Rehabilitation in Republic of Moldova (Cimislia) Area 33,800 km2 - - PowerPoint PPT Presentation

Rehabilitation in Republic of Moldova

(Cimislia)

 Area 33,800

km2

 Population 3,56

million inhabitants (on January 1.2011)

 Capital Chişinău

/ kishinau /

 Major cities

Bălţi, Tiraspol, Cahul, Orhei

Flag of Moldova

Rehab center

Spinal Cord Injury Rehabilitation

 Traumatic spinal cord injury is perhaps the

most devastating orthopedic injury and with prolonged survival being the rule,

 rehabilitation of these injuries has an

increasingly important role.

 The primary goals of rehabilitation are

prevention of secondary complications, maximization of physical functioning, and reintegration into the community.

History of rehab in RM

At the initiative of Dr. Oleg Pascal in 1993 a group

• f medical workers went to the UK, they made

courses in neurorehabilitation. In 1994 at the Institute of Neurology and Neurosurgery was opened neurorehabilitation center with 30 beds. Here are treated patients with the consequences of stroke and VMT. From the beginning the center did not have necessary equipment , but along the way they did by herself with the help of specialists in engineering.

 at the moment Dr. Oleg Pascal

• pened a new private rehabilitation

center Neokinetika.

 There is also another rehabilitation

center in Orhei

 but to our great joy Cimislia center is

the best equipped center.

Rehab in Cimislia

 During 9 months in 2015, 261

patients were treated in our rehabilitation department.

2015 Y – Rehab Cimislia

50 100 150 200 250 Children Adults Total Outpatient 18 11 29 Inpatient 14 218 232

(62%) (38%) (6%) (94%) (11%) (89%)

From total of 261 patients - 232 patients (88.8%) were

inpatients and 29 (11.2%) - outpatients.

• Nr. of Patient

201; 77% 60; 23%

Acute Chronic

2015 Y – Rehab Cimislia

Categories

Neurology

• Nr. of Patients
• 1. Acute stroke

53

142- patients 54,4 %

• 2. Chronic stroke

64

• 3. Paraparesis

7

• 4. Traumatic brain injury

1

• 5. Cerebellar syndrome

1

• 6. Encephalopathies

3

• 7. Multiple sclerosis

1

• 8. Disk hernia

4

• 9. Radicular syndrome

7

Traumatology

• Nr. of

Patients

• 1. Consequences of fractures

10

62-pacienti 23,8%

• 2. Consequences of repositioning after sprain

2

• 3. Coxarthrosis

2

• 4. Gonarthrosis

5

• 5. Coxa Valgus

3

• 6. Genu valgum

1

• 7. Hip dysplasia

7

• 8. Spondylosis

4

• 9. Scoliosis

18

• 10. Arthroplasty

2

• 11. Keloids

1

• 12. Contracture

3

• 13. Bursitis

1

• 14. Tendinitis

1

• 15. Muscle dystonia

1

• 16. Chest deformity

1

Internal medicine

• Nr. of Patients
• 1. Acute myocardial

infarction

5

57-pacienti 21,8%

• 2. Osteoarthritis

31

• 3. Rheumatoid arthritis

2

• 4. Gout

1

• 5. Diabetes

18

Conclusion

From the table above we can conclude:

• Patients with neurological profile (142):

53 acute stroke patients (37.3%) and 64 patients with the consequences of stroke (45%).

• Trauma patients – 62 (23.8%)
• Internal medicine patients 57 (21.8%).
• 232 (88.8%) were inpatients and 29 (11.2%) outpatients.

Clinical Cases

Ion Torgai 56 years Acute ischemic stroke -2010 Spastic hemiparesis on right side Berg scale: 40-50 Barthel scale: 90 ADL scales: 100-119 (max 135 points - 27 items) Rehab treatment :

• active, passive and active passive

physiotherapy/ kinetotherapy

• occupational therapy.

Prisacari Valentina 52 year Acute ischemic stroke - 06.2015. Hemiparesis on left side. ADL scale: 35-76. Barthel scale: 25

After 8 months: ADL scale: 90- 121. Berg scale: 42- 54. Barthel scale: 100

Dankeschön!

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