Erebuni Medical Center

Rehabilitation Service of MC Erebouni was established in 2014.

The best specialists, whose work experience corresponds to international standards, work in Rehabilitation Service. The Service has multifunctional significance and collaborates with different departments and specialists.Physiotherapeutic and rehabilitation treatment are carried out using the latest effective methods and equipment.

Main activities of the Service:

• Rehabilitation

• Physiotherapy

• Speech therapy

Rehabilitation Service uses a wide range of rehabilitation aids, which relate to exercise therapy, physiotherapy, manual therapy. The department developed original training techniques with the use of various types of manual and hardware massage, occupational therapy and kynesitherapy.

Rehabilitation Service carries out treatment and recovery activities with the following group of patients:

- Resuscitation patients

- Poststroke patients who have muscular insufficiency (paralysis, paresis)

- patients with vertebral pathologies (treatment of spinal hernias, laser therapy, heel spurs, osteochondrosis, scoliosis, coxarthrosis, arthrosis)

- Patients with cardiopulmonary pathology

- Patients with orthopedic and post-traumatic disorders

- Patients with impaired swallowing (dysphagia)

- Patients with speech disorders (aphasia, dysarthria, disturbances in the rate and rhythm of speech, dysphonia).

Means and methods of functional rehabilitation.

-Complexes of respiratory gymnastics

-CPM therapy (passive mobilization)

-Kinesiotherapy (mobilizing gymnastic complexes including using of simulators)

-Treatment by position

-Mechanotherapy using pendulum and block simulators

- Means of small physiotherapy: phototherapy, magnetotherapy, cutaneous electrostimulation, thermal applications

-Medical and drug blockade;

Doctor`s round, discussions on tactics of treatment are scheduled in the Service daily, and monthly - seminars and classes.

Rehabilitation is a complex of therapeutic and preventive measures, that help restore the lost abilities of a patient after various diseases. The main place in restorative medicine is a physical rehabilitation. It involves the integrated use of both physical exercises and effects, as well as natural factors. This type of rehabilitation is aimed at restoring the functions of damaged organs, adapting after injuries, involving in the habitual way of life.

The purpose of the rehabilitation course is to maximally achieve the full restoration of the lost functions in the patient, based on the existing consequences of the trauma or disease.

Significant increase in the number and complexity of surgical interventions, a large list of new surgical methods, and the extension of the age limits of patients required a clear definition of priorities in the work of the service:

• approaching rehabilitation to the patient's bed;

• intensive work in the early postoperative period, and in some cases, also in preoperative period;

STAGES OF MEDICAL REHABILITATION AFTER THE INJURY

Methods of rehabilitation therapy.

Methods of physical rehabilitation therapy:

- Physical therapy(PT) is a specially developed complex of physical exercises carried out under supervision of a specialist. They help to eliminate degenerative changes in tissues and organs, allow to cope with atrophy. Physical therapy helps to normalize metabolism, improves cardiovascular system, strengthens muscles and ,in general, "calms down" the nervous system and cheers up. It is important not to overdo it: you should practice according to the program developed by the doctor.

- Mechanotherapy is a complement to physical therapy. These are the same exercises, but they are carried out by the patient independently , with the help of a special hardwares. It helps to improve the mobility of muscles and joints, to cope with atrophic and degenarative processes, to restore the functions lost as a result of injuries. The exercises should be carried out under supervision of the specialist. Only the specialist can correctly install and fix the segment of the body on the structure, to choose the load and estimate the pace of the movements.

- Physiotherapy is a rehabilitation with help of physical factors: heat, magnetic radiation , electric current, light, air and others. The method involves the use of special tools and hardwares. In case of disordered motor function electrical stimulation ,i.e. current, is used. Methods of thermal exposure, for example, paraffin wax applications are used in recovery after spinal injuries. Laser therapy helps to eliminate pain and swelling, and magnetotherapy- to improve the general condition of the body. These procedures are painless, and some of them have a number of contraindications, therefore, physiotherapeutic treatment is selected individually.

Rehabilitation features of different character after injuries.

Injuries of the spine.

They can be obtained as a result of bruises, falls, squeezing and other influences. This is one of the most dangerous types of mechanical damage, since it can lead to extremely serious consequences: disruption of the conducting pathways of the spinal cord. The latter entails immobility and loss of sensitivity. The program and terms of rehabilitation depend on the severity of the injury, as well as on the individual characteristics of the patient. The initial stage of rehabilitation should be carried out in the first days after the injury. First of all, the patient needs help to take the correct position on the bed, preventive maintenance of bedsores and stagnant phenomena in the lungs should be carried out. Patients with spinal cord injury are also immediately prescribed respiratory gymnastics and diet. At the second stage of recovery, massage, reflexotherapy, physiotherapy, mechanotherapy and therapeutic exercises are recommended. At the third stage, the set of exercises is changing: swimming in the pool can be added to physical therapy, physiotherapy and mechanotherapy. To restore lost skills, classes with the ergotherapist are held.

Craniocerebral injury

The terms of rehabilitation and complex of rehabilitation therapy with such injuries depend on the degree of severity of injury. With light craniocerebral injuries under the regime, proper nutrition and physiotherapeutic treatment, recovery usually occurs within a month and does not require additional rehabilitation measures. As for severe and moderate to severe craniocerebral injuries, they can cause difficulty in moving - it becomes difficult for patients to care for themselves. There may be speech impairment, vision impairment. Massage, exercise therapy and PT will be effective already at the first stages of rehabilitation.

Injuries of musculosceletal system

This type of injury includes fractures, cracks, joint injuries, dislocations, muscle and tendon ruptures, sprains. During the early rehabilitation period, patients are individually prescribed physiotherapy, helping to get rid of edema, PT and mechanotherapy. Massage therapy will also benefit. As we have seen, rehabilitation after injuries and fractures is a complex process. It consists of a complex of methods of restorative therapy. Only a specialist can create an individual program. For early recovery, it is extremely important to create comfortable conditions and at the same time to provide permanent medical care.

In the Service are carried out the following physiotherapeutic procedures with the use of the latest equipment:

• Decompression of different parts of spine

• Electrophoresis

• Electrostimulation

• Magtnetotherapy

• Laser therapy

• Plasmolifting

• Impulse therapy

• Darsonvalisation

• Massage therapy

• Physical therapy

• Kinesiotherapy

• Phototherapy

• Inhalation therapy

• UHF

• Recovery of facial nerve

• Scoliosis treatment

The department also carries out speech therapy, which studies the causes, mechanisms, symptoms, course, the structure of violations of speech activity, the system of corrective action.

Speech therapist carries out diagnostic examination of patients with speech disorders and other higher mental functions. Together with the doctor, individual programs for medical and pedagogical rehabilitation of patients with speech disorders and other higher mental functions (aphasia, dysarthria, dyslexia, dysphagia, dysgraphia, stammering, etc.) are compiled according to various methods (for example: exercises involving muscles participating in the conversation and etc .).

The gym is equipped with all facilities for rehabilitation and restorative treatment: a Swedish wall, balls, mats, multifunctional trestle beds, a treadmill, an apparatus for adjusting walking.

In the structure of the department there are a number of specialized rooms: Massage room for manual and hardware massage (vacuum massage, vibromassage).

The purpose of the rehabilitation department:

Using scientifically proven methods and means of physical rehabilitation, to achieve the most favorable functional outcome after surgery for each patient.

Main objectives:

1. To maintain a high level of qualification of staff through regular training;

2. To maintain close cooperation between the staff of the department with colleagues from other clinical departments of MC Erebouni;

3. To improve the methods for monitoring the quality of performance of their official duties for each staff member.

4. Modernize rehabilitation means and methods in accordance with modern achievements of science and technology;

5. To take an active part in the research work of MC Erebouni;

6. In the performance of official duties at all levels of relationships, follow the high principles of medical ethics and deontology.

Main activities.

-Functional and psychological training of patients to the surgical stage of rehabilitation;

-Intensive recovery treatment of patients by means of physical rehabilitation in the postoperative period;

-Consultative and methodical help on the problems of functional recovery of patients with diseases of the musculoskeletal system at any stages of rehabilitation.

The main groups of diseases and conditions.

- Causes of injuries: joint contractures, pain, neuropathies, tunnel syndromes;

- Postoperative conditions (arthroplasty, endoprosthetics, lengthening and correction of the axis of the segment, re-plantation, spinal surgery, etc.);

- Osteoarthrosis of different localization;

- Osteochondrosis of intervertebral discs, spondylarthrosis, spondylosis;

- Dysplastic, dystrophic and posttraumatic deformations of the spine;

- Osteochondropathy of various localizations;

- Rheumatoid arthritis without visceral manifestations, I-II degree of activity.

Forms of rehabilitation

-Rehabilitation from intensive care department to hospital discharge

-Rehabilitation in bed, in the ward, in the rehabilitation areas of the departments, in the room of PT

- Physiotherapy at all stages of inpatient treatment.

The service has united the best specialists who use their knowledge and experience for the benefit of your health.