Journal of Orthopedic Surgery and Rehabilitation

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.
Reach Us +1 (202) 780-3397

Rapid Communication - Journal of Orthopedic Surgery and Rehabilitation (2024) Volume 8, Issue 6

Neurorehabilitation Post-Surgery: Key Considerations for Recovery and Long-Term Well-being

Martina Tarcea *, Mudumba Vijayasaradhi, Rajesh Alugolu, Abhishek Arora

Department of Medicine, University of Calgary, Canada.

Corresponding Author:
Martina Tarcea
Department of Medicine
University of Calgary
Canada
E-mail: martia@tarcea.ca

Received: 02-Nov-2024, Manuscript No. AAOSR-24-155732; Editor assigned: 04-Nov-2024, PreQC No. AAOSR-24-155732 (PQ); Reviewed: 18-Nov-2024, QC No. AAOSR-24-155732; Revised: 25-Nov-2024, Manuscript No. AAOSR-24-155732 (R); Published: 30-Nov-2024, DOI: 10.35841/aaosr-8.6.238

Citation:  Tarcea M. Neurorehabilitation post-surgery: Key considerations for recovery and long-term well-being. J Ortho Sur Reh. 2024;8(6):238.

Visit for more related articles at Journal of Orthopedic Surgery and Rehabilitation

Abstract

     

Introduction

Neurorehabilitation is a vital aspect of recovery for individuals undergoing surgery, particularly for those who have experienced neurological impairments due to injury, illness, or congenital conditions. Post-surgical neurorehabilitation focuses on restoring physical, cognitive, and emotional functions that may have been compromised during the surgical process or due to the underlying condition that necessitated surgery. The process is multi-disciplinary, involving a range of healthcare professionals, including neurologists, physiotherapists, occupational therapists, speech therapists, and psychologists, to provide holistic care. Post-surgical neurorehabilitation aims to facilitate the recovery of various functions such as movement, cognition, communication, and emotional well-being. [1,2].

For many patients, particularly those undergoing surgery for conditions such as stroke, brain tumors, spinal cord injuries, or neurodegenerative diseases, rehabilitation is crucial in improving their quality of life and promoting long-term functional independence. Without appropriate neurorehabilitation, patients may face significant challenges, including loss of independence, prolonged disability, and diminished mental health. Neurorehabilitation is typically a phased process that evolves as the patient’s recovery progresses.In this initial phase, the primary goal is to stabilize the patient’s condition and address any life-threatening issues. A healthcare team assesses the patient’s neurological function and begins early interventions to prevent complications such as pressure ulcers, deep vein thrombosis, or respiratory issues. [3,4].

Rehabilitation strategies are often passive in this phase, such as gentle range-of-motion exercises or sensory stimulation.As the patient stabilizes, more targeted rehabilitation strategies are introduced to address specific neurological deficits. This may include physiotherapy to restore mobility, speech therapy for language and communication issues, and occupational therapy to promote daily living skills. The focus shifts from prevention to restoration, helping the patient regain some degree of function.In this phase, the focus is on long-term rehabilitation goals, aiming to further improve independence and prevent secondary complications. A more personalized rehabilitation plan is implemented, addressing residual deficits, and optimizing the patient's quality of life. This phase may include intensive therapy, regular assessments, and the use of assistive devices or technologies to facilitate independence. [5,6].

One of the most essential aspects of neurorehabilitation is restoring physical function. After neurological surgery, many patients experience weakness, loss of coordination, or paralysis. Physiotherapists work with patients to improve motor control, balance, strength, and flexibility. Therapies may include exercises to regain mobility, walking training, stretching, and the use of specialized equipment like treadmills or robotic devices to aid in movement recovery. Cognitive deficits, such as memory loss, impaired attention, and difficulty with problem-solving, are common after neurological surgery. Neuropsychologists or cognitive therapists assess these deficits and implement strategies to help the patient recover cognitive function. [7,8].

Neurorehabilitation also addresses the emotional and psychological aspects of recovery. It’s common for patients to experience anxiety, depression, or frustration due to the challenges of rehabilitation. Psychologists and counselors provide mental health support through therapy, behavioral strategies, and mindfulness techniques to help patients cope with their emotions, manage stress, and build resilience.Advances in technology have significantly enhanced neurorehabilitation. Virtual reality (VR) systems, robotic exoskeletons, and brain-computer interfaces are increasingly being used to improve recovery outcomes. These technologies offer immersive, engaging environments for patients to practice motor skills, cognitive tasks, and communication, making rehabilitation both effective and motivating. [9,10].

Conclusion

Neurorehabilitation post-surgery is a critical element of recovery for patients undergoing neurological procedures. By employing a multidisciplinary, individualized approach, neurorehabilitation helps to optimize physical, cognitive, and emotional recovery, significantly improving the patient's quality of life and functional independence.

References

  1. Johnston JD, McDonald MP, Kontulainen SA. Off-axis loads cause failure of the distal radius at lower magnitudes than axial loads: A side-to-side experimental study. J Orthop Res. 2020;38(8):1688-1692.
  2.                                                                                                                                                                                                                                                      Indexed atGoogle ScholarCross Ref

  3. Salas C, Brantley JA, Clark J. Damage in a Distal Radius Fracture Model Treated With Locked Volar Plating After Simulated Postoperative Loading. J Hand Surg Am. 2018;43(7):679.e1-679.e6.
  4.         Indexed atGoogle ScholarCross Ref

  5. Sobky K. Biomechanical comparison of different volar fracture fixation plates for distal radius fractures. Hand (N Y). 2008;3(2):96-101.
  6.  Indexed atGoogle ScholarCross Ref

  7. Sheridan E, Wiseman JM, Malik AT, et al. The role of sociodemographics in the occurrence of orthopaedic trauma. Injury. 2019;50(7):1288-92.
  8.         Indexed at, Google scholarCross ref

  9. Shao J, Zhang H, Yin B, et al. Risk factors for surgical site infection following operative treatment of ankle fractures: A systematic review and meta-analysis. Int Surg J. 2018;56:124-32.
  10.  Indexed atGoogle scholarCross ref

  11. Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: surgical site infection guidelines, 2016 update. JJ Am Coll Surg. 2017 ;224(1):59-74.
  12.  Indexed atGoogle scholarCross ref

  13. Willis AA, Kutsumi K. 3rd. Internal fixation of dorsally displaced fractures of the distal part of the radius. A biomechanical analysis of volar plate fracture stability. J Bone Joint Surg Am. 2006;88(11):2411-2417.
  14.   Indexed atGoogle Scholar, Cross Ref

  15. Osada D, Comparison of different distal radius dorsal and volar fracture fixation plates: a biomechanical study. J Hand Surg Am. 2003;28(1):94-104.
  16.  Indexed atGoogle ScholarCross ref

  17. Liu X, Dong Z, Li J, et al. Factors affecting the incidence of surgical site infection after geriatric hip fracture surgery: A retrospective multicenter study. J Orthop Surg Res. 2019;14:1-9.
  18. Indexed atGoogle scholarCross ref

  19. Sheridan E, Wiseman JM, Malik AT, et al. The role of sociodemographics in the occurrence of orthopaedic trauma. Injury. 2019;50(7):1288-92.
  20.  Indexed at, Google scholarCross ref

Get the App