Early neurological rehabilitation.
Specialist clinic for early neurological rehabilitation.
Enjoying a little progress. Bringing a loved one back to consciousness step by step. Ensuring the patient's current medical status. Reducing fear. Regaining quality of life. All this is the aim of early neurological rehabilitation for patients with severe damage to the nervous system. The earlier therapy is started the better, since this improves the chances of optimal recovery.
The Schön Klinik München Schwabing is by tradition a specialised neurological clinic and has particular expertise in early neurological rehabilitation. By appointing an interdisciplinary team of doctors, therapists and specialist nursing therapists, we immediately introduce the best possible medical care and endeavour to restore an individual's physical and mental dexterity, as far as possible.
Staff: Doctors, therapists and nurses in the relevant department // Stay: Average hospital stay in days (Source: internal evaluation) // Cases 2014: Number of medical treatments of all relevant departments
We treat the following illnesses at our early neurological rehabilitation unit:
- Stroke (ischaemic and caused by cerebral haemorrhage)
- Traumatic brain injury (TBI)
- Subarachnoid haemorrhage (cerebral haemorrhage)
- Polyneuropathies and myopathies (nerve and-muscle damage)
- Severe meningitis (inflammation of the meninges)
- Hypoxic encephalopathy (neurological deficits caused by oxygen deprivation in the brain)
- Nerve damage after a long period in intensive care units with symptoms such as swallowing disorders, memory problems, paralysis
- Multiple sclerosis
Main focus of therapy: To be able to swallow and speak independently.
About one third of our patients come to our clinic with severe breathing and swallowing disorders. Hence we pay particular attention to breathing and swallowing therapy. For many of our patients this initially means being weaned off a tracheal cannula, originally inserted by means of a tracheotomy at a different hospital in order to safeguard the airways.
Our clinic offers appropriate forms of specialised and sophisticated therapy. A multi-professional team of speech and swallowing therapists, doctors and nurses provides the necessary support. The aim of therapy is to remove the tracheal cannula and ensure that our patients are again able to spontaneously breathe, swallow as well as speak. Our intensive therapy has restored the ability to swallow and eat in over 60% of our patients.
Priority treatment for patients after oxygen deprivation.
For patients with severely impaired consciousness (coma or coma vigil, in particular as a consequence of hypoxic encephalopathy, as a consequence of oxygen deprivation after resuscitation or severe traumatic brain injury), our clinic offers in-depth therapeutic expertise and experience. We are also part of a growing research network with the Neurological Clinic of the LMU Munich. Together with other early rehabilitation clinics, we follow the therapeutic progress of our patients for a number of years in order to continually improve our treatment concepts.
Currently data are being compiled and analysed in a central „KOPF register“, (Koma-Outcome bei Patienten in der Frührehabilitation = Study for Coma Outcome in Patients in Early rehabilitation). Thus our patients will be the first to benefit from the results obtained so far and the results still to come.
How well are our patients after their rehabilitation?
That's what we want to know from our patients. This is why, during treatment, we document their degree of independence in important areas of life, using the Barthel Index from 0 to 100. A score of 100 points means that the patient no longer needs any supportive care with the everyday routine. Using the Barthel index we are able to establish whether the treatment has been successful and how, of course, it can be further improved. The pleasing outcome of the current surveys is that, on average, our patients achieve 84 points in the final rehab phase, i.e. follow-up treatment.