مستشفى إعادة التأهيل العصبي ميدان فيسبادن
قسم طب الأعصاب (25905)
Specialized in: neurology
The Department of Neurological Rehabilitation at the MEDIAN Rehabilitation Clinic Wiesbaden specializes in the rehabilitation of patients with neurological and neurosurgical diseases. The specialists working in the clinic use a holistic, individually tailored concept for neurological rehabilitation, which helps patients restore their independence in social, personal and professional life. The department is headed by Dr. med. Monika Cichorowski.
The department treats patients with diseases of different degree of severity in different stages of neurological rehabilitation. Rehabilitation may begin immediately after the acute inpatient stay or after a certain period of time (late rehabilitation). In addition, the department also provides outpatient neurological rehabilitation for less severe cases. The personnel, equipment and comfortable conditions of the department meet all the requirements of modern rehabilitation medicine and diagnostics.
Based on the International Classification of the World Health Organization (ICF), the department offers rehabilitation of patients with the following neurological disorders:
- Stroke (cerebral haemorrhage, cerebral infarction, subarachnoid haemorrhage)
- Traumatic brain injury
- Surgery of a brain tumor
- Meningitis (encephalitis, meningitis)
- Spinal cord injury
- Polyneuropathies (e.g., critical illness polyneuropathy - CIP), Guillain-Barré Syndrome (GBS)
- Radiculopathies (e.g., after disc herniation, in spinal stenosis)
- Oxygen deficiency of the brain (e.g., after resuscitation)
- Multiple sclerosis
- Parkinson's disease
The department offers a wide range of diagnostic procedures:
- Electroencephalography (EEG)
- SSEP, AEP and VEP (measurement of impulse transmission through various sensory organs)
- NLG and EMG (measurement of nerve conduction velocity and muscle activity)
- Ultrasound diagnostics of the cerebral arteries
- Fiberendoscopic Evaluation of Swallowing (FEES)
- Ultrasound diagnostics of the abdominal cavity and the lung
- Long-term blood pressure measurement
The therapeutic options of the Department of Neurological Rehabilitation include:
- Medical co-treatment
- Physical therapy
- Occupational therapy
- Clinical neuropsychology
- Therapeutic care
- Physical therapy (massages, manual lymphatic drainage, electrotherapy and EMG-triggered muscle stimulation)
- Sports therapy
- Relaxation therapy
- Medical training therapy (MTT)
- Social counseling
- Nutrition counseling
- Rehabilitation counseling for professional re-entry of patients
- Health education for patients and relatives
- Internal co-treatment
In addition, the department offers the following special treatment options:
- Differentiated speech diagnosis and therapy
- Speech and swallowing disorders
- Cognitive early rehabilitation
The department specializes in the following rehabilitation techniques:
The Wii Fit® is a game used for balance training. The aim of this form of therapy is to improve the posture and sense of balance as well as the coordination of patients.
Neuropsychological rehabilitation is used for stroke, brain injury or inflammations, which often lead to neurological deficits, such as memory impairment, loss of concentration and behavioral problems. For patients with such impairments, the department provides excellent conditions for training cognitive, communication and social behavior, both individually and in groups.
Armeo®Spring is a functional therapy for the upper extremities through active self-training. The Armeo®Spring is particularly suitable for patients who can already perform the first active movements of the affected limb. The efficient and customizable Armeo® therapy concept is aimed at people who suffer from the effects of stroke, traumatic brain injury or other neurological diseases and injuries, which among other things, impair their hand and arm function. The ergonomically adjustable arm orthosis with integrated spring mechanism guides the entire arm from shoulder to hand and counteracts the gravity of the arm. The goal is to enable a patient with very low motor residual function an intensive and above all self-initiated training in three-dimensional space.
Gait training on the treadmill is effective in the neurological rehabilitation both of semi-paralyzed stroke patients as well as in patients with hip endoprostheses, which should not burden the operated leg fully. The patient "stands" (hanging in a parachute belt) on the treadmill. A body weight can be partially relieved with a cable. With the help of the therapists, the patient’s gait pattern is improved and corrected.
Easy walk® gear system is a track-mounted running training system. It is an ideal complement and continuation of treadmill training. By providing weight relief, this therapy gives good results.
Functional electrostimulation / neurostimulation affect the nervous system with electrical impulses. The stimulation takes place either indirectly via skin electrodes or directly via an implant. In addition to conventional physiotherapy, treatment with a surface stimulator can produce the reintroduction of lost movement patterns through functional electrostimulation. The foot and hand/arm activities are stimulated as well.