The sooner the "German Rehabilitation Model" is activated, the better the effect of stroke rehabilitation will be!

*Only for medical professionals' reference.
On the occasion of the 3rd anniversary of "Jita Rehabilitation" under Boehringer Ingelheim (BI), the Department of Rehabilitation Medicine of Shanghai International Medical Center, supported by Jida Rehabilitation, jointly issued the "2019-2020" The Annual Rehabilitation Clinical Achievement Report" once again verified the efficacy of the "German Rehabilitation Model" for stroke patients, and the idea that the earlier rehabilitation treatment is initiated, the better the effect of stroke rehabilitation! Stroke is a manifestation of a variety of cerebrovascular diseases, also known as "stroke.
"
70%-80% of stroke patients are often unable to live independently due to dysfunctions such as exercise, speech, swallowing, and mood, which has caused a huge burden on the patient's family and society [1, 2].

Rehabilitation from stroke is one of the most effective methods to reduce the disability rate that has been proven by evidence-based medicine.

Compared with stroke rehabilitation medicine in China, stroke rehabilitation medicine in Germany has a history of more than one hundred years.
It is recognized as one of the leading international standards due to its high degree of standardization, high efficiency, and high intensity.

In order to deepen the public's awareness of "starting rehabilitation as soon as possible" and to showcase the rehabilitation results of stroke patients after the "German Rehabilitation Model" treatment, Jida Rehabilitation under Boehringer Ingelheim (BI) and Shanghai International Medical Center joined the Shanghai International Medical Center on March 23 Successfully held the "Jida Rehabilitation Conference".

The sooner stroke rehabilitation starts, the better the recovery effect! Rehabilitation from stroke is a long-term process.
Although stroke patients with a longer course can also benefit from rehabilitation, the effect is not as good as that of early rehabilitation.

It has been clear that early rehabilitation of stroke treatment benefits early, and the benefits are greater [3].

Many patients and their families often only pay attention to the acute treatment of stroke, but often ignore the importance of early treatment of stroke rehabilitation.

In fact, stroke rehabilitation plays an important role in reducing the disability rate and preventing complications after stroke.

If within 24 hours of the onset of stroke and the patient’s vital signs are stable, rehabilitation is started, the risk of disability of the patient will be significantly reduced, and a better prognosis will be obtained [4].

The "Healthy China 2030" planning outline specifically proposes "early diagnosis, early treatment, and early recovery", which is also the concept that JiDa Rehabilitation is committed to disseminating.

The clinical data in the "2019-2020 Rehabilitation Clinical Achievement Report" jointly issued by JiDa Rehabilitation and Shanghai International Medical Center show that stroke patients who received rehabilitation treatment within 6 months of onset have recovered well, and the Basel Index (assess the patient's ability to live independently ) The improvement rate reached 36%, and the improvement rate of the International Functional Independence Evaluation Standard Index (assessing the physical function, speech, cognitive and social functions of patients) reached 28.
6%.

In order to show the clinical results more comprehensively, this year's report showed more data analysis of the evaluation scale, covering balance ability, upper and lower limb motor function, cognitive function, etc.
The evaluation content and results are more comprehensive.

These clinical data results show that the improvement value of stroke patients who initiate rehabilitation within six months is much higher than that of patients who receive treatment during other onset time periods, again confirming that the earlier stroke rehabilitation is initiated, the better the functional recovery effect.

At this meeting, the experts also shared the patients who benefited from early rehabilitation.
One of the patients' condition before and after treatment with this mode is as follows: Before admission, the patient's condition is as follows: unfavorable left limb activity with speech Vague for nearly 1 month; clinical diagnosis is hemorrhagic cerebral infarction, right internal carotid artery stent implantation, hypertension (grade 1), postoperative laryngeal cancer; functional diagnosis is left limb motor dysfunction, cognitive impairment, balance Dysfunction, dysfunction of daily life; unable to complete basic self-care functions such as eating, dressing, washing, transferring, and going up and down stairs when admitted to the hospital.

After the patient was admitted to the hospital, he was evaluated by the Shanghai International Medical Center using the Jida Rehabilitation Clinical Evaluation System.
After treatment with innovative methods, his balance ability was significantly improved after four months.
Not only can he stand on one foot for 7 seconds, but also in rugged conditions.
You can walk smoothly on uneven roads and go up and down stairs on your own without handrails, benefiting from early rehabilitation.

Innovative treatment methods are used in the German rehabilitation model to accelerate the progress of patients' recovery.

For example, through a hierarchical evaluation system, precise rehabilitation programs are formulated for patients; through personalized work situation rehabilitation treatment models, they solve their calculation, memory, decision-making and communication skills; through group therapy models (ball games, outdoor activities) Etc.
), to help patients find a sense of belonging; in addition, through individualized cognitive training modes (digital case conversion training, etc.
), to help patients exercise logical and thinking skills, and provide strong support for them to better return to society.

When talking about the future clinical development of rehabilitation therapy, Professor Shu Lebo said, “Data shows that 26%-38% of stroke patients in China are accompanied by aphasia, which has caused a heavy psychological burden on patients [5].

This year .
, We will focus on the field of neurolinguistics and introduce evidence-based medically validated advanced treatment methods, such as Melody Tone Therapy (MIT), Intensive Speech Action Therapy (ILAT) and Compulsory Induced Speech Therapy (CIAT) to help more aphasia The voice of patients with disease.

” Professor Zheng Jiejiao, chairman of the Chinese Society of Rehabilitation Medicine Special Committee for Geriatric Rehabilitation, and director of the Shanghai Rehabilitation Treatment Quality Control Center; While fully affirming the innovative concept of Jida rehabilitation, I also believe that the Jida rehabilitation model will go to more cities in the future, and continue to seek the gospel for recovered patients.

 German rehabilitation model: a standardized, precise and intelligent stroke rehabilitation model! In our country, early rehabilitation treatment for stroke is far from sufficient.

Compared with developed countries, China's stroke rehabilitation system is not perfect.
The main problems are as follows: hospitals have limited medical resources; there are fewer professional comprehensive and personalized rehabilitation centers; patients and their families have weaker rehabilitation awareness.

The German rehabilitation model pays attention to personal life conditions and individual life rules, and regards whether patients can participate in family, community and social activities as the ultimate goal.

Therefore, personalized life situation rehabilitation came into being.
The rehabilitation model is based on the patient’s functional level, individual wishes and life hobbies to formulate training content.
It is divided into three sections: personal life self-care, personal skill exercises and social participation, aiming to help patients be independent Complete the behavior in life and return to life step by step.

In the German rehabilitation model, high-level, high-quality, and more advanced rehabilitation technologies are embodied in patient management, treatment methods, and scientific and technological applications.

In terms of patient management, Jida Rehabilitation has adopted a whole set of plans for core team meetings, rehabilitation project management, patient incentives, and home rehabilitation.

Based on the integration of multidisciplinary teams, Jida Rehabilitation has created management methods including the establishment of a core team meeting system and a project rehabilitation butler system.
It is committed to achieving consistency in clinical diagnosis and treatment standards, and achieving patient diagnosis and treatment standards.
Phase and continuity.

In terms of treatment methods, Jida Rehabilitation innovatively adopts treatment plans including three-level evaluation system, standard rehabilitation treatment, group treatment, and personalized life situation rehabilitation.

The three-level evaluation system realizes the level of quantification of the patient’s functional impairment from the macro-present to the local level, exploring and evaluating the patient’s functional problems layer by layer, comprehensively and accurately obtaining the actual impairment of the patient’s function, activity, participation, etc.
, for the purpose of targeting To lay a solid foundation for the establishment of treatment goals and plans at all levels.

At the same time, JiDa Rehabilitation has formulated standard rehabilitation treatments.

A total of 161 treatment standards including PT, OT, ST, cognitive training, etc.
commonly used in clinical treatments, to ensure the quality and effectiveness of patient treatment.

In addition, group therapy is an important part of stroke rehabilitation, and it is also one of the characteristic treatment programs of German neurorehabilitation.
It combines functional rehabilitation with fun activities, has a wide range of applications, is highly infectious, and has high treatment efficiency.

In addition, the current rehabilitation medicine has entered the era of intelligence, and more and more intelligent rehabilitation equipment and equipment make treatment more convenient and efficient.

Jida Rehabilitation is equipped with leading rehabilitation equipment, such as Lokomat lower limb robot gait training and assessment system, Armeo spring three-dimensional upper limb multi-joint training and evaluation system, etc.
, to empower patients' rehabilitation treatment.

References: [1] Li Zhengming, Huang Dongting.
Research progress of rehabilitation therapy in the sequelae of stroke[J].
Guangxi Medicine, 2007, 29(011): 1728-1730.
[2] Hui Yanping, Xi Yue, Zhang Qiaojun.
Brain Stroke rehabilitation treatment progress[J].
West China Medicine,2018,33(10):1295-1302.
[3] Dworzynski K, Ritchie G, Playford ED.
Stroke rehabilitation: long-term rehabilitation after stroke[J].
Clinical Medicine, 2015, 15(5): 461.
[4] 55-8.
Prognosis after stroke /Article in German; Paal G; Abteilung für Neurologie, Stadt.
Krankenhauses München-Harlaching.
[5] Zhang Bin, Hou Yufeng.
Aphasia in stroke patients Progress in research on disease.
Chinese Journal of Gerontology, 2014.
(5), 1435-1436.