The Department of Neurorehabilitation Sciences

Specialist Rehabilitation

includes intensive rehabilitation activities in hospitalisation aimed at recovering from significant, modifiable disabilities, which require a high level of medical-specialist diagnostic effort with a rehabilitative and therapeutic focus, including intense multidisciplinary and multi-professional interventions (approximately 3 hours per day of specific treatment) and which imply a high level of medical-nursing protection or the need to use technologically advanced equipment. Patients eligible for specialist rehabilitation are subjects affected by disabilities resulting from pathologies for which there are conditions of intrinsic rehabilitative modifiability in the presence of clinical instability, even if not of a critical type, which requires medical and nursing monitoring over a 24-hour period, and in which the rehabilitation action uses specific skills that guarantee: clinical assessment and monitoring, global care of the patient with the involvement of the multi-professional team, the execution of functional and instrumental assessments aimed at drafting a project and a personalized rehabilitation program and the implementation of the therapeutic-rehabilitative project.

Individual Rehabilitation Projects (PRI)

The rehabilitation team, coordinated by the Head Physician, is composed of Specialist Doctors in Physiatry, Neurology, Geriatrics, Infectology, Cardiology, Pulmonology and Internal Medicine, by Physiotherapists and other healthcare professionals employed in the diagnostic and therapeutic-assistance services.

Individual Rehabilitation Projects are conducted according to a multidisciplinary and interdisciplinary approach, placing particular emphasis on the integration of the various interventions: from the diagnostic framework to the subsequent identification of specific needs, the object of the rehabilitation intervention, up to the definition of individual rehabilitation programs aimed at the recovery of residual abilities and reintegration into social life.
The individual rehabilitation program, placed within the Individual Rehabilitation Project, defines the specific areas of intervention, the immediate and short-term objectives, the operators involved, the times, the methods of delivery and their verification.

Ordinary Hospitalization

In line with the Regional Regulation on the “Reorganization of the Rehabilitation Network” of December 2004 and the Ministerial Guidelines of February 2011, the Operating Unit accepts in Ordinary Hospitalization mainly patients transferred directly from hospital facilities – in particular from the Neurology, Neurosurgery, Intensive Care, Medicine and Orthopedics Units – and a minority of patients reported by General Practitioners who require an intensive rehabilitation program for the following pathologies in the post-acute phase:

• central nervous vascular lesions
• severe disabilities from spinal cord injury
• neuro-degenerative diseases
• neurosurgical post-operative care
• extrapyramidal diseases
• peripheral nerve injuries
• vegetative states
• traumatic injuries to the motor system
• after-effects of limb amputation and prosthetics
• degenerative osteoarticular diseases with severe disabilities
• sequelae of ischemic heart disease (bypass, angioplasty, myocardial infarction)
• valve replacement sequelae
• heart failure

Day hospital

The rehabilitation Day Hospital consists of scheduled hospitalization cycles, each lasting less than a day, with the provision of multi-professional and multi-specialist services, which require medical and nursing supervision throughout the day.
The Rehabilitation Day Hospital is used by those patients in whom the functional deficit induces a partial disability as a direct consequence of the acute pathological event, or as a continuation of a re-educational program already underway. The pathologies treated are superimposable to those of the ordinary hospitalization reported above.