Mathata a nako e telele a kelello, pDoC, ke maemo a pathological a bakoang ke kotsi e bohloko ea boko, stroke, ischemic-hypoxic encephalopathy le mefuta e meng ea kotsi ea boko e fellang ka ho lahleheloa ke kelello ka matsatsi a fetang 28.pDoC e ka aroloa ka boemo ba limela, VS/unresponsive wakefulness syndrome, UWS, le boemo bo fokolang ba kelello, MCS.Bakuli ba pDoC ba na le tšenyo e matla ea methapo ea kutlo, ho se sebetse ho rarahaneng le mathata, le nako e telele le e thata ea ho hlaphoheloa.Ka hona, tokiso e bohlokoa nakong eohle ea phekolo ea bakuli ba pDoC, hape e tobana le mathata a maholo.

Mokhoa oa ho tsosolosa - phekolo ea boikoetliso

1. Koetliso ea phetoho ea poso

Melemo
Bakeng sa bakuli ba pDoC ba robalang nako e telele 'me ba sitoa ho sebelisana ka mafolofolo le koetliso ea ho tsosolosa, e na le melemo e latelang: (1) ho ntlafatsa ho falimeha ha mokuli le ho eketsa nako ea ho bula mahlo;(2) otlolla manonyeletso, mesifa, tendon le lisele tse ling tse bonolo likarolong tse fapaneng ho thibela konteraka le deformation;(3) khothalletsa ho hlaphoheloa ha pelo, matšoafo le mesebetsi ea mala le ho thibela hypotension e otlolohileng;(4) fana ka maemo a postural a hlokahalang bakeng sa liphekolo tse ling tsa tsosoloso hamorao.

Ho tsoa ho DOI:10.1177/0269215520946696

Mekhoa e khethehileng
Haholo-holo e kenyelletsa ho phethola bethe, ho lula fatše, ho lula pel'a bethe, ho lula setulong sa batho ba holofetseng, ho lula setulong sa likooa.Nako ea letsatsi le leng le le leng ho tloha betheng bakeng sa bakuli ba pDoC e ka atolosoa butle-butle ha boemo ba bona bo lumella, e ka tlohang ho 30 min ho ea ho 2-3 h 'me qetellong e ikemiselitse ho 6-8 h .Sebelisa ka hloko ho bakuli ba nang le ho se sebetse ho matla ha pelo kapa hypotension ea postural, fractures ea lehae e sa foleng, heterotopic ossification, bohloko bo boholo kapa spasticity.

Ho tsoa ho DOI:10.2340/16501977-2269  

Baesekele ea Rehab bakeng sa Maoto a ka Holimo le a Tlase SL4

2. Koetliso ea boikoetliso, e kenyeletsang mesebetsi e kopanetsoeng e kopanetsoeng, koetliso ea boima ba 'mele, koetliso ea ho leka-lekanya ho lutse, koetliso ea libaesekele, le koetliso ea ho hokahanya ha litho tsa maoto, e ke ke ea ntlafatsa matla a mesifa le mamello ea bakuli ba pDoC le ho thibela mathata a kang ho se sebelise mesifa atrophy, empa. e boetse e ntlafatsa ts'ebetso ea litho tsa bohlokoa tsa litsamaiso tse ngata tse kang pelo le methapo ea mali.Koetliso ea boikoetliso ea 20-30 min nako le nako, makhetlo a 4-6 ka beke e na le phello e ntle ho fokotsa sekhahla sa spasticity le ho thibela likonteraka ho bakuli ba pDoC.

Ho tsoa ho DOI:10.3233/NRE-172229  

Maikutlo a Tlase a Bohlale le Sistimi ea Thupelo ea A1-3

Sebelisa ka hloko ho bakuli ba nang le lefu le sa tsitsang, li-paroxysmal sympathetic hyperexcitation episodes, liso tsa khatello ka tlaase le marako, le ho senyeha ha letlalo.

Ho tsoa ho DOI:10.1097/HTR.0000000000000523  

Sesebelisoa sa Knee Joint Active Training Apparatus