Kusagadzikana kwenguva refu kwekuziva, pDoC, inzvimbo dzepathological dzinokonzerwa nekukuvadzwa kwehuropi, sitiroko, ischemic-hypoxic encephalopathy uye mamwe marudzi ekukuvara kwehuropi izvo zvinoguma nekurasikirwa nekuziva kwemazuva anopfuura makumi maviri nemasere.pDoC inogona kukamurwa kuita vegetative state, VS/unresponsive wakefulness syndrome, UWS, uye zvishoma conscious state, MCS.PDoC varwere vane kukuvara kwakanyanya kwetsinga, kusagadzikana uye matambudziko, uye nguva refu uye yakaoma yekudzorera.Naizvozvo, kudzoreredza kwakakosha mukati menguva yese yekurapa kwevarwere vepDoC, uye zvakare inotarisana nematambudziko makuru.

Nzira yekudzorera sei - kurovedza muviri

1. Postural switch training

Benefits
Kune varwere vePDoC vanogara pamubhedha kwenguva yakareba uye vasingakwanisi kushanda pamwe chete nekudzidziswa kwekugadzirisa, ine zvinotevera zvinobatsira: (1) kuvandudza kumuka kwemurwere uye kuwedzera nguva yekuvhura maziso;(2) kutambanudza majoini, tsandanyama, tendon uye mamwe manyoro akapfava munzvimbo dzakasiyana-siyana kudzivirira chibvumirano uye deformation;(3) kukurudzira kudzoreredzwa kwemoyo, mapapu uye gastrointestinal mabasa uye kudzivirira yakarurama hypotension;(4) ipai postural mamiriro anodiwa kune mamwe marapirwo ekugadzirisa gare gare.

Kubva kuDOI:10.1177/0269215520946696

Nzira dzakananga
Zvikuru zvinosanganisira kupindurudza mubhedha, kugara pasi, kugara padivi pemubhedha, padivi pemubhedha kugara pawiricheya, recumbent kune yakarerekera mubhedha wakamira.Nguva yezuva nezuva kubva pamubhedha kune varwere vepDoC inogona kuwedzerwa zvishoma nezvishoma sezvinobvumira mamiriro avo, izvo zvinogona kubva ku30 min kusvika ku2-3 h uye pakupedzisira chinangwa che6-8 h.Shandisa nekuchenjerera kune varwere vane chirwere chakanyanya checardiopulmonary dysfunction kana postural hypotension, isina kupora mafractures emunharaunda, heterotopic ossification, kurwadziwa kwakanyanya kana spasticity.

Kubva kuDOI:10.2340/16501977-2269  

Bhasikoro reRehab reKumusoro neKuzasi Magumbo SL4

2. Kudzidzira kurovedza muviri, kusanganisira mabasa akabatanidzwa, kurovedza muviri, kurovedza muviri, kudzidzira bhasikoro, uye kudzidziswa kwekubatanidza kwemakumbo, hakugoni kungovandudza simba remhasuru uye kutsungirira kwevarwere vepDoC uye kudzivirira matambudziko akadai sekusashandisa muscular atrophy, asi. zvakare kuvandudza basa remitezo yakakosha yeakawanda masisitimu akadai semoyo uye kufema.Kudzidzira kurovedza kwe20-30 min nguva imwe neimwe, 4-6 nguva pavhiki ine mhedzisiro iri nani pakudzikisa dhigirii re spasticity uye kudzivirira zvibvumirano muvarwere vePDoC.

Kubva kuDOI:10.3233/NRE-172229  

Lower Limb Intelligent Feedback & Training System A1-3

Shandisa nekuchenjerera kune varwere vane chirwere chisina kugadzikana, paroxysmal sympathetic hyperexcitation episodes, maronda ekudzvinyirira pamucheto wezasi uye mabheti, uye kuputsika kweganda.

Kubva kuDOI:10.1097/HTR.0000000000000523  

Knee Joint Active Training Apparatus