5 Advantages of Inpatient Physical Therapy: Inpatient physical therapy is advantageous in many aspects for neurological problems such as stroke to the right or left side of the body, brain hemorrhage, traumatic brain damage. Even the thought of staying in a hospital is unpleasant and boring for most people. Doctors do not want to hospitalize anyone unless they see it necessary, and they try to complete their treatment and discharge as soon as possible. Physical therapy and rehabilitation can be applied on an outpatient basis in most cases and does not require hospitalization. However, in some cases, the implementation of rehabilitation in the inpatient physical therapy center is more beneficial for the patient. Severe neurological disorders are among these conditions.
Why Inpatient Physical Therapy?
Paralysis due to stroke and brain damage catches the person and their relatives off guard. Until recently, a person who was able to do his own job, perform his profession and lead a productive life may suddenly lose his abilities such as speaking, eating, walking, using his hand and become dependent on other people as a result of brain damage. The purpose of physical therapy and rehabilitation is to make the patient in this situation independent again as soon as possible and to return them to society and professional life. For this purpose, specialized rehabilitation clinics have been established for the early treatment of stroke, brain injury, and spinal cord paralysis in developed countries. Patients are classified according to the severity of their condition, and those who are expected to benefit most from intensive physical therapy are treated in these special centers.
5 Advantages of Inpatient Physical Therapy
1- 7/24 Medical Surveillance and Support
A wide variety of organs and systems can be affected by problems such as stroke, traumatic brain injury, and spinal cord paralysis. Being still is a risk factor in itself for the occurrence of additional problems. The risk of skin wounds, lung infections, psychiatric disorders, intravascular clot formation, and a second stroke is not at all low. Being hospitalized and under 24/7 medical supervision allows many complications to be prevented before they occur or to be noticed early and treated quickly. With the daily visits of the physical medicine and rehabilitation specialist physicians, the full-day supervision of the rehabilitation nurses, the general clinical condition of the patient is closely monitored, the necessary interventions and adjustments are made without delay.
2- Early Rehabilitation
It is difficult for a patient who has suffered severe paralysis, who is conscious but cannot sit and stand up without help, to go to the physical therapy center every day. Many patients with this condition are unable to participate in outpatient physical therapy due to transfer difficulties. The rehabilitation of these patients in the inpatient physical therapy center is more efficient and comfortable.
3- Inclusive Treatment
Many problems such as stroke, brain damage, decrease or loss of mobility in patients with spinal cord paralysis, speech and swallowing problems, blood pressure problems, bladder and bowel problems, balance problems may be present simultaneously. A patient may need to receive both electrical stimulation therapy, one-on-one manual exercises with a physiotherapist, also enter a session with a speech therapist, work with an occupational therapist, stand up and run with a robotic device, and participate in many other physical therapy practices. Planning these sessions in outpatient treatments can be more difficult and tiring for the patient. In inpatient physical therapy, therapy and rest hours can be planned more flexibly according to the needs of the patient.
4- Intensive Physical Therapy
In outpatient physical therapy, physical therapy can be performed between 45 minutes and 1.5 hours in most centers. Sometimes this period is even shorter. However, in early neurological rehabilitation, physical therapy with the active participation of the patient for at least 3 hours a day is required. Indeed, one of the criteria for admission to inpatient physical therapy centers for these diseases is that they are in a position to endure intensive treatment that lasts at least 3 hours a day. Other criteria include the patient’s ability to follow the given instructions and demonstrate a certain learning capacity. Patients who do not meet these conditions are directed to physical therapy at home or less intense physical therapy programs.
5- Focus Only on Treatment
In outpatient physical therapy programs, distractions such as going and going, cooking, cleaning the house, and following daily work do not involve inpatient physical therapy. The patient and the accompanying person are there for one purpose and can focus their full attention on their rehabilitation. It is structured 24 hours a day according to the needs of the patient, together with the rehabilitation team, to achieve the determined goals.
Neurological rehabilitation is in a way a re-education of the brain and in this respect, plenty of repetition is very important. One of the biggest advantages of inpatient physical therapy centers is the chance of intensive treatment. In the early period, targeted intensive physical therapy has the highest success in the recovery of stroke-related patients.