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Rehabilitation Admissions – Via Dezza Office

Pediatric Neurorehabilitation and PCI

The center is aimed at children and adolescents with developmental disorders caused by rare syndromes and genetic diseases or by early brain damage, in particular children with cerebral palsy (CP) in its various clinical forms.

The UO works in a network with the healthcare services, with the Child and Adolescent Neuropsychiatry UOs and with the LS Pediatricians, in a synergic and integrated way in the diagnosis, functional evaluation and care and rehabilitation of the child, both in the outpatient and hospitalization regimes.
It addresses all stages of development (0-18 years) with particular reference to early interventions in the first years of life and to puberty and adolescence, ensuring continuity of care through operational coordination with the adult rehabilitation unit.
In most cases, these are multisystemic and disabling pathologies, and therefore the team is organized in a multidisciplinary way with child neuropsychiatrists and developmental physiatrists, pediatricians, developmental psychologists, rehabilitation therapists (developmental neuropsychomotor therapist, physiotherapist, speech therapist, occupational therapist), nursing staff and pediatric health assistants. In addition, the team can count on the advice of a speech therapist, orthopedist, neurophysiologist, osteopath, radiologist, neuro-ophthalmologist, nutritionist, cardiologist, ENT, and orthopedic technician.

Rehabilitation aims to develop and improve adaptive functions. It takes into account the multiplicity of altered functions (motor, perceptive, cognitive, affective, communicative, relational), their peculiarities and their mutual interactions, in the logic of pathological development and in respect of the individuality, diversity and resources of each child and in complete sharing with the family.
The assistance and care activity is carried out through rehabilitation hospitalization which takes place in ordinary hospitalization (n. 2 beds) or Day Hospital (n. 6 beds) and the dedicated outpatient clinic, structured in a multidisciplinary way.
Hospitalizations take place in agreement with the healthcare services and with the parents or those exercising parental authority, and after preliminary evaluation of their indication and appropriateness. The UO is aimed in particular at:

  • children with complex neurological situations in relation to multidimensional clinical/functional assessments aimed at formulating the individual rehabilitation project;
  • children with specific rehabilitation needs after functional surgery that cannot be addressed at home;
  • children with neurological pathologies at particular moments of development and growth in which the achievement of functional skills requires intensive rehabilitation interventions, which cannot be carried out at home or in an outpatient setting;
  • to spasticity inhibition interventions with multilevel botulinum toxin infiltration, specific treatment and evaluation of its efficacy.

Furthermore, the assistance activity is divided into the following practices:

  • assessment of functional disabilities;
  • enabling and rehabilitation of postural control and autonomous or assisted walking with the identification and prescription of personalized orthoses and aids;
  • functional assessment and rehabilitation of the upper limb and hemiplegic hand;
  • dysphagia treatment evaluation;
  • evaluation and prescription of orthoses and aids
  • support and development of personal autonomy and quality of life, and psychological support for the child and his family;
  • neuropsychological and psychoaffective assessment of adaptive skills and communication with interventions aimed at their development;
  • gym and pool activities;
  • laboratory activities of expressive activities.

The activities can be carried out individually or in groups and also include the intervention of family members. In the ward, children can be assisted without time limits by a family member both day and night.
Re-education is in fact based on a change project tailor-made for each child and shared entirely by his family.