Kusokonezeka kwa chidziwitso kwa nthawi yayitali, pDoC, ndi matenda omwe amayamba chifukwa cha kuvulala koopsa muubongo, sitiroko, ischemic-hypoxic encephalopathy ndi mitundu ina ya kuvulala kwaubongo komwe kumabweretsa kutayika kwa chidziwitso kwa masiku opitilira 28.pDoC ikhoza kugawidwa kukhala vegetative state, VS/unresponsive wakefulness syndrome, UWS, ndi minimally conscious state, MCS.Odwala a pDoC ali ndi kuwonongeka kwakukulu kwa minyewa, kusagwira bwino ntchito komanso zovuta, komanso nthawi yayitali komanso yovuta yokonzanso.Chifukwa chake, kukonzanso ndikofunikira panthawi yonse ya chithandizo cha odwala pDoC, komanso amakumana ndi zovuta zazikulu.

Momwe mungabwezeretsere - kuchita masewera olimbitsa thupi

1. Maphunziro a kusintha kwa postural

Ubwino
Kwa odwala a pDoC omwe ali pabedi kwa nthawi yayitali ndipo sangathe kugwirizana kwambiri ndi maphunziro a kukonzanso, ali ndi zotsatirazi: (1) kuwongolera kugalamuka kwa wodwalayo ndikuwonjezera nthawi yotsegula maso;(2) kutambasula mafupa, minofu, tendon ndi minofu ina yofewa m'madera osiyanasiyana kuti muteteze mgwirizano ndi kusinthika;(3) kulimbikitsa kuchira kwa mtima, mapapo ndi m'mimba ntchito komanso kupewa hypotension yowongoka;(4) perekani zomwe zimafunikira pazithandizo zina zakukonzanso pambuyo pake.

Kuchokera ku DOI:10.1177/0269215520946696

Njira zenizeni
Zimaphatikizapo kutembenuza bedi, kukhala pansi mpaka pang'ono, kukhala pafupi ndi bedi, kukhala pafupi ndi bedi kukhala panjinga ya olumala, kuyimirira pa bedi.Nthawi ya tsiku ndi tsiku kuchokera ku bedi kwa odwala pDoC imatha kukulitsidwa pang'onopang'ono momwe mkhalidwe wawo umaloleza, zomwe zimatha kuyambira 30 min mpaka 2-3 h ndipo potsiriza cholinga cha 6-8 h.Gwiritsani ntchito mosamala odwala omwe ali ndi vuto lalikulu la mtima kapena postural hypotension, fractures ya m'deralo yosachiritsika, heterotopic ossification, kupweteka kwambiri kapena spasticity.

Kuchokera ku DOI:10.2340/16501977-2269  

Bike ya Rehab ya Miyendo Yapamwamba ndi Yapansi SL4

2. Kuchita masewera olimbitsa thupi, kuphatikizapo zochitika zolimbitsa thupi, masewera olimbitsa thupi, masewera olimbitsa thupi, masewera olimbitsa thupi, masewera a njinga, ndi masewera olimbitsa thupi, sizingangowonjezera mphamvu ya minofu ndi kupirira kwa odwala pDoC ndikupewa zovuta monga kusagwiritsa ntchito minofu atrophy, koma kumapangitsanso ntchito ya ziwalo zofunika za machitidwe angapo monga mtima ndi kupuma.Kuchita masewera olimbitsa thupi kwa mphindi 20-30 nthawi iliyonse, 4-6 pa sabata kumakhala ndi zotsatira zabwino zochepetsera kuchuluka kwa spasticity ndikupewa kusagwirizana kwa odwala pDoC.

Kuchokera ku DOI:10.3233/NRE-172229  

Mayankho anzeru a Lower Limb & Training System A1-3

Gwiritsani ntchito mosamala odwala omwe ali ndi matenda osakhazikika, paroxysmal sympathetic hyperexcitation episodes, zilonda zam'munsi ndi matako, ndi kuwonongeka kwa khungu.

Kuchokera ku DOI:10.1097/HTR.0000000000000523  

Knee Joint Active Training Apparatus