Rehabilitation in Republic of Moldova (Cimislia) Area 33,800 km2 - PowerPoint PPT Presentation

Rehabilitation in Republic of Moldova (Cimislia)

 Area 33,800 km2  Population 3,56 million inhabitants (on January 1.2011)  Capital Chişinău / kishinau /  Major cities Bălţi, Tiraspol, Cahul, Orhei

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Rehab center

Spinal Cord Injury Rehabilitation  Traumatic spinal cord injury is perhaps the most devastating orthopedic injury and with prolonged survival being the rule,  rehabilitation of these injuries has an increasingly important role.  The primary goals of rehabilitation are prevention of secondary complications, maximization of physical functioning, and reintegration into the community.

History of rehab in RM At the initiative of Dr. Oleg Pascal in 1993 a group of medical workers went to the UK, they made courses in neurorehabilitation. In 1994 at the Institute of Neurology and Neurosurgery was opened neurorehabilitation center with 30 beds. Here are treated patients with the consequences of stroke and VMT. From the beginning the center did not have necessary equipment , but along the way they did by herself with the help of specialists in engineering.

 at the moment Dr. Oleg Pascal opened a new private rehabilitation center Neokinetika.  There is also another rehabilitation center in Orhei  but to our great joy Cimislia center is the best equipped center.

Rehab in Cimislia  During 9 months in 2015, 261 patients were treated in our rehabilitation department.

2015 Y – Rehab Cimislia 250 200 150 100 50 0 Children Adults Total Outpatient (62%) (38%) (11%) 18 11 29 (6%) (94%) (89%) Inpatient 14 218 232 From total of 261 patients - 232 patients (88.8%) were inpatients and 29 (11.2%) - outpatients.

2015 Y – Rehab Cimislia Nr. of Patient 60; 23% 201; 77% Acute Chronic

Categories Nr. of Patients Neurology 1. Acute stroke 53 142- patients 54,4 % 2. Chronic stroke 64 3. Paraparesis 7 4. Traumatic brain injury 1 5. Cerebellar syndrome 1 6. Encephalopathies 3 7. Multiple sclerosis 1 8. Disk hernia 4 9. Radicular syndrome 7

Traumatology Nr. of Patients 1. Consequences of fractures 10 62-pacienti 2. Consequences of repositioning after sprain 23,8% 2 3. Coxarthrosis 2 4. Gonarthrosis 5 5. Coxa Valgus 3 6. Genu valgum 1 7. Hip dysplasia 7 8. Spondylosis 4 9. Scoliosis 18 10. Arthroplasty 2 11. Keloids 1 12. Contracture 3 13. Bursitis 1 14. Tendinitis 1 15. Muscle dystonia 1 16. Chest deformity 1

Internal medicine Nr. of Patients 1. A cute myocardial 5 57-pacienti infarction 21,8% 2. Osteoarthritis 31 3. Rheumatoid arthritis 2 4. Gout 1 5. Diabetes 18

Conclusion From the table above we can conclude: • Patients with neurological profile (142): 53 acute stroke patients (37.3%) and 64 patients with the consequences of stroke (45%). • Trauma patients – 62 (23.8%) • Internal medicine patients 57 (21.8%). • 232 (88.8%) were inpatients and 29 (11.2%) outpatients.

Clinical Cases

Ion Torgai 56 years Acute ischemic stroke -2010 Spastic hemiparesis on right side Berg scale: 40-50 Barthel scale: 90 ADL scales: 100-119 (max 135 points - 27 items) Rehab treatment : -active, passive and active passive physiotherapy/ kinetotherapy -occupational therapy.

Prisacari Valentina 52 year Acute ischemic stroke - 06.2015. Hemiparesis on left side. ADL scale: 35-76. Barthel scale: 25

After 8 months: ADL scale: 90- 121. Berg scale: 42- 54. Barthel scale: 100

Dankeschön! Questions ?????????