Ukuphazamiseka kokuqaphela isikhathi eside, i-pDoC, yizimo ze-pathological ezibangelwa ukulimala kobuchopho okubuhlungu, unhlangothi, i-ischemic-hypoxic encephalopathy nezinye izinhlobo zokulimala kobuchopho okuholela ekulahlekelweni ukwazi izinsuku ezingaphezu kwezingu-28.I-pDoC ingahlukaniswa ibe yi-vegetative state, i-VS/i-wakefulness syndrome engaphenduli, i-UWS, kanye nesimo sokungazi lutho, i-MCS.Iziguli ze-pDoC zinomonakalo omkhulu wezinzwa, ukungasebenzi kahle kanye nezinkinga, kanye nesikhathi eside nesinzima sokuvuselela.Ngakho-ke, ukuvuselelwa kubalulekile kuwo wonke umjikelezo wokwelashwa kweziguli ze-pDoC, futhi kuphinde kubhekane nezinselelo ezinkulu.

Indlela yokuvuselela - ukwelapha ngokuzivocavoca

1. Ukuqeqeshwa kokushintsha kwangemuva

Izinzuzo
Ezigulini ze-pDoC ezilala embhedeni isikhathi eside futhi ezingakwazi ukubambisana ngokuzikhandla nokuqeqeshwa kokuvuselela, kunezinzuzo ezilandelayo: (1) ukuthuthukisa ukuphaphama kwesiguli nokwandisa isikhathi sokuvulwa kwamehlo;(2) ukwelula amalunga, imisipha, imisipha nezinye izicubu ezithambile ezingxenyeni ezihlukahlukene ukuze kuvinjelwe ukufinyela nokuguga;(3) ukuthuthukisa ukululama kwenhliziyo, amaphaphu kanye nemisebenzi yamathumbu futhi kuvimbele ukuqina kwe-hypotension eqondile;(4) ukuhlinzeka ngezimo ze-postural ezidingekayo kwezinye izindlela zokwelapha zokubuyisela emuva kwesikhathi.

Kusuka ku-DOI:10.1177/0269215520946696

Izindlela eziqondile
Ikakhulukazi ifaka phakathi ukuphenduka kombhede, ukuhlala kancane, ukuhlala eceleni kombhede, ukuhlala eceleni kombhede ukuhlala esihlalweni esinamasondo, indawo yokuma yombhede ohlotshisiwe.Isikhathi sansuku zonke lapho ungekho embhedeni ezigulini ze-pDoC singanwetshwa kancane kancane njengoba isimo sazo sivuma, esingasukela kumaminithi angu-30 kuya kumahora angu-2-3 futhi ekugcineni sihlose amahora angu-6-8.Sebenzisa ngokuqapha ezigulini ezinokukhubazeka okukhulu kwe-cardiopulmonary noma i-postural hypotension, ama-fractures asendaweni angalashwa, i-heterotopic ossification, ubuhlungu obukhulu noma i-spasticity.

Kusuka ku-DOI:10.2340/16501977-2269  

Ibhayisikili Le-Rehab Lemilenze Engaphezulu Nangaphansi SL4

2. Ukuqeqeshwa kokuzivocavoca, okuhlanganisa imisebenzi ehlanganyelwe, ukuqeqeshwa kwesisindo somzimba, ukuqeqeshwa kwebhalansi yokuhlala, ukuqeqeshwa kwebhayisikili, nokuqeqeshwa kokuxhumanisa izitho zomzimba, akukwazi nje ukuthuthukisa amandla emisipha nokukhuthazela kweziguli ze-pDoC futhi kuvimbele izinkinga ezifana nokungasebenzisi i-muscular atrophy, kodwa. iphinde ithuthukise umsebenzi wezitho ezibalulekile zezinhlelo eziningi ezifana ne-cardiovascular and breathing.Ukuqeqeshwa kokuzivocavoca kwemizuzu engama-20-30 isikhathi ngasinye, izikhathi ezi-4-6 ngeviki kunomphumela ongcono ekwehliseni izinga le-spasticity nokuvimbela izinkontileka ezigulini ze-pDoC.

Kusuka ku-DOI:10.3233/NRE-172229  

I-Lower Limb Intelligent Feedback & Training System A1-3

Sebenzisa ngokuqapha ezigulini ezinesifo esingazinzile, iziqephu ze-paroxysmal sympathetic hyperexcitation, izilonda zokucindezela emaphethelweni aphansi nasezinqeni, nokuwohloka kwesikhumba.

Kusuka ku-DOI:10.1097/HTR.0000000000000523  

I-Knee Joint Active Training Apparatus