Ivet B. Koleva
Medical University of Sofia, Bulgaria
Title: Neurorehabilitation algorithms for functional recovery and amelioration of the quality of life of neurological and neurosurgical patients
Biography
Biography: Ivet B. Koleva
Abstract
The goal of current work is to prove and evaluate the efficacy of application of different modalities and methods of the physical
and rehabilitation medicine (PRM) on independence and quality of life of neurological patients. We effectuate a composition,
clinical application and approbation of complex neuro rehabilitation algorithms in patients with neurological and with neuro surgical
conditions. Patients were divided into a lot of groups and subgroups, in each one we applied a different neuro rehabilitation complex,
composed by a synergic combination of natural and pre formed physical modalities like electrical currents, laser, cryo, thermo
agents, hydro, balneotherapy, peloido therapy, physiotherapy and occupational therapy. Patients were controlled before, during
and at the end of the neuro rehabilitation course and one month after its end using a battery of traditional and contemporaneous
objective methods like tests and scales for motor deficiency, balance and coordination, functional grip of the upper limb, gait and
independent motion, independence in activities in daily living (ADL) like self service, family, professional and social life depression
and anxiety, visual analogue scale of pain, vibroesthesiometry, thermosensibility, laser Doppler flowmetry, ICF asessment. Based on
detailed qualitative and quantitative evaluation we proved the efficacy of application of different neuro rehabilitation programmes
on different types and levels of sensory, motor and functional deficiency. In conclusion we emphazise on the capacity of physical
modalities for functional recovery and amelioration of independence in everyday life of patients with diseases and conditions of the
nervous systems.