Provided Performance

The neurological pathologies are among the first causes of disability and their incidence is constantly increasing also due to the current aging of the population; the result is an ever-increasing demand for specific rehabilitation intervention, aimed at maximizing the functional capacity of the neurological patient.

Patients suffering from post-acute or chronic post-acute or central nervous system diseases (cerebral stroke, outcomes of traumatic and non-traumatic myelopathies, surgically treated expansive brain processes, multiple sclerosis, etc.) are welcomed. The structure also welcomes patients in a vegetative or minimally conscious state due to severe acquired brain injury.

Orthopedic pathologies, especially those of surgical interest, affect an important slice of the elderly and young population; rehabilitation offers many advantages to this type of patient as it allows, in most cases, complete functional recovery. Patients suffering from surgically treated orthopedic pathologies (hip prosthesis, knee prosthesis, shoulder prosthesis, cruciate ligament reconstruction) and patients suffering from polytrauma outcomes or with amyelic segmental and vertebral fracture outcomes, treated surgically are treated. Particular attention is given to patients who have undergone amputation of upper or lower limbs and are prosthesisable. During hospitalization at our facility the patient is prepared and trained to use the prosthesis.

Pneumological rehabilitation is a path dedicated to patients suffering from pathologies affecting the airways, lung parenchyma and respiratory muscles such as chronic obstructive pulmonary disease, but also from bronchial asthma, bronchiectasis, pulmonary fibrosis, ventilator deficits in subjects with deformities of the rib cage (kyphoscoliosis), with neuromuscular diseases, with respiratory failure of any origin. Essential components of respiratory rehabilitation programs are also educational and reconditioning to physical exercise. The latter aims to increase the ability to perform physical activity, to reduce the feeling of anxiety connected to physical activity and to restore a sufficient degree of autonomy.

Pediatric rehabilitation takes care of patients in developmental age affected by:

• neuromotor disorders or following severe or chronic brain injury such as infantile cerebral palsy, muscular dystrophy, spina bifida, severe malformations of the locomotor system (even after functional surgical treatment), genetic syndromes and rare diseases;
• surgically treated orthopedic pathologies resulting from polytrauma or skeletal and vertebral segmental fractures.

The goal is adaptation to everyday life, providing patients with information on orthoses, aids and changes to the environment, with particular reference to ergonomics and joint economics. For this reason, the patient is evaluated by an occupational therapist, during the hours of lunch and on waking up in the morning, in order to promote greater autonomy in the activities of daily life (eating, washing, dressing, etc.).

Cognitive functions are fundamental for a satisfactory recovery of the autonomy of patients suffering in particular from neurological pathology. Therefore a careful analysis of these functions is important. Our structure offers a Clinical Psychology service for the assessment and training of recovery of cognitive functions. All this allows a more complete recovery of the patient’s autonomy.

Very often it is necessary to use specific orthoses or aids to achieve a greater level of independence. In our presidium the physiatrists evaluates the necessity of an aid and, assisted by the occupational therapist, the physiotherapist and the orthopedic technician, indicate, prescribe and finally train the patient to use the most suitable orthosis or aid.