received recovery after six months of onset.

These two groups of improved values ​​are basically the same as Dr. Becker Klinikgruppe's data analysis results. In addition, the functions of the balance, understanding, and swallow of these stroke patients have also improved significantly, reflecting the benefits of rehabilitation treatment.

Innovative speech treatment technology

Help patients who have lost their speech to get new "sounds"

Among the patients with strokes, 28%-36%will have aphasia 5, which not only seriously affects daily exchanges, but also makes it difficult for patients to understand the recovery instructions and affect the recovery effect of other functions. At the same time, the loss of language ability will also bring trauma to the patient's psychology.

Research 6 shows that Chinese speech treatment starts late, and the number of speech therapists is seriously insufficient, so the treatment rate is 7. In Germany, the technology of speech therapy is very mature. Usually under conventional clinical conditions, 3 weeks of strengthening speech and language treatment can significantly improve the ability to communicate in daily life in patients with chronic pronunciation after 70 or 70 years old. 8 Essence

On the other hand, most of the traditional speech therapy technologies in China are mostly repeated stimulus training in listening, speaking, reading, and writing. There are many problems such as lack of individual designs and lack of training, and many patients have made it difficult for many patients to achieve better treatment results. In order to change this situation, the rehabilitation in 2019 introduced the melodic tone tone therapy (MIT) and mandatory induction of aphasia in Europe and the United States in 2019, and with localized innovation.

Melody tone therapy (MIT)

Taking the melody tone therapy (MIT) as an example, the rehabilitation clinical team of the rehabilitation of the rehabilitation of the rehabilitation of the literature is set according to the characteristics of Chinese language, combined with the Chinese context and national conditions culture, and customized the treatment stimulus card in accordance with the Chinese language, combined with combining The melody hum and physical stimulation induced patients to produce self -speaking words. In clinical applications, patients can see that patients have improved the treatment effects in their self -explanatory expression and naming, and also inspire patients' confidence in self -expression. After that, it was supplemented with compulsory induced aphasia, and through the form of group communication, to induce patients to actively communicate and express in a compulsory communication manner, increase communication ability, and lay the foundation for returning to society.

After training, patients' listening and understanding level has improved significantly. In the past two years, clinical data show that after 24 patients with dispense, after many ways of speech treatment, the language function has been significantly improved, and the average improvement rate of the Token test is as high as 89%.

Introduce art therapy and healing courses

Pay attention to the physical and mental health of patients

The comprehensive incidence rate of depression (PSD) within 5 years after stroke was as high as 31%9. If not discovered and treated in time, it will affect the compliance and initiative of patients for treatment, nursing, and rehabilitation exercise.

To solve this clinical problem, Daida Rehabilitation introduced art therapy and psychotherapy courses. Art therapy is a way of expression treatment in the German rehabilitation model. It combines rehabilitation with art activities, combines functional rehabilitation with art activities, and uses artistic creation such as painting, sculpture, cement, and musical instrument performance. Special treatment methods for treatment. Not only can improve the patient's dysfunction, but it can also promote the spontaneous thinking of patients, improve psychological state, and rebuild entertainment functions.

Art Therapy-Painting Practice

Art Therapy-clay production

In addition, in addition to conventional treatment courses, the rehabilitation nursing team has cooperated with authoritative institutions to introduce psychological positive intervention courses. In the past three years, nearly 76%of resident patients have been covered. Pattern patients and their families explained emotionally to invest in treatment with a more proactive attitude. References: (slide and view)

1. Ge Yunli, Song Xiaolin, Tong Qiya, Feng Yingxun, Chen Yunxia. Patients with stroke sequelae, psychological elasticity, self -efficacy, and influencing factors and correlation analysis of post -trauma growth [J]. International nursing magazine, 2021,40 (03): 429: 429: 429: 429 -434.

2. Li Yanzhen, Wang Haifang, Cai Jianzheng, Yu Weixia, Xie Changqing, Zhang Ye. The research progress of the rehabilitation period nursing quality evaluation indicators of patients with strokes [J]. China Nursing Management, 2020, 20 (02): 245-249.

3. Zhang Tong, Zhao Jun, Bai Yulong, Li Xueping, Qu Yun, Wang Baojun, Li Bingjie. China Cerebral Vascular Clinical Management Guide (Selected Edition) -The stroke rehabilitation management [J]. Chinese stroke magazine, 2019,14 (08) : 823-831.

4.Cheng YY, Shu JH, Hsu HC, et al. The Impact of Rehabilitation Frequencies in the First Year after Stroke on the Risk of Recurrent Stroke and Mortality. J Stroke Cerebrovasc Dis. 2017;26(12):2755-2762.

5. Zhang Bin, Hou Yufeng. (2014). Research progress in patients with stroke patients. Chinese Elderly Study Magazine, (5), 1435-1436.

6. Shan Chunlei. Seize great opportunities to achieve a new leap [J]. China Rehabilitation, 2016,31 (06): 403-404.

7.Edelkraut L, López-Barroso D, Torres-Prioris MJ, Starkstein SE, Jorge RE, Aloisi J, Berthier ML, Dávila G. Spectrum of neuropsychiatric symptoms in chronic post-stroke aphasia. World J Psychiatry. 2022 Mar 19;12 (3): 450-469. Doi: 10.5498/wjp.v12.i3.450. PMID: 35433325; PMCID: PMC8968505.

8. Haro-Martínez A.M., Lubrini G.et Al. Melodic Intonation therapy in Post-Stroke Nonfluent Aphasia: a Randomized Pilot Trial.clin. Rehabil.2019; 33: 44–53. 44–53.

9. Robinson RG, Jorge Re. Post-Stepression: a Review.am J Psychiatry. 2016 Mar 1; 173 (3): 221-31.doi: 10.1176/appi.ajp.2015.15030363.epub 2015 DEC 18. PMID: 26684921.

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