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Early Rehabilitation Shunsuke NAKAMURA 1 1Department of Emergency Medicine, Yokohama Rosai Hospital Keyword: 頭部外傷 , 早期リハビリテーション , 運動療法 , 呼吸リハビリテーション , 摂食嚥下リハビリテーション , traumatic brain injury , early rehabilitation , exercise therapy , pulmonary rehabilitation , dysphagia rehabilitation pp.1070-1083
Published Date 2021/9/10
DOI https://doi.org/10.11477/mf.1436204491
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 Bed rest after brain injury may result in disuse syndrome, making it difficult for the patient to reintegrate into society. Early mobilization and exercise intervention are important for preventing disuse syndrome and promoting early improvement of activities of daily living. However, there are problems with controlling the intracranial pressure and cerebral perfusion pressure after severe traumatic brain injury. Recently, the effect of rehabilitation for acute brain injury has been reported. Rehabilitation is a therapeutic approach to assist patients with disabilities in maintaining, improving, and regaining optimal functioning within their environments. In acute head injury cases, pulmonary rehabilitation and dysphagia rehabilitation are important in addition to exercise therapy. Although the evidence is not yet well established, it is important to provide early multidisciplinary rehabilitation to patients with traumatic brain injuries regularly. Moreover, rehabilitation needs to be conducted safely with adequate risk management. In the future, it is necessary to conduct a large-scale systematic cohort study on early rehabilitation to examine patient strength and the optimal time to begin exercising.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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