Ukuphazamiseka kwengqondo ixesha elide, pDoC, ziimeko ze-pathological ezibangelwa ukwenzakala kwengqondo okubuhlungu, ukubetha, i-ischemic-hypoxic encephalopathy kunye nezinye iintlobo zokulimala kwengqondo okukhokelela ekulahlekelweni kwengqondo ngaphezu kweentsuku ze-28.I-pDoC inokohlulwa ibe yimeko yezityalo, i-VS/i-wakefulness syndrome engaphenduliyo, i-UWS, kunye nemeko ephantsi yokuqonda, i-MCS.Izigulana ze-pDoC zinomonakalo omkhulu we-neurological, ukungasebenzi kakuhle kunye neengxaki, kunye nexesha elide kunye nobunzima bokubuyisela kwisimo sangaphambili.Ke ngoko, ukubuyisela kwimeko yesiqhelo kubalulekile kuwo wonke umjikelo wonyango lwezigulane ze-pDoC, kwaye ikwajongene nemingeni emikhulu.

Indlela yokubuyisela kwisimo sangaphambili - unyango lokuzilolonga

1. Uqeqesho lokutshintshela ngasemva

Iingenelo
Kwizigulane ze-pDoC ezilele embhedeni ixesha elide kwaye azikwazi ukusebenzisana ngokusebenzayo noqeqesho lokubuyisela, luneenzuzo ezilandelayo: (1) ukuphucula ukuvuka kwesigulane kunye nokwandisa ixesha lokuvulwa kwamehlo;(2) yolula amalungu, izihlunu, imisipha kunye nezinye izihlunu ezithambileyo kwiindawo ezahlukeneyo ukuthintela ukontraka kunye nokuguqulwa;(3) ukukhuthaza ukubuyiswa kwentliziyo, imiphunga kunye nemisebenzi yesisu kunye nokukhusela i-hypotension ethe tye;(4) ukubonelela ngeemeko ze-postural ezifunekayo kwezinye iindlela zonyango lokubuyisela kamva.

Ukusuka kwi-DOI:10.1177/0269215520946696

Iindlela ezithile
Ikakhulu ibandakanya ukujika kwebhedi, ukuhlala ngokulinganayo, ukuhlala ecaleni kwebhedi, ukuhlala ecaleni kwebhedi ukuya kwisitulo esinamavili, ukuhla kwibhedi elungelelanisiweyo.Ixesha lemihla ngemihla kude nebhedi yezigulane ze-pDoC zingandiswa ngokuthe ngcembe njengoko imeko yabo ivumela, enokuthi isuse kwi-30 min ukuya kwi-2-3 h kwaye ekugqibeleni ijolise kwi-6-8 h.Sebenzisa ngokuqaphela kwizigulane ezine-cardiopulmonary dysfunction enzima okanye i-postural hypotension, i-fractures yendawo enganyangekiyo, i-ossification ye-heterotopic, intlungu ebuhlungu okanye i-spasticity.

Ukusuka kwi-DOI:10.2340/16501977-2269  

Ibhayisekile yeRehab yaManqina aPhezulu nasezantsi SL4

2. Ukuzivocavoca umzimba, kubandakanywa imisebenzi edibeneyo edibeneyo, ukuqeqeshwa kobunzima bomzimba, ukuqeqeshwa kwe-balance balance, ukuqeqeshwa kwebhayisikili, kunye nokuqeqeshwa kokudibanisa amalungu, akunakuphucula kuphela amandla emisipha kunye nokunyamezela kwezigulane ze-pDoC kunye nokuthintela iingxaki ezifana nokungasetyenziswa kwe-muscular atrophy, kodwa. kwakhona ukuphucula umsebenzi wamalungu abalulekileyo kwiinkqubo ezininzi ezifana ne-cardiovascular and breathing.Ukuqeqeshwa kokuzivocavoca kwe-20-30 min ngexesha ngalinye, amaxesha e-4-6 ngeveki kunempembelelo engcono ekunciphiseni iqondo le-spasticity kunye nokukhusela iikhontrakthi kwizigulane ze-pDoC.

Ukusuka kwi-DOI:10.3233/NRE-172229  

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

Sebenzisa ngokuqaphela kwizigulane ezinezifo ezingazinzanga, i-paroxysmal sympathetic hyperexcitation episodes, izilonda zoxinzelelo kwiindawo ezisezantsi kunye neempundu, kunye nokuphuka kwesikhumba.

Ukusuka kwi-DOI:10.1097/HTR.0000000000000523  

I-Knee Joint Active Training Apparatus