Neurological department of the 5th KMKL in the city of Lviv

Zdorovye - - НЕВРОЛОГИЯ -

What is the branch profile?

The department provided professional medical care for patients with all forms of neurological disorders nosology: acute and chronic vascular pathology, diseases of the peripheral nervous system, trauma of the brain and spine, extrapyramidal pathology, demyelinating diseases, hereditary degenerative disease.

If necessary, the patients are advised by qualified specialists from other departments of our multi-profile hospital. It is possible to use therapeutic plasmapheresis.

During the last fifteen years, the emphasis lies on restorative rehabilitation treatment of patients after stroke, spinal pathology, trauma of the central and peripheral nervous systems, including military personnel injured while serving in a combat zone in

Being created in 1977 it has been working for 40 years. The office is expanded to 55 beds. Our team has 38 medical staff. Medical composition: five neurologists of the highest category, with two candidates of medical sciences. Among them there are two specialists in physical rehabilitation (of higher education), one instructor of physical therapy (nursing education) and nurses with massage.

Eastern Ukraine.

What are the current issues the department faces today?

The urgency of rehabilitation treatment today is extremely high. Brain stroke is one of the most common causes of disability. Percentage of working-age patients who have suffered from this illness in recent years is increasing. Most patients who have a stroke become disabled, some of them need extra help till the end of their life. Often the patient and his family remain on their own with this not only medical but also social problem. Patients with paresis in other neurological diseases, for example, multiple sclerosis, also require rehabilitation. Consequently, it is well-grounded and extremely popular today, the introduction of a complex of medical rehabilitation care measures. In order to provide specialized high-quality assistance in the recovery of motor function,

cognitive skills and social and domestic adaptation in early 2016 on the base of our department it was established an area of physical rehabilitation. The project was implemented with the active assistance of hospital administration, headed by the chief doctor B.Matviyev and significant support of Health of the Lviv City Council led by V.Zub. The rehabilitation zone has three halls equipped with the latest rehabilitation equipment. When purchasing equipment we took into account the experience of a number of European countries. Especially inspiring achievements in the field of our nearest neighbor Poland, which is widely used during the early stages of rehabilitation therapies.

The rehabilitation area is equipped with two UGUL cabins with a set of weight and adjustable height seat for underwater therapy, a motorola rehabilitation equipment for MOTO honey, an exercise bike, massage couches, a rotor for the development of the tibia joint, a Swedish wall, special stairs to restore the stereotype of the walk, a variety of mats , Balansers for correction of coordination disorder, Yevminov's board, manual chairs for development of small motility, table for ergotherapy and other auxiliary bos okra.

We obtain remarkable results from the use of modern physiotherapeutic devices in the complex treatment particularly, the magnetotherapy device Magneiris low-frequency magnetic field with a flat applicator and apparatus of two-channel electrotherapy and ultrasound therapy EriusU of Polish manufacture. The aforementioned equipment allows physic rehabilitation specialists to widely apply overstrain options among the patients with paresis. This is a special system of loads of the musculoskeletal system, designed to normalize the tone and increase muscle strength, restore the amplitude of motion and eliminate coordination disorder. During the

procedure, the patient is invited to the cabin by special passes and the exercises are performed with the maximum exception of gravity. It reduces the weight of the limbs and facilitates the performance of a number of exercises. The parectic limb in the unloaded state can perform a greater volume of movements than under its own weight. The cabin allows you to work lying, sitting, standing, simultaneously driving different groups of muscles. Subjective therapy allows you to train the least possible movements in certain muscle groups, connect the following groups of muscles and, gradually complicating the task, to restore the necessary motorized stereotypes. When restoring volume of movements, weights are used to increase muscle strength and muscle buildup.

We use ophthalmic therapy not only for the restoration of motor function in paralyzed limbs, but also to treat the pathology of the spine, complicated by intervertebral races. It allows you to unload the spine as much as possible, and perform exercises in a state of complete relaxation, as well as conduct traction. It provides a muscle relaxant and anesthetic effect, as well as replaces or reduces the amount of medication.

The unique specialized motorcycle training machine is developed in Germany for people with contractures and paralysis after a stroke, injuries of the brain and spinal cord, in multiple sclerosis. The simulator has three modes: passive, passive-active and active training mode. In the passive mode, the verbose limbs are fixed to the pedals that are driven by the motor. This allows you to reduce muscle spasticity and toughness of the joints during contractures. With passive-active training, the computer system MOTOMed takes up the slightest movement of the muscles and allows you to begin active training with low muscle activity of the limb. In this mode, even patients with minimal independent motion can rotate the pedals. In the

active training mode, the patient independently exerts an effort, all information at force, speed and distance is displayed on the screen and a person can control his progress in the treatment. Training can be started with a wheelchair or using a chair.

What is the ergo therapy?

Particular attention is paid to ergo therapy in order to study household skills (to wear a shirt, snap a button, open the closet, open the lock, turn on the kettle), which allows the patient to adapt to the life in the society and provides the maximum possible level of his independence.

Frequency and duration of classes are individually determined by the treating physician and specialist in physical rehabilitation.

Basing on the use of active physical rehabilitation methods in our department, we see a significant increase in the effectiveness of treatment. Our positive results inspire the team for professional self-improvement and further development of the rehabilitation base.

What would you wish to our readers?

We sincerely wish our readers good health, as well as an understanding that active lifestyles, exercise, healthy eating and positive emotions are the best prevention of any illness!

Natalia Voynarovska

Head of the Neurological Department Candidate of Medical Sciences 5КМКЛ in Lviv

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