[Early rehabilitation for neurologic patients].
Résumé
Rehabilitation improves the functional prognosis of patients after a neurologic lesion, and tendency is to begin rehabilitation as soon as possible. This review focuses on the interest and the feasibility of very early rehabilitation, initiated from critical care units. It is necessary to precisely assess patients' impairments and disabilities in order to define rehabilitation objectives. Valid and simple tools must support this evaluation. Rehabilitation will be directed to preventing decubitus complications and active rehabilitation. The sooner rehabilitation is started; the better functional prognosis seems to be.
Mots clés
- Early rehabilitation
- Critical care
- Critical illness
- Mechanical ventilation
- Thromboprophylaxis
- Weakness
- Dysphagia
- Respiratory failure
- Pressure ulcer
- Heterotopic ossification
- Passive range of motion
- Traumatic brain injury
- Anoxic brain injury
- Spinal cord injury
- Stroke
- Guillain-Barre syndrome
- Neuromyopathy
- Impairment
- Disability