Patients with brain trauma and brain diseases – the meaning of early rehabilitation

Broj pacijenata s bolešću mozga, a posebno tumora, u porastu je. Uobičajen uzrok stečene ozljede mozga još uvijek je ozljeda glave. Čak i kod teških ozljeda mozga, povećano je preživljenje zbog rane dijagnostike i suvremenog multidisciplinarnog liječenja. Pravovremena i prikladna rehabilitacija važan je vid tretmana. Ranom rehabilitacijom nastoji se poboljšati motorni, kognitivni i funkcijski oporavak uz prevenciju ili liječenje komplikacija, što je prije moguće. U ovom radu opisane su procedure rane neurorehabilitacije, važnost evaluacije i postavljanja ciljeva, kao i uključenost multidisciplinarnog rehabilitacijskog tima tijekom liječenja u Jedinici intenzivnog liječenja, i kasnije na odjelima. Prikazujemo teškoće rehabilitacije u pojedinim odjelima (neurološkom, neurokirurškom, općem) i naglašavamo važnost rane rehabilitacije u usavršavanju funkcijskih ishoda.The number of patients with brain diseases, especially with brain tumours, is on the rise. Common cause of acquired brain injury is still trauma of the head. The survival rates even in the case of severe brain damage have increased due to early diagnostics and up to date multidisciplinary treatment. Timely and appropriate rehabilitation is an important aspect of treatment. Early rehabilitation aims at improving motor, cognitive and functional recovery while preventing or treating complications as soon as possible. In the article procedures of early neurorehabilitation, the importance of evaluation and goal setting as well as the involvement of a multidisciplinary rehabilitation team during treatment in Intensive Care Unit and later in wards are described. We put to light the difficulties of rehabilitation in different wards (neurological, neurosurgical, general) and we emphasise the importance of acute neurorehabilitation to perfect the functional outcome