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Rehabilitacion en neurología aspectos generales
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Rehabilitacion en neurología aspectos generales

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Las enfermedades neurológicas, independientemente de su etiología, constituyen una de las causas mas frecuentes de discapacidad. Es por eso, la importancia del papel del Fisiatra en el manejo terapéutico de este tipo de paciente.

La intensidad y tipo de discapacidad van a estar relacionadas con la topografía y la naturaleza de la afección neurológica, ya sea de origen vascular, traumática, inflamatoria, tumoral, degenerativa hereditaria o no, desmielinizante, etc.

Para poder obtener los resultados deseados con el tratamiento fisiátrico, primero que todo debe hacerse una detallada evaluación clínica del paciente, precisando muy bien el diagnóstico gnosológico , para que así , con los resultados del examen físico neurológico, el Fisiatra pueda aplicar un programa de rehabilitación de acuerdo al tipo de discapacidad a tratar.

Debe tenerse en cuenta que el paciente no es solo un conjunto de órganos y sistemas, por lo que debe tratarse como un ser social, de ahí , la importancia de su seguimiento además por el Psicólogo, el Psiquiatra, el Internista, Nutricionista, el Psicopedagogo como en el caso de niños con trastornos de conducta y del aprendizaje, ya que de esta forma podemos preparar mejor al paciente para enfrentar este tipo de tratamiento.

Es muy importante señalar que mientras más temprano se inicie el tratamiento rehabilitador, mejores serán sus resultados, favoreciendo de esta manera la independencia del paciente para poder realizar las actividades propias de la vida diaria.



Durante el tratamiento, el Fisiatra trazará su estrategia para mantener y fortalecer aquellas capacidades aún indemnes así como mejorar o estabilizar las funciones afectadas por el daño neurológico, y también evitar o alejar aquellas complicaciones generales que pudieran comprometer la calidad de vida del paciente.

Es necesario recalcar que tratamos a enfermos y no enfermedades, por lo que el manejo terapéutico debe hacerse de forma personalizada, de acuerdo a las características psicosomáticas del paciente. De esta forma se obtendrá una adecuada comunicación, y sin ofrecer falsas expectativas facilitaría en gran medida una mejor respuesta al tratamiento.

Para lograr el objetivo fundamental, que es la incorporación del paciente a la sociedad, tiene que existir vínculos de trabajo muy estrechos entre el neurólogo y el fisiatra. El neurólogo conociendo el verdadero concepto de lo que es la rehabilitación y el fisiatra profundizar sobre las características clínicas y fisiopatológicas de la enfermedad a la que se enfrenta.

A su vez, el paciente debe conocer los aspectos más importantes de su padecimiento, para de esta forma poder sacar provecho de aquellas capacidades que aún le permitan sentirse útil y no subestimado ante quienes lo rodean.

Puede decirse que se ha actuado con profesionalidad solo cuando se hayan alcanzado estos objetivos.


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