[Early rehabilitation for neurologic patients].
Résumé
Rehabilitation improves the functional prognosis of patients after a neurologic lesion, and tendency is to begin rehabilitation as soon as possible. This review focuses on the interest and the feasibility of very early rehabilitation, initiated from critical care units. It is necessary to precisely assess patients' impairments and disabilities in order to define rehabilitation objectives. Valid and simple tools must support this evaluation. Rehabilitation will be directed to preventing decubitus complications and active rehabilitation. The sooner rehabilitation is started; the better functional prognosis seems to be.
Mots clés
Early rehabilitation
Critical care
Critical illness
Mechanical ventilation
Thromboprophylaxis
Weakness
Dysphagia
Respiratory failure
Pressure ulcer
Heterotopic ossification
Passive range of motion
Traumatic brain injury
Anoxic brain injury
Spinal cord injury
Stroke
Guillain-Barre syndrome
Neuromyopathy
Impairment
Disability