THE VIRTUAL REHABILITATION UNIT - A COMMUNITY ORIENTED MODEL FOR REHABILITATION.
Leif Stjernberg, Department of Rehabilitation Medicine, Uppsala University, Uppsala, Sweden.
In medical rehabilitation two somewhat contradictory demands are often met.
1. To establish and keep a high professional competence.
2. To make it possible for the individual to undergo his rehabilitation close to his ordinary surroundings which is often a prerequisite for a true community oriented rehabilitation.
A program for SCI-patients has been established in a region of Sweden. In this program we have tried to live up to both these demands. This is possible by using a rehabilitation program which is shared by the specialized unit at the University Hospital level and by smaller less specialized rehabilitation units within the region. The first phase of the rehabilitation is executed at the University unit which serves as a bank of knowledge within the area. Rehabilitation professionals of different kinds within the region are trained together. The second phase of rehabilitation including social reintegration can thus be performed by the local units. Feed-back to the regional unit is of great importance. Quality control is of extreme importance and a common matrix is used for this purpose.
We believe that this model could be used for other target groups and within other geographical areas at the global level.
Gait Analysis Service in Kanagawa Rehabilitation Center
Masahiro Ohashi, Yoshihiro Ehara (Kanagawa Rehabilitation Center, Atsugi, JAPAN)
We perform gait measurement and report back the results to the clinicians just like other hospital laboratory examinations. The report consists of graphs and numbers of the data regarding to time-distance, floor reaction force, joint angle, joint moment and others. To help the clinician's understanding, statistical data indicating the amount of deviations from the norms and interpreting comments are attached. We provide this type of service about 400 cases per year. The patient's diseases are such as DJD of hip or knee, amputation of the lower extremities and various neurological diseases including stroke, cerebral palsy etc..
We also provide project study type services to solve clinical questions. The thesis of the studies are such as pathophysiology of gait in various diseases, effect of medical or functional treatments, performance of particular prosthetic parts and so on.
Some interesting results came out of the gait analysis service.